IBLCE® Detailed Content Outline

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

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

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

• 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

• 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

• 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

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