IBLCE® Detailed Content Outline

A. Infant

1. Feeding behaviours at different ages
2. Food intolerances/allergies
3. Infant anatomy and anatomical/oral challenges
4. WHO guidelines for introducing complementary foods
5. Low birth weight and very low birth weight
6. Milk banking – formal and informal
7. Normal infant behaviours
8. Nutritional requirements – including preterm
9. Preterm development, growth, and behaviours (including late preterm)
10. Skin tone, muscle tone, reflexes
11. Term development and growth
12. WHO growth charts with gestational age adjustment
13. Stooling and voiding

B. Maternal

1. Breast development and growth (typical and atypical) EP03
2. Breast surgery
3. Composition of human milk
4. Maternal anatomical challenges EP03
5. Maternal nutritional status
6. Nipple structure and variations EP03
7. Nipple modifications (e.g., piercings, tattoos)

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

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

1. Alcohol
2. Nicotine and tobacco
3. Cannabis
4. Medications (e.g., prescriptions, over-the-counter, diagnostic and therapeutic procedures, aids to labor and delivery)
5. Drugs of abuse
6. Contraception
7. Galactagogues
8. Gel dressings/nipple creams
9. Herbs and supplements
10. Chemotherapy/radiation therapy/radioactive scans

1. Transition to parenthood
2. Birth practices
3. Foods to eat/avoid that influence lactation
4. Employment – beginning or returning to work
5. Family lifestyle
6. Identifying support networks
7. Maternal mental health
8. Maternal psychological/cognitive issues
9. Breastfeeding dyad relationship
10. Safe sleep
11. Weaning
12. Cultural awareness

1. Effective milk transfer (including medically-indicated supplementation)
2. First hour
3. Latching (attaching)
4. Managing supply
5. Milk expression (e.g., pumping, hand expression, leakage)
6. Position of the breastfeeding dyad (hands-off)
7. Refusal of breast, bottle
8. Skin-to-skin (kangaroo care)

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)