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Exam Number : IBCLC
Exam Name : International Board Certified Lactation Consultant
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International Board of Lactation Consultant Examiners (IBCLE) International Board Certified Lactation Consultant (IBCLC)
Detailed Content Outline

A. Infant
1. Feeding behaviours at different ages
2. Food intolerances/allergies
3. Infant anatomy and anatomical/oral challenges
4. Introducing complementary foods
5. Low birth weight
6. Milk banking formal and informal
7. Normal infant behaviours
8. Nutritional requirements - preterm
9. Preterm development and growth
10. Skin tone, muscle tone, reflexes
11. Term development and growth
12. WHO growth charts with gestational age adjustment
B. Maternal
1. Breast development and growth
2. Breast surgery
3. Composition of human milk
4. Maternal anatomical challenges
5. Maternal nutritional status
6. Nipple structure and variations
II. Physiology and Endocrinology 24
1. Diabetes
2. Infertility Issues
3. Maternal metabolic and hormonal disorders (e.g., thyroid, Polycystic Ovarian Syndrome)
4. Maternal autoimmune disorders
5. Multiples
6. Newborn hypoglycemia
7. Pregnancy and breastfeeding tandem
8. Relactation
9. Stooling and voiding
III. Pathology 31
A. Infant
1. Allergies
2. Ankyloglossia
3. Cleft lip and palate
4. Congenital anomalies (e.g., gastrointestinal, cardiac)
5. Gastroesophageal Reflux Disease (GERD), reflux
6. Hyperbilirubinemia
7. Infant acute disease (bacterial, viral, fungal, systemic)
8. Infant neurological disabilities
9. Small for Gestational Age (SGA), Large for Gestational Age (LGA)
B. Maternal
1. Abscess
2. Milk ejection reflex dysfunction
3. Maternal acute disease (bacterial, viral, fungal, systemic)
4. Maternal chronic disease
5. Maternal disability (physical and neurological)
6. Mastitis
7. Milk supply, low or over
8. Nipple and breast conditions
9. Nipple pain and trauma
10. Post-partum hemorrhage
11. Pre-eclampsia / pregnancy induced hypertension
IV. Pharmacology and Toxicology 13
1. Alcohol and tobacco
2. Contraception
3. Drugs of abuse
4. Galactogogues
5. Gel dressings/nipple creams
6. Medication (prescription, over-the-counter, diagnostic and therapeutic procedures)
7. Medicinal Herbs
V. Psychology, Sociology, and Anthropology
1. Transition to parenthood
2. Birth practices
3. Foods to eat/avoid that affect lactation
4. Employment returning to work
5. Family lifestyle
6. Identifying support networks
7. Maternal mental health
8. Maternal psychological/cognitive issues
9. Mother-baby relationship
10. Safe sleep
11. Weaning
12. Cultural competency
VI. Techniques 25
1. Effective milk transfer (including medically-indicated supplementation)
2. First hour
3. Latching
4. Managing supply
5. Milk expression
6. Positioning
7. Refusal of breast, bottle
8. Skin-to-skin (Kangaroo care)
9. Test-weighing
VII. Clinical Skills 35
A. Equipment and Technology
1. Feeding devices (e.g., tubes at breast, cups, syringes, teats)
2. Handling and storage of human milk
3. Nipple devices (e.g., shields, everters)
4. Pacifiers
5. Pumps
6. Scales
7. Communication technology
8. Websites
B. Education and Communication
1. Active listening
2. Anticipatory guidance
3. Care plan development and sharing
4. Documentation
5. Educating mothers and families
6. Educating professionals, peers, and student
7. Extending the duration of breastfeeding
8. Emotional support
9. Empowerment
10. Group support
C. Ethical and Legal Issues
1. Breastfeeding in public
2. Clinical competencies
3. Code of Professional Conduct (CPC)
4. Principles of confidentiality
5. WHO code advocacy and policy
D. Research
1. Apply research in practice
2. Appraise and interpret research results
3. Use research to help develop policies and protocols
E. Public Health and Advocacy
1. Advocate for Baby-Friendly Hospital Initiative (BFHI)
2. Advocate for compliance with World Health Organization International Code of Marketing of Breast milk Substitutes (WHO Code)
3. Advocate for mother / baby in healthcare system
4. Develop breastfeeding-related policies



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CHENNAI: Airfares have expanded on overseas routes from Chennai because of a spike popular after countries in Europe have began to permit vaccinated travellers making it less demanding for individuals to commute for company and enjoyment. The pupil site visitors too is including to the demand.One-method fares from Chennai to locations in Europe and the us have crossed Rs 1.5lakh to close to Rs 2lakh for trip in the first week of August.Chennai-London is promoting at Rs 27,000 to Rs 1.16lakh while fare to Paris is within the range of Rs ninety three,000 to Rs 1.86 lakh.amusement trip has now not resumed plenty but americans are travelling for enterprise and schooling.though the traffic has extended, the airways have not elevated the number of flights as a result of India is yet to allow operation of scheduled flights. Dubai and Singapore aren't allowing transit passengers too because the Covid-19 circumstances are expanding.Doha and Frankfurt deal with optimum transit site visitors to destinations in Europe and the U.S.. americans from Chennai should spend for the home leg too as many of the flights, specifically by means of Air India, are from Mumbai and Delhi. Sources noted that the shuttle and tour operators don't seem to be anticipating Singapore and Malaysia to open any time till September.Basheer Ahmed of Chennai Metro Travels pointed out, "The high demand and absence of transit facets is inflicting a hassle for the passengers. there's high demand for tickets in August as a result of individuals who work in the UK, Europe and the U.S. wish to shuttle from here earlier than more restrictions are imposed. Many delayed their travel looking forward to scheduled flights to birth. however the government has not accredited it."He talked about Covid-19 circumstances are expanding within the core-East and Europe which is making individuals who do not are looking to get stuck here to travel in the coming weeks.high fares have hit students the most. parents should shell out greater than Rs 1lakh for flight tickets by myself.Aviation consultant Gurmukh Bawa pointed out, "We need to hope the curbs could be revoked quickly when the condition improves. however an ad-hoc association is in place to enable individuals to go back and forth as an alternative of not having any options."



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