1. Maternal and Infant Anatomy ( 19-33)
2. Maternal and Infant normal Physiology and Endocrinology (19-33 )
3. Maternal and Infant normal Nutrition and Biochemistry. (10-16 )
4. Maternal and Infant Immunology and Infectious Disease. ( 10-16 )
5. Maternal and Infant Pathology ( 19 -33 )
6. Maternal and Infant Pharmacology and toxicology ( 10-16 )
7. Psychology, Sociology and Anthropology (10-16)
8. Growth Parameters and Developmental milestones (10-16 )
9. Interpretation of research (4-8 )
10. Ethical and Legal Issues (4-8)
11. Breastfeeding Equipment and Technology ( 10-16 )
12. Techniques (19-33 )
13. Public Health (4-8)

1. ระยะก่อนตั้งครรภ์ (2-7 ข้อ)
2. ระยะตั้งครรภ์ ( 9-17 ข้อ )
3. ระยะคลอด ( 9-17 ข้อ )
4. ทารกคลอดก่อนกำหนด ( 9-17 ข้อ )
5.  ทารกในระยะ 0-2 วันแรกคลอด ( 19-31 ข้อ)
6. ทารกอายุ 3-14 วัน ( 19-31 ข้อ)
7. ทารกอายุ 15 -28 วัน ( 19-31 ข้อ)
8. ทารกอายุ 1 -3 เดือน (9-17 ข้อ)
9. ทารกอายุ 4 -6 เดือน (9-17 ข้อ)
10. ทารกอายุ 7 -12 เดือน (2-7 ข้อ)
11. ทารกอายุ มากกว่า 12 เดือนขึ้นไป (2-7 ข้อ)
12. หลักการทั่วไป (40-53 ข้อ )

DISCIPLINES

A.  Maternal and infant ANATOMY (19-33 questions)

» breast and nipple structure and development

» blood

» lymph,

» innervations

» mammary tissue

» infant oral anatomy and reflexes

» assessment

» anatomical variations

B.  Maternal and infant normal PHYSIOLOGY and ENDOCRINOLOGY (19-33 questions)

» hormones

» lactogenesis

» endocrine/autocrine control of milk supply

» induced lactation

» fertility

» infant hepatic, pancreatic and renal function

» metabolism

» effect of complementary feeds

» digestion and GI tract

» voiding and stooling patterns

C.  Maternal and infant normal NUTRITION and BIOCHEMISTRY (10-16 questions)

» breastmilk synthesis and composition

» milk components, function and effect on baby

» comparison with other products/milks

» feeding patterns and intake over time

» variations of maternal diet

» ritual and traditional foods

» introduction of solids

D.  Maternal and infant IMMUNOLOGY and INFECTIOUS DISEASE (10-16 questions)

» antibodies and other immune factors

» cross-infection

» bacteria and viruses in milk

» allergies and food sensitivity

» long term protective factors

E.  Maternal and infant PATHOLOGY (19-33 questions)

» acute/chronic abnormalities and diseases, both local and systemic

» breast and nipple problems and pathology

» endocrine pathology

» mother/child physical and neurological disabilities

» congenital abnormalities

» oral pathology

» neurological immaturity

» failure to thrive

» hyperbilirubinemia and hypoglycemia

» impact of pathology on breastfeeding

F.  Maternal and infant PHARMACOLOGY and TOXICOLOGY (10-16 questions)

» environmental contaminants

» maternal use of medication, OTC preparations, social or recreational drugs and their effect on the infant, on milk composition, and on lactation

» galactagogues/suppressants

» effects of medications used in labor

» contraceptives

» complementary therapies

G. PSYCHOLOGY, SOCIOLOGY, and ANTHROPOLOGY (10-16 questions)

» counseling and adult education skills

» grief, postnatal depression and psychosis

» effect of socio-economic, lifestyle, and employment issues on breastfeeding

» maternal-infant relationship

» maternal role adaptation

» parenting skills

» sleep patterns

» cultural beliefs and practices

» family

» support systems

» domestic violence

» mothers with special needs, e.g. adolescents, migrants

H.  GROWTH PARAMETERS and DEVELOPMENTAL MILESTONES (10-16 questions)

» fetal and preterm growth

» breastfed and artificially fed growth patterns

» recognition of normal and delayed physical, psychological and cognitive developmental markers

» breastfeeding behaviors to 12 months and beyond

» weaning

I.   INTERPRETATION OF RESEARCH (4-8 questions)

» skills required to critically appraise and interpret research literature, lactation consultant educational material, and consumer literature

» understanding terminology used in research and basic statistics

» reading tables and graphs

» surveys and data collection

J.  ETHICAL and LEGAL ISSUES (4-8 questions)

» IBLCE Code of Ethics

» ILCA Standards of Practice

» practicing within scope of practice

» referrals and inter-disciplinary relationships

» confidentiality

» medical-legal responsibilities

» charting and report writing skills

» record keeping

» informed consent

» battery

» maternal/infant neglect and abuse

» conflict of interest

» ethics of equipment rental and sales

K.  BREASTFEEDING EQUIPMENT and TECHNOLOGY (10-16 questions)

» identification of breastfeeding devices and equipment, their appropriate use, and technical expertise to use them properly

» handling and storing human milk, including human milk banking protocols

L.  TECHNIQUES (19-33 questions)

» breastfeeding techniques, including positioning and latch

» assessing milk transfer

» breastfeeding management

» normal feeding patterns

» milk expression

M. PUBLIC HEALTH (4-8 questions)

» breastfeeding promotion and community education

» working with groups with low breast-feeding rates

» creating and implementing clinical protocols

» international tools and documents

» International Code of Marketing of Breast-milk Substitutes

» Baby Friendly Hospital Initiative (BFHI) implementation

» prevalence, surveys and data collection for research purposes

CHRONOLOGICAL PERIODS

» Preconception (2-7 questions)

» Prenatal (9-17 questions)

» Labor/birth (Perinatal) (9-17 questions)

» Prematurity (9-17 questions)

» 0 - 2 days (19-31 questions)

» 3 - 14 days (19-31 questions)

» 15 - 28 days (19-31 questions)

» 1 - 3 months (9-17 questions)

» 4 - 6 months (9-17 questions)

» 7 - 12 months (2-7 questions)

» Beyond 12 months (2-7 questions)

» General principles (40-53 questions)