GOLD Learning Speakers
Anne Eglash, MD, IBCLC, FABM
- Speaker Type: Milk Mob
- Country: US
CE Library Presentation(s) Available Online:
Prenatal Education and Support of Breastfeeding ; Anatomy and Physiology of Breastfeeding
This section will review the vast nutritional and biologic components of breastmilk. Components of formula will also be discussed. A few of the most studied components will be discussed, with a review of evidence explaining the clinical correlations of their effects on infant health. We will discuss evidence regarding who is more at risk to not breastfeed, as well as the healthy people 2020 goals for breastfeeding, We will review the psychosocial, educational, medical, and racial/ethnic barriers to breastfeeding, as well as opportunities that providers can implement to support and educate their pregnant patients to breastfeed. We will review breast development during pregnancy, role of key placental hormones, anatomic changes that occur from terminal buds to full alveolar tissue We will discuss how prolactin and oxytocin function and factors that influence their release. We will also review medications that can blunt their responses
Breastfeeding in the Immediate Postpartum Period- Opportunities and Challenges
This section addresses common barriers to breastfeeding immediately after birth, and discusses the evidence regarding skin to skin, rooming in We will discuss the hormonal underpinnings of lactogenesis II, and prevention and management of engorgement We will discuss the underlying reasons why breastfeeding babies often have higher bilirubin levels, the current theories regarding breastmilk jaundice, and risk factors for kernicterus We review underlying risk factors for neonatal hypoglycemia, who should be routinely tested, how to preserve breastfeeding when dealing with hypoglycemia We will review the different reasons why infants might not latch in the hospital, and how to manage these problems, while reviewing how to feed these babies and help mothers to establish and maintain their milk supplies
Breastfeeding Support and Management of Common Problems in the First Week Postpartum
We will discuss the history and physical for the mother-baby dyad during the first week postpartum, and proper advice to support breastfeeding; We will discuss how to evaluate a baby at the breast, and signs that breastfeeding is going well before the milk is fully in; We will review what a delay in lactation is, and how to support breastfeeding during this time, while making sure the infant is taking sufficient calories. This includes options to offer families for infant supplementation.
Sore Nipples and Breasts- Etiologies, Evaluation, Differential Diagnosis and Treatment
We will discuss the differential diagnosis of acute and chronically sore nipples and breasts, including viral, yeast, bacterial infections, trauma, vasospasm, dermatitis; We will define lingual frenulum, discuss why this can cause pain, and how to determine whether to clip this; We will discuss etiology, symptoms and signs of nipple vasospasm, including how to treat this; We will describe the predisposing factors, symptoms and signs of different forms of nipple dermatitis, including treatment options; We will discuss how to identify and treat breast abscesses, including percutaneous drainage vs I & D; We will review risks for acute and chronic mastitis, prevention, bacterial and yeast etiologies, and treatment strategies.
Symptoms, Evaluation, and Management of Excessive Lactation
We will discuss the operational definition of hyperlactation based on symptoms found in infants and mothers; We will discuss changes in breastfeeding and pumping behavior that can help bring down the milk supply; We will review both herbs and prescription medications, along with doses, that can be used medicinally to decrease the milk supply. This will include side effects of these substances