"You Know if You Quit, That's Failure, Right?": Barriers to Professional Lactation Certification

Journal of Human Lactation : Official Journal of International Lactation Consultant Association
Erin V Thomas

Abstract

Researchers have confirmed that breastfeeding disparities persist and that International Board Certified Lactation Consultants (IBCLCs) play a key role in reducing them. However, there continues to be a limited availability of IBCLCs throughout the United States, with racial minorities facing persistent barriers during the certification process. Research aim: Using a critical race theory framework, the aim was to describe the barriers and supports that IBCLCs experience during the course of their certification. This study used a prospective, cross-sectional, qualitative design with semistructured interviews with IBCLCs ( N = 36) from across the United States. Interviews were audio-recorded and professionally transcribed. Results were analyzed using an in-depth thematic analysis from the perspective of critical race theory. Women made up the majority ( n = 35; 97.22%) of the sample. People of color made up slightly less than half of the sample ( n = 16; 44.44%). Barriers were initially coded by the stages of the certification process. Existing healthcare providers experienced advantages in the certification process because of their connection to social networks and resources in their hospital or place of employment. Cost and rac...Continue Reading

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Citations

Jun 6, 2018·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Joan E Dodgson
Jun 22, 2018·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Fiona Giles
Jun 21, 2018·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Kimberley Broomfield-Massey, Simran Noor
Mar 14, 2019·ANS. Advances in Nursing Science·Whitney A ThurmanDanica F Sumpter
Jun 18, 2019·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Barbara HaaseCarol L Wagner
Feb 12, 2021·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Jarold T Johnston, Jennie M Wagner

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Methods Mentioned

BETA
IBLCE

Software Mentioned

LactNet
NVivo
IBCLE
LLLI

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