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So you want to become a lactation consultant?

August 30, 2022/0 Comments/in Real Mom Story /by Mike Ohara

Written by: Nikki G. and Nikki K. from Nikki and Nikki IBCLC.

It’s been on your mind for a while. You had an amazing breastfeeding experience. It wasn’t without its challenges, but you made it work for 2.5 years. You became known in your parenting circle as “the one that could”. You assumed the role of cheerleader for your friends, family, and co-workers. You felt somewhat qualified to help with the small things since you personally experienced it all: mastitis, low milk supply, slacker boob, and the infamous “itchy-nipple-I-think-it’s-yeast-but-who-knows”.

This narrative sounds familiar. We’ve heard a similar rendition in over 50% of the bios that we’ve read about our colleagues. Lactation consultants are so multi-dimensional and versatile. We come from all corners of the world and represent so many amazing journeys, yet many of our stories began the same. Maybe you were the one with the awful experience who is set on
changing the course for others. Whatever the journey that led you here, now you‘ve fallen in love with lactation and need to know how to tap into this world. We can help.

The lactation profession was founded on peer support. Ask anyone who has survived the IBCLC exam and they will tell you that the work begins and ends with support. Can you help your peers? Can you support another parent in your family or your community? You don’t have to go it alone. There are peer support organizations helping new parents all over the world. Maybe you’ve heard of La Leche League, Breastfeeding USA, or Chocolate Milk Cafe? Getting plugged into a local support organization may be the perfect toe into the field. You can get a sense of what you love about it while learning counseling skills and maybe even earning clinical hours for your IBCLC exam prerequisites.

Looking to make lactation support your profession? There are many different lactation support certifications that will allow you to earn an income from helping families. Certified Lactation Counselor, Certified Breastfeeding Specialist, and Certified Lactation Specialist are just a few options of the certifications that you can turn into extra pocket change or a steady income. If you are looking for a culturally-focused course check out the B.L.A.C.K. Course and Indigenous Lactation Counselor training. The courses are generally around 50 hours long and vary in format (online vs in person). In the end, learners should have a strong command of how to support families through common breast or chestfeeding challenges, and can even teach classes in their community. Some find employment in physicians’ offices or hospitals providing support to new parents, while others open private practices.

The lengthiest and most intense credential to pursue by far is International Board Certified Lactation Consultant (IBCLC). It is the most clinical in nature and involves managing common challenges to complex feeding issues well outside the scope of common. This certification is one that many use for a career in lactation support – either as a stand-alone credential or as a supplement to other related licenses and certifications. The prerequisites to IBCLC can take years to complete, and include 14 post-secondary courses in general sciences and other healthcare-specific topics, 95 hours of lactation education, and hundreds of hours of clinical hours spent supporting families.

No matter your end goal, there is an opportunity in lactation support for you! There will always be parents in need of your help, and ways to jump in to support. We recommend taking your time learning more about the options by getting plugged into the lactation support community around you and online. You’ll be happy to find “your people” as many are in your very same stage of exploration and ready to dip their toes into the waters of lactation support. You’ve got this!

 

Finding a Breastfeeding Friendly Pediatrician

August 9, 2022/0 Comments/in Breast Pumping, Breastfeeding, Breastfeeding tips, Exclusively Pumping, pregnancy /by Melissa Portunato

Melissa Portunato MPH, IBCLC, RLC

Breastmilk is a living substance loaded with nutrients, antibodies, and vitamins, providing the perfect nutrition composition for your growing baby. Experts recommend breastfeeding exclusively for the first 6 months and continued breastfeeding for 2 years or as long as the mother and baby desire. Some mothers exclusively express breastmilk for their babies, while others prefer to nurse directly at the breast. No matter how you decide to provide breastmilk for your baby, you will give them the very best start by feeding them your precious breastmilk. 

The pediatrician you choose for your baby will significantly impact your breastfeeding journey. Some pediatricians are more knowledgeable about breastfeeding than others, and it’s recommended for expectant parents to interview candidates for their baby’s doctor during pregnancy. Read on for questions you can ask and the answers you should look to receive. 

What percentage of babies are breastfed in your office?

The national breastfeeding rates published by the CDC depict that 45% of infants are exclusively breastfed at 3 months, and about 25% are fed only breastmilk at 6 months. Your pediatrician’s practice should have a high breastfeeding rate, but don’t be discouraged if they don’t know the current national breastfeeding statistics. However, they should know the average of breastfed infants in their office and be willing to listen and support you on your breastfeeding goals. 

Do you work with an International Board Certified Lactation Consultant (IBCLC) should any problems arise?

The IBCLC credential is the gold standard in lactation care, providing skilled, evidence-based breastfeeding support. Access to an IBCLC at your pediatrician’s office will make a big difference. It tells the pediatrician understands your concerns and values specialized lactation care for their patients. 

How much breastmilk should my newborn consume daily?

Breastfed babies consume between 25-30 ounces per day. The amount your baby will consume stays consistent for the first 6 months. If you are exclusively pumping, aim for that total, and if you are nursing and pumping about half (12-15 ounces). 

What growth charts do you use in your practice? 

Breastfed babies should not be compared to formula-fed babies. Research shows breastfed babies are leaner over time and grow in different patterns than their formula counterparts. Breastfed babies should be measured on the WHO growth charts, NOT the CDC growth charts. You can download a free WHO growth chart here. Remember, percentiles are just a comparison with your baby among 100 other babies. If your baby is not growing as quickly as their peers, it doesn’t necessarily mean feeding is an issue. Genetics should be considered, and seeking advice from an IBCLC. 

When is supplementation medically necessary, and how should it be given?

On average, your baby should not lose over 10% of their birth weight and be back at their birth weight at 2 weeks. If your baby requires supplementation, your pediatrician’s first advice should be to breast pump and provide breastmilk as a supplementation in addition to nursing directly at the breast. Alternative feeding techniques like a cup, spoon, or syringe should be suggested instead of bottle feeding. If bottle feeding is preferred, the paced bottle technique is the best way to feed your newborn with a bottle. 

When do you recommend introducing solids?

AAP recommends exclusive breastfeeding for the first 6 months, introducing solids at 6 months, and continued breastfeeding for 2 years or as long as mother and baby desire. Your baby does not need any other food, water, or juice – only breastmilk for the first 6 months. 

When do you recommend weaning from breastfeeding?

The answer here should be until mother and baby desire. There is no specific timeline for weaning, and every family should make a personal decision on when to discontinue breastfeeding. Studies show there are benefits to breastfeeding at one year and beyond. Breastmilk continues to be a source of nutrients, antibodies, and vitamins through toddlerhood and early childhood. 

Be prepared and educate yourself before you begin breastfeeding. Finding a pediatrician that supports your decision to breastfeed is important and can influence the achievement of your breastfeeding goals. If your pediatrician is not supportive of breastfeeding, you can always opt for a second opinion. You are your baby’s advocate. 

Need help getting started with breastfeeding? Schedule a complimentary consultation with a Spectra Baby USA IBCLC here. 

We’re here for you, and we support YOU! 

Source:

Kellams, A., Harrel, C., Omage, S., Gregory, C., & Rosen-Carole, C. (2017). ABM Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Neonate, Revised 2017. Breastfeeding Medicine, 12(4), 188–198. https://doi.org/10.1089/bfm.2017.29038.ajk

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