Scope of Practice for LCE and CCLS Courses
LCE Scope of Practice based upon the Breastfeeding Scope of Practice by WIC Staff Level Three
- Skin to skin contact
- Latching and positioning
- Hand expression
- Flat or inverted nipples
- Alternative feeding devices
- Pumping
- Engorgement
- Plugged ducts
- Weaning
- Maintaining ongoing milk supply
- Multiples
- Supplemental feedings
- Informal milk sharing
- Milk sharing- risks and benefits
- Bottle feeding
- Pacifier use
- Reflux
- Abrupt weaning
- Inadequate weight gain
- Preterm babies over 34 weeks gestation
- Weight gain issues
- Providing medication information from Hale's Medications and Mother's Milk
- Supporting a baby with infant thrush
- Supporting a baby with allergies
- Supporting a baby with food intolerances
- Supporting a baby with lactose overload
- Supporting lactation with diabetes, thyroid conditions, pituitary dysfunction, being overweight, nursing while pregnant, and HIV/AIDs
- Supporting a baby with jaundice
- Referring to health care provider for persistent nipple pain not resolved with latching and positioning help
- Referring to health care provider and help with mastitis
95-Hour CCLS Scope of Practice includes everything in the LCE Scope of Practice, plus these additional topics based on IBCLC Detailed Content Outline
- Prolonged poor/ insufficient weight gain and/ or supply; failure to thrive
- Inducing lactation
- Relacation
- Sore nipples
- Abscesses
- Maternal skin conditions
- Insufficient glandular tissue
- Breast surgery
- Nipple modifications
- Breast trauma
- Flange fitting for pumping
- Ongoing low milk supply
- Cleft lip or palate
- Ongoing latching difficulties
- Severe engorgement
- Long term use of alternative feeding devices
- Preterm infant feeding challenges
- Preterm infant inadequate weight gain.
- Preterm transition to home
- Medications and breastfeeding
- Galactogogues