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Clinic-Integrated IBCLC Care is Associated With Higher Breastfeeding Goal Achievement and Faster Time to Goal
1Providence Cedars-Sinai Tarzana Medical Center, Balboa Pediatrics, UCLA Health, Los Angeles, CA, USA.
Background:
Breastfeeding outcomes are influenced not only by the quality of lactation support but also by the manner in which lactation care is delivered. While home-visit lactation services offer convenience, clinic-integrated International Board Certified Lactation Consultant care embedded within pediatric practices may facilitate earlier interventions and interdisciplinary collaborations. Comparative real-world evidence evaluating these models is limited.
Research Aim:
To examine whether clinic-integrated International Board Certified Lactation Consultant care is associated with higher breastfeeding goal achievement and shorter time to goal attainment compared with home-visit International Board Certified Lactation Consultant care.
Method:
A quantitative, observational, two-group comparative study was conducted using clinical data collected during routine lactation care. Postpartum dyads received either clinic-integrated or home-visit care from an International Board Certified Lactation Consultant (N = 100). Consecutive eligible participants were included until 50 dyads per group were reached. Breastfeeding goals were documented at the initial consultation and reassessed at 8 weeks postpartum to determine goal achievement and time to goal attainment.
Results:
Breastfeeding goals were achieved by 82% (41/50) of participants receiving clinic-integrated care, compared with 54% (27/50) of participants receiving home-visit care. The mean time to goal attainment was shorter in the clinic-integrated group (M = 2.5 weeks, SD = 1.2) than in the home-visit group (M = 3.5 weeks, SD = 1.4).
Conclusion:
Clinic-integrated International Board Certified Lactation Consultant care within pediatric practices is associated with higher breastfeeding goal attainment and faster resolution of feeding concerns. These findings support the integration of International Board Certified Lactation Consultants into pediatric primary care settings.
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