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Managing Challenges at the Breast Lecture Pack

“Managing Challenges at the Breast” features presentations that take a special look at conditions that can cause extra breastfeeding challenges for both the baby and the family as a whole. Deepen your knowledge and detective skills in preparation for those difficult cases that are more complicated than the usual every day breastfeeding challenges. Join Speakers Catherine Watson-Genna, Maureen Minchin, Michelle Emmanuel, Pamela Morrison, Nancy Williams and Cathy Carothers and learn more about breastfeeding and cranial nerve dysfunction, sensory integration and breastfeeding, counseling in tough situations and much more!

$110.00 USD
Total CE Hours: 6.00   Access Time: 4 Weeks  
Lectures in this bundle (6):
Duration: 65 mins
Cathy Carothers, BLA, IBCLC, FILCA
Dealing With the Tough Ones: Counseling in Difficult Situations
USA Cathy Carothers, BLA, IBCLC, FILCA

Cathy Carothers is co-director of Every Mother, a non-profit organization providing lactation training for health professionals. An International Board Certified Lactation Consultant since 1996, she has provided more than 600 training events and conference presentations in every U.S. state/territory and several countries. She is past president of the International Lactation Consultant Association (ILCA), a fellow of ILCA, and past chair of the U.S. Breastfeeding Committee. She chairs the design team for the equity initiative in the lactation consultant profession, and chairs the Monetary Investment for Lactation Consultant Certification (MILCC), which works to reduce financial barriers to the IBCLC exam. She has directed several national breastfeeding promotion and support initiatives for the U.S. federal government, including the national USDA WIC peer counseling program, and national workplace support initiatives through the U.S. Department of Health and Human Services. She was honored with the 2014 National Leadership Award from the National WIC Association.

Objective 1: Name at least three active listening principles that can be helpful in addressing challenging counseling situations with new mothers
Objective 2: Identify factors to consider in at least three difficult counseling scenarios faced by breastfeeding counselors
Objective 3: Describe the need for evidence-based clinical decision making when it comes to revision wound healing
Objective 4: Name at least two strategies to consider when families do not speak the language of the breastfeeding counselor

USA Cathy Carothers, BLA, IBCLC, FILCA

Do you ever find yourself wishing you had just the right words in a difficult counseling situation? When time is limited and the pressure is on, it can be challenging to use our best counseling skills when assisting mothers with breastfeeding...especially when clients are difficult or special circumstances exist. This session will tackle some of the most common challenging situations, including interfering grandmothers, apathetic dads, resistant moms, and colleagues who do not support you. The session will also address strategies for addressing clients who do not speak your language and ways to help women feel empowered and confident they can deal with breastfeeding concerns.

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Duration: 61 mins
Nancy Williams, MA, Marriage and Family Therapist, CCE, IBCLC
Sensory Integration and Breastfeeding
United States Nancy Williams, MA, Marriage and Family Therapist, CCE, IBCLC

Nancy has been providing breastfeeding help and support for 40 years and has been a national speaker for 30. She has been a perinatal educator and consultant since the late 1970’s. Her second career is that of a Marriage and Family Therapist. Her passion is to explore the larger picture of the mother-baby dyad in the context of the breastfeeding relationship.

Objective 1: The participant will be able to Describe sensory integration problems
Objective 2: Then participant will be able to name at least two symptoms that may appear during breastfeeding
Objective 3: The participant will be able to describe the adverse impact of trauma on breastfeeding
Objective 4: The participant will be able to identify at least two interventions

United States Nancy Williams, MA, Marriage and Family Therapist, CCE, IBCLC

This session will look at sensory integration problems, now known as Sensory Processing Disorder. How might these difficulties impact the breastfeeding dyad and the family? We will describe this and present ideas on how to minimize the problems and support breastfeeding.

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Duration: 61 mins
Lactation Support for Infant Biomedical Challenges

Catherine Watson Genna BS, IBCLC is an International Board Certified Lactation Consultant in private practice in New York City. Certified in 1992, Catherine is particularly interested in helping moms and babies breastfeed when they have medical challenges and is an active clinical mentor. She speaks to healthcare professionals around the world on assisting breastfeeding babies with anatomical, genetic or neurological problems. Her presentations and her writing are enriched by her clinical photographs and videos. Catherine collaborates with Columbia University and Tel Aviv University Departments of Biomedical Engineering on research projects investigating the biomechanics of the lactating nipple and various aspects of sucking and swallowing in breastfeeding infants. She is the author of Selecting and Using Breastfeeding Tools: Improving Care and Outcomes (Praeclarus Press 2009) and Supporting Sucking Skills in Breastfeeding Infants (Jones and Bartlett Learning 2008, 2013, 2017) as well as professional journal articles and chapters in the Core Curriculum for Lactation Consultant Practice and Breastfeeding and Human Lactation. Catherine served as Associate Editor of the United States Lactation Consultant Association’s official journal Clinical Lactation for its first seven years.

Objective 1: Describe the clinical ramifications of new histological findings about the lingual frenum
Objective 2: Did this continuing education activity meet the learning objective: List two potential ways alteration in structural integrity or neurological control of the infant’s body can produce feeding challenges
Objective 3: Detail at least 3 techniques to help infants with medically based challenges to breastfeed more effectively
Objective 4: Describe the proper use of two breastfeeding tools that are particularly appropriate in infants with feeding challenges


Infants with biologically based sucking problems can often breastfeed with specific lactation management and supportive techniques. This presentation provides an overview of some common medical problems that cause feeding difficulty and strategies that can help an infant with suboptimal sucking skills to feed more normally.

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Duration: 68 mins
Michelle Emanuel, OTR/L, IBCLC, CST, NBCR
Breastfeeding and Cranial Nerve Dysfunction – the what, who and why of Cranial Nerve Dysfunction in the newborn to precrawling baby
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: Learners will be able to list 8 signs of Cranial Nerve Dysfunction seen in the newborn to precrawling infant
Objective 2: Learners will be able to understand 3 treatment strategies related to Cranial Nerve Dysfunction
Objective 3: The participant will be able to list 2 allied health professionals and when it is appropriate to refer
Objective 4: The participant will be able to state the difference between lactose intolerance and cows milk allergy and some risks of early sevrage
Objective 5: The participant will be able to list two important ways to reduce the risk of allergy in infants

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

Cranial Nerve Dsyfunction, CND, is a term used to describe a disruption, dysregulation or dysfunction in one or more cranial nerves in the precrawling period. Cranial Nerves are twelve, paired nerves, ten of which originate in the brainstem. They mediate all incoming sensory input and also help regulate, move and maintain the health of the muscles of the face, head, neck, jaw, tongue and throat. From sensing mother’s smell, touch, taste to rooting, latching and coordinating suck/swallow/breathe patterns, optimal cranial nerve function is paramount. Lactation consultants need to be able to identify CND, identify a couple of treatment interventions and know when to refer to appropriate health care professional such as OT, PT, Speech, or Manual Therapist/Bodyworker. CND explains how many tongue/lip tied babies who have had a frenotomy continue to struggle significantly with the activities and movements of optimal breastfeeding. Michelle will cover the basics of CND, a simple classification system, and her 4 Principle Functional Movement Protocol, which she states can optimize cranial nerve function in the precrawling baby and improve breastfeeding outcomes.

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Duration: 65 mins
Managing Low Weight Gain in the Exclusively Breastfed Baby

Pamela Morrison has worked with breastfeeding mothers and babies for 30 years. She served as a La Leche League Leader in Harare, Zimbabwe from 1987 before certifying as the first IBCLC in the country in 1990. She worked in private practice until 2003, before moving to Australia and then to England. She served for many years on the Zimbabwean National Breastfeeding Committee and on the BFHI Task Force. She has subsequently served as Co-coordinator of the WABA Task Forces on Infants Nutrition Rights and on Breastfeeding and HIV. Pamela continues to write and speak for the preservation and protection of breastfeeding in challenging situations.

1: Review the basic principles of maternal breastmilk synthesis and delivery to the infant.
2: Plot, compile and interpret an infant weight chart and full history in order to distinguish adequate from inadequate weight gain
3: Perform infant oral exam, breast exam and nursing exam to identify maternal/infant strengths or challenges relating to milk transfer.


In biological terms, successful breastfeeding demands that the baby survives and thrives on his mother’s milk. “Not-enough-milk” (either real or perceived) has long been recognized as the most common reason why mothers abandon breastfeeding. Ways to identify for the mother whether a baby is “getting enough” are discussed. The causes of inadequate breastmilk intake include physiological/anatomical conditions in mother/baby, poor lactation management or other more obscure causes. While planning interventions to enhance breastmilk production and improve infant intake, it is important to protect the baby’s nutritional status. Simultaneously implementing strategies to increase the mothers’ breastmilk supply while caring for a high-need baby can be immensely challenging. Each client will need constant support, reassurance and re-evaluation. Turning such a difficulty around, with the goal of eventually returning to exclusive breastfeeding, can be one of the most fulfilling and rewarding situations that an IBCLC can work with.

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Duration: 68 mins
Maureen Minchin, BA(Hons), MA (Melb), TSTC
Infant Feeding and Allergy Realities
Australia Maureen Minchin, BA(Hons), MA (Melb), TSTC

Maureen Minchin is a medical historian whose 1970s experience of motherhood resulted in her second book, Food for Thought: a parent’s guide to food intolerance, recognized as ground breaking in its treatment of infant allergy. Her third book, Breastfeeding Matters, was declared a “milestone in the history of breastfeeding” by Prof JD Baum. For 35 years she has worked extensively in the area of infant nutrition, including for WHO, and UNICEF, and teaching health professionals in Australia and overseas. She was influential in the creation of IBLCE and BFHI, and a founding (and later Board) member of both ILCA and ALCA. Maureen has continued to work free of charge with families with both infant feeding and allergy problems. After a decade in eldercare, Maureen is getting back to writing, recently helping with the online infant feeding courses being developed by the UK’s University of York and the National HS-sponsored e-learning for health project. Her latest book, Milk Matters: Infant Feeding and Immune Disorder was published in 2015.

Objective 1: Learners will be able to list two influences on early postnatal development
Objective 2: Then participant will be able to list five causes of trauma in utero
Objective 3: The participant will be able to state at least three presenting symptoms of allergy in early infancy
Objective 4: The participant will be able to state the difference between lactose intolerance and cows milk allergy and some risks of early sevrage
Objective 5: The participant will be able to list two important ways to reduce the risk of allergy in infants

Australia Maureen Minchin, BA(Hons), MA (Melb), TSTC

This presentation outlines a new understanding of why early infant feeding matters, generated by recent research into the microbiome and epigenetics as well as clinical and personal experience over decades. It focuses on allergy as an bilateral legacy which compounds through generations. Emphasis is on presenting symptoms and management in the breastfeeding family, although some infant formula issues are considered.. Maternal diet in pregnancy and lactation, and the effects of allergy on families, are all discussed.

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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
Approved for 6 L-CERPs.

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

Tags / Categories

(IBCLC) Education and Communication, (IBCLC) Equipment and Technology, (IBCLC) Infant, (IBCLC) Infant, (IBCLC) Psychology, Sociology, and Anthropology, (IBCLC) Techniques, Allergies & Breastfeeding, Bodywork to Support Breastfeeding, Breastfeeding Complications, Counseling Skills, Infant Anatomy & Physiology, Slow Weight Gain

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