ALPP CLC Exam | Certified Lactation Counselor | 3 Full Practice Versions with 300 Questions & Verified Answers
breast feeding: a public health priority has been recognized as a public health priority in tropical climates since the
1930's, but not until the 1990's in the US
costs to prevent needless deaths less than $6 billion/year worldwide
suboptimal breastfeeding accounts for more than 3,340 maternal and child deaths a year, 80% are
maternal
nursing a baby for a year or more decreases by 10-15% the risk of developing hypertension, diabetes,
hyperlipidemia, and cardiovascular disease
women who do not breastfeed are at greater risk for myocardial infarction and aspects of metabolic syndrome;
are at a greater risk of breast, endometrial, and ovarian cancer
WHO and UNICEF three strategies for increased breastfeeding initiation and duration in every country: promotion,
protection, and support
breastfeeding promotion focuses on advantages of breastfeeding on a personal, community, country, or
global level
breastfeeding protection focuses on government, manufacturer, and social responsibility to assure
breastfeeding's ability to compete with commercial interests; includes addressing
improper marketing practices; the AAP advices not to provide formula, company
gift bags, and industry-authored handouts; in the US, state and local
breastfeeding legislation addresses breastfeeding in public, employment issues,
jury duty, family law, mothers in prison, etc.
breastfeeding support focuses on the interaction of "helpers" with family as well as program
development and implementation
community expertise variety of community expertise is needed to promote, protect, and support
breastfeeding
International models for integrating breastfeeding promotion, protection, and support as well as
balancing technical information, programs, and protocols
CLC nationally recognized designation awarded by the ALPP to those who are exam
eligible and pass the exam; have competenct verified
CLCs and IBCLCs health professionals who provide lactation support
why is breastfeeding so difficult? 1. unrealistic expectations
2. lack of timely interventions
unrealistic expectations lack of preparation for what the newborn period would look like
, ALPP CLC Exam | Certified Lactation Counselor | 3 Full Practice Versions with 300 Questions & Verified Answers
lack of timely interventions mother's problems at 3 to 7 days posed as the greatest risk to stopping
breastfeeding trends last 150 years or som rates have declined
international code of matketing of breastmilk substitutes an international health policy framework to regulate the marketing of breastmilk
(the code) substitutes in order to protect breastfeeding
- published by the WHO in 1981
- internationally agreed voluntary code of practice
- written in response to the marketing activities of the infant feeding indurstry
which were promoting formula feeding over breastfeeding, which in turn was
leading to dramatic increases in maternal and infant morbidity and mortality
- subsequent clarifying and extending resolutions have been passed by the world
health assembly
the code regulates the marketing of breastmilk substitutes which includes infant formulas,
follow-on formulas, and any other food or drink, together with feeding bottles and
teats, intended for babies and young children; sets standards for the labeling and
quality of products and for how the law should be implemented and monitored
within countries
restricting marketing does not mean that the products cannot be made available, neither does it
restrict parents choice; it simply aims to make sure that their choices are made
based on full, impartial information, rather than misleading, inaccurate, or biased
marketing claims
the strategy is intended as a guide for action
- it identifies interventions with a proven positive impact
- it emphasizes providing mothers and families the support they need to carry out
their crucial roles
- it explicitly defines the obligations and responsibilities in this regard of
governments, international organizations, and other concerned parties
the world breastfeeding trends initiative intended to track, assess, and monitor the implementation of the "global strategy"
at the country and sub-country level
what contributes to low rates of ebf globally? - caregiver and societal beliefs favoring mixed feeding
-hospital and healthcare practices and policies that are not supportive of BF
- lack of adequate skills and support
- aggressive promotion of infant formula and other breastmilk substitutes
- inadequate maternity/paternity leave legislation
- workplace policies
- lack of knowledge about dangers of not exclusively BF and proper BF
techniques
how to support ebf increase hospital and health system capacity regarding baby friendly hospital
initiative
-provide community based strategies including campaigns tailored to local
context
-strengthen monitoring and enforcement of the code
-enact at least 6 months paid maternity leave
-invest in training and capacity building in protection, promotion, support
disparity of US breastfeeding trends according to the CDC, "black mothers are less likely than white to breast-feed
their babies, and here's one possible reason why: hospitals in neighborhoods
with many black residents do less to promote nursing than those in areas with
more white residents"
anatomy of milk cells myoepithelial cells, connective tissue, capillaries, anteriole, venule, alveolar cells
anatomy of human breast glandular tissue made up of clusters of alveoli and small ducts, fat amongst the
glandular tissue, milk ducts, areola, nipple with several duct openings
breast feeding: a public health priority has been recognized as a public health priority in tropical climates since the
1930's, but not until the 1990's in the US
costs to prevent needless deaths less than $6 billion/year worldwide
suboptimal breastfeeding accounts for more than 3,340 maternal and child deaths a year, 80% are
maternal
nursing a baby for a year or more decreases by 10-15% the risk of developing hypertension, diabetes,
hyperlipidemia, and cardiovascular disease
women who do not breastfeed are at greater risk for myocardial infarction and aspects of metabolic syndrome;
are at a greater risk of breast, endometrial, and ovarian cancer
WHO and UNICEF three strategies for increased breastfeeding initiation and duration in every country: promotion,
protection, and support
breastfeeding promotion focuses on advantages of breastfeeding on a personal, community, country, or
global level
breastfeeding protection focuses on government, manufacturer, and social responsibility to assure
breastfeeding's ability to compete with commercial interests; includes addressing
improper marketing practices; the AAP advices not to provide formula, company
gift bags, and industry-authored handouts; in the US, state and local
breastfeeding legislation addresses breastfeeding in public, employment issues,
jury duty, family law, mothers in prison, etc.
breastfeeding support focuses on the interaction of "helpers" with family as well as program
development and implementation
community expertise variety of community expertise is needed to promote, protect, and support
breastfeeding
International models for integrating breastfeeding promotion, protection, and support as well as
balancing technical information, programs, and protocols
CLC nationally recognized designation awarded by the ALPP to those who are exam
eligible and pass the exam; have competenct verified
CLCs and IBCLCs health professionals who provide lactation support
why is breastfeeding so difficult? 1. unrealistic expectations
2. lack of timely interventions
unrealistic expectations lack of preparation for what the newborn period would look like
, ALPP CLC Exam | Certified Lactation Counselor | 3 Full Practice Versions with 300 Questions & Verified Answers
lack of timely interventions mother's problems at 3 to 7 days posed as the greatest risk to stopping
breastfeeding trends last 150 years or som rates have declined
international code of matketing of breastmilk substitutes an international health policy framework to regulate the marketing of breastmilk
(the code) substitutes in order to protect breastfeeding
- published by the WHO in 1981
- internationally agreed voluntary code of practice
- written in response to the marketing activities of the infant feeding indurstry
which were promoting formula feeding over breastfeeding, which in turn was
leading to dramatic increases in maternal and infant morbidity and mortality
- subsequent clarifying and extending resolutions have been passed by the world
health assembly
the code regulates the marketing of breastmilk substitutes which includes infant formulas,
follow-on formulas, and any other food or drink, together with feeding bottles and
teats, intended for babies and young children; sets standards for the labeling and
quality of products and for how the law should be implemented and monitored
within countries
restricting marketing does not mean that the products cannot be made available, neither does it
restrict parents choice; it simply aims to make sure that their choices are made
based on full, impartial information, rather than misleading, inaccurate, or biased
marketing claims
the strategy is intended as a guide for action
- it identifies interventions with a proven positive impact
- it emphasizes providing mothers and families the support they need to carry out
their crucial roles
- it explicitly defines the obligations and responsibilities in this regard of
governments, international organizations, and other concerned parties
the world breastfeeding trends initiative intended to track, assess, and monitor the implementation of the "global strategy"
at the country and sub-country level
what contributes to low rates of ebf globally? - caregiver and societal beliefs favoring mixed feeding
-hospital and healthcare practices and policies that are not supportive of BF
- lack of adequate skills and support
- aggressive promotion of infant formula and other breastmilk substitutes
- inadequate maternity/paternity leave legislation
- workplace policies
- lack of knowledge about dangers of not exclusively BF and proper BF
techniques
how to support ebf increase hospital and health system capacity regarding baby friendly hospital
initiative
-provide community based strategies including campaigns tailored to local
context
-strengthen monitoring and enforcement of the code
-enact at least 6 months paid maternity leave
-invest in training and capacity building in protection, promotion, support
disparity of US breastfeeding trends according to the CDC, "black mothers are less likely than white to breast-feed
their babies, and here's one possible reason why: hospitals in neighborhoods
with many black residents do less to promote nursing than those in areas with
more white residents"
anatomy of milk cells myoepithelial cells, connective tissue, capillaries, anteriole, venule, alveolar cells
anatomy of human breast glandular tissue made up of clusters of alveoli and small ducts, fat amongst the
glandular tissue, milk ducts, areola, nipple with several duct openings
