The Experts below are selected from a list of 1602 Experts worldwide ranked by ideXlab platform
Linda J Smith - One of the best experts on this subject based on the ideXlab platform.
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The IBLCE exam: candidate experience, motivation, study strategies used and predictors of success
International breastfeeding journal, 2019Co-Authors: Irena Zakarija-grković, Anita Pavičić Bošnjak, Ivan Buljan, Renata Vettorazzi, Linda J SmithAbstract:Background Optimising breastfeeding rates is a public health priority. Studies have shown that all forms of extra breastfeeding support increase breastfeeding rates, including support provided by trained health professionals. International Board Certified Lactation Consultants (IBCLCs) are trained healthcare professionals in the clinical management of breastfeeding and human Lactation. The IBCLC certification is a sought-after credential and can only be obtained after passing the exam administered by the International Board of Lactation Consultant Examiners (IBLCE). In Slovenia and Croatia, the IBLCE exam has been offered since 2006 and 2009, respectively. In this study, our aim was to 1) determine which candidate characteristics are associated with a passing grade on the IBLCE exam; and 2) analyse differences between candidates from Slovenia and Croatia, given Slovenians’ higher achievements in the past.
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the Lactation Consultant in private practice the abcs of getting started
2002Co-Authors: Linda J SmithAbstract:This is a user-friendly orientation and guide to the Lactation Consultant profession for those interested in running a full-time, profitable, and long-term Lactation Consultant practice.
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comprehensive Lactation Consultant exam review
2001Co-Authors: Linda J SmithAbstract:Consistent with the direction being followed by the IBLCE exam board, The Third Edition of Linda J. Smith's highly successful Comprehensive Lactation Consultant Exam Review is organized around the chronological stages of the mother-baby dyad's development. With over 800 questions and over 30 new clinical pictures, the Third Edition encourages an in-depth exploration of each stage of the mother-baby dyad's development, and poses questions that are often unique to that particular stage. It contains two complete Practice Exams and presents thirteen actual Clinical Case Studies, each asking several questions about the case. This review guide is perfect for beginning Lactation Consultants and those re-certifying, as well as dietitians, childbirth educators, nurses, and breastfeeding counselors! This new edition offers: * Information organized by Chronological Stages versus by Disciplines * Over 100 more questions than the Second Edition, and over 30 new clinical pictures * Practice Exams that follow the 2010 IBLCE exam format by having 175 multiple-choice questions, of which, 100 questions have clinical pictures The companion online image gallery contains full color clinical pictures to help you learn!
Karen A. Bonuck - One of the best experts on this subject based on the ideXlab platform.
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Randomized controlled trial of a prenatal and postnatal Lactation Consultant intervention on infant health care use.
Archives of pediatrics & adolescent medicine, 2006Co-Authors: Karen A. Bonuck, Katherine Freeman, Michelle TrombleyAbstract:Objective To determine whether infants of women randomized to a prenatal and postpartum Lactation support intervention incur fewer otitis media–, respiratory tract–, or gastrointestinal-related visits than controls. Design Randomized, unmasked controlled trial recruiting women from prenatal care settings. Breastfeeding sensitive (BFS) illness visits for otitis media or respiratory tract or gastrointestinal complaints were obtained up to 12 months. Setting Two urban community health centers. Participants Analytic sample of 338 low-income, primarily Hispanic and/or black mother-infant dyads (n = 163 for the intervention group and n = 175 for the control group). Intervention Study Lactation Consultants attempted 2 prenatal meetings, 1 postpartum hospital and/or home visit, and telephone calls as needed. Controls received the standard of care. Main Outcome Measures Combined outpatient and emergency department visits with illness and BFS illness diagnoses. Results There was a significant interaction between treatment and Medicaid; among those not receiving Medicaid, the number of otitis media visits was higher among controls (P≤.03). Visits for any illness and BFS, gastrointestinal, or respiratory tract illnesses did not differ by treatment group. Intervention group infants received more breast milk than controls, but exclusive breastfeeding rates remained low and did not differ between groups at any point. Conclusions Only the number of otitis media visits was reduced, in a subset of the intervention group. The intervention did not reduce visits for respiratory tract or gastrointestinal illness. Limited intervention contact and low exclusive breastfeeding rates may have attenuated intervention effects. Future interventions designed to yield markedly increased breastfeeding rates may show greater effects in low-income multiethnic samples. Health coverage for visits may moderate intervention effects.
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Randomized, controlled trial of a prenatal and postnatal Lactation Consultant intervention on duration and intensity of breastfeeding up to 12 months.
Pediatrics, 2005Co-Authors: Karen A. Bonuck, Michelle Trombley, Katherine Freeman, Diane MckeeAbstract:Objective. To determine whether an individualized, prenatal and postnatal, Lactation Consultant intervention resulted in increased cumulative intensity of breastfeeding up to 52 weeks. Design. The randomized, nonblinded, controlled trial recruited women from prenatal care. Baseline prenatal interviews covered demographic data and breastfeeding experience, intention, and knowledge. Interviews at 1, 2, 3, 4, 6, 8, 10, and 12 months after birth collected data on weekly feeding patterns, infant illness, and infant health care use. Setting. Two community health centers serving low-income, primarily Hispanic and/or black women. Participants. The analytic sample included 304 women (intervention: n = 145; control: n = 159) with ≥1 postnatal interview. Intervention. Study Lactation Consultants attempted 2 prenatal meetings, a postpartum hospital visit, and/or home visits and telephone calls. Control subjects received the standard of care. Outcome Measures. Cumulative breastfeeding intensity at 13 and 52 weeks, based on self-reports of weekly feeding, on a 7-level scale. Results. The intervention group was more likely to breastfeed through week 20 (53.0% vs 39.3%). Exclusive breastfeeding rates were low and did not differ according to group. In multivariate analyses, control subjects had lower breastfeeding intensity at 13 weeks (odds ratio [OR]: 1.90; 95% confidence interval [CI]: 1.13–3.20) and 52 weeks (OR: 2.50; 95% CI: 1.48–4.21). US-born control subjects had lowest breastfeeding intensity at 13 weeks (OR: 5.22; 95% CI: 2.43–11.22) and 52 weeks (OR: 5.25; 95% CI: 2.44–11.29). There were no significant differences in breastfeeding intensity among the US-born intervention, foreign-born intervention, and foreign-born control groups. Conclusions. This “best-practices” intervention was effective in increasing breastfeeding duration and intensity. Breastfeeding promotion should focus on US-born women and exclusive breastfeeding.
Ann M. Anderson - One of the best experts on this subject based on the ideXlab platform.
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AndersonDisruption of Lactogenesis Disruption of Lactogenesis by Retained Placental Fragments
2016Co-Authors: Ann M. AndersonAbstract:This case report describes a situation in which lack of milk production led the mother to seek help from a Lactation Consultant in private practice. Despite extensive breast stimulation with the baby at breast and mechanical breast expression, no milk was produced. Retained placenta was suspected by the Lactation Consultant. The mother was later diagnosed with placenta increta. Only when this condition was diagnosed and resolved did milk onset occur. It is im-portant to evaluate for retained placental fragments when Lactation appears to be delayed
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Disruption of lactogenesis by retained placental fragments.
Journal of human lactation : official journal of International Lactation Consultant Association, 2001Co-Authors: Ann M. AndersonAbstract:This case report describes a situation in which lack of milk production led the mother to seek help from a Lactation Consultant in private practice. Despite extensive breast stimulation with the baby at breast and mechanical breast expression, no milk was produced. Retained placenta was suspected by the Lactation Consultant. The mother was later diagnosed with placenta increta. Only when this condition was diagnosed and resolved did milk onset occur. It is important to evaluate for retained placental fragments when Lactation appears to be delayed.
Michelle Trombley - One of the best experts on this subject based on the ideXlab platform.
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Randomized controlled trial of a prenatal and postnatal Lactation Consultant intervention on infant health care use.
Archives of pediatrics & adolescent medicine, 2006Co-Authors: Karen A. Bonuck, Katherine Freeman, Michelle TrombleyAbstract:Objective To determine whether infants of women randomized to a prenatal and postpartum Lactation support intervention incur fewer otitis media–, respiratory tract–, or gastrointestinal-related visits than controls. Design Randomized, unmasked controlled trial recruiting women from prenatal care settings. Breastfeeding sensitive (BFS) illness visits for otitis media or respiratory tract or gastrointestinal complaints were obtained up to 12 months. Setting Two urban community health centers. Participants Analytic sample of 338 low-income, primarily Hispanic and/or black mother-infant dyads (n = 163 for the intervention group and n = 175 for the control group). Intervention Study Lactation Consultants attempted 2 prenatal meetings, 1 postpartum hospital and/or home visit, and telephone calls as needed. Controls received the standard of care. Main Outcome Measures Combined outpatient and emergency department visits with illness and BFS illness diagnoses. Results There was a significant interaction between treatment and Medicaid; among those not receiving Medicaid, the number of otitis media visits was higher among controls (P≤.03). Visits for any illness and BFS, gastrointestinal, or respiratory tract illnesses did not differ by treatment group. Intervention group infants received more breast milk than controls, but exclusive breastfeeding rates remained low and did not differ between groups at any point. Conclusions Only the number of otitis media visits was reduced, in a subset of the intervention group. The intervention did not reduce visits for respiratory tract or gastrointestinal illness. Limited intervention contact and low exclusive breastfeeding rates may have attenuated intervention effects. Future interventions designed to yield markedly increased breastfeeding rates may show greater effects in low-income multiethnic samples. Health coverage for visits may moderate intervention effects.
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Randomized, controlled trial of a prenatal and postnatal Lactation Consultant intervention on duration and intensity of breastfeeding up to 12 months.
Pediatrics, 2005Co-Authors: Karen A. Bonuck, Michelle Trombley, Katherine Freeman, Diane MckeeAbstract:Objective. To determine whether an individualized, prenatal and postnatal, Lactation Consultant intervention resulted in increased cumulative intensity of breastfeeding up to 52 weeks. Design. The randomized, nonblinded, controlled trial recruited women from prenatal care. Baseline prenatal interviews covered demographic data and breastfeeding experience, intention, and knowledge. Interviews at 1, 2, 3, 4, 6, 8, 10, and 12 months after birth collected data on weekly feeding patterns, infant illness, and infant health care use. Setting. Two community health centers serving low-income, primarily Hispanic and/or black women. Participants. The analytic sample included 304 women (intervention: n = 145; control: n = 159) with ≥1 postnatal interview. Intervention. Study Lactation Consultants attempted 2 prenatal meetings, a postpartum hospital visit, and/or home visits and telephone calls. Control subjects received the standard of care. Outcome Measures. Cumulative breastfeeding intensity at 13 and 52 weeks, based on self-reports of weekly feeding, on a 7-level scale. Results. The intervention group was more likely to breastfeed through week 20 (53.0% vs 39.3%). Exclusive breastfeeding rates were low and did not differ according to group. In multivariate analyses, control subjects had lower breastfeeding intensity at 13 weeks (odds ratio [OR]: 1.90; 95% confidence interval [CI]: 1.13–3.20) and 52 weeks (OR: 2.50; 95% CI: 1.48–4.21). US-born control subjects had lowest breastfeeding intensity at 13 weeks (OR: 5.22; 95% CI: 2.43–11.22) and 52 weeks (OR: 5.25; 95% CI: 2.44–11.29). There were no significant differences in breastfeeding intensity among the US-born intervention, foreign-born intervention, and foreign-born control groups. Conclusions. This “best-practices” intervention was effective in increasing breastfeeding duration and intensity. Breastfeeding promotion should focus on US-born women and exclusive breastfeeding.
Diane Mckee - One of the best experts on this subject based on the ideXlab platform.
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Randomized, controlled trial of a prenatal and postnatal Lactation Consultant intervention on duration and intensity of breastfeeding up to 12 months.
Pediatrics, 2005Co-Authors: Karen A. Bonuck, Michelle Trombley, Katherine Freeman, Diane MckeeAbstract:Objective. To determine whether an individualized, prenatal and postnatal, Lactation Consultant intervention resulted in increased cumulative intensity of breastfeeding up to 52 weeks. Design. The randomized, nonblinded, controlled trial recruited women from prenatal care. Baseline prenatal interviews covered demographic data and breastfeeding experience, intention, and knowledge. Interviews at 1, 2, 3, 4, 6, 8, 10, and 12 months after birth collected data on weekly feeding patterns, infant illness, and infant health care use. Setting. Two community health centers serving low-income, primarily Hispanic and/or black women. Participants. The analytic sample included 304 women (intervention: n = 145; control: n = 159) with ≥1 postnatal interview. Intervention. Study Lactation Consultants attempted 2 prenatal meetings, a postpartum hospital visit, and/or home visits and telephone calls. Control subjects received the standard of care. Outcome Measures. Cumulative breastfeeding intensity at 13 and 52 weeks, based on self-reports of weekly feeding, on a 7-level scale. Results. The intervention group was more likely to breastfeed through week 20 (53.0% vs 39.3%). Exclusive breastfeeding rates were low and did not differ according to group. In multivariate analyses, control subjects had lower breastfeeding intensity at 13 weeks (odds ratio [OR]: 1.90; 95% confidence interval [CI]: 1.13–3.20) and 52 weeks (OR: 2.50; 95% CI: 1.48–4.21). US-born control subjects had lowest breastfeeding intensity at 13 weeks (OR: 5.22; 95% CI: 2.43–11.22) and 52 weeks (OR: 5.25; 95% CI: 2.44–11.29). There were no significant differences in breastfeeding intensity among the US-born intervention, foreign-born intervention, and foreign-born control groups. Conclusions. This “best-practices” intervention was effective in increasing breastfeeding duration and intensity. Breastfeeding promotion should focus on US-born women and exclusive breastfeeding.
