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Elizabeth Froh, Katherine Dahlmeier, Diane L Spatz
BACKGROUND: The provision of human milk and breastfeeding is essential in the neonatal intensive care unit (NICU) population. However, recent national research has demonstrated very low percentages of NICU nurses providing lactation-based support and care to patients and families, and less than half of all NICUs have an International Board Certified Lactation Consultant (IBCLC) on staff. PURPOSE: The purpose of this study was to describe how NICU bedside nurses are providing lactation-based support and care during their shifts and the frequency of that support...
December 27, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Anna Pol-Pons Rn Ibclc, Mercè Aubanell-Serra ScB, Mireia Vidal Rn, Imma Ojeda-Ciurana Rn, Ruth Martí-Lluch PhD, Anna Ponjoan PhD
BACKGROUND: validated and reliable tools measuring the level of competence about breastfeeding amongst health professionals who attend mothers in primary care are scarce. OBJECTIVE: to develop and validate a self-administered online questionnaire to assess basic competence about breastfeeding in the full range of health professionals attending lactating mothers in primary care. DESIGN: methodological study. SETTINGS: the study was conducted in 33 primary care centers administered by the Catalan Health Institute (Institut Català de la Salut) in the Girona Region (northeast Spain)...
November 2016: Midwifery
Edward R Newton, Arthur I Eidelman
No abstract text is available yet for this article.
October 12, 2016: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Kathryn Wouk, Ellen Chetwynd, Thomas Vitaglione, Catherine Sullivan
Objective While the Affordable Care Act improves access to lactation services for many women across the US, low-income mothers in states without Medicaid expansion lack coverage for lactation support. As these states consider individual Medicaid reimbursement policies, the availability, effectiveness, and cost-benefit of lactation services must be evaluated. We conducted such an analysis for low-income mothers in North Carolina (NC), providing a model for other states. Methods First, we analyzed the distribution of NC International Board Certified Lactation Consultants (IBCLCs) and county-level breastfeeding rates among low-income infants...
August 17, 2016: Maternal and Child Health Journal
Angela M Johnson, Rosalind Kirk, Alfreda Jordan Rooks, Maria Muzik
Objectives To explore African American women's breastfeeding thoughts, attitudes, and experiences with healthcare professionals and subsequent influences on their breastfeeding interest and behavior. Insight was also sought about the most effective practices to provide breastfeeding support to African American women. Methods Thirty-eight pregnant or lactating African American women and racially diverse health professionals were recruited and participated in one of six membership specific focus groups in the metro Detroit area...
November 2016: Maternal and Child Health Journal
Antonella Chiurco, Marcella Montico, Pierpaolo Brovedani, Lorenzo Monasta, Riccardo Davanzo
Published evidence on the impact of the integration of International Board Certified Lactation Consultants (IBCLCs) for breastfeeding promotion is growing, but still relatively limited. Our study aims at evaluating the effects of adding an IBCLC for breastfeeding support in a mother and child hospital environment. We conducted a prospective study in the maternity ward of our maternal and child health Institute, recruiting 402 mothers of healthy term newborns soon after birth. The 18-month intervention of the IBCLC (Phase II) was preceded (Phase I) by data collection on breastfeeding rates and factors related to breastfeeding, both at hospital discharge and two weeks later...
August 2015: International Journal of Environmental Research and Public Health
Carol A Friesen, Laura J Hormuth, Devan Petersen, Tina Babbitt
The Tele-Lactation Pilot Project (TLPP), 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease Control and Prevention grant funds, explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC). The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver; the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care...
November 2015: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Rachel A Herold, Karen Bonuck
BACKGROUND: International Board Certified Lactation Consultants (IBCLCs) are associated with increased rates and duration of breastfeeding. Recent US legislation offers opportunities for private and public insurers to include IBCLC services as a covered benefit. OBJECTIVE: To explore US states' Medicaid coverage of IBCLC services following January 2014 legislative expansions of coverage for preventive health services. METHODS: To assess IBCLC reimbursement practices, 20 states, stratified by Medicaid expansion (yes/no) and 3-month exclusive breastfeeding rates, were selected to participate...
February 2016: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Jennifer A F Tender, Sandra Cuzzi, Terry Kind, Samuel J Simmens, Benjamin Blatt, Larrie Greenberg
BACKGROUND: Previously reported breastfeeding curricula for residents have combined different teaching methods, have focused on knowledge and attitudes, and have been time-intensive. OBJECTIVE: This study aimed to evaluate 3 time-efficient breastfeeding curricula for effectiveness in regard to pediatric residents' knowledge, confidence, and skills in managing a simulated breastfeeding scenario. METHODS: First-year pediatric residents during their 4-week community hospital newborn nursery rotation were consecutively assigned to 1 of 3 groups...
November 2014: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Alice S Teich, Josephine Barnett, Karen Bonuck
OBJECTIVES: This study examined women's perceptions of early infant feeding experiences and identified early postpartum barriers to successful breastfeeding. SUBJECTS AND METHODS: We conducted semistructured exit interviews at 6 months postpartum with a subsample of participants (n=67) enrolled in two randomized controlled trials of breastfeeding promotion. Study arms included (1) routine pre- and postnatal visits with an International Board Certified Lactation Consultant (IBCLC) (LC group), (2) electronically prompted guidance from prenatal care providers (EP group), (3) EP+LC combined, and (4) standard of care (control group)...
January 2014: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Ellen Chetwynd, Anne-Marie Meyer, Alison Stuebe, Rebecca Costello, Miriam Labbok
BACKGROUND: Insurance coverage for lactation management is proposed by the United States Affordable Care Act. International Board Certified Lactation Consultants (IBCLCs) are key providers of lactation services. In order to inform national discussion, this study examines the scope of insurance reimbursement of IBCLC services. OBJECTIVES: An email survey of US IBCLCs (N = 10 495) in March 2011 was used to explore frequencies of (1) submission--how often lactation consults were submitted to insurance providers for reimbursement and (2) recognition--the proportion of submitted charges recognized by insurance providers...
November 2013: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Amber D McCann, Jeanette E McCulloch
Women of childbearing age, especially in industrialized nations, are using social media in record numbers and are seeking information about pregnancy, birth, and breastfeeding online. Social media is a form of communication that enables online communities to share ideas, information, and personal messages. Those providing support to breastfeeding mothers are uniquely equipped to share information, guidance, and encouragement with new mothers. Lactation professionals, advocates, and volunteers should be aware that mothers are using Web-based communication to gain information about breastfeeding...
November 2012: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Joy Noel-Weiss, Betty Cragg, A Kirsten Woodend
BACKGROUND: Professional health care practice should be based on ethical decisions and actions. When there are competing ethical standards or principles, one must choose between two or more competing options. This study explores ethical dilemmas experienced by International Board Certified Lactation Consultants. METHODS: The investigator interviewed seven International Board Certified Lactation Consultants and analyzed the interviews using qualitative research methods...
2012: BMC Medical Ethics
Wilaiporn Rojjanasrirat, Eve-Lynn Nelson, Karen A Wambach
BACKGROUND: Research on using videoconferencing for breastfeeding support is limited. PURPOSE: Although European case reports have described videoconferencing for providing lactation support, this was the first study to assess the reliability and feasibility of home videoconferencing for breastfeeding assessment and support in the United States. METHOD: The study used 4 real-time, secure videoconferencing sessions to deliver lactation support to 10 mothers in the home...
November 2012: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Tegan Chapman, Jan Pincombe, Mary Harris
OBJECTIVE: to critically review literature related to the practice of antenatal breast expression (ABE) and the reasons for this practice. METHOD: a critical review of available literature was undertaken by accessing Internet and library resources. Articles were to be documented in English. No restrictions were placed on dates due to the important historical background of this topic. Keywords used to refine the search included antenatal breast expression, colostrum, antenatal breast-feeding education and midwives and International Board Certified Lactation Consultants (IBCLC)...
March 2013: Midwifery
Tegan Chapman, Jan Pincombe, Mary Harris, Jennifer Fereday
BACKGROUND: Antenatal breast expression (ABE) has been taught in the past as breast preparation. Now some authorities are advising ABE and storage of colostrum for the feeding the newborn in the treatment and/or prevention of hypoglycaemia in the immediate postnatal period (thus avoiding the need for formula supplementation). The actual incidence of ABE teaching amongst International Board Certified Lactation Consultant (IBCLC) Midwives is unknown. Results of this study will provide valuable baseline data for future randomised controlled trials into this practice...
March 2013: Women and Birth: Journal of the Australian College of Midwives
Lisa H Amir, Jennifer P James, Georgie Kelso, Anita M Moorhead
Infants with a tongue-tie or ankyloglossia have a short lingual frenulum, which can lead to problems with breastfeeding: attachment difficulties, nipple pain and damage, poor weight gain and eventually a reduction in milk supply. Trained clinicians can release the frenulum (frenotomy) in infants having difficulty with breastfeeding. Although traditionally performed by medical practitioners, we argue that this simple procedure is within the scope of practice of other clinicians. This paper outlines the process of setting up and maintaining credentialing for midwife lactation consultants (International Board Certified Lactation Consultants (IBCLCs)) to assess infant tongue-ties and perform frenotomy when appropriate at a tertiary maternity hospital...
December 2011: International Journal of Nursing Practice
Sara Elizabeth Thurman, Patricia Jackson Allen
This integrative literature review describes the educational background, clinical training, and certification process of the International Board Certified Lactation Consultant (IBCLC). The evidence for use or non-use of IBCLCs in breastfeeding support in the primary care setting and in the care of early parenting families is presented. Medline, PsychInfo, CINAHL, and Google Scholar were searched for research related to IBCLCs. The search was limited to research that studied the use vs. non-use of IBCLCs in outpatient settings and excluded studies that were solely conducted in the hospital environment...
September 2008: Pediatric Nursing
Li Yen Chin, Lisa H Amir
BACKGROUND: The Breastfeeding Education and Support Services (BESS) is a unit of The Royal Women's Hospital in Melbourne, Australia, staffed by International Board Certified Lactation Consultants (IBCLCs), providing day/short-stay and an outpatient clinic for mothers and infants with breastfeeding problems. It is important to measure women's experience of visiting the service as part of quality assurance. The aim of this project was to conduct an anonymous postal survey of clients' satisfaction with BESS...
2008: BMC Health Services Research
Brian C Castrucci, Kathleen L Hoover, Suet Lim, Katherine C Maus
PURPOSE: To assess the association between the presence of international board-certified lactation consultant (IBCLC) services at a delivery hospital and the breastfeeding practices of women whose infants required neonatal intensive care unit (NICU) admission. DESIGN: Cross-sectional study using population-level data. SETTING: Philadelphia, Pennsylvania. SUBJECTS: 2132 infants admitted to the NICU. MEASURES: Breastfeeding at hospital discharge was measured with the question, "Is the infant being breastfed?" Delivery hospitals were dichotomized as to the presence or absence of an IBCLC on staff ANALYSIS: Logistic regression was used to assess the relationship between breastfeeding at discharge and the presence of an IBCLC at the delivery facility while adjusting for maternal characteristics and birth outcomes...
May 2007: American Journal of Health Promotion: AJHP
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