{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:50:17Z","timestamp":1777852217497,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T00:00:00Z","timestamp":1555632000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>According to the Baby Friendly Hospital Initiative, when supplementary feeding occurs, mothers should be counseled on the use and risks of feeding bottles and teats. To help support this initiative it is important to understand the supplementation practices of Internationally Board Certified Lactation Consultants (IBCLC)\u00ae.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research aims:<\/jats:title>\n                    <jats:p>To determine (1) if the location of an IBCLC\u2019s practice has any impact on supplemental feeding methods; (2) the preferred methods of and the main reasons for supplementation; (3) the level of an IBCLC\u2019s confidence with supplemental feeding methods; (4) who is making supplemental feeding decisions; and (5) if there are geographical differences among supplementation choices and reasons for supplementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      An exploratory, descriptive, cross sectional survey of IBCLCs was conducted to generate data about their use of supplemental feeding methods. The survey was sent via email invitation through the International Board of Lactation Consultant\u2019s Board of Examiners, with a response rate of 11.5% (\n                      <jats:italic>N<\/jats:italic>\n                      = 2,308).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was no standard method of supplementation among participants. Participants indicated that they were confident advising mothers on alternative feeding methods. Only 17.6% (\n                      <jats:italic>n<\/jats:italic>\n                      = 406) of participants reported that the IBCLC was the caregiver who recommended the method of supplementation used. The majority of participants believed the Supplemental Feeding Tube Device SFTD) best preserves the breastfeeding relationship, and this was their preferred method of supplementation. However, the bottle was ranked as the number one method used in the United States, Australia, and Canada. The use of alternative feeding methods may be overwhelming to the mother.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Supplementation by alternative feeding methods might help preserve the breastfeeding relationship and help reach the World Health Organization\u2019s goal of increasing exclusive breastfeeding rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334419835744","type":"journal-article","created":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T19:16:17Z","timestamp":1555701377000},"page":"683-694","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["International Board Certified Lactation Consultants\u2019 Practices Regarding Supplemental Feeding Methods for Breastfed Infants"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3175-5388","authenticated-orcid":false,"given":"Frances","family":"Penny","sequence":"first","affiliation":[{"name":"Southern Connecticut State University, School of Nursing, New Haven, CT, USA"},{"name":"University of Connecticut, School of Nursing, Storrs, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Judge","sequence":"additional","affiliation":[{"name":"University of Connecticut, School of Nursing, Storrs, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth A.","family":"Brownell","sequence":"additional","affiliation":[{"name":"Connecticut Children\u2019s Medical Center, Hartford, CT, USA"},{"name":"University of Connecticut, School of Medicine, Farmington, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline M.","family":"McGrath","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center San Antonio, School of Nursing, San Antonio, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,19]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"American Academy of Pediatrics. 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