Kim Smith, Lactation Consultant (IBCLC) Breastfeeding Education & Support
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HOLD THE BATH! 15 things you might not know about vernix. 

2/18/2017

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Newborn babies are dirty business and believe it or not that white substance on newborn babies is good for them and shouldn’t be washed away!

Here are 15 things you might not already know about vernix: 
Picture

  1. The formal name is Vernix Caseous. Vernix means varnish and caseous means cheese-like.
  2. It is a naturally occurring biofilm made in the last trimester of pregnancy. 
  3. The first mention of vernix was in the Dunglison dictionary of Medical Sciences in 1846. 1846. Can you believe that? And here we think we are on to something new these days.  
  4. Vernix is unique to humans. 
  5. At the time of birth, vernix might cover the entire body of an infant or it might only be found in the body folds of the baby.
  6. Vernix might take on a more yellow, green or brown colour instead of the typical white colour. These colours might reflect intrauterine problems or fetal distress. 
  7. Vernix is 80% water and 20% lipids and proteins. 
  8. Vernix, combined with amniotic fluid, is swallowed by the fetus in utero & has a positive impact on gut development. 
  9. Vernix acts like lubricate of the infant during delivery. 
  10. Vernix is antimicrobial. It is an antimicrobial agent that protects against the bacteria filled environment of the mothers vaginal area. It provides an acidic environment on the skin which is believed to inhibit the growth of problematic bacteria. 
  11. Vernix acts an insulator post delivery as the baby transitions into the outside world and helps babies regulate temperature. (This can continue for up to 5 days if left on the infant.)
  12. Vernix is a great moisturizer and has amazing wound healing properties (studies are being done on burn injuries).   
  13. Vernix is believed to have antioxidant properties, which helps aids against the stressors of birth. 
  14. Vernix blocks out meconium contamination of amniotic fluid. 
  15. The National Association of Neonatal Nursing (NANN) and the Association of Women's Health Obstetrical and Neonatal Nursing (AWHONN) released a consensus statement that states “removal of all vernix is not necessary for hygienic reasons” and “vernix may provide antibacterial promotion and wound healing”. The World Health Organization (WHO) also recommends leaving vernix intact on the skin surface after birth.​

I think we can agree vernix is pretty amazing. 
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What to look for when looking for a "Lactation Consultant"? 

2/1/2017

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What is a Lactation Consultant, LC, IBCLC?

The term lactation consultant or LC has become the known, accepted title for a professionals with expert knowledge in breastfeeding. They may work with moms and babies to address breastfeeding issues and concerns. They may also teach classes, assist with establishing breastfeeding one on one, and promote and protect breastfeeding through policy, procedure within health care and government.

Origin of the term “Lactation Consultant

The accepted term for “IBCLC” or International Board Certified Lactation Consultant in many geographical areas is "LC" or Lactation Consultant because, as you can see, that term is a mouthful. 

“LC” is not trademarked and does not hold the professional standard like “IBCLC” does, so one will occasionally find a practicing LC who is not an IBCLC. Consumers (mothers and families) and other professionals (doulas and doctors) need to be aware of this.
​
As well, not all those who work as “lactation consultants” in health centres or breastfeeding support centres are IBCLCs. Some employers encourage employees to pursue the credential but don’t mandate it for employment. Many times, nurses with some basic breastfeeding education fill these jobs. 

Why is this IBC part so important?
The International Board of Lactation Consultant Examiners (IBCLE) awards the title of International Board Certified Lactation Consultant to only the candidates who meet the comprehensive pathway requirements and pass an international exam. This allows IBLCE to establish the highest standards in lactation and breastfeeding care worldwide and to certify only the individuals who meet these standards. ​
PictureBreastfeeding education, support, clinical management


Breastfeeding alphabet soup
 
I’d like to explain some of the breastfeeding alphabet soup by using the birthing support alphabet soup, as people seem to relate to that.
 

All the roles are important, but they provide their own distinct scope, responsibilities, and abilities. They can all work together to provide comprehensive support. 

Primary roles of the individual bodies

As you can see, I’ve broken this down into three primary roles.
1.      Education
2.      Support
3.      Clinical management

Education

Educators teach you about the normal and expected processes of childbirth and breastfeeding. They typically call themselves childbirth educators and lactation educators. 
They teach the normal process of birth and what you can expect when having a baby, as well as encourage and promote breastfeeding. 

This information helps you make decisions, helps you know if you are on track, gives you references for getting the birth and breastfeeding relationships you want, and helps answer your questions. 

Educators typically teach community classes in group settings. 

Support

Support people are typically those who have additional training in supporting mother, baby, and family during crucial times: birth and breastfeeding. 

They’re typically doulas and La Leche League (LLL) leaders. Doulas are usually paid professionals, and LLL is a mother-to-mother peer support group. These roles offer the encouragement and motivation you need to get through the processes of birth and breastfeeding. 

They are well versed in normal and expected outcomes. They know to watch for red flags to ensure they can guide you further if you have come outside the normal, expected process. Their job is to provide physical and emotional support, encouraging you to ask questions of your caregivers to make sure you’re well informed about what occurs. They have resources and guidelines to reassure you that you’re indeed in the realm of normal, and if things deviate from normal, they can point you in the direction of more resources.

Clinical management

Lastly, we have the clinical management professionals. 
These are the folks responsible for the clinical and medical bits of the scenario. They look at the facts and figures, big picture, and red flags to rule in or out the things that are not in the normal and expected category and then make management plans from there. They have the clinical experience of things that fall outside normal and how to manage them.

Working together

All of these people have a place in the realm of support and caregiving; what’s important is they know their role and responsibility and respect the others’. Where it becomes problematic is when the client receives something different from what she expected to receive. Sometimes, this occurs because the roles of each provider isn’t clear to her, and she might conclude that one person isn’t performing a role properly. Let’s look at how this might apply to IBCLCs specifically. 

In our example, a mother assumes that a breastfeeding educator* is an IBCLC. She notices that despite consulting with the helper, her breastfeeding issue remains unresolved. She decides to seek more help through a La Leche League leader, who determines that the issue is outside her scope and recommends an IBCLC. The mother insists that she already saw an IBCLC, but received no help. 
*this person could also be staff at a breastfeeding clinic or nurse who comes to her home

This example is typical, and it hurts all support people. The educator gets a bad rep because she didn’t help. The LLL leader is helpless because the needs were outside her scope. The IBCLC profession gets a bad rep because the client misunderstood the different roles and expectations. 

Clients need to know clearly what their expectations are and who can best meet those expectations based on role, scope, and experience. I want to be asked and welcome being asked these questions! I want you to go and look at the IBLCE website to see what IBCLC's are all about and verify I am indeed and IBCLC and see what scope and standards are laid in place for my profession. I welcome the same questions about being a doula! I would love to see a blog about midwives and how they are different from doulas and childbirth educators (wink, wink, nudge, nudge midwives). 

All breastfeeding and lactation professionals have a responsibility to work together to ensure mothers have accurate information, so they can receive the support and encouragement they need as efficiently and as quickly as possible. 

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    Kim Smith
    IBCLC,

    Chatting about a variety of birth and breastfeeding topics. 

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Doula, Lactation Consultant (IBCLC) & Childbirth Educator
Serving Regina SK & Area

306-550-6143
​kim@kimsmith.org


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  • Book Breastfeeding Help
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    • Tips to get breastfeeding off to a good start
    • What is an IBCLC?
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