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Behind the Latch

The Research Recap: 18-Exclusive breastfeeding, Prenatal breastfeeding, Breastfeeding support, and galactagogues

16 Jan 2025

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In 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. Margaret breaks down complex research into actionable strategies for lactation consultants, focusing on how these insights can improve breastfeeding outcomes. Whether you're a seasoned IBCLC or just starting your journey, these episodes will keep you at the forefront of evidence-based lactation care.Key Points Covered:Defining and Measuring Exclusive BreastfeedingMargaret reviews a study by Chetwynd et al. (2024) that discusses the complexities of measuring exclusive breastfeeding. The research highlights challenges in defining and tracking exclusivity and offers IBCLCs a deeper understanding to refine how they guide and assess breastfeeding practices.Reference:Chetwynd, E., Demirci, J., & Yourkavitch, J. (2024). Considerations when measuring exclusive breastfeeding. Journal of Human Lactation. DOI:10.1177/08903344241305669The Role of Prenatal Breastfeeding EducationThis study by Kehinde et al. (2024) explores perceptions of prenatal breastfeeding classes in Ireland and their impact on maternal breastfeeding decisions. Margaret discusses how IBCLCs can enhance prenatal education to positively influence breastfeeding initiation and duration rates.Reference:Kehinde, J., O’Donnell, C., & Grealish, A. (2024). Perceptions of prenatal breastfeeding educational classes in Ireland: Implications for maternal breastfeeding decisions. PLOS ONE, 19(12), e0315269. DOI:10.1371/journal.pone.0315269Breastfeeding Support for Transfeminine IndividualsMargaret examines a pilot survey by Trahair et al. (2024) assessing lactation experiences and knowledge among transfeminine individuals. She highlights the importance of inclusive lactation support and shares practical approaches for IBCLCs to provide culturally competent care.Reference:Trahair, E. D., et al. (2024). Pilot survey assessing lactation and breastfeeding experiences, attitudes, and knowledge among transfeminine individuals. Breastfeeding Medicine. DOI:10.1089/bfm.2024.0290Domperidone and Metoclopramide in Milk ProductionThis meta-analysis by Si et al. (2024) evaluates the efficacy and safety of domperidone and metoclopramide in increasing milk production. Margaret delves into the findings and explains how IBCLCs can use this evidence to support mothers facing lactation challenges.Reference:Si, S., et al. (2024). Efficacy and safety of domperidone and metoclopramide on human milk production in postpartum mothers: A Bayesian network meta-analysis of randomized controlled trials. BMC Pregnancy and Childbirth, 24(819). DOI:10.1186/s12884-024-07027-4Practical Applications for IBCLCs:Refine Measurements: Understand and apply better metrics for exclusive breastfeeding.Enhance Education: Develop effective prenatal breastfeeding classes.Foster Inclusivity: Provide tailored support for transfeminine clients.Optimize Lactation Support: Use evidence to guide galactagogue use.Conclusion:Staying updated with the latest research is essential...

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