In this episode of Behind the Latch, Margaret Salty interviews Dr. Anita Lugo, Pediatric Nurse Practitioner, IBCLC, researcher, and Assistant Professor at Moravian University in Pennsylvania.

Dr. Lugo’s work focuses on one of the most critical—and often overlooked—components of breastfeeding success: outpatient lactation care after hospital discharge. Her recent review highlights the powerful impact of early, skilled IBCLC support on breastfeeding exclusivity and duration, and shines a light on the persistent gaps families face when navigating the postpartum period.

Together, they explore the evidence behind outpatient IBCLC interventions, the systemic barriers that prevent equitable access to care, and the urgent need for stronger policies, better reimbursement models, and more consistent pathways for families to receive the level of support they truly need.

Dr. Lugo also discusses how timing, frequency, and modality of lactation care—whether in-person, outpatient clinic, in-home, or telehealth—shape outcomes, and what future research should focus on to strengthen breastfeeding support across diverse communities.

They discuss:

• Why many breastfeeding challenges intensify after families leave the hospital
• Evidence showing that IBCLC support at 3 days and 2 weeks postpartum yields the best outcomes
• Gaps in outpatient access, especially for families with Medicaid or grandfathered plans
• Geographic disparities in IBCLC availability and why they matter
• The limitations of relying solely on prenatal classes or hospitalization support
• The role of telelactation and what parents find helpful—or challenging—about virtual consults
• The need for clearer distinctions between lactation credentials and their scopes of practice
• How policy, insurance reform, and better public awareness could improve breastfeeding equity
• Future research needed on optimal visit numbers, timing, and support models

👩‍🏫 Guest Info

Dr. Anita Lugo, DNP, PNP, IBCLC

An integrative review of the impact of International Board Certifed Lactation Consultants in outpatient postnatal settings in the United States

Assistant Professor, Moravian University

Pediatric Nurse Practitioner & IBCLC

Prenatal Educator, St. Luke’s University Hospital

LinkedIn: Anita Lugo

📝 Connect with Margaret

📬 Email: [email protected]

📸 Instagram: @margaretsalty

📘 Facebook: Margaret Salty

🎙️ Podcast: Behind the Latch

Hosted by: Margaret Salty

Music by: The Magnifiers – My Time Traveling Machine

#BehindTheLatch #BreastfeedingSupport #LactationResearch #OutpatientLactation #IBCLC #PostpartumCare #BreastfeedingEquity #MaternalHealth #LactationPolicy #PublicHealthLactation #Telolactation #BreastfeedingOutcomes #InfantFeeding #NewParentSupport

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