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EP09: More Infant Intentions Interrupted

Explore hypoglycaemia, hyperbilirubinaemia, infectious diseases and complex infant conditions impacting breastfeeding

Infant issues such as hypoglycaemia, hyperbilirubinaemia, infectious diseases and complex medical conditions can challenge breastfeeding, requiring skilled assessment, monitoring and tailored support to maintain safe, effective feeding.

Course Learning Outcomes

Critically analyse neonatal hyperbilirubinaemia pathophysiology to evaluate breastfeeding management strategies that optimise jaundice resolution and lactation.
Critically evaluate neonatal hypoglycaemia risk factors and management to develop evidence-based feeding protocols that maintain glucose stability and breastfeeding.
Assess and evaluate infant infectious disease transmission risk during lactation to develop evidence-based feeding recommendations that balance infant safety and breastfeeding continuation.
Critically evaluate neurological, respiratory, and cardiac conditions to develop individualised feeding strategies that optimise infant safety and breastfeeding effectiveness.
Critically analyse endocrine and gastrointestinal disorders to inform evidence-based feeding modifications and monitoring protocols that support nutritional adequacy.

IBLCE® Detailed Content Outline

Every module maps directly to the IBLCE® Detailed Content Outline, building your knowledge progressively from foundational science through to clinical application.

This course covers the following IBLCE® DCO items. The applicable Lactation (L), Ethics (E) and Related (R) hours are shown against each heading.

A. Physiology of Lactation

B. Endocrinology

A. Physiology of Lactation

1. Relactation

2. Infertility issues

3. Inducing lactation

4. Pregnancy and breastfeeding - tandem

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)

4. Maternal autoimmune disorders

5. Newborn hypoglycemia

A. Infant

B. Maternal

A. Infant

1. Ankyloglossia

2. Cleft lip and palate

3. Congenital anomalies (e.g., gastrointestinal, cardiac)

4. Gastroesophageal Reflux Disease (GERD), reflux

5. Hyperbilirubinemia

6. Infant neurological disabilities

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)

10. Esophageal atresia

11. Inborn error of metabolism

12. Infant cancer

13. Infant GI anomalies

B. Maternal

1. Abscess

2. Milk ejection reflex dysfunction

3. Maternal acute disease (e.g., infectious, cardiac, metabolic)

4. Maternal chronic disease

5. Maternal disability (physical and neurological)

6. Mastitis

7. Milk supply, low or over

8. Nipple and breast conditions

9. Nipple pain and trauma

10. Post-partum hemorrhage

11. Pre-eclampsia / pregnancy induced hypertension

12. Maternal cancer

A. Equipment and Technology

B. Education and Communication

C. Ethical and Legal Issues

D. Research

E. Public Health and Advocacy

A. Equipment and Technology

1. Feeding devices (e.g., tubes at breast, cups, syringes, teats, paladai)

2. Handling and storage of human milk

3. Nipple devices (e.g., shields, everters)

4. Dummies (pacifiers)

5. Pumps

6. Scales (e.g., accuracy, precision, operation)

7. Communication technology (e.g., virtual visits, translation or interpretation services, websites)

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

6. Emotional support

7. Empowerment

8. Group support

C. Ethical and Legal Issues

1. Breastfeeding in public

2. Clinical competencies

3. Code of Professional Conduct (CPC)

4. Principles of confidentiality

5. WHO code - advocacy and policy

D. Research

1. Apply evidence-based practice

2. Interpret research results

3. Use research to help develop policies and protocols

4. Design research (including gaining ethical permission)

5. Participate in surveys and data collection

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)

3. Advocate for mother / infant in healthcare system

4. Develop breastfeeding-related policies

5. Advocate to government / health ministries

6. Breastfeeding in emergency situations (e.g., natural disasters, personal emergencies)

Course Content

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