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Sucking Dysfunction & the Role of Bodywork for Lactation Consultants Lecture Pack

"Bodywork to Support Infant Feeding". Everything in the body is connected. Learn how bodywork can be integrated into collaborative health care to support infant feeding skills. Topics will include oral motor patterns and reflexes, an embryologic view of tongue-tie, the vagus nerve and its impact on the infant airway, swallowing and coordination of suck, how structural issues located in parts of the body other than the mouth can cause issues with feeding and much more.

$110.00 USD
Total CE Hours: 6.00   Access Time: 4 Weeks  
Lectures in this bundle (6):
Duration: 60 mins
Elissa O'Brien, B.Sci (clin) M.Health.Sci (osteo) Member Osteopathy Australia
The Effects of Stress On The Mother-Baby Dyad
Australia Elissa O'Brien, B.Sci (clin) M.Health.Sci (osteo) Member Osteopathy Australia

Elissa is a passionate osteopath, business owner and mentor.

Elissa has worked as an Osteopath in private practice in Melbourne since graduating in 1998.

She started her own multidisciplinary clinic in 2002, combining osteopathy with, massage, naturopathy, kinesiology and counselling. In 2015 Elissa merged her business with a local podiatrist and started The Balwyn Health Hub.

She is well known for her treatment of children and pregnant women although her patient base also includes a strong focus for; the family unit, the elderly, performers, athletes and the chronically ill. Her special interest in osteopathic diagnostic reasoning often helps patients understand why chronic dysfunctions are not healing.
Elissa's passion for working with pregnant women, babies and children allows close professional relationships with lactation consultants, midwives and doulas which has led to her guest lecturing at a number of multidisciplinary conferences.

Objective 1: To discuss the ‘flight and fright’ and ‘tend and befriend’ stress responses in new mothers
Objective 2: To explore the breakdown of traditional support groups in our society
Objective 3: 3. To highlight the role of the Manual Therapist in supporting the mother-baby dyad

Australia Elissa O'Brien, B.Sci (clin) M.Health.Sci (osteo) Member Osteopathy Australia

The stresses faced by each new mother will reflect her unique experience of conception, pregnancy and birth and these stresses can significantly influence the mother-baby bond. Even the most well researched birth plan can be subject to variations and complications that will inevitably put additional stress on the mother. Difficulty breastfeeding is often one of the first signs of stress on the mother-baby unit; it’s success or failure can drastically influence the early bonds made between the dyad. The neuroendocrine system has many ways of responding to these stresses and knowledgable manual therapists have an opportunity to support both the mother and baby towards optimal physiology.

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Duration: 67 mins
Michelle Emanuel, OTR/L, IBCLC, CST, NBCR
The Vagus Nerve: Branchial Motor / Special Visceral Efferents: The Pharynx, Larynx, Soft Palate and one tiny tongue muscle
USA Michelle Emanuel, OTR/L, IBCLC, CST, NBCR

Michelle has been a pediatric neurodevelopmental Occupational therapist specializing in precrawling infants for over 26 years. She has specialty certifications and training in lactation, manual therapy, and pre and peri natal psychology. Michelle has specialized in optimal cranial nerve function and oral restrictions, with an emphasis on infant movement, innate biological imperatives and human potential, providing novel curriculums, support and resources for both professionals and parents. She enjoys collaborating and working in teams for babies and families going through the tethered oral tissues release process.

Objective 1: Identify 3 observations of dysfunction with branchial motor efferents
Objective 2: Understand 3 clinical applications to promote optimal function of branchial motor efferent
Objective 3: Name 3 swallowing muscles innervated by the vagus nerve

USA Michelle Emanuel, OTR/L, IBCLC, CST, NBCR

Babies with tongue/oral restrictions and Cranial Nerve Dysfunction (CND) present with clinical indicators of decreased airway patency which interrupt latch and breastfeeding skills, airway development and Autonomic Nervous System regulation. These difficulties are noted clinically by mouth breathing, open mouth posture, stridor, snoring and other noisy breathing, suboptimal breathing patterns, decreased suck/swallow/breathe coordination and poor tongue and jaw posture / movement during activity and rest. Many of us are familiar with the Vagus nerve and the vital role it plays as our body’s sensory/afferent relayer of information to the central nervous system, as well, the Vagus serves as the primary parasympathetic influence on most of our viscera, including our heart, which helps us regulate. However, what we often gloss over is the motor input to the skeletal muscles of the soft palate, pharynx, larynx and tongue which directly impact breathing. This lecture will delve into this fascinating topic and provide clinical applications.

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Duration: 60 mins
Alison K. Hazelbaker, PhD, IBCLC, FILCA, CST, RCST, PPNE
The Impact of Bodywork on Infant Breastfeeding
USA Alison K. Hazelbaker, PhD, IBCLC, FILCA, CST, RCST, PPNE

Dr. Hazelbaker has been a therapist in private practice for over 30 years. She specializes in cross-disciplinary treatment and to that end has taken training in several modalities to best assist her clients. She is a certified Craniosacral Therapist, a Lymph Drainage Therapy practitioner, a Tummy Time™ Trainer, a Haller Method practitioner, A Pre and Perinatal Psychology Educator, a Lactation Therapist Diplomate, an International Board Certified Lactation Consultant and a fellow of the International Lactation Consultant Association.

She earned her Master’s Degree from Pacific Oaks College (Human Development specializing in Human Lactation) and her doctorate from The Union Institute and University (Psychology, specializing in Energetic and Transformational healing.)

People recognize her as an expert on infant sucking issues caused by various structural problems like torticollis, plagiocephaly, brachycephaly and tissue shock-trauma. She invented the Hazelbaker™ FingerFeeder and the Infant Breastfeeding CranioSacral Protocol™ to assist in the resolution of this type of infant sucking dysfunction.

Objective 1: Identify three specific types of structurally related sucking issues that require bodywork for resolution.
Objective 2: Discuss the role of various types of bodywork in resolving sucking problems.
Objective 3: List the three releases necessary to restore suck-swallow-breathe coordination.

USA Alison K. Hazelbaker, PhD, IBCLC, FILCA, CST, RCST, PPNE

This session addresses the types of breastfeeding problems that respond to bodywork. Dr. Hazelbaker presents examples of structurally related sucking dysfunction that indicates the need for bodywork. She discusses the three major release areas that must be addressed to resolve the sucking issue.

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Duration: 60 mins
Kristie Gatto, MA, CCC-SLP, COM
The Integration of Feeding Skills: Oral Motor Patterns and Reflexes
USA Kristie Gatto, MA, CCC-SLP, COM

Kristie Gatto, MA, CCC-SLP, COM received her bachelor’s and master’s degrees from the University of Houston in Houston, Texas. She has worked as a speech-language pathologist in the public and private school systems, skilled nursing, rehabilitation and children’s hospitals, and in private practice. In 2004, Ms. Gatto became the co-owner of a private practice in Northwest Houston and began her journey in treating children with pediatric feeding disorders. After years of searching for answers in traditional feeding approaches, she underwent training in the field of Orofacial Myology and became the first certified orofacial myologist in the city of Houston in 2011. Ms. Gatto is currently the owner of The Speech and Language Connection, which has two offices in the greater Houston area and employs 21 speech-language pathologists with various specialties.

For the past ten years, she has focused her clinical skills on treating patients with issues in feeding, dysphagia, deglutition, oral sensory aversion, orofacial myology, and swallowing- related disorders, as well as articulation, phonological processing, apraxia, and early childhood intervention.

Ms. Gatto is a member of the American Speech-Language-Hearing Association (ASHA), International Association of Orofacial Myology (IAOM), American Academy of Private Practice in Speech Pathology & Audiology (AAPPSPA), Texas Speech-Language-Hearing Association (TSHA), and Houston Association for Communication Disorders (HACD). Additionally, she serves on the board of directors for the IAOM and AAPPSPA and the Community Advisory Board for the University of Houston.

Objective 1: Identify normal and abnormal movements of the lips, tongue, jaw and cheeks.
Objective 2: Label the seven major reflexes that directly affect the oral cavity and feeding musculature.
Objective 3: Utilize 1-2 feeding techniques to promote the development of appropriate oral motor patterns when structures are abnormal.

USA Kristie Gatto, MA, CCC-SLP, COM

Babies are born with lips, tongues, jaws, cheeks and reflexes that were designed for natural acquisition of skills in feeding, drinking, facial expression and, in speech. Oral motor patterns are the functioning of these structures, whereas, the reflexes are the infant’s mode of survival. These skills occur naturally when the oral structure is intact. When abnormality to the anatomy occurs, maladaptive movements are created and compensatory strategies are learned. The infant, child, or adult modifies their muscle functioning to eat, drink, and speak that directly affects the appropriate integration of higher skills during these feeding milestones. This session will address the normal and abnormal oral motor patterns, feeding milestones and the natural integration of the reflexes.

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Duration: 60 mins
Carol Gray, CST, LMT, RYT200
Where Should We Dig? Not All Gold Is Buried Under the Tongue
USA Carol Gray, CST, LMT, RYT200

Carol has been a therapeutic bodyworker in Portland, Oregon for over 26 years. She is a retired home birth midwife. She specializes in infant and maternal Craniosacral Therapy.
Carol is convinced that if women are appropriately supported in growing, birthing and nurturing their babies, their lives will improve. When women's lives improve their children's health improves. Healthy children grow up to be healthier adults who create healthier communities and a saner, more peaceful world. Carol believes that when things are out of balance even the smallest intervention can bring about great healing. Our need for it is so great. Carol is passionate about using her CST skills to gently make space in maternal bodies so babies can assume ideal positions for gestation and birth. She is currently developing specialized prenatal yoga classes to support and enhance the maternal bodywork techniques she practices and teaches.

Objective 1:Participants will assess for deep anterior line restrictions that masquerade as or contribute to short frenula.
Objective 2: Participants will list fetal lie conditions that cause these deep anterior line restrictions.
Objective 3: Participants will describe the CST approach when revision and IBCLC care alone don’t produce the desired results.

USA Carol Gray, CST, LMT, RYT200

Carol will explain how the sources of tongue and oral dysfunction aren’t always in the mouth. Sometimes the gold is buried elsewhere. She will discuss torques and twists in the body that extend into the floor of the mouth and express themselves as a lack of tongue mobility. She will discuss how fetal lie and restricted fetal mobility cause babies to grow in ways that negatively impact their breastfeeding. These things may masquerade as and/or exacerbate tongue mobility issues disguised as short frenula. Carol will also explain the CST treatment approach for these babies.

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Duration: 53 mins
Dr. Valerie Lavigne, DC, chiropractor, MSc, I.B.C.L.C.
Neuromusculoskeletal Disorders in the Breastfed Baby: Causes, Assessment, & Treatment
CAN Dr. Valerie Lavigne, DC, chiropractor, MSc, I.B.C.L.C.

Dr. Valérie Lavigne graduated from the Canadian Memorial Chiropractic College  in 1998. In July 2005, she became an IBCLC, the first chiropractor in Quebec with the title. She has her fellowship in pediatrics from the International Chiropractic Pediatric Association and has graduated in November 2014 with a Master of Science  in Pediatric Musculoskeletal Health from the Anglo-European Chiropractic College.    She is working in private practice in her chiropractic clinic in Kirkland, Quebec.

Objective 1:Recognize the triad for effective breastfeeding
Objective 2: Review causes of Neuromusculoskeletal issues
Objective 3: Most common problems seen Objective 4: Treatment options
Objective 5: Checklist to help assess
Objective 6: Review of the literature

CAN Dr. Valerie Lavigne, DC, chiropractor, MSc, I.B.C.L.C.

How comfortable are you at identifying neuromusculoskeletal issues in babies. This lecture will explore the triad aspect of breastfeeding – neurological, muscular and skeletal. A review of the causes, main conditions combined with tips to help you recognize neuromusculoskeletal issues will provide you with a more astute eye during your evaluation. Treatment options will be reviewed in addition to a review of the chiropractic and lactation literature. This lecture should create awareness amongst health professionals about the importance of treating neuromusculoskeletal issues in baby to optimize breastfeeding!

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This activity has been approved for 6 L-CERPs.
GOLD Learning is an approved Long Term Provider of CERPs by the International Board of Lactation Consultant Examiners (IBLCE). Approval #CLT114-07.

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

Tags / Categories

(IBCLC) Infant, (IBCLC) Infant, (IBCLC) Pathology, (IBCLC) Physiology and Endocrinology, (IBCLC) Psychology, Sociology, and Anthropology, (IBCLC) Techniques, Bodywork to Support Breastfeeding, Breastfeeding Complications, Infant Anatomy & Physiology, Supporting Sucking Skills

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