Lactation Management Training: From Novice to Expert

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All IBCLC staff!

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I just got home from the AWHONN conference in Orlando.  We heard speakers talk about their plans to have an all IBCLC staff on their maternity units.  Now that is an exciting idea and what a great benefit for all of the breastfeeding mothers.   Expert help, at hand, whenever needed!

Other speakers talked about a mix of skills.  Some Breastfeeding Resources Nurses, some IBCLC’s.  But these managers recognized that everyone needs to have beyond the basics of lactation management training.

Recommendations from USLCA (and endorsed by AWHONN) have calculated the following recommendations for IBCLC staff:

Tertiary Care Facility (Based on 20% preterm delivery rate) - 1.9 FTEs/1000 deliveries

Hospital with Level II Neonatal Service - 1.6 FTEs/1000 deliveries

Hospital with Level I Neonatal Service - 1.3 FTEs/1000 deliveries

 The Joint Commission Accreditation Surveys now include Perinatal Core Measures that every hospital over 1,100 deliveries per year must monitor.   Through experience with high preforming hospitals, the Joint Commission believes that hospitals can achieve a 90% exclusive breastfeeding rate.  As more and more hospitals adopt the Baby-Friendly Hospital Initiative, they also are challenged to improve exclusive breastfeeding. 

The role of the hospital IBCLC is not only to provide care to breastfeeding mothers wherever they are in the hospital (maternity, pediatrics, emergency suite, surgical or medical units), but to train, coach and motivate the rest of the nursing and medical staff.  The other key role for the IBCLC is to influence unit policy and procedures.  The best way to improve breastfeeding exclusivity is to have an abundance of staff well trained in lactation support. 

In order to meet the mandates to improve breastfeeding initiation and duration rates, it is imperative that expert lactation support be readily available during the hospital stay.  The best way to achieve this is with an all IBCLC staff!

References:

AWHONN  Guidelines for Professional Registered Nurse Staffing for Perinatal Units.2010.  p.31

http://www.ilca.org/files/USLCA/Resources/Publications/IBCLC_Staffing_Recommendations_July_2010.pdf.  Accessed July 2014.

https://manual.jointcommission.org/releases/TJC2013A/PerinatalCare.html.  Accessed July 2014.

https://www.babyfriendlyusa.org/about-us/baby-friendly-hospital-initiative/the-ten-steps.  Accessed July 2014.

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Tagged in: IBCLC IBLCE

Vergie Hughes has a long history of experience in Maternal Child Health including labor and delivery, post-partum and pediatrics, and for the past 25 years she has been involved in lactation management. Ms. Hughes has a BSN from Pacific Lutheran University and a MS from Georgetown University. She has been a board certified lactation consultant since 1985. At Georgetown University Hospital, she was the director of the Human Milk Bank. She created and developed the National Capitol Lactation Center and the one week Lactation Consultant Training Program. This course has trained more than 4,000 Lactation Consultants since its inception in 1990.


She has been a private practice lactation consultant and business owner, and operated her own lactation center, Washington’s Families First. Lactation Education Resources On-Line is her website, offering training to professionals and information to parents as well. Ms. Hughes has served on the International Board of Lactation Consultant Examiners and has served on the IBLCE exam writing committee. Her first love is teaching and that is exemplified by the creativity of the courses she has developed. A series of courses “The In-patient Breastfeeding Specialist,” "The Out-patient Breastfeeding Specialist” and “The NICU Breastfeeding Specialist” are all designed to advance the lactation management skills of nurses at the bedside. She regularly teaches skills to labor and delivery nurses and just recently developed the course “Towards Exclusive Breastfeeding.”


Ms. Hughes is the program director and content manager for all of the on-line Lactation Education Resources courses. Ms. Hughes was recently honored with a “lifetime achievement award” as Fellow of the International Lactation Consultant Association (FILCA).

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Guest Thursday, 23 November 2017