03/13/2022
TLDR: Pediatric residents get an average of 9 hours of breastfeeding education.
This is why your pediatrician is not your best resource for breastfeeding guidance.
How much does your pediatrician know about breastfeeding?
I'm going to review an important paper published in 2011 by Osband and colleagues: https://pubmed.ncbi.nlm.nih.gov/21272827/
The purpose of this post is NOT to bash primary care doctors. Instead, I want to explain to everyone why I require an evaluation by an IBCLC to be able to schedule an appointment with me for consideration of a tongue/lip tie release. I put a tremendous amount of value on their assessment.
This paper surveyed 132 pediatric residency programs across the US to determine the amount of breastfeeding education provided. On average, a pediatric resident gets 9 *hours* of total education on breastfeeding during their entire training (3 hours per year). The attached graph shows the breakdown of those hours and demonstrate how little time they spend with the actual breastfeeding experts (lactation consultants). In contrast, an IBCLC can spend more than 2000 hours during their clinical training.
What about ENTs and dentists? How many hours do they get during training? ZERO.
So what's the take home message? If you have a baby with breastfeeding issues or compensations that are causing maternal symptoms, your first stop needs to be an IBCLC. Should you ever do a procedure because an ENT or dentist says you should? No, not without IBCLC involvement first. And if you're a medical professional taking care of these dyads, you need to change your mindset. All too often, IBCLCs aren't respected, their notes aren't read, their voices are silenced by people who don't listen to people without a medical or dental degree behind their names.