clinical practice paper discussed the issue of

clinical practice paper discussed the issue of lack of support for breastfeeding mothers in rural communities. Many bigger cities have lactation consultants on staff in the hospital and in physician offices. Adding certified lactation consultants to a staff cannot be underrated because they provide critical support services and education to mothers who are attempting to breastfeed. Education is one of the biggest resources for new moms during the newborn period. The lactation consultant can offer services throughout the antepartum and postpartum period to assist the mother in achieving her goals. The first few hours after birth can be the most critical time in the success of the breastfeeding relationship. A mother who is exhausted and stressed from delivery and unable to receive sufficient help in latching their infant may resort to formula feeding. This can also occur due to a misinformed patient who is in fear of not producing milk during the first feeding. The lactation consultant can be certified through many different routes; however, one method is to become an International Board-Certified Lactation Consultant (IBCLC). This method is rigorous by requiring one to have a healthcare background, educational hours, bedside clinical hours, and pass a board-certified exam. The best option for rural communities is to offer the lactation consultant as another source instead of as a bedside nurse. This is because the bedside nurse may not always be available to help patients as they are providing other care. The hospitals should focus on how they can utilize their budget to provide these services because breastfeeding will increase the community’s health. Breastfed infants have better immune support through breastmilk than formula fed infants. This means less illness spread and less doctor/hospital visits. Another benefit is cost effectiveness for low-income families. Formula can quickly amount to thousands of dollars a year for families already on low budget. Formula feeding can take financial resources away from the family to provide in other areas such as housing, food, clothing, and transportation. Overall, the support of other resources such as a lactation consultant can provide education and hands on support to mothers during a critical period. This support can be the determining factor in a successful breastfeeding relationship between mother and baby. The benefits of breastfeeding far outweigh the cost of providing lactation services to mothers. Do you believe the proposed clinical practice solution is appropriate? Is the solution feasible? What suggestions or changes can you offer?

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