I assume that you are asking for information regarding lactation staffing
importance in the hospital setting. Hospitals often cut the lactation
department personnel during their efforts at cost containment. This is
especially true during the COVID pandemic when revenue-producing elective
procedures declined or disappeared. These cuts further stress the nursing
staff who may be stretched to their limits.

IBCLC staffing is discussed in these documents. See if any of these are
helpful:

Mannel R, Mannel RS. Staffing for hospital lactation programs:
recommendations from a tertiary care teaching hospital. J Hum Lact. 2006
Nov;22(4):409-17. doi: 10.1177/0890334406294166.

Castrucci BC, Hoover KL, Lim S, Maus KC. A comparison of breastfeeding
rates in an urban birth cohort among women delivering infants at hospitals
that employ and do not employ lactation consultants. J Public Health
Management Practice 2006; 12:578-585

Francis-Clegg S, et al. Improving the bottom line: Financial
justification or the hospital-based lactation consultant role. Clinical
Lactation 2011 2:19-25.

Bonuck KA, Trombley M, Freeman K, McKee D. Randomized, controlled trial of
a prenatal and postnatal lactation consultant intervention on duration and
intensity of breastfeeding up to 12 months. Pediatrics. 2005
Dec;116(6):1413-26. doi: 10.1542/peds.2005-0435.

Castrucci BC, Hoover KL, Lim S, Maus KC. Availability of lactation
counseling services influences breastfeeding among infants admitted to
neonatal intensive care units. Am J Health Promot. 2007
May-Jun;21(5):410-5. doi: 10.4278/0890-1171-21.5.410.

Failure to Latch. https://psnet.ahrq.gov/web-mm/failure-latch

Marsha Walker, RN, IBCLC

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