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Breastfeeding Twins
Published in Mary Nolan, Shona Gore, Contemporary Issues in Perinatal Education, 2023
Healthcare professionals can signpost parents to the most appropriate local breastfeeding support – if possible, an experienced breastfeeding counsellor or International Board Certified Lactation Consultant (IBCLC). An IBCLC is a health-care professional who specialises in the clinical management of breastfeeding. Consultants have undertaken at least 90 hours of lactation education and must have had considerable experience of providing breastfeeding care before they can take the exam leading to qualification by the International Board of Lactation Consultant Examiners. These breastfeeding specialists have the training and experience to support parents in a breastfeeding journey that may be quite complicated.
Postpartum Health and Lactation
Published in Michelle Tollefson, Nancy Eriksen, Neha Pathak, Improving Women's Health Across the Lifespan, 2021
Kristi R. VanWinden, Elizabeth Collins
Breastfeeding support at the time of birth and through the first weeks of life is critical to achieve a successful breastfeeding relationship. Factors most strongly associated with successful lactation include skin-to-skin contact at birth and rooming-in with the mother after delivery. Delivering at a center that supports lactation through policy and education increases breastfeeding rates and reduces disparities.28 “Baby Friendly”-designated centers provide such support, but currently only 28% of births in the United States occur at such centers.30 Early consultation with an International Board-Certified Lactation Consultant should be offered for breastfeeding difficulties or in cases of medically fragile mothers or infants that will require separation. On a community level, policies should support women with time and space to lactate when outside of the home. Providers or policies that undermine lactation without evidence (e.g., women being told to “pump and dump” after surgery or medication use) should be questioned. With few exceptions, lactation should not be disrupted unless a specific medical contraindication exists.
What Promotes Joy
Published in Eve Shapiro, Joy in Medicine?, 2020
We also have individual projects. Mine is breastfeeding. I’m an international board-certified lactation consultant. I take referrals for breastfeeding. I also take on breastfeeding projects like community awareness and a lot of staff education.
Lexicon of Metaphors: An Innovative Approach to Detect the Aftermath of Traumatic Childbirth
Published in Issues in Mental Health Nursing, 2023
For the first ripple, the impact of birth trauma on breastfeeding, I selected the metaphor of Head in a Vise. Nurses understand “breast is best” for infants, but they may need to remember that, for reasons nurses may not be privy to, breastfeeding is not best for every woman. Pressure from nurses and lactation consultants on a mother, who perceives her birth to be traumatic, to continue to breastfeed if she is struggling, may do more harm than good. Nurses can encourage women to breastfeed but also let them know that the decision is theirs. Women have the right to choose not to breastfeed without guilt or judgment. Nurses can help to match these mothers with women who had breastfed successfully after birth trauma so they can share strategies they used during their time breastfeeding.
Effect of cold cabbage leaf application on breast engorgement and pain in the postpartum period: A systematic review and meta-analysis
Published in Health Care for Women International, 2023
According to the International Lactation Consultant Association (ILCA), it is important to provide anticipatory guidance for common problems that can interfere with exclusive breastfeeding, with the acknowledgment that (1) nipple pain is an important problem and many mothers report mild discomfort at the beginning of feeding when the infant latches onto the breast; (2) all pain should be evaluated; (3) pain is often the result of ineffective positioning and latching; and (4) other causes such as bacterial or fungal infection should be considered (ILCA, 2020). The application of cold cabbage leaves has been shown to reduce pain and swelling (ILCA, 2020); however, its effectiveness in relieving breast engorgement has not been well studied (Snowden et al., 2001). Therefore, studies on the effect of cold cabbage leaf application on breast pain and engorgement were systematically compiled and analyzed by researchers.
Providing emotional and psychological support to nursing mothers through Chevron’s response to the COVID-19 pandemic
Published in Journal of Workplace Behavioral Health, 2021
Sara Kashima, Brian Walker, Angie Stephens
For employers who may be interested in replicating this model, the following is a brief outline of how to introduce this program at other companies: (1) Identify and vet lactation consultants to make sure that the individual represents a good cultural fit with your organization. Each lactation consultant brings their own unique perspective and philosophy to their work. (2) Consider lactation consultants who are as diverse as your employee workforce. When researching lactation consultants for this program, the authors recognized the importance of providing lactation consultants who reflect the diverse ethnicities of the mothers needing lactation support. Now that these support groups are offered virtually, the authors found that it became easier to reach a pool of diverse talent for the program. (3) Utilize your company’s EAP counselors who may be able to co-host a virtual session with nursing mothers. Having a licensed mental health professional attend each session will allow a trained counselor to manage any emotional or psychological issues that may arise during the discussions. (4) Communicate the program widely using different avenues. Digital signage, e-mail updates, articles on the intranet, and word of mouth, can help raise awareness about the program to as many employees as possible.