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Succession Planning for Lactation Consultants
MCN. the American Journal of Maternal Child Nursing
|June 19, 2026
Summary
A new program successfully trained nurses to become International Board-Certified Lactation Consultants (IBCLCs), addressing a critical shortage in specialized NICU settings. This initiative ensures continued expert breastfeeding support for families.
Area of Science:
- Healthcare workforce development
- Lactation support services
- Neonatal intensive care nursing
Background:
- Aging International Board-Certified Lactation Consultants (IBCLCs) in a tertiary care NICU necessitate a succession plan.
- A shortage of qualified nurses exists to fill specialized IBCLC roles.
Purpose of the Study:
- To develop and implement a program to educate and prepare nurses for the IBCLC certification exam and state licensure.
- To bridge the knowledge gap for IBCLC roles in specialized NICU settings.
Main Methods:
- A collaborative program was initiated involving hospital leaders, lactation consultants, and the union.
- Sixteen nurses were accepted into the inaugural cohort for specialized training.
Main Results:
- 14 out of 16 nurses passed the IBCLC certification exam.
- Three nurses obtained new IBCLC positions in NICU and postpartum units.
- Other participants continued to provide breastfeeding support in bedside roles.
Conclusions:
- Nursing leadership and peer support were crucial for program success.
- The program effectively prepared nurses for IBCLC roles, ensuring continuity of care.
- The initiative successfully addressed the shortage of specialized lactation consultants.
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