Curriculum Development Resources for Health Care Provider Educators �

Over the past decade, an enormous expansion has occurred in the quantity of materials that may be of use in teaching lactation management to health care providers. Significant time may be spent searching for such materials. Because of Wellstart International's focus on provider education and training, we maintain a file of such materials as well as where to find them. As a service to other educators of health care providers, Wellstart International has placed the following list on its website. Information is regularly updated. If you have additional materials, websites or information that you would like have reviewed and considered for possible addition to this list please drop us a note at: We will also be happy to include announcements regarding conferences and workshops that are designed for health care provider educators.

  1. Courses and teaching materials (books, CDs, handouts, videos)
  2. Curriculum Development Sites
  3. Guidelines and reference searches
  4. Organizations (nongovernmental)
  5. Governmental
  6. International

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  1. Breastfeeding: Another Way of Saying I Love You. 1998. 16 minutes Intended for parents but can also be used to instruct students about parent education. Mississippi State Department of Health WIC. P.O. Box 1700, Jackson Mississippi 39215-1700.
  2. Fathers Supporting Breastfeeding. 2002. 17 minutes. Though intended for father (and particulary African American fathers) this material can be useful in discussing some of the barriers to breastfeeding. US Department of Agriculture, Food and Nutrition Service, WIC Program.
  3. Delivery Self Attachment. 1992 6 minutes. A short but important video illustrating the work of Dr. Lennart Righard (Lancet 1990; 336:1105-07) which indicated the ability of a normal newborn to self attach shortly after an unmedicated birth. Available through Geddes Productions:
  4. Follow Me Mum: The Key to Successful Breastfeeding. 2001 20 minutes. Intended for parents but can be a useful tool in teaching medical students and residents. Tapestry Film Productions, PO Box 43 Burswood, Western Australia 6100. Contact:
  5. Breastfeeding: Coping with the First Week. 1996. 30 minutes. A film produced and directed by Midwives of the Royal College of Midwives. An excellent teaching tool regarding attachment and other early concerns. Mark-It Television, 34 Gadshill Dr., Meade Park, Stoke Gifford, Bristol BS34 8 UX United Kingdom. Available through Growing With Baby:
  6. Breastfeeding: A Guide to Successful Positioning. 1997. 12 minutes. Another product of the Midwives of the Royal College of Midwives. Available from Childbirth Graphics:
  7. Breastfeeding: Dealing with Problems. 1997. 24 minutes. Demonsrtrates a number of problems, most of which result from poor attachment. Available from Childbirth Graphics:
  8. Breastfeeding: Focus on Attachment. 1998 10 minutes. A very useful review of positioning. Available from Childbirth Graphics:
  9. Breastfeeding: A Special Relationship. 1999. 24 minutes. This video, intended for parents, demonstrates many techniques and covers a range of important issues. Available from Childbirth Graphics.
  10. From Bottles to Breasts to Baby Friendly: The Challenge of Change. 2001. 15 minutes. A short documentary that reviews the process of change in attitudes and behaviors that took place in a large hospital as it became designated as a Baby Friendly hospital. Available through the Breastfeeding Center, Boston Medical Center, Boston Mass. Contact:
  11. A Premie Needs His Mother. First Steps to Breastfeeding Your Premature Baby. 2001. Produced by Jane Morton, MD. 51 minutes. A good review of breastfeeding as it is promoted in the intensive care environment. Contact:
  12. Kangaroo Mother Care. 2001. 26 minutes. Though this video was filmed in South Africa, the universal benefit of Kangaroo care is well illustrated. Available through Geddes Productions:

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CD ROMs, PowerPoint presentations, and slides
  1. Breastfeeding. a CD ROM produced by Susan Moxley, R.N., M. Ed, and Nicola Sims-Jones, R.N., MScN, 1996. A Corel Medical Series Production. Corel Corporation, 1600 Carling Avenue, Ottawa, Ontario, Canada K1Z 8R7 A multimedia course for health care practitioners.
  2. Breastfeeding Support and Promotion: A Speakers Kit. Produced by the AAP Section on Breastfeeding, Joan Meeks, M.D., editor. 2003. A set of 77 PowerPoint slides for use in providing a basic talk about breastfeeding.
  3. The Breastfeeding Atlas: Images from the Second Edition. Kay Hoover and Barbara Wilson Clay. LactNews Press 2003: Available through Pharmsoft Publishing LP at
  4. Clinical Care Path for Breastfeeding. 2003. This set of guidelines is designed to help busy health care providers promote breastfeeding during both prenatal and postpartum care encounters. It was developed by Lori Feldman-Winter, MD and colleagues at the University of New Jersey School of Medicine and can be requested from Dr. Winter at:

Sources of Other Miscellaneous teaching tools
  1. Bright Future Lactation Resources Centre:
  2. Childbirth Graphics, Ltd.:
  3. Geddes Productions:
  4. Growing with Baby:
  5. Pharmasoft Publishing LP:
  6. Michgan State University, College of Osteopathic Medicine, Department of Pediatrics. Dr. Mari Douma has developed an interesting set of teaching tools for residents and medical students. To obtain them contact Dr. Douma at
  7. University of Rochester Lactation Study Center. TheLactation Study Center is directed by Dr. Ruth Lawrence and can be reached by e-mailing Dr. Lawrence at:

Policy Statements
  1. American Academy of Family Practice Policy Statement on Breastfeeding:
  2. American Academy of Pediatrics Work Group on Breastfeeding: Breastfeeding and the Use of Human Milk. Pediatrics 1997;100:1035-1039.
  3. American College of Obstetrics and Gynecology Educational Bulletin No 258. Breastfeeding: Maternal and Infant Aspects. Obstet Gynecol 2000;96: No. 258.
  4. Boston Medical Center: Birth Place Policy #2.06, Breastfeeding. This hospital has been identified by the DHHS as providing "best practices" in support of breastfeeding. Their policy statement provides a standard of care. To obtain copies contact Anne Merewood at
  5. National Medical Association Breast is Best Project.
  6. HHS Blueprint for Action on Breastfeeding. USDHHS/Office on Women's Health, Washington, DC, 2000
  7. Protecting, Promoting and Supporting Breastfeeding in the United States: A National Agenda. United States Breastfeeding Committee and USDHHS/HRSA/MCHB, 2001.
  8. WHO:

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Books and Monographs
  1. Breastfeeding Curriculums and Courses
    • Cadwell, K. and Turner-Maffei, C. Ten Steps to Successful Breastfeeding: An 18 Eighteen Hour Interdisciplinary Breastfeeding Management Course for the United States. Jones and Bartlett, Boston 2002. Available through Jones and Bartlett:
    • ICLA. Core Curriculum for Lactation Consultant Practice. Jones and Bartlett. Boston, 2002.
    • Wellstart International and the University of California San Diego. Lactation Management Curriculum: A Faculty Guide for Schools of Medicine, Nursing and Nutrition, Fourth Edition. Wellstart International, San Diego, 1999.
    • Wellstart International. Lactation Management Self-Study Modules, Level 1. Wellstart International, San Diego, 2000.
  2. Breastfeeding, Breastmilk, Lactation Management
    • Koletzko, B, Michaelsen, KF. and Herfnell, Olle, editors. Short and Long Term Effects of Breastfeeding on Child Health. Advances in Experimental Medicine and Biology Vol 478. Kluwer Academic/Plenum Publishers, New York, 2000.
    • Hale, TH. Medications and Mother's Milk, Tenth Edition. 2002. Pharmasoft Publishing LP. Amarillo, TX
    • Hale, TH and Berens, P. Clinical Therapy in Breastfeeding Patients, Second Edition. 2002. Pharmasoft Publishing LP. Amarillo, TX
    • Hale, TH, Ilett, KF. Drug Therapy and Breastfeeding. Parthenon Publishing Group. New York 2002
    • Lawrence, RA and Lawrence, RM. Breastfeeding: A Guide for the Medical Profession, Fifth Edition. Mosby, New York, 1999
    • Riordan, J and Auerbach, KG. Breastfeeding and Human Lactation, Second Edition. Jones and Bartlett, Boston, 1998
    • Schaefer, C. (ed) Drugs During Pregnancy and Lactation. Elsevier. Amsterdam. 2001
    • Schanler, R. ed. Breastfeeding. Part I: The Evidence. The Pediatric Clinics of North America. W.B. Saunders, 48;1: February 2001 and Part II: the Management of Breastfeeding
    • Schanler, R. ed. Breastfeeding 2001, Part II:The Management of Breastfeeding. The Pediatric Clinics of North America. W.B. Saunders, 48;2: April 2001.
    • Wilson, C. Drugs during pregnancy and lactation. Elsever, Amsterdam 2001
    • Wilson-Clay. The Breastfeeding Atlas. Second edition. Lact-News Press, Austin 2002.
  3. Medical Education
    • Kern, DE, Thomas, PA, Howard, DM and Bass, EB. Curriculum Development for Medical Education. Johns Hopkins University Press, Baltimore, 1998
    • Mager, F. Preparing Educational Objectives. Lake Publishing Company, Belmont, CA. 1984
  4. Books focusing on change.
    • Gladwell, M. The Tipping Point: How Little Things Can Make a Big Difference. Little, Brown and Company, Boston 2000.
    • Kohles, MK, Baker, WG and Donaho,BA. Transformational Leadership: Renewing Fundamental Values and Achieving New Relationships in Health Care. American Hospital Publishing, Inc. Chicago 1995.

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Journal Articles and References
  1. Breastfeeding and lactation management curriculum development
    • Bunik M, Feldman-Winter L, Hannon PR, O'Conner M. Design and Implementation of a Breastfeeding Curriculum for Pediatric Residents. Workshop Manual. PAS Meeting, Seattle 2003.
    • Cattaneo A, Buzzetti R. Effect on rates of breast feeding of training for the Baby Friendly Hospital Initiative. BMJ 2001;323:1358-1362.
    • Eden AN, Mir MA. Breastfeeding education of pediatric residents: A national survey. Arch Pediatr Adolesc Med 2000;154:1271-1271.
    • Freed GL, Clark SJ, Cefalo RC, et al. Breast-feeding education of obstetrics-gynecology residents and practitioners. Am J Obstet Gynecol 1995;173:1607-1613.
    • Freed GL, Clark SJ, Curtis P, Sorenson, JR. Breastfeeding Education and practice in family medicine. J Fam Pract 1995; 40:263-269.
    • Freed GL, Clark SJ, Lohr JA, Sorenson JR. Pediatrician involvement in breastfeeding promotion: a national study of residents and practitioners. Pediatrics 1995; 96: 490-494.
    • Freed GL, Clark SJ, Sorenson JR, et al. National assessment of physicians' breastfeeding knowledge, attitudes, training and experience. JAMA 1995; 273:472-476.
    • Gartner LM, Newton ER. Breastfeeding: Role of the Obstetrician. ACOG Clinical Review 1998;3(1):1-2,14-15.
    • Heinig MJ. Continuing lactation education for physicians: Is it time to rethink the process? J Hum Lact 2000;16(4):277-278.
    • Hillenbrand KM, Larsen PG. Effect of an educational intervention about breastfeeding on the knowledge, confidence, and behaviors of pediatric resident physicians. Pediatrics 2002;110(5). URL:
    • Howard CR, Schaffer, Stanley SJ, Lawrence RA. Attitudes, practices and recommendations by obstetricians about infant feeding. Birth 1997; 24: 240-246.
    • Lawrence RA. Educating and training the medical professional. In: Lawrence RA and Lawrence RM, editors. Breastfeeding a Guide for the Medical Profession, 5th ed. St Louis:Mosby; 1999. p.723-736.
    • Naylor AJ, Creer AE, Lopez-Woodward G, Dixon S. Lactation management education for physicians. Seminars in Perinatology 1994; 18: 525-531.
    • Newton E. Breastfeeding and the medical school curriculum. J Hum Lact 1992; 8:122-124.
    • Philipp BL, Merewood A, Miller LW, et al. Baby-Friendly Hospital Initiative improves breastfeeding initiation rate in a US hospital setting. Pediatrics 2001;108:677-681.
    • Philipp BL, Merewood A, O'Brien S. Physicians and breastfeeding promotion in the United States: A call to action. Pediatrics 2001;107:588-592.
    • Powers NG, Naylor AJ. Wester RA. Hospital policies crucial to breastfeeding success. Seminars in Perinatology 1994; 18: 517-524.
    • Saenz RB. A lactation management rotation for family medicine residents. J Hum Lact 2000;16(4)342-345.
    • Schanler RJ, O'Conner KG, Lawrence RA. Pediatricians' practices and attitudes regarding breastfeeding promotion. Pediatrics 1999;103(3). URL: http//
  2. Medical Education
    • Bland CJ, Starnaman S, Wersal L, et al. Curricular change in medical schools: How to succeed. Acad Med 2000;75:575-594.
    • Daescher CW. Some remarks on teaching: three insights into the purpose and process of teaching medical students. Pediatrics 1992; 90: 756-757.
    • Education Group for Guidelines on Evaluation. Guidelines for evaluating papers on educational interventions. BMJ 1999;318:283-287
    • Harden RM. Ten questions to ask when planning a course or curriculum. Med Ed 1986; 20:356-365.
    • Harper G. Breaking taboos and steadying the self in medical school. Lancet 1993; 342: 913-915.
    • Ratnapalan, S, Hilliard, RI. Needs assessment in postgraduate medical education: A review. Med Edus Online (serial online) 2002; 7:8
    • Bland, CJ, Starnaman, S, Wersal, L, Moorhead-Rosenberg, L, Zonia, S, and Henery, R. Curricular change in medical schools: how to succeed. Academic Medicine 2000; 75: 121-140.
  3. Change
    • The Delta Consulting Group. Concepts for management of organizational change. Organizational Change Series, Change 1. The Delta Consulting Group, New York 1988
    • Kegan, R and Lahey, LL. The real reason people won't change. The Harvard Business Review, November 2001.

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