Course #33353 - $90 -


This course is designed for those in the medical profession with interests in perinatal and maternal-child health. It will assist the participant in supporting, protecting, and promoting breastfeeding for optimal infant growth and development. The historical, social, emotional, and political factors involved in breastfeeding will be reviewed. The hazards of feeding artificial baby milk, review of anatomy, physiology, and the uniqueness of human milk will be addressed within the course. Antepartum educational needs, antepartum assessment for lactational ability, and hospital routines that support lactation are considered. The effects of labor and delivery practices on the breastfeeding relationship are covered in detail. Special circumstances, nursing the premature infant, jaundice, and the use of breastfeeding devices will be explained.

Education Category: Women's Health - Maternal / Child
Release Date: 05/01/2022
Expiration Date: 04/30/2025

Table of Contents


This course is designed for all nurses, especially those working in obstetrics, NICU, and pediatrics.

Accreditations & Approvals

In support of improving patient care, TRC Healthcare/NetCE is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. NetCE is accredited by the International Accreditors for Continuing Education and Training (IACET). NetCE complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, NetCE is authorized to issue the IACET CEU.

Designations of Credit

NetCE designates this continuing education activity for 15 ANCC contact hour(s). NetCE designates this continuing education activity for 1 pharmacotherapeutic/pharmacology contact hour(s). NetCE designates this continuing education activity for 18 hours for Alabama nurses. NetCE is authorized by IACET to offer 1.5 CEU(s) for this program. AACN Synergy CERP Category A.

Individual State Nursing Approvals

In addition to states that accept ANCC, NetCE is approved as a provider of continuing education in nursing by: Alabama, Provider #ABNP0353, (valid through July 29, 2025); Arkansas, Provider #50-2405; California, BRN Provider #CEP9784; California, LVN Provider #V10662; California, PT Provider #V10842; District of Columbia, Provider #50-2405; Florida, Provider #50-2405; Georgia, Provider #50-2405; Kentucky, Provider #7-0054 through 12/31/2025; South Carolina, Provider #50-2405; West Virginia RN and APRN, Provider #50-2405.

Course Objective

The purpose of this course is to provide the nurse with an in depth understanding of breastfeeding, including an intensive review of anatomy, physiology, emotional and social factors, and a review of problem solving protocols.

Learning Objectives

Upon completion of this course, you should be able to:

  1. Outline the history of infant feeding and breastfeeding.
  2. Discuss the American Academy of Pediatrics policy statement Breastfeeding and the Use of Human Milk and other signs of the paradigm shift in favor of breastfeeding.
  3. Review components of the Baby-Friendly Hospital Initiative.
  4. List the risk and disadvantages associated with artificial baby milk (ABM).
  5. Describe the components and types of breast milk.
  6. Discuss the anatomy and development of the breast and the physiology of breast milk production.
  7. Identify key points of antepartum education and lactation assessments.
  8. Outline the role of the doula.
  9. Review various hospital routines that affect breastfeeding, including the use of labor medications and the neonatal assessment.
  10. Describe the latch-on process.
  11. List potential maternal complications that may interfere with breastfeeding.
  12. List potential infant complications that may make breastfeeding difficult or impossible.
  13. Compare and contrast various devices available for the breastfeeding mother.
  14. Discuss issues that may arise during the early weeks and months of breastfeeding.
  15. Identify support available for the breastfeeding couple.


Marie Davis, RN, IBCLC, received her lactation consultant certificate from the University of California in Los Angeles. She began her private practice in 1986. In addition, she was one of the lactation consultants for Kaiser Permanente in Riverside, California for 10 years. Mrs. Davis is also a clinical instructor for the Lactation Consultant Training Program, UCLA Extension. Mrs. Davis is the author of The Lactation Consultant's Clinical Practice Manual and a contributing author to Core Curriculum for Lactation Consultant Practice. She has mentored many student lactation consultants. Mrs. Davis is a member of the International Lactation Consultant's Association and is listed in Who's Who in American Nursing and Who's Who Among Young American Professionals. She makes her home in southern California.

Faculty Disclosure

Contributing faculty, Marie Davis, RN, IBCLC, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Division Planner

Jane C. Norman, RN, MSN, CNE, PhD

Division Planner Disclosure

The division planner has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Director of Development and Academic Affairs

Sarah Campbell

Director Disclosure Statement

The Director of Development and Academic Affairs has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

About the Sponsor

The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.

Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.

Disclosure Statement

It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

Technical Requirements

Supported browsers for Windows include Microsoft Internet Explorer 9.0 and up, Mozilla Firefox 3.0 and up, Opera 9.0 and up, and Google Chrome. Supported browsers for Macintosh include Safari, Mozilla Firefox 3.0 and up, Opera 9.0 and up, and Google Chrome. Other operating systems and browsers that include complete implementations of ECMAScript edition 3 and CSS 2.0 may work, but are not supported. Supported browsers must utilize the TLS encryption protocol v1.1 or v1.2 in order to connect to pages that require a secured HTTPS connection. TLS v1.0 is not supported.

Implicit Bias in Health Care

The role of implicit biases on healthcare outcomes has become a concern, as there is some evidence that implicit biases contribute to health disparities, professionals' attitudes toward and interactions with patients, quality of care, diagnoses, and treatment decisions. This may produce differences in help-seeking, diagnoses, and ultimately treatments and interventions. Implicit biases may also unwittingly produce professional behaviors, attitudes, and interactions that reduce patients' trust and comfort with their provider, leading to earlier termination of visits and/or reduced adherence and follow-up. Disadvantaged groups are marginalized in the healthcare system and vulnerable on multiple levels; health professionals' implicit biases can further exacerbate these existing disadvantages.

Interventions or strategies designed to reduce implicit bias may be categorized as change-based or control-based. Change-based interventions focus on reducing or changing cognitive associations underlying implicit biases. These interventions might include challenging stereotypes. Conversely, control-based interventions involve reducing the effects of the implicit bias on the individual's behaviors. These strategies include increasing awareness of biased thoughts and responses. The two types of interventions are not mutually exclusive and may be used synergistically.