International Lactation Consultant Association

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ILCA Conferences
2010 ILCA Conference – ILCA’s 25 th Anniversary
ILCA Conference Speakers!
Enjoy presentations by the following colleagues
at the 2010 ILCA Conference in
San Antonio!
Conference Program Now Available
Online Registration is Now Open
ILCA Seeking Conference Program Committee
Coordinator
Applications will be accepted until March 1 for the paid position
of Conference Program Committee Coordinator. This position will
chair the conference planning committee for the annual conferences
in 2011 in San Diego, California and in 2012 in Orlando,
Florida. The committee determines the conference theme, invites
plenary speakers, and selects workshop and concurrent topics
and speakers through an abstract review process. ILCA provides
an honorarium and reimburses the coordinator‟s expenses related
to attending the conference.
Learn more about this exciting opportunity at the CPC page at
http://www.ilca.org/i4a/pages/index.cfm?pageID=3371 or by
reviewing the Job Description. Download an http://www.ilca.org/
files/members_only/volunteer_opportunities/
ConferenceProgramCmte/CPCCoordinatorApplication2.pdf or contact
Natalie Porterfield, Director of Conference Services at natalie@ilca.org
with questions.
Kathleen Kendall-Tackett:
“Sexual Abuse and Assault in the
Lives of Childbearing Women” and
“Where do babies sleep? Results
from the survey of mothers‟ sleep
and fatigue.”
VELB/ILCA 2010 Conference: Abstract Submission
Final Call
Don‟t delay in submitting your abstract to present at the upcoming
VELB/ILCA biennial conference to be held October 21-23,
2010 in Basel, Switzerland. You may download the English version
of the abstract application from the ILCA Conferences pages.
Please send your entire application exclusively to velb2010@tsmanagement.ch.
General information on the conference can be
found on the ILCA Worldwide Education Calendar. Deadline is
February 28, 2010.
IBLCE Exam at the Conference Site
The JW Marriot will serve as an official 2010 IBLCE Examination
site on Monday, July 26. Contact info@iblce.org for additional information.
All Conference attendees planning to take the exam
on Monday are invited to a free ILCA workshop on Sunday afternoon.
The workshop will present test-taking tips and relaxation
strategies to help exam candidates prepare for Monday.
Roberta Graham de Escobedo:
“Promoting Optimal Breastfeeding
in the Latino Community”

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ILCA News
ILCA Above and Beyond Award Nominations Sought!
Each year ILCA presents the "Above and Beyond" Award to a member who has shown their commitment
of time and talent to their professional association. The Above and Beyond Award winner will receive a
two-year ILCA membership. Any ILCA member may be nominated, and you may even nominate yourself.
Simply describe, in 150 words or less, why the award should be given to the person you've named.
The winner is selected by the ILCA Board of Directors after consideration of the nominations provided.
The nomination form is on the ILCA Website at http://www.ilca.org/i4a/pages/Index.cfm?pageID=3485.
Please send your completed nominations by April 15 to Roberta Graham de Escobedo , Director of
Membership and Affiliate Services, via the ILCA office or by email to roberta@ilca.org.
EACH ONE REACH ONE in a 3-way tie!
As of this moment we have a 3-way tie in the INDIVIDUAL category. Amazingly, three people have each
introduced 5 new members, so unless they bring in more, it looks like a tie! Another member is fast on
their heels with 4 to her credit. A tie is resolved by random drawing, but there's still time for a member
to pull ahead and win the complimentary conference registration for the 2011 conference in San Diego,
California, USA. Make sure anyone you refer to ILCA mentions YOU when they apply for membership.
The EORO challenge ends on June 30, 2010.
EORO for Affiliates and Chapters
Don‟t forget that an Affiliate or Chapter that recruits at least 15 new ILCA members could win a 2011
Main Conference Registration. We currently have one Chapter with 5 new members, and two with 3
each. If your Chapter has introduced new members, you may send their names and we will be happy to
check their records to see if they gave you credit.
Executive Summary of ILCA Board Meeting Now Available
The Executive Summary of the Meeting of the ILCA Board of Directors, held in November 2009, is now
available on the ILCA website on the Members Only side under Association Business.
Meet the Staff!
Pictured here are staff from ILCA, USLCA, and CLCA/ACCL, working out of the Morrisville Office.
(Left to Right) Lisa Joncich, Vicki
Hobbs, Natalie Porterfield, Judi
Lauwers, Glenna Thurston, Scott
Sherwood (USLCA), Lee Campbell
(CLCA), Jim Smith, and Liz Koroly.
You can learn more about them at
the Staff Page of the ILCA Website.

Haiti Emergency Response
Haiti Recovery: Monetary Donations
Best
ILCA members have been concerned over the
heartbreaking devastation in Haiti. Donations of
money are most needed by relief organizations.
Such monetary donations can help to import necessities
as well as purchase locally-produced
foods and other items as part of relief and rebuilding
efforts. Such monetary donations can
also insure that appropriate foods are being
made available to infants and young children, in
accordance with guidelines by the World Health
Organization, the World Food Programme, and
UNICEF as well as “Operational Guidance for Infant
Feeding in Emergencies" by the IFE Core
Group.
Mothers, colleagues, and friends who wish to donate
to relief efforts should send their monetary
gifts to UNICEF, Save the Children Alliance,
World Vision, and Action Against Hunger. These
organizations are using best practice to aid both
breastfed and non-breastfed infants. Members of
the public can be confident that donations to
these organizations will support breastfeeding
and help save the lives of babies.
News to Use
Breastfeeding Documentary Now Available
“Breastfeeding: Making the Connection” is a recently-released
documentary which examines the
various influences on parents
when choosing how to feed their
babies. These influences are well
-known to lactation consultants,
including lack of evidence-based
information and the aggressive
marketing by formula manufacturers
which undermine activities
in birthing hospitals. The documentary also offers
actions which can improve breastfeeding outcomes,
including the implementation of the Baby
-Friendly Hospital Initiative. DVD copies of the
documentary are available through INFACT Canada,
http://www.infactcanada.ca. The project
was funded in part by a WABA community support
seedgrant.
25th Anniversary
Essay Contest
ILCA and IBLCE are celebrating the 25 th anniversary
of our profession with an essay contest, “How
IBCLCs Make A Difference.” Sponsored by the 25th
Anniversary Task Force, the contest provides
IBCLCs an opportunity to submit a short essay (500
words or less) on how they “make a difference” in
their role as an IBCLC.
ELIGIBILITY: The contest is open to any IBCLC with
current, non-expired IBLCE certification. One does
not need to be an ILCA member to participate.
HOW TO ENTER: Entrants will submit their essays
via email to Vicki Hobbs at vicki@ilca.org. Include
the full name and email address at the top of the
essay page. Contest submissions will be accepted
electronically through April 15, 2010.
WINNER SELECTION: The 25th Anniversary Task
Force will select 1st, 2nd and 3rd place winners.
Notification of awards will be sent to all participants
via email after June 15. Winning essays will be
posted on the eGlobe and both the ILCA and IBLCE
websites. Other entries will be posted on the ILCA
25th Anniversary page. Recognition of the winning
essay will take place at the ILCA Conference in San
Antonio, Texas.
CONTEST AWARDS: Contest winners will receive
ILCA Continuing Education modules and USLCA webinars
of their choice.
First place receives three ILCA modules and three
USLCA webinars
Second place receives two ILCA modules and two
USLCA webinars
Third place receives one ILCA module one USLCA
webinar
Celebrate your profession‟s milestone anniversary
by sharing your thoughts on “How IBCLCs Make A
Difference!”
AARC News
Academic Curriculum Framework Seeks
Comment
Time is running out to submit your comments on
the draft of Framework for Development of an Academic
Program in Breastfeeding and Human Lactation.
The document is posted on the public discussion
board on the ILCA website. Deadline for comments
is February 15. Please refer to page and line
numbers or table rows when submitting comments
so the context can be located easily. Contact Judi
Lauwers at judi@ilca.org with any questions.

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ILCA Member Services
Worksite Lactation Support Directory
Supporting working mothers is a key component of increasing the duration of breastfeeding. Sign up for
ILCA‟s Worksite Lactation Support Directory to connect with area businesses that might be interested in
developing or growing a worksite lactation support program. This places you in a listing employers can
access on the ILCA website homepage.
The form is available on the Worksite Lactation Support page, accessed through the Members Only side.
Also, remember to be available to working mothers by listing your services in the “Find a Lactation Consultant”
directory.
February JHL in Your Mailbox AND On-Line
You may access each issue of the Journal of Human Lactation on-line through the Members Only side of
the ILCA website. All articles and commentaries can be downloaded by members as free PDF files. The
table of contents for the February 2010 issue is available at http://jhl.sagepub.com/content/vol26/
issue1/?etoc.
Fine-tuning your ILCA Membership Profile
With the new membership year, be sure to give your member Profile a Tune-up!
Log onto the Member‟s Only side and select “Edit My Profile” and then “Custom” to make help you make
your profile rich and exciting. For questions with multiple selections, hold down the CTRL key while you
select each one.
Credentials: List your credentials and/or degrees (e.g., RN, MD, IBCLC).
IBCLC? Answer True or False to indicate whether you are an IBCLC.
IBCLC number: In most cases, this is an 8 digit number.
IBCLC recertification date: The year you need to recertify to maintain your credential.
Areas of Practice: Indicate all areas where you.
Languages: Indicate all languages in which you are proficient enough to answer a mother‟s questions,
including English. If your language is not found on the list, please email info@ilca.org.
Areas of Expertise: Indicate all areas in which you feel you have enough expertise and knowledge
to help a mother.
Opt Out: The default for the next three questions is FALSE. If you change it to TRUE you will NOT
receive the member benefit. Leave this as FALSE if you DO want to receive it.
Membership Directory: Only other ILCA members have access to this feature. It enables members
to locate you easily.
FALC (Find a Lactation Consultant) Directory: This public listing enables mothers or family
members to find assistance with breastfeeding. You must be an IBCLC to be listed. If you wish to
be listed, on the Address screen select “Add New” and then “FALC Address.” Also list a phone
number or email address. Most mothers who call the ILCA office looking for assistance prefer a
phone number.
Mailing Labels: ILCA occasionally rents out member addresses for conferences, exhibitors, publishers,
and other businesses that are Code compliant. Telephone and email information are not
released. The ILCA Board of Directors reviews the mailing to be sure it is information the majority
of our members will want to receive.
EORO—Individual, Course Director, or Chapter /Affiliate: This area is available only for NEW
members at the time they join. If you did not enter a name at the time you joined, you may email
the information to info@ilca.org and we will enter it in your record.

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Affiliate News
Japanese Association of Lactation Consultants Experiences Major Growth
The lactation consultant profession is growing by leaps and bounds in Japan. The Japanese Association
of Lactation Consultants (JALC) was founded by a tiny group of just four dedicated and passionate
IBCLCs in the country in 1999. Today, just 10 years later, there are approximately 650 IBCLCs in the
country, and JALC has mushroomed into a strong and vital organization of 573 IBCLC voting members
and 1,292 non-voting (non-IBCLC) members.
Hiroko Hongo, Cathy Carothers, and Tomoko Seo
Two of the organization‟s past presidents, Hiroko
Hongo and Tomoko Seo, attribute the rapid growth
to training, education, and a multi-disciplinary, collaborative
approach. Tomoko, a pediatrician who
will soon begin a term on the board of the International
Board of Lactation Consultant Examiners
(IBLCE), serves as head of the translation division.
She says that JALC offers four conferences each
year which are widely attended, including two conferences
for anyone interested in breastfeeding,
which attracts over 1,000, a conference for IBCLCs,
and an additional conference for physicians. She
has also committed to translating many breastfeeding
documents and resources, and is working with
ILCA to translate the popular “Clinician‟s Triage
Tool” which will be published soon.
Hiroko, one of the JALC co-founders who also serves as a La Leche League Leader, serves as Chief
Trainer of Continuing Education, Committee for Education of JALC. She says the multidisciplinary approach
has been key to JALC‟s growth and acceptance.
“In our culture, most professional organizations have patriarchical
top-down relationships, where the younger respects
the older,” she says. “At JALC, every IBCLC is equal in terms
of breastfeeding supporters. As one of the co-founders, I
have strongly believed that being accepted as a person and
being empowered with evidence-based information is very
important in order to accept and empower mothers with appropriate
information. Many members say they continue to
remain involved with JALC because they feel accepted and
welcomed.”
She says that meetings and trainings are fun (one participant
commented that it is like Disneyland because she feels
so welcomed) and that mothers with their breastfeeding babies
and children are welcomed, something that is not typical
in other professional settings in Japan. “IBCLCs are good
role models to other health care professionals to follow in
many ways.”
Mt. Fuji, Japan

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In Memoriam
Remembering Mary Rose Tully
Mary Rose Tully passed on January 20, 2010 after a long battle with pancreatic
cancer. She was a long-time, influential member of ILCA and served on the
Board. She was also a founding member of the Human Milk Banking Association
of North America (HMBANA). She was Director of the Department of Lactation
Services at the University of North Carolina's Women's Hospital, and Adjunct
Clinical Instructor (Pediatrics) at the University of North Carolina's School of
Medicine, and long-time director of the WakeMed Milk Bank in Raleigh, North
Carolina, USA.. Mary Rose is survived by Douglas Blair Tully, her husband of 42
years, her son Christopher Paul Tully, his wife, Tania Georgiou Tully and their
daughter, Anika, all of Raleigh; her mother, Rose, and her four sisters and two
brothers. Donations may be made to the MRT Educational Fund, c/o Karen Britt
Peeler, Attorney at Law, P.O. Box 12154, Raleigh, NC 27605.
Mary Rose is remembered here by Mary Overfield, her long-time friend and collaborator.
For those of you who don‟t know me, I‟m Mary Overfield, and Mary Tully and I have been friends for
over 36 years. So many people have asked me – How did you and Mary become friends? I have to say
it was Chris‟ fault! We had moved to Raleigh from Denver and didn‟t know anyone, so I went to a
Nursing Mothers of Raleigh meeting. A little boy came over to play with my two-year old son Darren.
His mother introduced herself and invited us to their house for lunch. I never imagined that lunch
would lead to all that Mary and I have gotten to do together.
When Mary‟s family asked me to give a 3 minute remembrance today, I thought of everything: from
how my wonderful Catholic friend taught me to make Jewish Apple Cake to the incredible opportunity
we have shared teaching the Lactation Consultant Comprehensive Update Course - the LCCU - for the
past 17 years. I can‟t share all of my “Mary T” stories with you today, but I‟ll share a few.
In 1977, Dr. Jim Thullen hired Mary to conduct a portion of the NIEHS Research Infant Feeding Study
at WakeMed. To thank the pediatricians for allowing the data collection, she started helping their patients
with breastfeeding. When the study ended, the doctors lobbied the hospital to hire her. In 1985,
when it became possible to earn international board certification as a lactation consultant, Mary was in
the first group to earn her IBCLC. Her work has been instrumental in the acceptance of the lactation
consultant as a member of the health care team.
In the late 1980‟s, we created our book, The Breastfeeding Counseling
Guide, and used it to train Nursing Mother of Raleigh volunteers.
Our group donated to the first human milk bank in North
Carolina, The Piedmont Mothers‟ Milk Bank, using Mary Tully‟s
kitchen table! With the discovery of HIV/AIDS, the Milk Bank had
to process the donated milk, so Mary wrote a grant proposal that
resulted in the WakeMed Mothers‟ Milk Bank. She played a big role
in the formation of the Human Milk Banking Association of North
America and in writing the official guidelines for all milk banks.
Mary‟s over-arching vision has been that every mother who wants
to breastfeed should have the help she needs. Providing that help requires training and resources. So
many people have contributed to this dream. For example, WakeAHEC‟s Diane Yelverton coordinates
the LCCU course and the Art of Breastfeeding Conference – this year will be the twentieth. The In-
Home Breastfeeding Support Program we helped create with Susan Baker, who is now in Colorado,
Jam Gourley and Ruth Valois continues with Jam in the WIC Program. Mary had been active with the
US Breastfeeding Committee at the national level, but when the NC Breastfeeding Coalition was created
with many of the people here today, it was certainly a dream fulfilled for Mary. In fact, when she
first got sick, Mary was in Washington, DC, for a US Breastfeeding Committee meeting working to define
how breastfeeding was to be included in our US Healthy People 2020 National Goals. Her impact is
indeed felt across the nation and world, but nowhere as much as right here!

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Members in the News
FILCA Spotlight: Joy Heads and Judi Lauwers
Joy Heads OAM, RN; RM; Grad Cert. Bioethics, MHPEd, IBCLC, FILCA, Bronte, NSW, Australia
Joy began her involvement with breastfeeding and human lactation with the birth of
her twins in 1975 when she joined the Nursing Mothers Association of Australia (now
the Australian Breastfeeding Association). Qualifying as a Breastfeeding Counsellor
in 1978, she was the first Group Leader of the Bondi Junction NMAA Group. She became
a trainee advisor with NMAA and was on the first Editorial Board of
“Breastfeeding Review.”
Joy has been continually certified as an IBCLC since 1986. She is a registered nurse
and midwife and in 1986 also started her formal teaching of lactation in her role as
midwifery educator at the Royal Hospital for Women (RHW), a tertiary referral
women‟s hospital in Sydney with over 3500 births per year. She became the Clinical
Nurse Consultant – Lactation in 1989 and has guided RHW through three BFHI accreditations,
the most recent being 2008. Joy graduated from the University of New
South Wales in 2000 with a Master of Health Professional Education. “Still the greatest pleasure I have
in life is working with pregnant and newly delivered parents,” Joy says. “Enabling them to have the
confidence and self efficacy to trust their own instinct when faced with the myriad of parenting and
breastfeeding „rules‟ that exist in a westernised counrtry.”
One of Joy‟s special interests has been the birth and development of the New South Wales Lactation
College. She was the inaugural president in 1997 and was awarded Life Membership at the 2008 Annual
General Meeting and Conference. She has published several papers and has contributed to ILCA‟s
Core Curriculum for Lactation Consultant Practice.
In 2006 Joy received an Australian national honour when she was awarded the Order of Australia
Medal (OAM) for …”service to nursing and midwifery as a specialist lactation consultant and to health
professional and parent education.” About this award, Joy says “This was an amazing experience considering
I am a direct descendent of „First Fleet‟ convicts to arrive in Australia. My great, great, great
grandmother and grand father were transported for stealing a „bolt of cloth‟ in Manchester. The USA
got the puritans…. Australia got the convicts !!”
Judith Lauwers, BA, IBCLC, FILCA – Chalfont, PA, USA
Judi is a founding member of ILCA and was an inaugural member of ILCA‟s conference
committee and Journal of Human Lactation staff as editor of
“Consultant‟s Corner.” She has participated on the conference as a committee
member, committee chair, and conference planner. Judi served two terms on
the ILCA Board of Directors as Director of Professional Development. She served
on the Panel of Experts for the first IBLCE exam and has recertified every five
years since.
Judi is the author of Quick Reference for the Lactation Professional, Counseling
the Nursing Mother: A Lactation Consultant's Guide, Pocket Guide to Counseling
the Nursing Mother and Breastfeeding Today: A Mother’s Companion. She is a
contributing author to ILCA‟s Core Curriculum for Lactation Consultant Practice,
compiled the Resource Guide for ILCA‟s personal planner, and was a primary
editor of the original UNICEF/WHO 18-hour course for maternity staff. She wrote the script and assisted
with production of “Breastfeeding Best Practice,” a joint project between ILCA and Injoy Videos.
Judi has participated in over 40 conferences with presentations on communication, counseling skills,
exam strategies, facilitating change, empowerment, humor, and advocacy. In 1983, she and two colleagues
formed Breastfeeding Support Consultants, a leader in distance learning in lactation education
for 25 years. She stepped down as BSC‟s Executive Director in 2004 to become ILCA‟s Education Coordinator.
Judi has been instrumental in guiding the profession‟s endeavors in education and encouraging
professional development.

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Project Poster Abstracts
Project Posters Presented at 2009 ILCA Conference
Each year a number of posters are presented at the ILCA annual conference highlighting research or
projects undertaken concerning breastfeeding and human lactation. Abstracts for the Research posters
appear in the February 2010 issue of the Journal of Human Lactation. Project posters are listed below,
with links to their full abstracts on the ILCA website. You may also see all titles at http://www.ilca.org/
files/education_and_research/research/Feb2010Project%20PosterAbstracts.pdf
BIRTH AND BEYOND CALIFORNIA: HOSPITAL TRAINING AND QUALITY IMPROVE-
MENT PROJECT
Jeanette Panchula, BSW, RN, PHN, IBCLC; Carina L. Saraiva, MPH; Leona Shields, MN, PHN, NP; Suzanne
Haydu, MPH, RD; Karen Ramstrom, DO, MSPH; Michael P. Curtis, PhD
Solano County Health and Social Services, Sacramento, CA USA. Email: jeanette.panchula@cdph.ca.gov
ABSTRACT
Background: According to data published by the California Department of Public Health (CDPH), less
than 43% of women exclusively breastfeed their infants while in hospitals. Use of evidence-based policies
and procedures promotes in-hospital exclusive breastfeeding.
Goal: To ensure that California birthing hospitals implement evidence-based infant feeding policies and
procedures.
Methods: Between 2008 and 2011, the CDPH will pilot the Birth and Beyond California (BBC) project,
adapted from Loma Linda University‟s Birth and Beyond Project, in hospitals with low exclusive breastfeeding
rates. Regional coordinators collaborate with hospitals to develop and utilize their interdisciplinary
quality improvement (QI) teams to implement evidence-based breastfeeding policies. A Hospital
Breastfeeding Policy Self-Appraisal Questionnaire is completed and used to track progress in policy implementation.
Experienced BBC trainers offer a 16-hour breastfeeding training course to hospital staff.
Pre-post tests measure staff knowledge attainment. To increase hospital capacity for future staff breastfeeding
education, select staff complete a train-the-trainer course. Monthly regional hospital network
meetings assist QI team members and trainers develop strategies to overcome barriers and share successes.
Preliminary Findings: To date, 226 hospital staff from 8 participating hospitals completed the training
with an overall increase in knowledge attained. Each year, additional hospitals will join the BBC project.
Regional network meetings allow hospital staff to share strategies to implement policy changes. All participating
hospitals are currently in the process of implementing one or more evidence-based breastfeeding
policies.
Conclusion: Public dissemination of hospital exclusive breastfeeding rates together with collaboration
can assist hospitals in implementing evidence-based infant feeding policies and procedures.
FAT FREE HUMAN MILK FOR CHYLOTHORAX: FROM IDEA, TO DEVELOPMENT, TO
STANDARD OF CARE
Ellen Lechtenberg, BS, RD, IBCLC
Primary Children's Medical Center, Bountiful, UT, USA. Email: ellen.lechtenberg@imail.org
ABSTRACT
Chylous pleural effusion (Chylothorax) is the extravasation of lymph fluid into the pleural space. This
occurs as a result of obstruction of or surgical trauma to the pulmonary lymphatic sytstem. One of the
important therapies for this condition is to decrease lymphatic flow by limiting enteral fat intake. The
use of mother's milk has been avoided because of its fat content. Formulas with no fat or enriched with
medium chain triglycerides have been encouraged. The first child in our study had a congenitial chylothorax.
After obtaining consent from the mother and the medical team, the mother's milk was centri-
Continued next page

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Project Poster Abstracts (continued)
Lechtenberg abstract, continued
fuged. The fat free liquid was then poured into collection cups and frozen for the patient's use at a later
date. The fat free human milk was initiated when patient was 5 weeks of age. The patient was started
on the fat free human milk which was later fortified. Fat free human milk contains only 10 kcalories/
ounce. The patient was transitioned to human milk within 11 days and went on to breastfeed. Fat free
human milk was ordered and used with 6 more patients for a total of 7. The study was published in the
Journal of Perinatology in July of 2007. Education was done throughout the hospital to neonatologists,
cardiologists, nurse practitioners and dietitians. Benefits of human milk for these fragile patients and the
success of using human milk for patients with a chylous pleural effusion was stressed to these health
care providers along with a copy of the published study. The refrigerated centrifuge used for the study
patients was located off site. For infection control purposes, it was necessary to have a refrigerated centrifuge
on site in order to spin mother's milk to make it fat free for patient use. Obtaining the dollars to
purchase a refrigerated centrifuge was successfully done through the capitol budget process. Clinical engineering
assisted in determining the most appropriate centrifuge and ordered it. The centrifuge arrived
in October of 2007. Since that time, we have used the centrifuge for 9 patients who have had doctors
orders for fat free milk. When a patient with a chylothorax is ready to start enteral feedings, during
medical rounds the neonatologist or cardiologist ask the dietitian if the mom is pumping. The next statement
has and continues to be, call lactation, we need fat free human milk.
INITIATION OF A BREASTFEEDING CLINIC: CONNECTING THE HEART AND SCIENCE
OF MOTHER AND BABY CARE
Debra Swift, RN, IBCLC; Judith Angeron, RN, IBCLC; Amy Ellington, RN; Rachel Lewis; Tresa Palmer
Via Christi Regional Medical Center, Sedgwick, KS, USA. Email: Debra_Swift@via-christi.org
ABSTRACT
The Via-Christi Breastfeeding Clinic opened its doors June 2008, offering free lactation consultation.
These consultations provide drop-in lactation assistance staffed by board certified lactation consultants.
Via Christi predominantly serves multicultural and low income women through our OB services. Studies
have consistently shown that these populations are at greatest risk for infant morbidity. Many of these
families cannot afford outpatient lactation support. Via–Christi Foundation granted the facilities for the
Clinic with store front parking, easily accessible for mothers.
The Via-Christi Breastfeeding Clinic has been successful and popular. The Clinic is open three days a
week, 4 hours each day. Since opening, weekly attendance ranges from 15-18 mother/baby couplets.
Fathers accompany the mothers approximately half of the time. In the first five months, about 500 couplets
accessed the Clinic. About half were return visits. Mothers come most frequently for assistance
with sore nipples, weight checks and reassurance. The LC develops an individual written feeding plan for
each couplet. In addition, the consultants phone about 20-25 mothers per Clinic day for follow-up calls.
According to the 2005 CDC statistics, Kansas breastfeeding initiation rate was close to 75%, however,
the rate dropped drastically to 38% at 3 months. Clients who come to the clinic are followed up by
phone at 3 months and 6 months to ascertain percentage of breastfeeding duration. Our goal is to increase
the duration by 12%, thus saving health care dollars and promoting healthier families in our
community.
DOMPERIDONE: THE PANACEA FOR LOW MILK SUPPLY? A CANADIAN PERSPECTIVE
Jo Watson, BScN, MScN, RN, PHD(c), IBCLC; Sue Hermann, BScN, RN, MN, IBCLC, PNC(c)
Sunnybrook Health Sciences Centre, Toronto, ON, Canada. Email: jo.watson@sunnybrook.ca
ABSTRACT
Domperidone, a dopamine antagonist, has developed an off label use as a galactogue in Canada. While
recommendations exist for dosage, indications for use are anecdotal at best.
One centre‟s experience reviewing domperidone use includes caring for 155 women with term infant infants
presenting with low milk supply. Our project focuses on ensuring the appropriate use of domperi-
Continued next page

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Project Poster Abstracts (continued)
Watson, et al., abstract, continued
done, prescribing only when prolactin levels are assessed to be low.
While much is not known about domperidone‟s use as a galactogue, we recognize that its use has become
well known in breastfeeding communities. It is common for women with milk supply concerns to
present to our clinic expecting a pharmacologic solution to their problem. We have developed an approach
to conduct a thorough history and assessment and to have women maximize their milk production
through non-pharmacologic means prior to considering domperidone use. After these efforts have
not resulted in the anticipated increase in milk supply, prolactin levels are obtained and only if they are
low, will the drug be prescribed.
Domperidone should not be used as a first line treatment but rather after other measures to increase
milk supply have been initiated.
BREASTFEEDING ROAD MAP: THAILAND EXPERIENCES
Meena Sobsamai, CNM, IBCLC
Thai Breastfeeding Center, Pravej, Bangkok, Thailand. Email: sobsamai@yahoo.com
ABSTRACT
Breastmilk is best, but why is every baby not breastfed? We saw that exclusive breastfeeding at 6
months was low while a lot of breastfeeding promotion was done. The study shows the importance of
the support person and environment as successful interventions as well as the risk of failure if women
do not receive support.
Artificial milk companies advertise continuously and build a passion with their products while breastfeeding
has not much advertising in comparison. This makes it easy for women to get lost and stop breastfeeding.
Working mothers do not get enough support at the office.
Our Strategy:
Strengthen the BFHI
Strengthen the Code
Improve health personnel skill and knowledge
Continuously inform the public by using printed material and media
Encourage breastfeeding corners in public places and offices
Support community networks in differences groups according to culture and beliefs
Networking with ministries of public health, agriculture, interior, and education.
The Thailand BFHI version now integrates safe motherhood, baby-friendly hospital and infant and young
child feeding along with well child development from birth to 5 years. Princess Srirach of Thailand has
been supportive and helps promote breastfeeding. She felt breastfeeding was so important that she
breastfed her son „Prince Tee‟ exclusively for 6 months. She started the breastfeeding support project
called „Sai yai rak‟ and this project works very well in the community.
Study results from 7 selected centers shows a lot of improvement in community participation and innovations.
The breastfeeding rate has risen in every center.
EDUCATIONAL OUTREACH PROGRAM
Doreen Gallant, BSN
Lowell General Hospital, Tyngsboro, MA, USA. Email: dgallant@lowellgeneral.org
ABSTRACT
This proposal was led by the Lactation Consultants of The Maternal Child Health Care Services of Lowell
General Hospital. The proposed educational outreach program would assist Lowell General Hospital in
Continued next page

Page 12
Project Poster Abstracts (continued)
Gallant abstract, continued
our goal to be recognized as one of only three hospitals in the state of Massachusetts to achieve Baby-
Friendly designation.
Research shows that prenatal breastfeeding education plays a vital role in relation to the initiation and
continuity of breastfeeding. Most women have made the decision as to which manor they will nourish
their child prior to presenting to the hospital for delivery. LGH previously had a 66% breastfeeding initiation
rate. We recognized the need to establish a prenatal educational program that we hoped would in
turn increase our initiation rates.
After our proposal was reviewed, we were awarded a grant to move forward with our program. We used
the allocated funds to go out into the community and offer education to all of our obstetricians, family
practitioners and their staff. We provided lunch and learn programs within their offices to educate on the
current scientific evidence of the contributions that breastfeeding makes to infant and maternal health.
We supplied posters for their offices and the physician‟s educational breastfeeding triage tool. We put
together folders with a variety of breastfeeding information that they could give to their patients. Measurement
and tracking of the outcome of this program is currently being done through a brief questionnaire
to our mothers during the postpartum period. The initiation rates will be monitored through birth
records.
SCREENING FOR NEONATAL ANKYLOGLOSSIA AND GUIDELINES FOR FRENOTOMY
RECOMMENDATION: A HOSPITAL-BASED MULTIDISCIPLINARY MANAGEMENT ALGO-
RITHM
Kristina Kahney, RN, BSN; Nancy Hurst, RN, PhD, IBCLC
Texas Children's Hospital, Spring, TX, USA. Email: knkahney@texaschildrens.org
ABSTRACT
Lactation Consultants (LC) practicing in the postpartum hospital setting encounter a high volume of
breastfeeding dyads. Shortened hospital stays require effective breastfeeding assessment skills and
tools in order to provide appropriate follow-up and resources post-discharge. The experienced LC can
intuitively sense when “something‟s just not right” regarding the infant‟s latch and/or suck, and ankyloglossia
is often identified as the root cause. However objective measures are needed to more effectively
determine the need for treatment and plan of care. This presentation reports our experiences in
the development of an assessment tool and management algorithm for the breastfeeding infant with ankyloglossia
in the neonatal period.
Infant ankyloglossia occurs in 1.7% to 4.8% of infants; however these cases may be underreported.
Evidence continues to mount linking infant ankyloglossia to a host of potential breastfeeding challenges,
supporting what many LCs have observed for years. Using this evidence to develop a standard of practice
is necessary in order to provide appropriate treatment and avoid/minimize potential ineffective
breastfeeding.
A modified version of the Hazelbaker Assessment Tool for Lingual Frenulum (Hazelbaker, 1994) and
specific descriptive elements of the Ballard et al. (2002) study were used to develop an objective
screening tool for all infants when ankyloglossia is suspected. An ad-hoc multidisciplinary team, including
a neonatologist, pediatrician and speech pathologist, provided valuable input in the development of
a management algorithm. Our data, including the assessment tool, algorithm, and patient outcomes,
will be helpful to the hospital-based LC in providing effective management of the breastfeeding infant
with ankyloglossia.

Page 13
MILCC News
MILCC Scholarship Winners
Monetary Investment for Lactation Consultant Certification (MILCC) provides scholarships to individuals
around the world to sit the IBLCE Exam. In 2009, 77 scholarships were given to individuals from 6 countries.
Some candidates were sitting the exam for the first time and others were re-certifying. MILCC also
provides the JoAnne W. Scott Scholarship, which targets an individual with a background in volunteer
mother-to-mother support. Full profiles of the following three recipients are also on the MILCC website
at http://www.milcc.org/MILCCscholars.shtml.
MILCC scholarships are funded through direct donation as well as through the sale of jewelry and pins.
At their website, you can order the classic IBLCE pin and IBCLC Lapel bar pins. New for 2010 are a 25th
anniversary lapel bar pin, a 25th anniversary necklace, and a „supporter of MILCC‟ pin. View and order
these designs at http://www.milcc.org/IBCLCpin.shtml.
Jacquie Nutt, IBCLC, Wellington, South Africa
Jacquie lives in rural, small-town South Africa, with limited scope for helping
mothers breastfeed. Because of the local economy, she cannot make much
money at lactation consulting. However, the MILCC funding gave her new zeal
to organize a study group. From there, she started organizing seminars for
other IBCLCs, exam candidates and health professionals in Cape Town. This
work re-energized Jacquie and her colleagues. “It seems to be very much what
we all need -- a chance to network and to hear local experts in lactation and
research, or share our own case studies. We have been reaching doctors,
nurses, physiotherapists and dieticians too, so our area of influence is growing,
and we have also been able to learn how their specialties overlap with ours.”
Jacquie was happy to learn she had been recertified and had found a way to
expand the entire net of breastfeeding support in her area.
Nicole Pogrund from Mendocino County California, USA
2009 JoAnne W. Scott Scholarship winner and ILCA/USLCA member.
Nicole became involved with La Leche League shortly after her son was born.
When her son was 14 months old, her local leader Pamela Duncan suggested
Nicole work towards becoming a leader. “I was really surprised, and deeply honored,”
says Nicole. She was accredited as a Leader in 2003. “Mother to mother
support is just a lovely thing to see in action, and having been a leader for some
time now, I have seen how a child's start in life and a mom's in motherhood can
be altered profoundly and for the better by participating in La Leche League.”
In 2006, Nicole became an Americorps worker with her local Public Health Department.
She assisted with a breastfeeding program using California early
childhood development funding, and then moved increasingly to collaborate with the local WIC program.
The support she has received from many wonderful individuals on the path to IBCLC has been amazing.
“I have been extremely fortunate to have been mentored and encouraged by Tess O'Connell, RD, IBCLC
who is our WIC Program's breastfeeding coordinator, Linda Nagel, PHN, the director of Maternal Child
and Adolescent health at Public Health, and Margaret Turano, my co-leader who also just passed the
IBCLC exam!” She is also grateful to MILCC for funding to sit the exam and especially honored to be the
recipient of the JoAnne W. Scott Scholarship. “I will endeavor to further her legacy of
volunteer breastfeeding service!"
Riva Weissfish, IBCLC, Jerusalem, Israel
Riva‟s involvement with lactation started as a doula and childbirth educator. After seeing
the need of clients and students for good lactation help, she began volunteering in
Shaare Tzedek Medical Center and fielding phone calls through a „warm line‟ based in
her home. Because her CBE courses were given in culturally closed community, she
was able to reach women who might not otherwise seek lactation services and help.
She notes, however, that “the most important clients I have had since becoming a
new IBCLC are my two sweet granddaughters.”

Page 14
Calendar
February 15
Deadline for comment
on academic curriculum
February 28
Deadline for ILCA Conference
Scholarship Applications
Final Deadline for
Group Discount Memberships
Deadline for proposals
for VELB/ILCA Conference
First Deadline for IBLCE
Exam
March 1
Deadline for applications
for Conference
Program Coordinator
Position
March 3
IBCLC Day
March 31
Second Deadline for
IBLCE Exam
International Lactation
Consultant Association
2501 Aerial Center
Pkwy, Suite 103
Morrisville, NC 27560
Phone: 919-861-5577
Fax: 919-459-2075
E-mail: info@ilca.org
www.ilca.org
Bookstore
NEW! Spanish for Breastfeeding Support
¿Cómo le va con la lactancia? Spanish for Breastfeeding
Support will help lactation consultants,
breastfeeding peer counselors, nurses, physicians,
midwives, childbirth educators, and others to converse
with nursing mothers in Spanish about common
breastfeeding topics. In addition to various
breastfeeding topics, the text includes downloadable
audio files of dialogues and listening exercises,
quick reference tear-out sheets and a resource
list for Spanish language materials. Best of
all, up to 12.8 L-CERPs are available by completing
the exercises in this book.
Book and Multimedia Reviews
ILCA members can access reviews via the Members Only area, under the
„Professional Resources‟ tab. With the new website, once you log in with
your member number, you will go directly to this page! Click on the
month, then the title to read the review.
Book:
Interaction and Relationships in Breastfeeding Families: Implications
for Practice. Dr. Keren Epstein-Gilboa, IBCLC. Hale Publishing,
2009
Chart:
State of the Code by Country 2009: A survey of measures taken by
governments to implement the provisions of the International
Code of Marketing of Breastmilk Substitutes & subsequent World
Health Assembly resolutions (chart). IBFAN, 2009
DVD:
Learning to Breastfeed Your Baby. Mark-It TV, 2009
Pamphlet:
Coping with Crisis. Platypus Media, 2009.
Readers interested in writing reviews of books, CDs, photo/slide collections,
videos, DVDs and websites may contact Nicole Bernshaw, IBCLC,
Review Editor, at Nicole.bernshaw@comcast.net.
eGlobe Editor: Doraine Bailey, MA, IBCLC, Lexington, KY, USA.
Call for Articles: Share your professional stories with your colleagues by
submitting an article to eGlobe. Photos and text of up to 250 words are
welcome. Please send submissions and Letters to the Editor to DoraineBailey@ilca.org
by the 20th of each month for inclusion in the following
month's issue.
EGlobe is Archived! Sign in to the Members Only area at www.ilca.org to
see previous issues of the eGlobe!