JHL Call for Papers: State of the Science

Journal of Human Lactation (JHL) invites submissions to an upcoming issue with the theme State of the Science. State of the science articles are valuable to clinicians, educators and researchers, because their critical analyses provide evidence for standards of practice, establish the current level of knowledge on a topic, and highlight gaps in the evidence pointing the directions for future research. Click here to view JHL‘s new author submission guidelines.

It is our goal to bring our readership the most up-to-date information available. To facilitate this goal we are calling for critical literature reviews and meta-analyses, using established methodologies, about any one of the many and varied aspects of lactation. We are not interested in a summary or a synthesis of a body of literature, rather accepted manuscripts will provide a critical analysis of the evidence that identifies gaps in what we know, evaluates methodologies researchers have used and hypotheses the next steps needed to continue building our evidence.

The submission deadline for the special issue is 1 February 2019.

Click HERE to submit your manuscript online.

Journal of Human Lactation (JHL) is the top-ranked breastfeeding journal and the most valued benefit of ILCA membership. It is a quarterly, peer-reviewed journal publishing original research, insights in practice and policy, commentaries, and case reports relating to research and practice in human lactation and breastfeeding. JHL is relevant to lactation professionals in clinical practice, public health, research, and a broad range of fields related to the trans-disciplinary field of human lactation.

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ILCA Announces New Directors

The International Lactation Consultant Association (ILCA) Board of Directors is pleased to announce two new Directors: Stephanie George and Angela Love-Zaranka. Stephanie comes to the Board through election by ILCA membership. Board member Lisa Akers is stepping down from her second term as Board Treasurer so she can devote more time to the newest member of her family. Angela has been appointed by the Board to finish the last two years of Lisa’s term. Both of our new Directors will begin their terms in July 2018 at the Annual Conference. We look forward to working with them to continue ILCA’s mission: to advance the International Board Certified Lactation Consultant® (IBCLC®) profession worldwide through leadership, advocacy, professional development, and research.

Stephanie is an IBCLC and Aboriginal Midwife from Jarvis, Ontario, Canada. She is passionate about honoring and empowering all women through her healthcare practice. She also advocates for this platform through her roles on the National Aboriginal Council of Midwives, the Baby-Friendly Initiative Strategy of Ontario, and the Expert Panel of the Registered Nurses Association of Ontario. She hopes to continue this important work as a Board Member at ILCA, specifically through increasing access to education for lactation consultants around the world. Stephanie has served ILCA in the past as a member of the Conference Program Task Force.

Angela has always enjoyed both serving breastfeeding families in a clinical setting and doing behind-the-scenes work to support the profession. She began her career as a mother-to-mother breastfeeding support professional in 1990. As she worked to earn her IBCLC, Angela began volunteering for the Virginia and West Virginia Chapter of La Leche League International, eventually serving as their Finance Director and President. Another project she completed on the state level was serving as faculty for the Virginia Maternity Quality Improvement Collaborative, which supported hospitals in moving towards baby-friendly accreditation. Her next step was to the international level. She joined the International Board of Lactation Consultant Examiners as a Board Member in 2006. Some of her duties included chairing the Finance, Audit, and Governance committees and overseeing the revision of several documents key to the lactation consultant profession. Angela is originally from Oklahoma and is proud of her Native American ancestry. She has resided in the Washington D.C. Metropolitan area for the past thirty years.  Her current passion is learning about integrative medicine and traditional medicine from around the world.

We are proud to have Stephanie George and
Angela Love-Zaranka join the ILCA Board of Directors.

The ILCA Board would like to thank each of you for your continued support. To find out more, please visit our website at www.ilca.org.

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Ramadan and Breastfeeding

 

by Nor Kamariah Mohamad Alwi, BE, MIT, IBCLC

Ramadan is the most holy month of the year for Muslims. During the month, those who follow Ramadan abstain from eating, drinking, and sexual activities between sunrise and sunset. Additionally, they practice being extra patient, kind, and generous throughout the four weeks. These observances can have an impact on breastfeeding so it is important that International Board Certified Lactation Consultants® (IBCLCs®) understand how to best provide guidance to families.

Muslims scholars, or “ulama,” have been discussing breastfeeding while fasting for decades. Many rulings or “fatwas” have been issued to address this issue, enabling women to make wise decisions for themselves. Muslim women are encouraged to refer to the rulings of their respective local scholars to determine the options most suitable for their situations.

While fasting during Ramadan is not obligatory for all breastfeeding women, here is some guidance that I have found useful in my practice with clients in Malaysia who choose to fast during this time:

  • STAYING HYDRATED: Daily water intake is very important to keep the body sufficiently hydrated. It is recommended to drink bit by bit throughout the permitted time, from sunset to early sunrise. Drinking too much just before fasting will just fill up the bladder and gets urinated out soon after, resulting in the mother feeling thirstier for the rest of the day.
  • EATING WISELY: Eating well-balanced food, including proteins and complex carbohydrates, during “suhoor” – the meal right before the start of a fasting day – is very essential. This will provide the energy that mothers need for the rest of the day, until the breaking of the fast.
  • BREAKING THE FAST: As the fasting day ends, mothers should break her fast as early as possible, by eating natural high-energy foods, to quickly regain energy. A common option among the muslim community (which is also culturally recommended) are black dates. Mothers can opt for creative preparations such as blending the dates with milk.
  • HANDS-ON BREASTFEEDING: For mothers who are breastfeeding directly throughout the day, some will notice that their baby became a bit fussier at the end of the fasting day, as the mother’s body is impacted by the fast. Additionally, the milk ejection reflex can slow down due to the stress of the fast. When breastfeeding at this point, breast compressions while feeding will help drain out milk from the back of the breast. Mom will notice improved milk transfer, which can satisfy the baby faster.
  • EXPRESSING MILK: Expressing milk (for mothers who have to be separated from their baby) can be a varied experience. Some mothers find no change at all in terms of the quantity of expressed milk, especially in the first half of the day. However, some may find that the yield of milk collected at the end of the day is lower compared to earlier in the day. When this occurs, the mother needs to stay calm and understand how milk supply is produced. When milk is expressed from the breast regularly, a new milk supply will be produced. However, when the amount of body liquid reduces as part of the effects of fasting, the quantity of breast milk can be a bit lower than the usual, and mothers will find that their milk at this point usually looks thicker.

At any point in time during a fasting day that a mom feels too lethargic, it is important for her to carefully consider her condition, as well as her baby’s condition, before deciding to continue the fast. Consult with the local scholars and doctors, on how to deal with such situations.

Are there any religious and/or cultural implications that you find useful in your practice?

 

Nor Kamariah Mohamad Alwi resides in Bandar Baru Bangi, Selangor, Malaysia. She created the online breastfeeding support forum susuibu.com in 2004 and is a co-founder and President of Malaysian Breastfeeding Peer Counselors. She is on the Local Governance Task Force Coordinator for World Alliance for Breastfeeding Action (WABA). Kamariah is working with IBCLCs to establish a Malaysian Lactation Consultant Association. She is currently a private practice lactation consultant. (Read more about Kamariah in her ILCA Board of Directors nominee profile.) 

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Win a FREE #ILCA18 Virtual Conference Registration!

Join Us for the #ILCA18 Virtual Conference:

LEARNING: INNOVATIVE EDUCATION on the topics you need. 12 Continuing Education Units will be available for the Virtual Conference.

CONNECTION: BUILD RELATIONSHIPS with the entire #ILCA18 community by joining our Online CONNECT Community, exclusively for conference participants. Chat with both face-to-face and virtual contributors, get your questions answered by speakers, and find and share resources on the topics discussed at the conference.

BUILD THE SESSIONS YOU NEED: In addition to the scheduled sessions, #ILCA18 virtual attendees get FREE additional continuing education. Choose the content YOU need most by selecting an additional credit from our on-demand learning in the Knowledge Center.

LIVE OR ON YOUR TIME: Participate LIVE 20 – 21 July or watch on YOUR time – 60 full days of ACCESS to your content.

EASY TO USE + HELP WHEN YOU NEED IT: We are here to help! You will receive a direct link to our EASY-TO-USE conference platform with dedicated and patient tech support. During the live sessions, our professional tech support is staffed by skilled moderators. We love bringing your online questions to the floor of #ILCA18!

 

Equity Access Pricing:

ILCA is committed to ensuring the lactation community has access to #ILCA18, even in low-resource countries. Live streaming pricing is based on the same equity pricing model as our annual membership dues:

Category A: Standard/Clinical Members – $165, Students/Breastfeeding Supporters – $89, Retired – $66

Category B: Standard/Clinical Members – $32, Students/Breastfeeding Supporters – $19, Retired – $13

Category C: Standard/Clinical Members – $8, Students/Breastfeeding Supporters – $5, Retired – $4

Category D: Standard/Clinical Members – $4, Students/Breastfeeding Supporters – $2, Retired – $2

Non-Member Pricing: $241

To find which category your country is in, click here.

 

FREE registration for the #ILCA18 Virtual Conference winner announced!

Thank you to all those who left comments on Lactation Matters and in this ILCA Facebook post letting us know from whom you are most looking forward to learning during the #ILCA18 Virtual Conference!

Congratulations to our contest winner, Gina Tseka! Gina will have the opportunity to learn from her top picks, James McKenna and Tom Hale, as well as participate in the rest of our #ILCA18 Virtual Conference lineup.

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Announcing the 2018 IBCLC Care Award Recipients

 

The IBCLC Care Awards have been announced! Congratulations to the Community-Based Care Award and Hospital-Based Facility recipients!

What are the IBCLC Care Awards?

Hospital-Based Facilities and Community-Based Health Agencies that staff currently certified International Board Certified Lactation Consultant (IBCLC) certificants, host dedicated lactation support programs, and have completed specific projects promoting breastfeeding, can apply online to become a recognized IBCLC Care Award facility and be included in the IBCLC Care Directory.

The IBCLC Care Awards are promoted to new families and the general public which means Care Award facilities can enjoy the benefits of positive public relations in your community, including:

  • Enhanced attractiveness to potential patients
  • Competitive edge in recruiting lactation consultants, nurses, midwives, mother support counselors and other medical staff
  • General good will in the community by providing excellent care in helping new families reach their breastfeeding goals

Who are this year’s recipients?

To see a full list of the Care Award Recipients, click here.

The award was created by International Board of Lactation Consultant Examiners® (IBLCE®) and International Lactation Consultant Association® (ILCA®). Learn more and apply here.

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Take the World Breastfeeding Week Pledge

Please join us in celebrating World Breastfeeding Week (WBW) 2018, coordinated by the World Alliance for Breastfeeding Action (WABA), 1-7 August 2018!

The theme this year is Breastfeeding: Foundation of Life. Breastfeeding helps to prevent malnutrition in all its forms, ensures food security for infants and young children, and thus, helps to bring people and nations out of the hunger and poverty cycle. It is because of these life-supporting and life-altering qualities that we refer to it as a foundation of life.

Even though it is still months away, we encourage everyone to start planning how you can participate in WBW this year. Tailor your event to best meet your local needs and interests: host a lecture, show a movie, plan a support group, have a picnic, organize a panel, write your legislators, or develop a unique event for your community. Once you plan your event, be sure to sign the WBW 2018 Event Pledge Form. This pledge will track your commitment to celebrate by hosting a WBW event.

For every pledge that is received, the WBW 2018 logo will appear on a world map on their website, with celebrants names and the locations of events. See what others are doing the world over to mark the occasion by viewing the events so far. Do not forget to hashtag your event with #WBW2018!

Need inspiration or resources? Here are some other ways you can get ready for WBW!

Visit the WBW 2018 website for general information and downloadable promotional materials, including the WBW 2018 Action Folder. The action folder information on the theme, and includes useful facts and figures, infographics, case studies, and suggested ways to take action.

Share your commitment to breastfeeding advocacy and education. The links between breastfeeding and nutrition, food security, and poverty reduction may be obvious to breastfeeding advocates, but there is still work to be done to make these connections clear to others. We know what needs to be done to support and enable mothers to breastfeed optimally, but we need to be more proactive and engage more people to make this a reality.

Look for information and action steps throughout WBW at Lactation Matters, where you’ll find articles, images, action steps, and more to help with your successful WBW 2018 observance.

For the most up-to-date information about WBW 2018 and to download promotional materials, please visit the World Breastfeeding Week website by clicking here.

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International Kangaroo Care Day: An Interview with Dr. Nils Bergman

 

In just two months, Dr. Nils Bergman, one of the world’s experts on the impact of skin-to-skin contact between an infant and their new family, will present at TOGETHER: Changing YOUR Community and the World, ILCA’s annual conference, in Portland, Oregon, United States, which will be held 18 – 21 July. Attendees at both our in-person and virtual conferences will be able to hear his presentation Skin-to-Skin Contact: Current Research and Mediating Mechanisms.

Dr. Bergman, who has shared his expertise on six continents, worked with Midwife Agneta Jurisoo in Zimbabwe to develop and implement Kangaroo Mother Care (KMC) for premature infants right from birth. This resulted in a five-fold improvement in survival of very low birth weight babies. He introduced KMC to South Africa in 1995, and after 5 years, KMC became official policy for care of premature infants in the hospitals of the Western Cape province. Dr Bergman continues to live and work in Cape Town as a Consulting Public Health Physician. He is also an Honorary Research Associate at the Karolinska Institute, Stockholm, Sweden.

In celebration of International Kangaroo Care Awareness Day, celebrated this year on 15 May, we’ve reached out to find out more about what drew Dr. Bergman to this work, why skin-to-skin contact is critical for infants, and what we can look forward to in his presentation.

 

Lactation Matters (LM): How did you come to be interested in early skin-to-skin contact between infants and their parents?

Nils Bergman (NB): Way back in 1988, I began working in a remote mission hospital in a low income country, with no incubators or realistic means to transfer small babies for care. We had learnt of Kangaroo Mother Method before we came. Since we had no incubators to stabilise babies, we started skin-to-skin contact immediately after birth. We saw a startling difference, instead of taking 6 days to stabilise, it took 6 hours. And we lowered mortality by 40%. The small babies had clear personas, rather than seemingly amorphous immature protoplasm.

 

(LM): Why is this such a critical issue for those who support new families to understand?

(NB): Perhaps it was an accidental discovery, but what we have to understand is that skin-to-skin contact is NORMAL, normal biology and part of reproductive fitness. Worse: separating mothers from babies is actually harmful. Toxic stress is defined as the ‘absence of buffering protection of adult support’, and this applies to premature babies more, not less. And it is very much a ‘family’ thing, the family fabric may also be adversely affected.

 

(LM): What new research or new techniques are you MOST excited to share with us in July?

(NB) Bill & Melinda Gates Foundation have funded a multicentre study, being conducted by WHO in Ghana, India, Malawi, Nigeria and Tanzania. We will randomise 4200 babies weighing between 1000g and 1800g to normal care in warmers and compare them to the same normal care in “Immediate KMC”.

Want to learn more? Join us for #ILCA18!

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Warm Chain of Support for Breastfeeding

World Alliance for Breastfeeding Action (WABA), an ILCA Global Collaborator, has introduced a new initiative and vision for quality, consistent pre- and post-natal care: Warm Chain of Support for Breastfeeding. The Warm Chain strives to coordinate efforts at all levels to provide a continuum of care, from pregnancy through a child’s second birthday. There are usually many people providing care and support along the way to new families or families-to-be. The Warm Chain seeks to intentionally connect these “links” with consistent messaging and proper referral systems so that parents and children can benefit from ongoing support and skilled assistance.

International Board Certified Lactation Consultants® (IBCLC®s) play a multidisciplinary role that straddles generalized support for breastfeeding and allied healthcare. This improves maternal and infant survival, health, and well-being rates over the antenatal, birth, and postnatal periods.

As an IBCLC, there are many ways in which the care you provide can serve to further strengthen the links along the Warm Chain. Empowering parents to achieve their breastfeeding goals; providing accurate lactation information and training; and facilitating the establishment of programs, research, and policies in support of breastfeeding and lactation support are ways you can—and probably already DO—encourage connectivity between all actors along the continuum of care.

 

Find more suggestions on ways IBCLCs can support the Warm Chain HERE.

Take advantage of new Warm Chain of Support for Breastfeeding seed grants for projects “that focus on either starting a project or strengthening an existing effort to create an enabling environment for mother to continue breastfeed.” Seed grants are available up to $3000.00 (USD) per project. Find out more HERE.

Complete the Warm Chain survey to highlight both the links and the gaps between those links in the current model of care. Access the survey HERE.

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2018 ILCA Elections: Board of Directors

The ILCA Board of Directors has presented a ballot for ILCA voting members to select their next Director.

All ILCA members who are certified as an International Board Certified Lactation Consultant® (IBCLC®) and are in good standing should have received an email from ILCA on 23 April 2018 containing a link to the ballot (subject line: Your 2018 ILCA Board of Directors Ballot). If you did not receive an email and you should have, please contact the ILCA Office at admin@ilca.org (or) 1+ 919-861-5577 (or) 888-452-2478. Our ILCA staff is eager to make sure you get a ballot so your vote can be counted. To ensure a timely and secure election, all voting will take place through an online survey.

Prior to casting a vote, all voting ILCA members are encouraged to thoughtfully consider all information provided below. This will enable you to make an informed decision. Vote carefully: Once your vote is cast, it cannot be changed, repeated, or cancelled.

The balloting commences 23 April 2018 and concludes 07 May 2018, at which time all electronic votes will be tallied by the ILCA staff.

Board of Director Elections

On behalf of the Board of Directors, we are pleased to present the 2018 ballot for election of one Director. The Nominations Task force used an objective scoring system to conduct a fair and impartial assessment of each application. After thorough review and analysis, the following candidates were approved by the ILCA Board of Directors. This year, we will be electing one new director.

A Director must be elected by a majority of ILCA voting members. (Note: ILCA Bylaw 3.4 confers voting privileges to those dues-paying ILCA members who are also IBCLC certificants.)

To run for the position of ILCA Director, ideally, candidates would:

  1. Have prior experience within ILCA; or experience in other national or international breastfeeding/professional advocacy groups, preferably in a board/director post or demonstrated leadership in other positions;
  2. Have verbal, written, organizational, teamwork, and delegation skills;
  3. Be sensitive to the challenges of ensuring equitable access to positions of leadership within ILCA for historically underrepresented groups; and
  4. Be sensitive to the challenges of ensuring equitable access to breastfeeding and skilled lactation care in areas where breastfeeding practices are unequal.

Please take time to review the profiles of each nominee, by clicking on their names, prior to casting your vote. You will vote for one.

Stephanie George, Bachelor of Arts (Honors), Aboriginal Midwife, IBCLC, Postpartum Depression Support Person, Crisis Trauma Responder; Jarvis, Ontario, Canada

Meena Sobsamai, Bachelor of Science in Nutrition and Dietetics, Registered Nurse Midwife, Graduate Diploma in Childbirth Education, IBCLC; Bangkok, Thailand

The ILCA Board extends a special thanks to the Nominations Task Force for their efforts on behalf of the entire membership.

Questions? Comments? Share them here! We want to hear from you.

 

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#ILCA18 Virtual Conference Registration Now OPEN!

Join the International Lactation Consultant Association® (ILCA®) for our #ILCA18 Virtual Conference!

LEARNING: INNOVATIVE EDUCATION on the topics you need. 12 Continuing Education Units will be available for the Virtual Conference.

CONNECTION: BUILD RELATIONSHIPS with the entire #ILCA18 community by joining our Online CONNECT Community, exclusively for conference participants. Chat with both face-to-face and virtual contributors, get your questions answered by speakers, and find and share resources on the topics discussed at the conference.

BUILD THE SESSIONS YOU NEED: In addition to the scheduled sessions, #ILCA18 virtual attendees get FREE additional continuing education. Choose the content YOU need most by selecting an additional credit from our on-demand learning in the Knowledge Center.

LIVE OR ON YOUR TIME: Participate LIVE 20 – 21 July or watch on YOUR time – 60 full days of ACCESS to your content.

EASY TO USE + HELP WHEN YOU NEED IT: We are here to help! You will receive a direct link to our EASY-TO-USE conference platform with dedicated and patient tech support. During the live sessions, our professional tech support is staffed by skilled moderators. We love bringing your online questions to the floor of #ILCA18!

 

For more information about the #ILCA18 online conference, a full schedule of events, and registration information, visit the virtual conference webpage!

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