Birth is a significant life event and generally a happy one. Although labor is often challenging, it can also be empowering, with mothers experiencing elation and strength. Unfortunately, for other women, birth can be difficult, can be overwhelming, and can lead to psychological trauma. Some women may experience depression and posttraumatic stress disorder (PTSD) following their births. These effects can last for years and can cause difficulties in women’s relationships with their partners and their babies. Difficult births can also negatively affect breastfeeding. This article describes the prevalence of PTSD after childbirth and summarizes the symptoms so that International Board Certified Lactation Consultants (IBCLCs) can help recognize it and refer mothers to appropriate resources.
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- Go to article: Childbirth-Related Posttraumatic Stress Disorder: Symptoms and Impact on BreastfeedingSource:
Lactation consultants understand the mechanisms and research supporting breastfeeding's positive impact on infant mortality reduction, including lifelong health outcomes and associated cost savings. Lactation services can enhance the success of programs intended to improve infant mortality rates, health outcomes, and cost effectiveness.
As leaders serving the Ohio Lactation Consultant Association (OLCA), we pursued engagement with Ohio Department of Medicaid policy chiefs to ensure incorporation of these facts as programs are created to improve health and optimize allocation of Medicaid resources.
After a productive meeting, we specifically proposed that professional lactation services be standard care and fully integrated across the healthcare continuum regardless of setting and ability to pay.
- Go to article: Breastfeeding Information and Support Across Multiple Sources: Identifying Opportunities for Coordinated Care
Breastfeeding Information and Support Across Multiple Sources: Identifying Opportunities for Coordinated Care
To support mothers to breastfeed for recommended durations, information and support are needed from multiple sources. Our previous research indicated not all mothers in our community receive support, with mothers at greater risk of breastfeeding cessation (e.g., lower educational attainment, enrolled in Special Supplemental Nutrition Program for Women, Infants, and Children [WIC]), receiving supports at lower rates. In addition, receiving support was not always linked to breastfeeding outcomes. Building from these findings, the current report presents a case study of one community and calls for efforts to coordinate care across contexts. Perspectives are provided by lactation professionals in WIC and hospital settings. In addition, a mother who experienced inconsistencies in information and support when she encountered breastfeeding challenges discusses her experiences. Clinical implications are provided for coordinating care across community and healthcare contexts in our community and beyond.
- Go to article: Implementing International Board-Certified Lactation Consultants Intervention into Routine Care: Barriers and Recommendations
Implementing International Board-Certified Lactation Consultants Intervention into Routine Care: Barriers and Recommendations
The Surgeon General’s 2011 Call to Action on Breastfeeding (U. S. Department of Health and Human Services, 2011) encourages greater use of International Board-Certified Lactation Consultants (IBCLCs) to increase breastfeeding rates. The objective was to examine IBCLCs’ experiences as part of a routine, primary-care based team serving low income, minority populations, and to elicit their recommendations for implementing IBCLC support as routine in prenatal care. Using a predesigned interview guide, a debriefing session was held with three IBCLCs who served as interventionists in two NIH-funded randomized controlled trials (RCTs) of breastfeeding promotion interventions. Themes were identified through coding and analysis of the session transcript. The results indicated that healthcare provider (HCP) support for breastfeeding was undermined by inadequate education and experience, often resulting in support "in name only." In addition, IBCLCs rapport and expertise—with both women and the healthcare team—helped overcome individual- and system-level barriers to breastfeeding. IBCLCs’ acceptance and integration into the primary-care team validated their work and increased their effectiveness. IBCLCs comments suggest that mothers cannot rely solely upon their healthcare providers for breastfeeding education and support. IBCLCs integrated into routine antenatal and postpartum care are pivotal to encouraging and reinforcing a woman’s choice to breastfeed through education, as well as emotional and skill-based support.
- Go to article: Case Study of a Mother With Polycystic Ovarian Syndrome Who Breastfeed Both Her Biological and Adoptive Infants Born 5 Months Apart
Case Study of a Mother With Polycystic Ovarian Syndrome Who Breastfeed Both Her Biological and Adoptive Infants Born 5 Months Apart
Polycystic ovarian syndrome (PCOS) and infertility are common. These mothers may also have inadequate breast tissue, hormonal imbalances, and low milk supply. Most clinical case reports on PCOS do not have positive outcomes. This case report features a mother with PCOS who breastfed her biological and adoptive infants born 5 months apart and experienced a milk oversupply.
Black women in the United States have lower rates of initiation and duration of breastfeeding compared to other racial/ethnic groups. Social support for breastfeeding, as well as breastfeeding self-efficacy, has been reported as an influence on breastfeeding outcomes. This study analyzes the relationship between breastfeeding self-efficacy and network support for breastfeeding in a sample of Black women. Results showed that network support for breastfeeding does not have a direct effect on breastfeeding duration and pattern, but it does have a significant influence on breastfeeding self-efficacy. These results provide theoretical support for clinical interventions designed to enhance the support network as a way of improving breastfeeding self-efficacy, particularly for women at risk for early weaning.