BLNST case studies
BLNST · Put your knowledge to work in context.
The International Board Certified Lactation Consultant (IBCLC) credential is the global standard for practitioners who manage breastfeeding and human lactation. Candidates typically include nurses, midwives, dietitians, physicians, peer counsellors and community health workers who already hold clinical hours in lactation care and want to practise at an advanced, evidence-based level. The examination is delivered in English as a multiple-choice test and samples across seven domains: maternal and infant anatomy and physiology; normal breastfeeding and lactation management; assessment and care of the dyad; complex problems; pharmacology and toxicology; infant nutrition, growth and development; and professional practice, ethics and research. Because the exam is scenario-driven, preparation should combine structured review of physiology and clinical management with reasoning practice on real dyad presentations. The BLNST case studies are 5 cases and about 3,194 words.
1Day 4 After Postpartum Hemorrhage: Is Milk Coming In?
A 29-year-old G2P2 delivered at 39+2 weeks after an 18-hour labor complicated by a 1,200 mL postpartum hemorrhage. Manual removal of retained placental fragments was performed under anesthesia.
700 words, about 4 min2Two Weeks Postpartum: Pump Output 30 mL and a Return-to-Work Deadline
A 31-year-old first-time mother had an uncomplicated vaginal birth at 40 weeks and is now 2 weeks postpartum. Her infant weighed 3.40 kg at birth and 3.55 kg at the clinic today.
681 words, about 3 min3Day 9: Pain 9/10, Weight Down 10.3%, and a Clicking Latch
A 9-day-old infant, born at 39 weeks weighing 3.30 kg, now weighs 2.96 kg-a 10.3% loss. The mother reports 8 feeds in 24 hours, 5 wet diapers, and 2 mustard stools.
659 words, about 3 min4Recurrent Mastitis at 8 Weeks: When 48 Hours of Antibiotics Is Not Enough
An 8-week-postpartum mother presents with her second episode of right-breast inflammation in 4 weeks. For 2 days she has had a 5 cm red, firm, tender area in the upper outer quadrant, fever of 38.4°C, and flu-like aching.
583 words, about 3 min5Codeine After Perineal Repair: A Sleepy 6-Day-Old
A 6-day-postpartum mother had a second-degree perineal tear and was prescribed acetaminophen 500 mg/codeine 30 mg, two tablets every 6 hours, for pain. She has taken this for 3 days.
571 words, about 3 min