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Journal of Human Lactation
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Staffing for Hospital Lactation Programs: Recommendations From a Tertiary Care Teaching Hospital

Rebecca Mannel, BS, IBCLC

OU Medical Center, Oklahoma City, Oklahoma, Rebecca.mannel{at}hcahealthcare.com

Robert S. Mannel, MD

Department of Obstetrics and Gynecology at the University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, Rmannel1{at}cox.net

A retrospective review of data from a lactation program’s productivity reports at a large tertiary care teaching hospital (4200 births per year) measured actual hours worked by international board certified lactation consultants (IBCLCs) over a 2-year period, allocated the hours to their respective activities, and developed ratios for optimal IBCLC staffing for each component of service delivered. Optimal IBCLC staffing was calculated as follows: mother/baby inpatient requires 1 full-time equivalent (FTE) per 783 breastfeeding couplets; neonatal intensive care unit (NICU) inpatient requires 1 FTE per 235 infant admits; mother/baby outpatient requires 1 FTE per 1292 breastfeeding couplets discharged; NICU outpatient requires 1 FTE per 818 breastfeeding infants discharged; telephone follow-up requires 1 FTE per 3915 breastfeeding couplets or infants discharged; education requires 0.1 FTE per 1000 deliveries; program development/administration requires 0.1 FTE per 1000 deliveries; and research requires 0.1 to 0.2 FTE total. Using the formulas provided, IBCLC staffing can be calculated for desired services based on patient numbers.

Key Words: lactation program(s) • staffing • IBCLC staffing

Journal of Human Lactation, Vol. 22, No. 4, 409-417 (2006)
DOI: 10.1177/0890334406294166
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