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Lactation

GOLD Learning Day - Breastfeeding and the Substance-Exposed Infant

Infants with prenatal substance exposure require specialized care, and research shows that breastfeeding/human milk is an important part of their recovery. Join us for a special day of education to learn more about breastfeeding and neonatal abstinence syndrome, the pharmacokinetics of opiates, cannabis and cocaine in human milk, and strategies for improving access to human milk for this vulnerable population of infants. Our expert speakers include Dr. Wendy Jones, Dr. Kelly McGlothen and speech-language pathologist and IBCLC Amber Valentine.

Free to GOLD Learning Participants with Alumni Status - Do you have Alumni status? As a special thank you to our past participants that have attended 5 or more Live GOLD Conferences, you are invited to attend with a complimentary registration. Add this package to your cart and follow the check out process. When prompted, login with your GOLD Learning associated email address and on the final step, the discount will be automatically applied. A separate invitation email will also be sent to our Alumni Status Participants. Not sure if you're elgible, check your Alumni Status here.

$50.00 USD
Total CE Hours: 3.00   Access Time: 6 Weeks  
Lectures in this bundle (3):
Duration: 60 mins
Amber Valentine, MS, CCC-SLP, BCS-S, IBCLC, CNT
Breastfeeding and Neonatal Abstinence Syndrome
USA Amber Valentine, MS, CCC-SLP, BCS-S, IBCLC, CNT

Amber Valentine is a Speech-Language Pathologist who graduated from the University of Kentucky with her MS in Communication Disorders. She is a Board Certified Specialist in Swallowing and Swallowing Disorders and an International Board Certified Lactation Consultant, as well as a Certified Neonatal Therapist (CNT). She worked for Baptist Health Systems, Inc for 8 years before moving to Florida where she worked for Wolfsons Children’s Hospital and Mayo Florida. She is now back in Kentucky working for Baptist Health Lexington. She has experience in adults and pediatrics with feeding and swallowing difficulties including: bedside swallow evaluations, Modified Barium Swallow studies, FEES, and pediatric feeding evaluations including NICU. She has experience with head and neck cancer patient including evaluation and treatment of swallowing difficulties, PMV use, and voice after total laryngectomy including TEP. She has provided guest lectures for the University of Kentucky, Eastern Kentucky University, and the University of Louisville on feeding and swallowing topics. She has presented at the hospital, local, state, national, and international levels on pediatric feeding/swallowing and breastfeeding.

Objective 1: List signs/symptoms of distress in infants who are exposed to substances in utero. ;

Objective 2: Describe methods for implementing successful feeding/breastfeeding in these infants/families. ;

Objective 3: Discuss members and their roles on the interdisciplinary team.

USA Amber Valentine, MS, CCC-SLP, BCS-S, IBCLC, CNT
Abstract:

This presentation is designed to discuss the role of feeding therapy, breastfeeding, and family dynamics with infants with neonatal abstinence syndrome. These baby/family dynamics can be complex situations and feeding difficulties are extremely common. Breastfeeding education/information can be implemented prior to birth along with other education for families to promote more infant/family bonding and reduce stress of being born in substance exposure. Breastfeeding dramatically reduces stress signs in infants exposed to substances neonatally. Working together as an interdisciplinary team, we can set these families up for more successful feeding opportunities and decreased stress in developmental care.

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Duration: 60 mins
Kelly McGlothen-Bell, PhD, RN, IBCLC
Empowering Breastfeeding in Women Receiving Medication-Assisted Treatment for Opioid Use Disorder: A Call for Policy Change
USA Kelly McGlothen-Bell, PhD, RN, IBCLC

Dr. Kelly McGlothen-Bell is an Assistant Professor at UT Health San Antonio, School of Nursing. As a nurse scientist, Dr. McGlothen-Bell is dedicated to understanding and resolving perinatal-infant health disparities in underrepresented groups, particularly among mother-infant dyads impacted by substance use disorders and preterm births. Dr. McGlothen-Bell uses interdisciplinary research, bio-behavioral methodologies, and community-engaged strategies to define and explore health priorities that can be remedied through culturally appropriate and sustainable health solutions. Her program of science focuses on understanding the relationship between infant feeding behaviors and readiness in high-risk infants and attunement between the primary caregiver and child during infancy and toddlerhood. The culmination of these findings contributes to the development of evidence-based interventions geared toward improving parental engagement and pediatric feeding success in marginalized populations. Dr. McGlothen-Bell has published numerous peer-reviewed articles related to developmental strategies for high-risk infants. She has also presented her work at conferences nationally and internationally. Dr. McGlothen-Bell has received numerous awards to include the 2019 National Association of Neonatal Nurses (NANN) Mentee/Mentor Grant Award. She was also selected as a 2019-2020 Academy Jonas Nurse Policy Scholar.

Objective 1: Summarize current breastfeeding recommendations for women receiving medication-assisted treatment (MAT) for opioid use disorder (OUD).;

Objective 2: Identify common barriers and facilitators to breastfeeding among women receiving MAT for OUD.;

Objective 3: Describe specific strategies lactation supporters can use to empower breastfeeding in women receiving MAT for OUD.;

Objective 4: Explain how policies can be adapted to better support breastfeeding in women receiving MAT for OUD.

USA Kelly McGlothen-Bell, PhD, RN, IBCLC
Abstract:

Inequitable access to mother's milk often disempowers those who may benefit the most from it's' benefits. Moreover, suboptimal breastfeeding has the potential to negatively impact the health and well-being of future generations to come. Mother's own milk is internationally accepted as the most optimal source of nutrition for infants, yet breastfeeding initiation and duration rates among minority populations (i.e., women with opioid use disorders [OUDs]) continue to lag significantly behind that of the general population. The implications of the current U.S. opioid crisis and its increasing influence on women of reproductive age presents important considerations for the ways women and infants may receive inequitable access to breastfeeding and the benefits of mother's milk. In this presentation, learn the keys needed to empower lactation support providers to advocate for the use of scientific evidence that informs breastfeeding practices for women receiving MAT for OUD.

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Duration: 60 mins
Wendy Jones, PhD, MRPharmS
Pharmacokinetics and Clinical Implications of Drugs in Human Milk: The Substance-Exposed Infant
UK Wendy Jones, PhD, MRPharmS

In her employed life Wendy was a community pharmacist and also worked in doctor surgeries supporting cost effective, evidence-based prescribing.
Wendy left paid work to concentrate on writing Breastfeeding and Medication (Routledge 2nd edition 2018), developing information and training material on drugs in breastmilk as well as setting up her own website www.breastfeeding-and-medication. She has also published Breastfeeding for Dads and Grandmas (Praeclarus Press) and Why Mothers Medication Matters (Pinter and Martin). She is also co editor of a book to be published January 2020 called A guide to breastfeeding for medical professionals (Routledge).

Wendy is known for her work on providing a service on the compatibility of drugs in breastmilk and has been a breastfeeding peer supporter for 30 years. She is passionate that breastfeeding should be valued by all and that medication should not be a barrier. She has 3 daughters and 5 grandchildren. All her family seem as passionate about breastfeeding as she is and currently all 3 of her daughters are breastfeeding.
She was awarded a Points of Light award by the Prime Minister in 2018 and nominated for an MBE in the New Year's Honours List 2018 for services to mothers and babies. She received her award at Windsor Castle in May 2019 from Her Majesty the Queen.

Objective 1: Explain the pharmacokinetics of substances to which babies may be exposed through breastmilk.

Objective 2: Assess whether breastfeeding can be continued following exposure.

Objective 3: Discuss how we may support the breastfeeding mother who is using substances during her lactation

UK Wendy Jones, PhD, MRPharmS
Abstract:

We are aware that an increasing number of babies are exposed to opiates, to methadone, to cannabis and cocaine through maternal breastmilk. In this presentation, I will discuss the pharmacokinetics of the medications and how this impacts the clinical care of the babies both immediately after delivery and later on. We need mothers to be open and honest about any drugs which they have taken in order that we may care for the baby appropriately if it is exhibiting clinical symptoms. This impacts on safeguarding issues but our aim should be to help the mother consider the impact on her baby using evidence-based information and to maintain breastfeeding appropriately. What are the long- and short-term implications of exposure for mother and baby? Is there sufficient research? As always, more questions than answers.

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Accreditation


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 has been approved for 3 L-CERPs.

If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please send us an email to [email protected] if you have any questions.

Additional Details:

Viewing time: 6 Weeks

Tags / Categories

(IBCLC) Education and Communication, (IBCLC) Infant, (IBCLC) Infant, (IBCLC) Pharmacology and Toxicology, (IBCLC) Psychology, Sociology, and Anthropology, Drug & Alcohol Use, Neonatal Abstinence Syndrome

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  • During our online conferences, presentations that occur live are also followed by a short 15 minute Question & Answer Session. The Speaker addresses questions that were posted by Delegates during the presentation. We include the recording of these Q&A Sessions as a bonus for you.

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