In the Academy of Breastfeeding Medicine’s new position statement, we describe the scope of the field, who practices in the field, the problems addressed, challenges faced, and some cases that exemplify this work. Paula K. Schreck, MD IBCLC FABM, contacted the lead author on the position statement, Casey Rosen-Carole, MD NABBLM-C MPH MSEd FABM, to gain more insight into the topic.
Dr. Rosen-Carole, what would you say is the defining characteristic of the breastfeeding and lactation medicine (BFLM) provider?
Great question, and one that I think we are still working out as a field, so I’ll answer from my perspective. I believe BFLM providers are experts in interpersonal physiology and the social dynamics of care. We understand that at least two physiologies are at play in most of our patient encounters, and their interplay is fraught with its own joys and challenges! Moreover, because breastfeeding is both a physiological process and a socially determined behavior, we must be very good at promoting health through motivational interviewing, trauma-informed care, counseling, and advocacy.