Kelsie Barta is an International Board Certified Lactation Consultant (IBCLC) who lives in Richmond, Texas with her spouse and two young children. She is currently pursuing a Doctorate of Philosophy in Nursing Science with Texas Woman’s University, with a primary research interest in lactation. She occupies her time with various part-time endeavors, including working as a Family Nurse Practitioner, a Clinical Nursing Instructor for nursing students in their maternal child health and pediatric clinical experiences, lactation consulting, and volunteer work with an emerging nonprofit maternal health organization in Houston, Texas. Her experiences with lactation are dynamic. Professionally, she has worked with breastfeeding/chestfeeding dyads in a postpartum hospital unit, through outpatient clinic visits, and via antenatal education. Her personal experiences include breastfeeding her children, serving as a resource to friends and family, and generally being “plugged in” to how lactation and lactation consulting may be perceived among people her age. She is passionate about empowering parents to reach their infant feeding goals, equitable access to lactation care, and health policy.
Health professionals that interact with birthing parents and their infants in the first few days of life are uniquely positioned to impact lactation. In the context of the maternal guilt, shame, and stigmatization that can accompany infant feeding decisions, lactation professionals have an obligation to provide ethical care. This presentation will review the ethical guidelines of autonomy, nonmaleficence, and justice in the context of lactation support in the early postpartum period. Participants will be presented with strategies to mitigate harm, promote autonomous decision-making, and increase equity in lactation care. Based on these ethical principles, the extent of lactation promotion and language considerations will be discussed, as well as an in-depth look at the health professional’s ethical responsibilities when encountering cessation of exclusive human milk feedings.
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