The Ties that Bind- or Don't

This presentation was originally presented at the 21st Annual International Meeting of the Academy of Breastfeeding Medicine.

Ankyloglossia in a breastfeeding infant may prevent the infant from latching well, and from achieving the proper suction and peristaltic motion needed to extract and move milk to the back of the mouth. This program will include a review by a pediatrician of the challenges and controversies in diagnosis and management of ankyloglossia. An ENT will discuss his experiences with the condition and what he describes as the unfavorable triad, which puts a mother-infant dyad at risk of having more problems with ankyloglossia and breastfeeding. A dentist will discuss his experiences with both tongue and lip tie.

This lecture just offers CERPs, if you are looking for CME,CNE credits please purchase The Academy of Breastfeeding Medicine Lecture Package.
$15.00 USD
Total CE Hours: 1.00   Access Time: 2 Weeks  
Lectures in this bundle (1):
Durations: 60 mins
USA Dana Silver, MD, FAAP, FABM
       Early Harley, MD
       Robert Marcus, MD

Dr. Dana Silver is a general pediatrician and Director at Greenspring Pediatric Associates, the outpatient department for the Herman and Walter Samuelson Children’s Hospital at Sinai in Baltimore. She is Clinical Assistant Professor of Pediatrics at the University of Maryland School of Medicine. She received her B.S. from Cornell University in 1987, and her M.D. from University of Maryland in 1991. She then completed residency and chief residency at Rainbow Babies and Children’s Hospital in Cleveland.

Dr. Silver’s interests within the field of general pediatrics span the diverse areas of breastfeeding, and learning and behavior problems in children. She co-authored the 2010 American Academy of Pediatrics (AAP) book “Guide to Learning Disabilities for Primary Care.” In terms of breastfeeding, she has lectured extensively across the mid-Atlantic region on breastfeeding, and has worked on advocacy and legislative issues including the use of donor human milk in Maryland’s NICU’s and insurance coverage of breast pumps. She recently developed and recorded 3 hours of CME webinars for physicians at hospitals preparing to go Baby Friendly through Lactation Education Resources.

Dr. Silver serves currently as Vice President of the Maryland Breastfeeding Coalition and Breastfeeding Coordinator for the Maryland Chapter of the American Academy of Pediatrics. In 2013, Dr. Silver received the honor of being named a Fellow of the Academy of Breastfeeding Medicine, one of fewer than 200 worldwide. In 2014, the Maryland Chapter of the American Academy of Pediatrics named her Pediatrician of the Year.

Robert M. Marcus, DDS
For more than forty years, I have endeavored to contribute to the health, happiness, and well¬-being of my amazing family: Judi, Rachel, David, Emily, Benjamin, and Jackson. After my formal education at the University of Maryland, Baltimore College of Dental Surgery, including specialized training at the Kennedy Krieger Institute at Johns Hopkins Hospital, I was fortunate to open my pediatric dental office in Reisterstown Maryland. My practice focuses on complete, compassionate dental services for infants, children, teens, adults, and those with special needs.
The rewarding experiences in the treatment of thousands of babies and older patients by dental laser surgery for their lip and tongue ties have encouraged me to enhance my education. Additional training in breastfeeding medicine, speech and language pathology, skeletal development, feeding disorders, and cranial sacral therapy, will provide lifelong improvement in feeding and oral motor skills for my patients. My commitment to continuing education allows me to discover and share the newest advances in dentistry and oral healthcare with my patients and colleagues. I truly enjoy being a part of my family’s fun activities by traveling to visit my daughter Rachel in New York City, my son David and his wife Emily in Massachusetts, and my future partners, their twins, Ben and Jack (18 months). My camera is always at the ready whether we are swimming, sightseeing, or doing obstacle course racing, (Spartan races). I have to keep active because my wife is a world class chef! Always learning!

Earl H. Harley, M.D.
I was born in Jacksonville, Florida and reared in Detroit, Michigan. I attended the public school system in Detroit, graduating from the former Eastern High School. I eventually enrolled in Delaware State University, graduating with a degree in chemistry. I attended medical school at Howard University. After medical school I went on active duty and served a full career as a doctor from a period which spanned the Vietnam War to the first Persian Gulf War. My Navy career included two tours as a Naval Fight Surgeon in addition to my position as an Otolaryngologist. Since retiring from the Navy I have served on the faculty of Georgetown University.
My professional training includes an initial residency in pediatrics and later training to become an Otolaryngologist followed by two years of pediatric otolaryngology fellowship in Washington, D.C. and Boston. I am a diplomat of the American Board of Otolaryngology and a Fellow of the American College of Surgeons. In addition to being a member of the American Medical Association, I also hold memberships in the National Medical Association, The American Society of Pediatric Otolaryngology, The Society for Ear Nose and Throat Advances in Children, and the American Academy of Pediatrics.
Currently I am a professor of Pediatrics and Otolaryngologist at Georgetown and serve as an attending Pediatric Otolaryngologist. I continue to be very active in undergraduate and graduate medical education here.

Objective 1: Restate the challenges ankyloglossia may cause in breastfeeding mother-infant dyads and the controversies in its management.
Objective 2: Review the two approaches to frenotomies and their pros and cons.
Objective 3: Discuss the impact lip ties may have on breastfeeding.

USA Dana Silver, MD, FAAP, FABM
       Early Harley, MD
       Robert Marcus, MD
Abstract:

Ankyloglossia in a breastfeeding infant may prevent the infant from latching well, and from achieving the proper suction and peristaltic motion needed to extract and move milk to the back of the mouth. This program will include a review by a pediatrician of the challenges and controversies in diagnosis and management of ankyloglossia. An ENT will discuss his experiences with the condition and what he describes as the unfavorable triad, which puts a mother-infant dyad at risk of having more problems with ankyloglossia and breastfeeding. A dentist will discuss his experiences with both tongue and lip tie.

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CERPs - Continuing Education Recognition Points
GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07
This program is approved for 0.75 CERPs ( 0.75 L CERPs)

Tags / Categories

Breastfeeding and Lactation

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