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IBLCE® Detailed Content Outline

The IBLCE® Detailed Content Outline is the official blueprint for the bi-annual certifying examination. It defines the specific knowledge domains required for professional practice and serves as your primary guide for exam preparation.

You can use this outline to:

The Facts of Life™ Exam Prep program is purpose-built to meet these standards. Our curriculum covers every topic within the Detailed Content Outline at a minimum, ensuring you are fully prepared for the exam.

I. Development and Nutrition
A. Infant
  • 1. Feeding behaviours at different ages
    BBB01, EP04, EP12
  • 2. Food intolerances/allergies
    EP10
  • 3. Infant anatomy and anatomical/oral challenges
    BBB01, EP04
  • 4. WHO guidelines for introducing complementary foods
    EP12
  • 5. Low birth weight and very low birth weight
    EP08
  • 6. Milk banking - formal and informal
    EP10, EP12
  • 7. Normal infant behaviours
    BBB01, EP04
  • 8. Nutritional requirements - including preterm
    BBB01, EP04, EP10
  • 9. Preterm development, growth, and behaviours (including late preterm)
    BBB01, EP10
  • 10. Skin tone, muscle tone, reflexes
    BBB01, EP04
  • 11. Term development and growth
    EP12
  • 12. WHO growth charts with gestational age adjustment
    EP12
  • 13. Stooling and voiding
    BBB01, EP04
B. Maternal
  • 1. Breast development and growth (typical and atypical)
    EP03
  • 2. Breast surgery
    EP06
  • 3. Composition of human milk
    BBB01, EP05
  • 4. Maternal anatomical challenges
    EP03
  • 5. Maternal nutritional status
    EP06
  • 6. Nipple structure and variations
    BBB01, EP03
  • 7. Nipple modifications (e.g., piercings, tattoos)
    EP06
II. Physiology and Endocrinology
A. Physiology of Lactation
  • 1. Relactation
    EP03
  • 2. Infertility issues
    EP03
  • 3. Inducing lactation
    EP03
  • 4. Pregnancy and breastfeeding - tandem
    EP07
  • 5. Multiples (e.g., twins, triplets)
    EP10
B. Endocrinology
  • 1. Hormonal influence of milk production
    BBB01, EP03
  • 2. Diabetes
    EP07
  • 3. Maternal hormonal disorders (e.g., pituitary, thyroid, Polycystic Ovarian Syndrome)
    EP07
  • 4. Maternal autoimmune disorders
    EP07
  • 5. Newborn hypoglycemia
    BBB01, EP09
III. Pathology
A. Infant
  • 1. Ankyloglossia
    EP08
  • 2. Cleft lip and palate
    EP08
  • 3. Congenital anomalies (e.g., gastrointestinal, cardiac)
    EP09
  • 4. Gastroesophageal Reflux Disease (GERD), reflux
    EP09
  • 5. Hyperbilirubinemia
    BBB01, EP09
  • 6. Infant neurological disabilities
    EP09
  • 7. Small for Gestational Age (SGA), Large for Gestational Age (LGA)
    EP08
  • 8. Infant acute disease (e.g., infectious, cardiac, metabolic)
    EP09
  • 9. Vertically transmitted infections (e.g., HIV, Hepatitis B)
    EP09
  • 10. Esophageal atresia
    EP08
  • 11. Inborn error of metabolism
    EP09
  • 12. Infant cancer
    EP09
  • 13. Infant GI anomalies
    EP08
B. Maternal
  • 1. Abscess
    BBB01, EP06
  • 2. Milk ejection reflex dysfunction
    EP06
  • 3. Maternal acute disease (e.g., infectious, cardiac, metabolic)
    EP06, EP07
  • 4. Maternal chronic disease
    EP07
  • 5. Maternal disability (physical and neurological)
    EP07
  • 6. Mastitis
    BBB01, EP06
  • 7. Milk supply, low or over
    BBB01, EP06
  • 8. Nipple and breast conditions
    EP03
  • 9. Nipple pain and trauma
    BBB01, EP06
  • 10. Post-partum hemorrhage
    EP07
  • 11. Pre-eclampsia / pregnancy induced hypertension
    EP07
  • 12. Maternal cancer
    EP10
IV. Pharmacology and Toxicology
  • 1. Alcohol
    EP11
  • 2. Nicotine and tobacco
    EP11
  • 3. Cannabis
    EP11
  • 4. Medications (e.g., prescriptions, over-the-counter, diagnostic and therapeutic procedures, aids to labor and delivery)
    EP11
  • 5. Drugs of abuse
    EP11
  • 6. Contraception
    EP11
  • 7. Galactagogues
    EP03
  • 8. Gel dressings/nipple creams
    BBB01, EP11
  • 9. Herbs and supplements
    EP11
  • 10. Chemotherapy/radiation therapy/radioactive scans
    EP11
V. Psychology, Sociology, and Anthropology
  • 1. Transition to parenthood
    BBB01, EP12
  • 2. Birth practices
    EP07
  • 3. Foods to eat/avoid that influence lactation
    EP06
  • 4. Employment - beginning or returning to work
    EP10
  • 5. Family lifestyle
    EP12
  • 6. Identifying support networks
    BBB01, EP12
  • 7. Maternal mental health
    EP07
  • 8. Maternal psychological/cognitive issues
    EP07, EP10
  • 9. Breastfeeding dyad relationship
    BBB01, EP04, EP13
  • 10. Safe sleep
    BBB01, EP10, EP12
  • 11. Weaning
    EP03
  • 12. Cultural awareness
    BBB01, EP13
VI. Techniques
  • 1. Effective milk transfer (including medically-indicated supplementation)
    BBB01, EP04
  • 2. First hour
    BBB01, EP04
  • 3. Latching (attaching)
    BBB01, EP04
  • 4. Managing supply
    BBB01, EP03, EP04
  • 5. Milk expression (e.g., pumping, hand expression, leakage)
    BBB01, EP06
  • 6. Position of the breastfeeding dyad (hands-off)
    BBB01, EP04
  • 7. Refusal of breast, bottle
    EP08
  • 8. Skin-to-skin (kangaroo care)
    BBB01, EP04
VII. Clinical Skills
A. Equipment and Technology
  • 1. Feeding devices (e.g., tubes at breast, cups, syringes, teats, paladai)
    BBB01, EP03
  • 2. Handling and storage of human milk
    BBB01, EP06
  • 3. Nipple devices (e.g., shields, everters)
    BBB01, EP06
  • 4. Dummies (pacifiers)
    BBB01, EP06
  • 5. Pumps
    BBB01, EP06
  • 6. Scales (e.g., accuracy, precision, operation)
    EP06
  • 7. Communication technology (e.g., virtual visits, translation or interpretation services, websites)
    BBB01, EP06
B. Education and Communication
  • 1. Active listening
    BBB01, EP13
  • 2. Anticipatory guidance
    BBB01, EP13
  • 3. Care plan development and sharing
    BBB01, EP13
  • 4. Educating mothers and families
    BBB01, EP13
  • 5. Educating professionals, peers, and students
    EP13
  • 6. Emotional support
    BBB01, EP03, EP13
  • 7. Empowerment
    BBB01, EP13
  • 8. Group support
    BBB01, EP12
C. Ethical and Legal Issues
  • 1. Breastfeeding in public
    BBB01, EP02
  • 2. Clinical competencies
    BBB01, EP02
  • 3. Code of Professional Conduct (CPC)
    ELC01, ELC02, EP02
  • 4. Principles of confidentiality
    ELC01, EP02
  • 5. WHO code - advocacy and policy
    BBB01, ELC01, ELC02, EP01
D. Research
  • 1. Apply evidence-based practice
    EP02
  • 2. Interpret research results
    EP02
  • 3. Use research to help develop policies and protocols
    EP02
  • 4. Design research (including gaining ethical permission)
    EP02
  • 5. Participate in surveys and data collection
    EP02
E. Public Health and Advocacy
  • 1. Advocate for Baby-Friendly Hospital Initiative (BFHI)
    BBB01, ELC02, EP01
  • 2. Advocate for compliance with World Health Organization International Code of Marketing of Breast-milk Substitutes (WHO Code)
    BBB01, ELC01, ELC02, EP01, EP02
  • 3. Advocate for mother / infant in healthcare system
    BBB01, EP01, EP02
  • 4. Develop breastfeeding-related policies
    BBB01, EP01, EP02
  • 5. Advocate to government / health ministries
    BBB01, EP01, EP02
  • 6. Breastfeeding in emergency situations (e.g., natural disasters, personal emergencies)
    EP01, EP02