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Behind the Latch

The Research Recap: 10- BFHI, twins, and colostrum

21 Nov 2024

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On this episode of Behind the Latch, Margaret Salty dives into the latest research articles from her Google Scholar alerts, exploring how recent findings can enhance the practice of IBCLCs. Each week, Margaret brings you key insights from the latest studies, breaking down complex research into actionable strategies for lactation consultants. Whether you're a seasoned IBCLC or just starting your journey, these episodes will keep you at the forefront of evidence-based lactation care.Be sure to check out the blog post on how to stay up-to-date with current research here: Research UpdatesKey Points Covered:The Role of Baby-Friendly Designated Hospitals in Breastfeeding Initiation Across Racial/Ethnic Groups in FloridaMargaret reviews this study by Lebron et al. (2024), which examines how Baby-Friendly Hospital (BFH) designation impacts breastfeeding initiation across racial and ethnic groups in Florida. The study reveals significant disparities, with non-Hispanic Black mothers less likely to initiate breastfeeding even at BFH facilities. Margaret discusses the importance of advocating for culturally competent practices within BFH to support all families effectively.Reference: Lebron, C. N., Larson, M., Chavez, J., & Parra, A. (2024). The role of Baby-Friendly designated hospitals in breastfeeding initiation across racial/ethnic groups in Florida. Maternal and Child Health Journal. https://doi.org/10.1007/s10995-024-04011-4A Narrative Review of Strategies to Optimize Breastfeeding Among Mothers of TwinsThis comprehensive review by Bhardwaj & Vijayan Smitha (2024) addresses the unique challenges of breastfeeding twins. Margaret explores strategies such as tandem feeding techniques, community support, and NICU guidance for preterm twins, which are essential for helping mothers maintain exclusive breastfeeding.Reference: Bhardwaj, G., & Vijayan Smitha, M. (2024). A narrative review of strategies to optimize breastfeeding among mothers of twins. Cureus, 16(10), e72792. https://doi.org/10.7759/cureus.72792Retrospective Analysis of Volumes of Manually Expressed Colostrum Among Healthy Postnatal Mothers in South IndiaMargaret examines Nyamagoudar et al.’s (2024) study on colostrum volume in the first three days postpartum, which dispels common misconceptions about low milk supply. She explains how this research emphasizes patience and the importance of hands-on lactation support in the early days.Reference: Nyamagoudar, A. H., Kannur, N. S., Chavan, V., & Kulkarni, V. (2024). Retrospective analysis of volumes of manually expressed colostrum among healthy postnatal mothers at a tertiary care referral unit in South India: Not enough milk or not enough patience? BMJ Paediatrics Open, 8, e002622. https://doi.org/10.1136/bmjpo-2024-002622Practical Applications for IBCLCs:Promote Cultural Competency: Encourage culturally adapted support in BFH to better serve diverse communities.Tailor Support for Twins: Use specific breastfeeding techniques and resources for twin mothers to improve outcomes.Reassure on Colostrum Sufficiency: Educate mothers on the typical progression of colostrum volume to counteract “not enough milk” concerns.Conclusion:Staying updated with the latest research is essential for providing the best care as an IBCLC. By integrating evidence-based...

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