california advanced lactation institute
integrated lactation education

The First 100 Hours©

A lactation assessment program created by Christine Staricka, IBCLC


The First 100 Hours©

This completely original teaching strategy was created by California Advanced Lactation Institute (formerly known as Bakersfield Breastfeeds) as a training guide for health care professionals who assist parents and babies both prenatally and in the earliest postpartum period.  It is fully referenced and complies with all requirements of the Baby-Friendly© Hospital Initiative (BFHI) and the American Academy of Pediatrics' Breastfeeding Policy, as well as the Protocols of the Academy of Breastfeeding Medicine.  It has been presented in multiple settings to a variety of healthcare professionals and others, including physicians, nurse practitioners, registered nurses, WIC staff, and IBCLC exam candidates.  

The First 100 Hours© strategy is designed to help parents set an achievable infant feeding goal: nurse exclusively and/or feed only the parent's own milk for the first 4 days of baby's life.  This takes them through the hospital experience and usually past the first visit to the pediatrician, all with the support and information they need to navigate common obstacles during that time period while avoiding the risks of formula.  For the parent who chooses to use some formula during that time period, as well as those who are told to do so by their healthcare providers, appropriate support and education is provided to help protect milk production during that critical period so that exclusive breastfeeding and human milk feeding can be resumed as soon as possible or desired.  By addressing the parent's and baby's individual needs during this time, appropriate clinical assessments can be made and referrals provided for their specific situation.  

A customized training session of lengths ranging from 1 to 8 hours can be arranged to accommodate your group.  Clinical skills practice can be included as needed.  Please contact us here if you are interested in scheduling a training for your group of 10 or more!

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