Access Time:

3 month (starting from the time of purchase)
Enrolling in more than 1 course? Time is cumulative ie buy 2 courses, have access to both courses

Accreditation:

14L, 3 E, 5 R CERPs / 22 Pre-exam Education Hours / 22 CH awarded by the California Board of Registered Nursing

Recertification: Detailed Content Outline domains:  I (b-2,3), II (a-1,3,5, b-1,2,3), III (a-1,5,7,8,9,11, b-3,7,8,9), IV (D), V (A,B,F,G,H,I,K), VI (A,B,C,D,E,F,H), VII ( A-1,2,4, B-1,2,3,4,5, C-5, E-1,2,6)

I. Development and Nutrition (4.5 hrs)

II. Physiology and Endocrinology (7.75 hrs)

III. Pathology (15.25 hrs)
IV. Pharmacology and Toxicology (2.5 hrs) 

V. Psychology, Sociology, and Anthropology (13.75 hrs)

VI. Techniques (6.5 hrs)

VII. Clinical Skills (14 hrs)

Tutor: 

This course is self-directed learning and unfacilitated.

Well-constructed online learning gives you the best of both worlds - quality content that you can work through at your own pace, in your own place, but with a level of personal attention that even rivals face-to-face programs. And, you guessed it, Health e-Learning-IIHL programs are the BEST of online learning with all these great features:

• Log in when it suits you 24/7/365
• Study at your own pace within your enrolment period
  
  • no formal deadlines, stressful exams, or assignments
• All reading provided or linked
• Periodic testing of knowledge with fun self-test activities
• Immediate feedback for the final online assessment
  
  • certificate of completion issued immediately
• Administrative and technical support is available online

Prerequisites

There are no prerequisites for this course.

Syllabus

MODULE 1 Why breastfeed?  (2 hrs - 1L & 1E CERP)  I. Development & Nutrition – B -3; III. Pathology – A-8, 11

What’s the difference?; Human milk as nutrition; Macro-nutrients; Micro-nutrients; Immune factors; The case for breastfeeding; Acute illnesses of childhood; Non-communicable/Chronic diseases; Cognitive development; Maternal health; Economic and environmental health

MODULE 2 Protection of Breastfeeding (1 hr - 1E CERP) VII. Clinical Skills – C-5, E-1, 2, 4

The Baby-friendly Hospital Initiative; International Code of Marketing of Breastmilk Substitutes; Infant Feeding Policy and Monitoring

MODULE 3 Communications (2.5 hrs - 2.5R CERPs) V. Psychology, Sociology, Anthropology – L; VII. Clinical Skills – B-1, 2

Communication skills; A time to learn; Non-verbal communication; Listening skills; Barriers to effective communication; Building confidence; Applying counseling skills

MODULE 4 Prenatal Education (1 hr - 1R CERP) VII. Clinical Skills – B-2, 4, 5

Decision making; What is most influential?; What physical preparation should birthing parents do?; The power of words

MODULE 5 Birth (2.5 hrs - 2.5L CERPs) II. Physiology & Endocrinology – B-1; V. Psychology, Sociology, Anthropology – A, B, L; VI. Techniques – A, B, H

Birth and breastfeeding initiation; The first hours; Labor interventions; Postnatal interventions

MODULE 6 Breastfeeding the Infant (5 hrs - 4L & 1E CERPs) III. Pathology – A-1, B-7, 8, 9; V. Psychology, Sociology, and Anthropology – I; VI. Techniques - A, C, D, E, F; VII. Clinical Skills – A-2

Breastfeeding the Infant; When should an infant be fed?; Positioning principles; Milk transfer; Assessing breastfeeding; Managing common difficulties; Nipple Pain; Breast problems; Insufficient milk supply; Expressing human milk

MODULE 7 Special needs and infant challenges (4 hrs - 4L CERPs) II. Physiology & Endocrinology – A-5; III. Pathology – A-5, 7; VI. Techniques – A, G; VII. Clinical Skills – A-1, 4, B-4

Challenges; The 'late preterm' 'early term' baby; Hypoglycemia and Jaundice; The non-latching baby, Twins and multiples; Supplementation; Unit Activity; Feeding-line device at the breast or chest; Cup feeding; Finger feeding; Bottle feeding; Crying baby; Pacifiers/Dummies; Inadequate weight gain

MODULE 8 Maternal Challenges (2.5 hrs – 2.5L CERPs) I. Development & Nutrition – B-2; II. Physiology & Endocrinology – B-2, 3; III. Pathology – A-9; IV. Pharmacology & Toxicology – D; V. Psychology, Sociology, & Anthropology – G, H, K

Medical, surgical issues (diabetes, obesity, thyroid disease, hepatitis, HIV, breast surgery); postpartum mood disorders

MODULE 9 Transition to community (1.25 hrs - 1.25R CERPs) II. Physiology & Endocrinology – A-1, 3; III. Pathology – B-3; V. Psychology, Sociology, & Anthropology – A, F, I; VII. Clinical Skills – E-6

Discharge preparation; Sourcing andndeveloping resources; Community Referral Lists; Special Circumstances; Infant Feeding in Emergencies (IYCF-E); Acute Care After Hospital Discharge; Relactation and Induced Lactation; Beyond the first few days

MODULE 10 Wrap Up (0.25 hrs – 0.25R CERP) VII. Clinical Skills – E-1, 2

Closing session, extra resources, skills competencies, assessments, certificates. 

Reading Material

• All required reading materials and resources are available online.
  • A quality, current lactation text is advisable to augment your studies. Please see our list of recommended resources for further information.
• Participants are permitted to print one (1) copy of their course notes for personal use only.
  • If you do wish to print, please be aware that some courses are over 60 pages in length. Please be advised that links to articles and interactive activities are not available in the printed version.

Quality Assurance 

• LE01 was written by Michelle Pensa Branco, MPH, IBCLC and Carole Dobrich, B.Sc, RN, IBCLC. 
• Course edited by Carole Dobrich, B.Sc, RN, IBCLC, 
• Course reviewed and updated by Melanie Gringras, BScN, IBCLC, and Carole Dobrich, B.Sc., RN, IBCLC
• All courses are reviewed bi-annually and updated as new information becomes available.

Aims

This course aims to give you a good understanding of the 10 steps to successful breastfeeding and know how to apply them. It will also provide y ou with a strong appreciation of the importance of protecting, supporting and promoting breastfeeding for all infants and children, and their mothers/lactating parents.

Objectives

On successful completion of this course, you will be able to

• Identify the four key goals for infant feeding as per the Global Strategy on Infant and Young Child Feeding.
• Identify the products covered by the International Code of Marketing of Breastmilk Substitutes and subsequent WHA resolutions.
• Describe how implicit bias can negatively impact health care. List barriers to effective communication.
• Understand the importance of prenatal education in increasing "self-efficacy" of the birthing woman/person.
• List three postpartum interventions that could have a negative impact of breastfeeding /chestfeeding.
• Describe what clinical management is needed to assist in the resolution of common breastfeeding difficulties.
• Describe why careful observation of the 'late preterm' 'early term' baby related to feeding is important.
• List the recommendations regarding breastfeeding for mothers’/lactating parents who have diabetes, are obese, have thyroid disease, are HBV, HCV or HIV positive.
• Describe ways to promote, protect and support breastfeeding in their community List the six key actions for IYCF-E preparedness and response.
• Describe the significant impact hospital and community health practices have on the success of breastfeeding/chestfeeding.

Assessment

Achievement of the learning objectives is assessed by automatically graded, online, multiple-choice questions. A passing grade is 80%.

When you successfully complete the course, you must download your Certificate of Completion immediately. Your Certificate notes ongoing education accreditation points.

Accreditation

On successful completion of this course, you will be awarded:

• 14L, 3 E, 5 R CERPs 
• 22 Professional Development Education hours
• 22 CHs awarded by the California Board of Registered Nursing
  

For IBLCE examination preparation, this course provides 22 pre-exam education hours.

For IBCLC recertification this course covers the following Detailed Content Outline Domains:

I. Development and Nutrition (4.5 hrs)

B. Maternal - 2. Breast surgery; 3. Composition of human milk

II. Physiology and Endocrinology (7.75 hrs)

A. Physiology of Lactation - 1. Relactation; 3. Inducing lactation; 5. Multiples (e.g., twins, triplets)

B. Endocrinology - 1. Hormonal influence of milk production; 2. Diabetes; 3. Maternal hormonal disorders (e.g., pituitary, thyroid, Polycystic Ovarian Syndrome)

III. Pathology (15.25 hrs)

A. Infant - 1. Ankyloglossia; 5. Hyperbilirubinemia; 7. Small for Gestational Age (SGA), Large for Gestational Age (LGA); 8. Infant acute disease (e.g., infectious, cardiac, metabolic); 9. Vertically transmitted infections (e.g., HIV, Hepatitis B); 11. Inborn error of metabolism

B. Maternal - 3. Maternal acute disease (e.g., infectious, cardiac, metabolic); 7. Milk supply, low or over; 8. Nipple and breast conditions; 9. Nipple pain and trauma

IV. Pharmacology and Toxicology (2.5 hrs) 

D. Medications (e.g., prescriptions, over-the-counter, diagnostic and therapeutic procedures, aids to labor and delivery)

V. Psychology, Sociology, and Anthropology (13.75 hrs)

A. Transition to parenthood; B. Birth practices; F. Identifying support networks; G. Maternal mental health; H. Maternal psychological/cognitive issues; I. Breastfeeding dyad relationship; K. Weaning

VI. Techniques (6.5 hrs)

A. Effective milk transfer (including medically-indicated supplementation); B. First hour; C. Latching (attaching); D. Managing supply; E. Milk expression (e.g., pumping, hand expression, leakage); F. Position of the breastfeeding dyad (hands-off); H. Skin-to-skin (kangaroo care)

VII. Clinical Skills (14 hrs)

A. Equipment and Technology - 1. Feeding devices (e.g., tubes at breast, cups, syringes, teats, paladai); 2. Handling and storage of human milk; 4. Dummies (pacifiers)

B. Education and Communication - 1. Active listening; 2. Anticipatory guidance; 3. Care plan development and sharing; 4. Educating mothers and families; 5. Educating professionals, peers, and students

C. Ethical and Legal Issues - 5. WHO code – advocacy and policy

E. Public Health and Advocacy - 1. Advocate for Baby-Friendly Hospital Initiative (BFHI); 2. Advocate for compliance with World Health Organization International Code of Marketing of Breast-milk Substitutes (WHO Code); 6. Breastfeeding in emergency situations (e.g., natural disasters, personal emergencies)

Do we offer CEUs? Need other types of accreditation? Please see our Accreditation FAQ for more information.

Administration

1. This course is unfacilitated. You can reach out to This email address is being protected from spambots. You need JavaScript enabled to view it. if you have questions.
2. The course is available as a three-month subscription, commencing on the day of notification of your username and password.
3. The subscription time is cumulative - for example, if you purchase 8 courses - you receive 8 months' access to all 8 courses.
4. The subscription time may be extended by purchasing extensions, but they must be purchased before the subscription expiry date.
5. The average time taken to complete this course and the assessment is 22 hours.
6. On successful completion, your Certificate will be available to you in pdf format from the course website.
7. Replacement certificates can be obtained for a fee, however, we maintain an official transcript that is available free for all customers to download at any time.

Fees and Payments

• Enrollments are accepted online or upon receipt of an emailed enrollment form (limited special request).
• Payments online are available via credit cards through either Nuvei or PayPal gateways.
• The cost is US$245.00 per course.
• Additional fees, that are out of our control, may be charged by your bank to convert this to your local currency.
• Please see our Payments FAQ for more information.

Refunds and Privacy

Please see our Terms and Conditions for more information regarding refunds and our Privacy Policy is also available.