IBCLC Detailed Content Outline: Clinical Skills Focused CERPs - Section VII
Access CERPs on Clinical Skills for the IBCLC Detailed Content Outline recertification requirements. Enjoy convenient on-demand viewing of the latest Clinical Skills focused IBCLC CERPs at your own pace.
Johanna Sargeant is an International Board Certified Lactation Consultant, teacher and writer based in Zurich, Switzerland. She is passionate about utilising her background in education, biological science, psychology and language to empower parents with empathetic support and evidence-based information through her private practice, Milk and Motherhood. Originally from Australia, Johanna provides much-needed English-speaking support to many thousands of parents throughout Switzerland and across Europe, and has recently been contracted to create the new education modules for the European Society of Paediactric Research and the European Society of Neonatology. She has taught at the University of Zurich, has spoken as a panelist for the WHO’s Baby Friendly Hospital Initiative congress in Geneva, has been an expert speaker and facilitator for Google, and has presented at a wide variety of international conferences. The complexities of her personal feeding experiences have led her to the establishment of the sole peer-to-peer milk-sharing network in Switzerland, and fuels her passion for providing knowledgeable, guilt-free infant feeding support globally.
Kathryn is mum to 4 boys, twins and 2 subsequent singletons. She trained as a breastfeeding peer supporter and volunteered in the groups for years in and around Harrow, NW London, UK.
Kathryn caught the breastfeeding support bug and decided to further her knowledge training as a Breastfeeding Counsellor with the Association of Breastfeeding Mothers and then qualifying as an IBCLC 3 years ago.
Kathryn started Breastfeeding Twins and Triplets Facebook group almost 6 years ago and it now has over 6500 members. It has recently been made into a UK charity. Kathryn is passionate about delivering high quality breastfeeding support to as many twin and triplet families as possible, creating resources and educating health care professionals and breastfeeding supporters. She runs a small private practice and continues to teach music part time, her original career path.
Sejal is an International Board Certified Lactation Consultant (IBCLC) in private practice and an infant massage educator in Hillsboro, Oregon, USA. She combines her professional expertise with her personal instincts as a mother and a supportive team member.
She holds a Bachelors in Microbiology and Clinical Laboratory Science.
She also brings with her the following comprehensive toolkit: Certified Educator of Infant Massage Formerly Certified in skin-to-skin care for full term infants from the United States Institute of Kangaroo Care Certified Provider of Innate Postpartum Care
She has presented nationally and internationally for GOLD lactation, ILCA, community colleges, local lactation organizations.
As a lactation consultant, she believes that every individual needs to be educated about breast health, optimal infant feeding and how breastfeeding support is a basic human right and can impact world health globally.
She strives to help each family by continuing to learn all she can about breast health, breastfeeding ecology, breastfeeding movement and parent-infant connection using the neurobiological and infant mental health lens.
When she’s not with her clients, you can find her at home in Hillsboro, Oregon, USA, listening to bollywood music, hanging out with friends and spending time with her family.
This panel of seasoned lactation care providers will describe some of the ways in which they have adapted their initial ideals of lactation work to the realities of what families need as well as their own strengths and capabilities. This exploration of the panelists’ own trajectories through acquiring learning and credentialing in maternal child health is designed to offer the aspiring or new lactation care provider a wealth of ideas and resources for problem-solving and decision-making as they set off on their career in lactation care.
Tongue-Tie and the NICU: A Neonatologist Perspective
Dr. Ankur Bio Update - Dr. Kumar Ankur, MD, DNB is working as an Associate Director & Head of the Department of Neonatology at BLK MAX Super Speciality Hospital Delhi, India. He has been working in the field of neonatology with private and non-goverment organisations for improving neonatal healthcare in the country. He is the national faculty and trainer for FBNC (Facility based neonatal care), Neonatal Resuscitation, Kangarroo Mother Care (KMC) and the national assessor for Neonatology Fellowship accreditation programme of India. He has been invited as an expert speaker, faculty, chairpersons for various national and state level conferences and workshops. He has many publications in national & international journal and authored many chapters, guidelines published by Indian Academy of Pediatrics & National Neonatology of Forum Delhi & India. He is also the co-editor of Handbook of Neonatal Clinical Practices. He is also running training program in neonatal Fellowship for postgraduate students & neonatal nurses. Currently he is also the Secretary of prestigious National Neonatology Forum, Delhi. National Neonatology Forum (NNF) is a strong and large body of more than 8000 neonatologists across India and abroad. NNF has been actively involved in advocacy, policy making, research and ensuring quality health care to newborn for the last 4 decades. He had been past Secretary (2014) & President (2018) of Indian Academy of Pediatrics (IAP), Central Delhi Branch.
Topic: Tongue-Tie and the NICU: A Neonatologist Perspective - [View Abstract]
Tongue Tie is an interesting clinical subject with extreme variability in understanding among lactation consultants, neonatologists, pediatricians, speech therapists, pediatric surgeons, and dental/oral surgeons. There is still no consensus on diagnosis and mode of treatment. However, in recent years there seems to increase reliance on cutting the tie despite the lack of robust evidence. As clinicians, we should always give an unbiased approach towards any neonate's feeding-related problem. Holistic systems like simple bodywork and prolonged skin-to-skin contact, and family involvement can often resolve infant feeding issues. Family-centered care (FCC), based on collaborative participation of the family and a team of health care providers, is found to increase infants' well-being in neonatal critical care units. Our own postgraduate student did her dissertation To Determine the Prevalence of Lingual Frenulum in Infants ≥ 1800 grams of Birth Weight Affecting Breastfeeding (Submitted for Publication). We shall be sharing the Indian data and providing more information about the prevalence of tongue-tie in the NICU, how to distinguish between tongue-tie and other common feeding issues in neonates and the importance of holistic care.
Tongue-tie Assessment Using the Lingual Frenulum Protocol for Infants
SALP expert in Orofacial Myology. PhD in Science USP - University of São Paulo. Chief of lingual frenulum evaluation sector at Santa Therezinha Hospital/ Brazil
Tongue movements are essential for milk extraction during breastfeeding. It is therefore very important that professionals are able to reliably identify anatomical variations in the lingual frenulum that may impact infant feeding. Learn more about how to use the Lingual Frenulum Assessment Protocol for Infants. This tool allows assessment of changes in the lingual frenulum and limitation of tongue movements, which can compromise the functions of sucking, swallowing, chewing, breathing and speaking.
Tongue-Tied and Troubled: A Breastfeeding Journey at Risk
Christine Staricka is a Registered, International Board-Certified Lactation Consultant and trained childbirth educator. As the host of The Lactation Training Lab Podcast, her current role focuses on training and coaching current and aspiring lactation care providers. Christine created and developed The First 100 Hours© concept, an early lactation framework designed to support lactation care providers with the knowledge and mindset they need to help families optimize early lactation. Christine worked as a hospital-based IBCLC for 10 years and has over 20 years experience providing clinical lactation care and support. She provides clinical lactation care to families at Baby Café Bakersfield and serves as its Director. Christine recently completed 6 years of service on the Board of the United States Lactation Consultant Association (USLCA.) She holds a Bachelor's Degree from the University of Phoenix. She has been married for 27 years, lives in California, and is the proud mother of 3 amazing daughters.
Topic: Tongue-Tied and Troubled: A Breastfeeding Journey at Risk - [View Abstract]
Topic: Your Responsibility to the WHO Code: Evaluating Real-World Scenarios for Compliance - [View Abstract]
A suspected or diagnosed tongue-tie can throw a breastfeeding journey into immediate peril, with concerns over the baby's well-being most often discussed and debated. However, without an appropriate and intentional strategy for supporting the mother, the breastfeeding journey risks meeting an untimely, unplanned, and/or unsatisfactory end. The mental and emotional toll such a complex lactation situation can take on parents is wide-ranging in its effects, and it is critical to provide personalized and comprehensive counseling to restore a sense of empowerment and control to the mother as she makes continual decisions on how and whether to proceed with lactation and breastfeeding. Additionally, it is vital that indications of postpartum mood disorders are recognized and addressed as early as they appear. Lactation care providers can benefit from a clear framework for their fundamental responsibility to safeguard both the mother and child in a breastfeeding dyad. In this presentation we will explore ideas and themes that can guide the lactation care provider to ask the right questions at the right times in the specific context of tongue-tie so that they can offer effective counseling and care.
Touch a Life, Impact a Lifetime: The Therapeutic Value of YOU
A leader in neonatal nursing, Mary Coughlin MS, NNP, RNC-E has pioneered the concept of trauma-informed care as a biologically relevant paradigm for hospitalized newborns, infants, and their families. An internationally recognized expert in the field of age-appropriate care, Ms. Coughlin has over 35 years of nursing experience beginning in the US Air Force Nurse Corp and culminating in her current role as President and Founder of Caring Essentials Collaborative. A published author of a myriad of manuscripts, chapters and textbooks, Ms. Coughlin has mentored close to 10,000 interdisciplinary NICU clinicians from over 14 countries to transform the experience of care for the hospitalized infant and family in crisis.
Early life adversity and the associated toxic stress literally gets under our skin and is embedded in our biology. Authentic nurturing experiences during early life, or the lack of them, are directly linked to mental health outcomes. The sense of touch plays a salient role in social relationships with important neurodevelopmental and psycho-socio-emotional outcomes. Healing presence and authenticity underlie caring actions, attitudes and behaviors. This talk will introduce the biological underpinnings of our unique therapeutic value in the clinical setting.
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Nancy Mohrbacher was born and raised in the Chicago area, where she lives today. She is a board-certified lactation consultant who has been helping nursing mothers since 1982. Her breastfeeding books for parents and professionals include Breastfeeding Answers Made Simple and its Pocket Guide; Breastfeeding Made Simple(with Kathleen Kendall-Tackett); Working and Breastfeeding Made Simple; and Breastfeeding Solutions and its companion app for Android and iPhone.
Nancy currently contracts with hospitals to improve breastfeeding practices, writes for many publications, and speaks at events around the world. Nancy was in the first group of 16 to be honored for her lifetime contributions to breastfeeding with the designation FILCA, Fellow of the International Lactation Consultant Association.
Topic: Applying Bioethics to Milk Banking and Milk Sharing - [View Abstract]
Topic: Concerns About Low Milk Production - [View Abstract]
Topic: Transitioning the Preterm Infant to the Breast - [View Abstract]
Topic: Using Gravity-Assisted Positions to Prevent Early Breastfeeding Problems - [View Abstract]
Topic: What Mothers Need to Exclusively Breastfeed - [View Abstract]
Topic: What's New In Lactation - [View Abstract]
To most effectively help preterm babies learn to breastfeed, we need to first understand how preterm babies’ breastfeeding behaviors differ from term babies. This talk describes the research-based 7 preterm breastfeeding stages, the “road map” that shows parents and providers what to expect during this transition. It also includes strategies that can smooth the path and speed the journey to exclusive breastfeeding.
Trauma Informed and Family Centered Care! Keeping the Family Unit at the Center of a Tongue-Tie Treatment Model
Ramya Kumar is an ASHA certified Speech Language Pathologist specializing in infant and pediatric feeding disorders while practicing in a Level 3 NICU and outpatient settings in Phoenix, AZ. She is a Board Certified Specialist in Swallowing & Swallowing Disorders, Certified Neonatal Therapist, International Board Certified Lactation Consultant, Neonatal Touch & Massage Certified Therapist & has completed the Trauma Informed Professional Certificate. Ramya is an internationally sought out speaker & clinical mentor on the topic of neuroprotective care in the NICU, Pediatric Feeding Disorders and Tethered Oral Tissues. Ramya is passionate about helping families create mealtime success through a whole-body lens. More recently, Ramya has been serving as a NICU Developmental Coordinator championing changes in unit culture, system-wide policy development and supporting transition of NICU families to community based programs. She has also co-founded Arizona NICU Follow-Up Specialists, a community resource supporting NICU grads and their families as they transition from hospital to home.
Topic: Trauma Informed and Family Centered Care! Keeping the Family Unit at the Center of a Tongue-Tie Treatment Model - [View Abstract]
Research repeatedly tells us that families experience significant levels of stress, fear and fatigue when navigating challenges with feeding their infant. These experiences have a significant impact on their well-being, negatively affecting both physical and emotional health. Compound this with the need to navigate information and emotions that surround surgical intervention like tongue tie releases and the subsequent impact on their child’s comfort and pain as well as fear about success after a release is completed. Parental involvement in the care of their infant’s feeding plan is essential for protecting their identity roles, decreasing risk of depression and anxiety, and increasing parent confidence and competence in caring for their child (Obeidat,2009). Health professionals have a crucial role to play in understanding and implementing a trauma informed, family centered care model when planning the timing of a tongue tie release and supporting the family through the journey. This session will highlight the four core concepts of family centered care as well as tenets of trauma informed care and ways to utilize this during the various stages of a tongue tie evaluation. We will also cover strategies to minimize trauma recurrence and empowering parents and caregivers throughout the process.
Trauma, Timing and Tenacity: Navigating Care When Frenectomy Doesn’t Help
Michale is an Integration visionary with a discerning view of the ancient and an eye on the future. She created one of the first on site integrated care clinics for Tongue Tie treatment 10 years ago that included Lactation support, Body nervous system and movement work, Laser tongue tie release and cranio-facial anticipatory growth guidance. She currently mentors Integrative practitioners in Wayfinding methods which allow practitioners to tap into their unique gifts and learn to incorporate them into practice.
The field of tongue-tie treatment is rapidly changing, and great strides have been made over the years to create sequencing of care to ensure predictable outcomes related to the achievement of optimal oral function after tongue-tie release. Despite this, there are times when a frenectomy does not seem to “work”, “help” or make a significant difference. This is frustrating for families and can leave health care professionals wondering what to do next. This presentation will discuss screening for trauma as a way to improve frenectomy success. Learn more about the impact of collective trauma on the infant’s nervous system and the importance of the timing of frenectomy along with the sequencing of pre, intra and post-op habilitative care to increase outcome success.
Trauma-Informed Care: A Guide to Patient Advocacy for Trauma Survivors
Mandy Irby, pronouns are she/her, is a board certified labor nurse with 13 years of experience supporting survivors of assault and trauma through pregnancy, birth planning, and at their bedside during childbirth and pregnancy loss. After experiencing her own birth trauma, she quickly learned that the birth care system is NOT centered on human rights, patient choice, and the individual experience. In 2020, Mandy made education a full-time career. She now teaches and supports parents and nurses how to better center voice, choice, and physiology in birth. It's Mandy’s mission to change birth culture so that it's parent-centered, trauma-informed, and safe for all.
Mandy enjoys teaching in-person, in whole-team learning: Peanut Ball, Labor Support Skills and Trauma-Informed Care At the Bedside workshops. She also supports local parents with small-group Spinning Babies® Parent Classes when in-person learning is safest. Mandy is also an international educator through her online, on-demand childbirth ed classes and she supports anxious parents-to-be with virtual, one-on-one trauma-informed birth strategy sessions. She’s the co-founder of Fearless Birth, Delivered, founder and owner of The Birth Nurse®, and a proud co-creator of the BRAND NEW Trauma-Informed Birth Nurse Program. As a creative educator, Mandy is also the co-author of an Amazon best-seller, Baby Got VBAC, and reaches millions of viewers each month through her engaging, tongue-in-cheek social media platforms.
When she’s not working from home, Mandy might be found at any local plant nursery adding to her, some may say, out-of-control house plant collection. She’s a serial craft starter and non-finisher, loves walking her doodle puppy, and playing in the creek with her 2 kids.
Topic: Trauma-Informed Care: A Guide to Patient Advocacy for Trauma Survivors - [View Abstract]
Thanks to the brave whistle blowers who have shared their stories, the community at large has become increasingly aware of the prevalence of sexual assault and trauma. Healthcare professionals report a lack of education specifically related to the care of assault survivors and an eagerness to learn trauma-informed care practices. A shift in care practice is nearly impossible, however, if healthcare professionals, especially nurses, hold a feeling of perceived powerlessness in their professional role. In this session, we’ll review patient advocacy definitions as they relate to a patient-centered standard of care. Participants will also learn how to provide compassionate, trauma-sensitive care to survivors of trauma while preventing further harm. Instead of feeling powerless, participants can begin to develop awareness of the unique superpowers that perinatal healthcare providers possess and receive a foundational understanding for how to be strong, confident patient advocates.
Treating Tongue-Tie From Birth Through Adolescence: The Far Reaching Impact of a Tiny String
Dr. Richard Baxter is a board-certified pediatric dentist and board-certified laser surgeon. He is a nationally recognized speaker on tongue-ties, and author of the bestselling book Tongue-Tied: How a Tiny String Under the Tongue Impacts Nursing, Speech, Feeding, and More. He is passionate about educating parents and healthcare practitioners about the effects a tongue-tie can have throughout the lifespan. He lives in Birmingham, AL with his wife, Tara, their five-year-old old girls, Hannah and Noelle, and infant Molly. He is the founder and owner of the Alabama Tongue-Tie Center where he uses the CO2 laser to release oral restrictions that are causing nursing, speech, dental, sleep and feeding issues. He had a tongue-tie himself, and all three of his girls were treated for tongue and lip-tie at birth, so for him, this field is a personal one. In his free time, he enjoys spending time with his family and outdoor activities. He serves as an elder at his church and is on the board of Reach the Rest, a global missions organization. Dr. Baxter also participates in many overseas dental mission trips. He is currently working on several research and educational projects related to tongue-ties.
Tongue-Tie certainly impacts breast and bottle-feeding, but also can have a significant impact on solid feeding, speech, breathing, and sleep. In this discussion, Dr. Baxter will share about the impact untreated ties can have on patients and their families, and how treating early in life can solve many of these issues. The presentation will highlight the role of the tongue in the essential functions of life. Many case studies of children who have struggled for years due to a tethered tongue and lip will be shared along with treatment videos, and parent testimonials.
