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Lactation, 10+ CERPs Bundles

Lactation / Breastfeeding Continuing Education Bundle #7 (27.5 Hours)

The GOLD Lactation Online Conference is the largest Annual Breastfeeding Conference in the world. Packed full of fascinating topics such as supporting families who are exclusively pumping, oxidation vs high lipase action in human milk, supporting the weaning process, persistent pain during breastfeeding, marijuana and breastfeeding, risk based language, normal infant feeding patterns and so much more!

It is an excellent resource suitable for all skill levels and is a perfect fit for IBCLCs, Lactation Consultants, Nurses, Lactation Educators, Breastfeeding Counselors, Mother to Mother (Peer to Peer) Support Workers, Midwives, Physicians, Dietitians, Doulas, Childbirth Educators and anyone else working or studying within the maternal-child health industry. Explore the latest research, trends, new ideas and hot topics in the world of human lactation.

$295.00 USD
Total CE Hours: 27.00   Access Time: 8 Weeks  
Lectures in this bundle (27):
Duration: 61 mins
Gradual Weaning – Helping Mothers Who Are Ready to Move On

Bianca Balassiano has been working with families in private practice since 2008 as an IBCLC and perinatal psychologist/maternal-child health specialist. As a natural consequence of her professional background, has supported breastfeeding families into achieving individual goals while maintaining mental health and stimulating a holistic look towards the subject. Since 2014 is also working as an educator for healthcare professionals in one of the most recognized breastfeeding courses in Brazil, currently offering virtual classes and all over the country. Lives with husband and two children in Rio de Janeiro, Brazil. In 2020, she launched her first book aimed at families with the title "Gradual Weaning: How to Bring Your Breastfeeding Story to a Happy End".

Objective 1: Help mothers develop a respectful and gradual plan for weaning;

Objective 2: Help mothers with strategies to follow gradual weaning; and

Objective 3: Skills for a proper interview and defining mother objectives.


Weaning is a very controversial topic when talking about breastfeeding. Nevertheless, a lactation consultant should be the professional addressed to guarantee mothers a good experience when finishing this process. When the child is 18 months or older, it is possible to develop a plan of gradual weaning that can adjust to their routine, and please both mother and child - respecting everyone's time and rhythm. When a mother is ready to move on and wishing to re-encounter herself, if we have a baby that is ready to communicate in other ways besides the breast, it is important to develop skills and a plan of action to give breastfeeding the beautiful end it deserves.

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Duration: 60 mins
Briana Tillman, IBCLC, M. Ed, OMS-III
Nicholas Sloan, BSME, OMS-III
Psychiatric Topics in Breastfeeding
USA Briana Tillman, IBCLC, M. Ed, OMS-III
USA Nicholas Sloan, BSME, OMS-III

Briana Tillman received her undergraduate degree in International Relations from the United States Military Academy at West Point. She has been a La Leche League Leader for 9 years and is a board certified lactation consultant. After spending 10 years as a stay-at-home mom, she is currently in her third year of medical school at Rocky Vista University College of Osteopathic Medicine in Parker, Colorado. She loves spending time with her husband and three kids—as a family they like to travel, go camping, and play string instruments in “family ensemble.”

Nick is a 3rd year medical student at Rocky Vista University College of Osteopathic Medicine. He has a background in mechanical and systems engineering but found his calling in medicine after volunteering for Health4Haiti in 2011. He lives in Colorado with his wife and they enjoy hiking, camping and fishing in the great outdoors.

Objective 1: Critique the controversial “breast is best” campaign and its relationship to mental health

Objective 2: Discuss the mental health benefits and drawbacks of breastfeeding

Objective 3: Discuss the approach to management of psychiatric conditions such as schizophrenia, bipolar mood disorder, major depressive disorder, and generalized anxiety during lactation

Objective 4: Analyze the research surrounding possible long-term mental health effects of breastfeeding for babies

USA Briana Tillman, IBCLC, M. Ed, OMS-III
USA Nicholas Sloan, BSME, OMS-III

Due to the global shortage of mental health professionals, many primary care providers have become the first-line responders to a wide variety of psychiatric concerns. While lactation consultants and breastfeeding support counselors are not called upon to diagnose and treat mental health disorders, they nonetheless often become enmeshed in the topic due to the holistic nature of breastfeeding management. An understanding of the major psychiatric topics that can arise during lactation consultation is therefore a valuable asset.

In this presentation, we will describe mental health benefits and drawbacks of breastfeeding, and explore the controversy surrounding the “breast is best” campaign as it regards maternal mental health. We will also briefly explore the pharmacological and non-pharmacological options in treatment of major psychiatric disorders (e.g. generalized anxiety, major depressive disorder, bipolar mood disorder, schizophrenia) as they relate to lactation. Finally, we will review the scientific literature related to potential long-term mental health effects of breastfeeding on babies.

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Duration: 60 mins
The IBCLC as Expert Witness: Role, Strategies, and Resources
U.S.A. Cynthia Good, MS, LMHCA, IBCLC, CATSM

Cynthia Good, MS Clinical Psychology, is an International Board Certified Lactation Consultant, Clinical Counselor, author, consultant, and internationally recognized speaker. She is the Director of LifeCircle Consulting, LLC and is Certified in Acute Traumatic Stress Management. She is based in the Seattle, Washington, USA area, where she formerly served as an Adjunct Professor in the Department of Midwifery at Bastyr University where she taught counseling skills and is a therapist at Sandbox Therapy Group where she works with children, adults, and families. Cynthia has a strong interest in the emerging field of lactational psychology. She brings the evidence and insights of psychology and lactation consulting to her presentations, providing information and teaching skills that are essential to understanding and effectively responding to the complex psychosocial realities of families living in diverse contexts. The focus of her presentations includes communication skills and counseling techniques for perinatal care providers; equity, diversity, and inclusion; infant feeding rhetoric; perinatal mental health; perinatal loss, grief, and trauma; ethics; serving as an expert witness in lactation-related court cases; cultural competence and humility; vitamin D; and more.

Objective 1: List 3 documents that clarify the strengths and constraints of the IBCLC when serving as an expert witness;

Objective 2: Describe 3 strategies that can make the IBCLC a more effective expert witness; and

Objective 3: Name 3 resources that can help the IBCLC educate triers of fact.

U.S.A. Cynthia Good, MS, LMHCA, IBCLC, CATSM

In many countries, expert witnesses serve the role of educating triers of fact on issues that are typically outside the experience and knowledge of lay people or professionals who do not have the needed expertise. IBCLCs can serve as expert witnesses in legal proceedings related to situations that involve lactation (e.g., divorce, custody, and visitation; protecting lactation in the work place). Serving well in this role requires a clear understanding of the strengths and constraints inherent in the IBCLC’s scope of practice, using strategies that can make an expert witness more effective, and knowing how to find relevant resources. This session provides IBCLCs with introductory information that will 1) help them make a more informed decision about becoming an expert witness and 2) allow them to perform more effectively and confidently in that role.

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Duration: 60 mins
Persistent Pain During Breastfeeding - A Challenge in Lactation Counseling

Alexandra Glass is a gynecologist/ obstetrician and an International Board Certified Lactation Consultant working in Hanover, Germany, where she lives with her family. Alexandra is the Vice President of BDL Lactation Consultant Association. She speaks at Local, National and International conferences and she teaches preparatory courses for the IBCLC exam. She is the mother of two daughters, who were both breastfed.

Objective 1: Describe common and rare reasons for pain during breastfeeding

Objective 2: Demonstrate how to help the mother to help herself

Objective 3: Explain suggestions for adequate medical therapy, if necessary


This presentation will give an overview of the reasons that can cause painful breastfeeding and how we can intervene either via breastfeeding management or medically.
The reasons might be

- poor latch
- problems with sucking, like tongue tie or other anatomical issues, also nipple confusion
- vasospasms
- infections, mastitis
- Mammary Constriction Syndrome
- injuries or medical conditions of the skin, such as psoriasis, dermatoses, eczema
- oversupply
- plugged ducts
- incorrect pumping or hand expression
- allodynia/functional pain
- psychological and emotional aspects

Important aspects concerning breastfeeding management and counselling and possible therapeutic interventions will be discussed as well as the impact of painful breastfeeding on the breastfeeding dyad and the whole family.

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Duration: 71 mins
Prof. Amy Brown, PhD, Professor
What Do Normal Infant Feeding Patterns Really Look Like?
United Kingdom Prof. Amy Brown, PhD, Professor

Professor Amy Brown is based in the Department of Public Health, Policy and Social Sciences at Swansea University in the UK. With a background in psychology, she has spent the last thirteen years exploring psychological, cultural and societal influences upon infant feeding decisions in the first year. Her research seeks to understand how we can shift our perception of how babies are fed away from an individual mothering issue to a wider public health problem – with societal level solutions. Dr Brown has published over 60 papers exploring the barriers women face in feeding their baby during the first year. She is a mother to three human children and three book babies: Breastfeeding Uncovered: Who really decides how we feed our babies, Why starting solids matters, and The Positive Breastfeeding Book: Everything you need to feed your baby with confidence. She is a regular blogger, aiming to change the way we think about breastfeeding, mothering and caring for our babies.

Objective 1: List normal patterns of infant feeding by milk type and mode between 0 - 5 years

Objective 2: Describe the differences in maternal perceptions about the variation in milk feeding patterns e.g. in response to cluster feeds and growth spurts

Objective 3: Analyze the drivers and impact of feeding schedules upon feeding frequency and breastfeeding rates

Objective 4: Explain on the importance of public health messaging around normal breastfed baby feeding patterns

United Kingdom Prof. Amy Brown, PhD, Professor

We know that responsive feeding gets breastfeeding off to the best start. New parents are told that breastfed babies often feed 8 – 12 times a day, but in practice many new mothers will find themselves breastfeeding more frequently than this. Research exploring breastfeeding frequency is however conducted primarily with younger infants, focuses simply on breast versus bottle, or was funded by industry.

This presentation reports novel findings from a research study of 18,000+ mothers with a baby or child aged 0 – 5 years old. It examines how often babies feed during the day and night for each age range by milk feeding type, mode, and approach (e.g. schedule versus responsive) and how frequent day and night feedings remain the norm for breastfed babies into the preschool years. The data also explores differences in maternal perceptions of infant variations in hunger e.g. in response to growth spurts, variations over different days, and cluster feeding, highlighting how breastfeeding mothers describe a more varied pattern of infant feeding compared to those formula feeding.

Together the findings challenge notions that most babies breastfeed between 8 – 12 times per 24 hour and that irregular patterns or varied numbers of feeds are normal for breastfed infants. Although many breastfeeding practitioners will recognise this pattern, these findings will provide both an addition and challenge to the scarce existing research literature on infant feeding patterns.

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Duration: 61 mins
Annabelle Mackenzie, IBCLC, BA (Hons), MA (Cantab)
Rummaging in the Tool Bag: Examples of Approaches Borrowed from Other Disciplines, Applied in Lactation Support Practice
England Annabelle Mackenzie, IBCLC, BA (Hons), MA (Cantab)

After working in the UK and France, lecturing and then in film and TV production, Annabelle became a breastfeeding support volunteer in France 10 years ago, after the birth of her first child. She then worked in lactation support in the UK NHS in London, whilst also volunteering for the National Childbirth Trust (NCT). Since 2016, she was the Infant Feeding Coordinator at Suffolk County Council Health and Children’s Centres, and had a small private practice. In her county council role, Annabelle took the Health and Children’s Centre staff through Stage 1 of UNICEF Baby Friendly Accreditation, and left the department well prepared for Stage 2. Whilst there, she oversaw an increase in breastfeeding rates, and contributed to Public Health initiatives to promote breastfeeding, including help to improve breastfeeding knowledge amongst doctors. Annabelle qualified as an IBCLC, lactation consultant in 2017. In October 2018, Annabelle took up her current post as lactation consultant for the 48th medical group at RAF/USAF Lakenheath.

Objective 1: Describe new approaches to clinical practice;

Objective 2. Outline a brief review of Active Listening and its origins, an introductory overview to Signs of Safety and the Solihull Approach;

Objective 3. Discuss specific examples of elements that can be deployed in breastfeeding support practice from these approaches; and

Objective 4. Describe other (evidenced) science/health fields that can be helpful to us as lactation professionals.

England Annabelle Mackenzie, IBCLC, BA (Hons), MA (Cantab)

Rummaging in the tool bag: how we can borrow from other disciplines, and enhance our care.

As infant feeding specialists, we should be open to discovering new tools that renew our practice. Historically, we’ve incorporated elements from elsewhere, e.g. Active Listening (Rogers and Farson, 1957), borrowed from psychology and conflict resolution.

Changes to the UK support landscape, mean that parents may not access traditional breastfeeding peer support, and instead see health staff. A diversity of background, can mean staff bring additional skills that then complement those acquired under the UNICEF Baby Friendly standard.

For specialist professionals, such as IBCLCs, some of these tools can also complement practice, and can be used to great effect.

This presentation proposes to look at some elements we can borrow that enhance our clinical practice. We will review aspects of Active Listening, and then move on to examine elements in the Signs of Safety model and Solihull Approach. These are just two examples of widely practiced approaches in the UK, and there are many other fields to be borrowed from.

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Duration: 60 mins
Connection Over Perfection: Practical Strategies for Supporting Challenging Parents

Elizabeth M. Johnson, MA is a trauma educator and peer support advocate in private practice. She helps people understand how sexual abuse affects sexual and reproductive health. She looks at how sexual abuse affects breastfeeding for example but also how traditional sex education ignores issues like how past abuse affects consent, teen pregnancy and risky behavior. Using a trauma lens, Elizabeth talks about everything sexual health related from Asking (about abuse) to Z(zzzz's) and everything in between. Elizabeth is the only educator in the world specializing in training and consulting on this topic.

In addition to training, speaking and consulting, Elizabeth has facilitated a free, weekly peer support group for sexual abuse survivors for over three years. She holds a Masters of Arts degree in Womens Studies from Southern Connecticut State University. Elizabeth identifies as a rape survivor and has worked with survivors since 2005. She lives in Durham, NC with her family.

Objective 1: Describe how & why trauma can impact provider / patient trust

Objective 2: Demonstrate the use of trust-building, trauma sensitive practices and tools to more effectively support all families

Objective 3: Use specific language as a way to build trust including what to say, when and how to say it as well as common mistakes to avoid


Have you have ever…
…felt as if a new parent wasn't listening or even trying to sabotage your good efforts?
…suspected something is off or wrong because you can't get through to the person in front of you?
If so, this session is for you!
While the postpartum period is a vulnerable time for all new parents, parents with a trauma history and / or living in toxic stress can be especially challenging. The good news is that breastfeeding professionals and peer support advocates are in an optimal position to be effective and confident with these parents. Participants will learn why and how something as common as a trauma history can disrupt their good work.We will discuss trust-building practices, common mistakes to avoid and how to be effective with even the most "high needs" people. This is the practical, skills-building session that you're looking for.

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Duration: 60 mins
Fiona Jardine, PhD Candidate, Advanced Lactation Consultant, Postpartum Doula
Breastfeeding Without Nursing: Why Do Some Breastfeeders Exclusively Pump and What Can We Do to Support Them?
United States Fiona Jardine, PhD Candidate, Advanced Lactation Consultant, Postpartum Doula

Fiona Jardine is a PhD candidate at the University of Maryland’s iSchool where she is conducting pioneering research into the experiences of those who exclusively pump human milk, specifically focusing on the information they need, how they find it, and what they do with it. In addition, she is able to provide insights into many different aspects of exclusive pumping thanks to the breadth of the data she collected; follow along with her findings here: Fiona is also an Advanced Lactation Consultant and a postpartum doula so that she can provide the support that she believes is so desperately needed, especially in the fourth trimester. Find out more about Fiona, and the Universal Breastfeeding Symbol she designed, on her website:

Objective 1: Identify why some breastfeeders exclusively pump their milk rather than feed directly at the breast;

Objective 2: Recognize the range of feelings exclusive pumpers have about breastfeeding without nursing;

Objective 3: Provide appropriate information and advice about exclusive pumping to parents, medical professionals, and lactation care providers, including information about how to start, sustain, and cease exclusive pumping; and

Objective 4: Implement a range of measures to support exclusive pumpers.

United States Fiona Jardine, PhD Candidate, Advanced Lactation Consultant, Postpartum Doula

Exclusively pumping (EPing) provides a solution to some breastfeeding problems, while still providing most of the benefits of human milk. In addition, the prevalence of EPing is on the rise. However, there is a lack of data on EPing, especially concerning the reasons for EPing and the information and support needs of EPers. My study collected qualitative and quantitative data on these (and many other) topics from over 2,000 EPers; the findings indicate that EPers often get no or bad advice from their health/lactation care providers. This poor knowledge of and negative opinions about EPing often contribute to EPers feeling frustrated and unsupported. In addition, these undesirable experiences threaten both the initiation and duration of breastfeeding-via-EPing. This presentation focuses on the reasons why EPers breastfeed without nursing, their feelings about EPing, their information needs, and what lactation care providers can do to better support EPers.

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Duration: 60 mins
Gina Weissman, DMD, RN, IBCLC, FABM
A Case for Clipping, a Case for Waiting: Difficult Decisions in Clinic
Israel Gina Weissman, DMD, RN, IBCLC, FABM

Dr. Gina Weissman began her career as a dentist, receiving her training at The Hebrew University Hadassah Medical School, Jerusalem. She is also a RN nurse and has been working as an IBCLC, Certified Lactation Consultant, since 1999. She teaches courses in human lactation for both medical professionals and future lactation consultants, mentoring them in preparation for the international exam of the IBCLC. Dr. Weissman councils mothers and releases tongue ties at her private breastfeeding clinic, HalavM. She is an expert in teaching mothers Instinctive Breastfeeding and the author of Mother's Milk, a Video Guide to Breastfeeding (Hebrew/Arabic/English).Dr. Weissman is an international lecturer and the president of the Israeli Association of Certified Lactation Consultants.She lives in Israel with her husband Amir and four sons.

Objective 1: Distinguish between anterior and posterior tongue tie based on the updated literature;

Objective 2: Describe physical and functional characteristics that lactation specialists must assess when considering whether to refer an infant for evaluation and possible treatment of posterior tongue tie; and

Objective 3: List components that must be included in a lactation management plan whenever a lactation specialist is concerned that an infant may have a posterior tongue tie.

Israel Gina Weissman, DMD, RN, IBCLC, FABM

Institutions:  Department of Nursing, Laniado Hospital, Netanya, Israel, Halav-EM Breastfeeding Clinic
Background: As far as anterior tongue tie is concerned, there is a growing, vast body of knowledge that has been validated. As for posterior tongue tie, the scientific evidence is lacking and the assessment tools are not uniform among practitioners.
Medical diagnoses are not part of the scope of practice of Lactation Consultants. Hence, there is a lot of confusion among professionals (both Drs and Lactation Consultants), resulting in over diagnosis and over treatment on the one hand, and also under treatment on the other.
Aims: To present a unique perspective of an experienced Lactation Consultant who is also a dentist, experienced in diagnosing and treating various types of tongue ties.
Narrative: The discussion will focus on the clinical dilemmas regarding releasing posterior tongue ties and their implications for breastfeeding in newborns as well as in older babies.
Clinical cases of babies with posterior tongue ties will be shown to demonstrate how exclusive breastfeeding can be achieved in clinical cases with posterior tongue ties that were not released. Cases of anterior and posterior tongue ties that had been released although breastfeeding was going well will also be shown. In these cases, additional factors were taken into account, such as the palate structure and the additional consequences that Ankyloglossia may have later in life.
Conclusions: In some cases of posterior tongue ties, good breastfeeding counseling can make the action of releasing the tongue redundant. However, then we are left to consider conservatively what other effects Ankyloglossia may have on our body.

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Duration: 60 mins
Katrina B. Mitchell, MD, IBCLC, FACS
Maternal Complications and Breast Masses in Breastfeeding
United States Katrina B. Mitchell, MD, IBCLC, FACS

Katrina B. Mitchell, MD, IBCLC, PMH-C is a breast surgeon, lactation consultant, and perinatal mental health provider. Her surgical practice includes the care of women with breast cancer and benign breast disease. She sees runs a daily breastfeeding medicine practice, treating patients for a wide variety of lactation concerns ranging from hypolactation to nipple trauma. Additionally, she provides medication management and support for women impacted by perinatal mood and anxiety conditions.

Dr. Mitchell lectures locally, nationally, and internationally on the intersection of lactation and surgery, and has authored book chapters, clinical care protocols, and journal articles on the topic. She is the creator of the, an evidence-based resource for breastfeeding families and the communities that support them. Dr. Mitchell resides in Santa Barbara, California and practices at the Ridley Tree Cancer Center at Sansum Clinic. She enjoys reading, traveling, and spending time with her son camping at the beach. She can be reached at

Objective 1: Describe key aspects of the breast physical exam, including evaluation of regional nodal basins

Objective 2: Discuss the challenging complications of lactation and describe their appropriate management

Objective 3: Explain breast imaging and other radiology studies that a patient may be recommended to undergo during lactation

United States Katrina B. Mitchell, MD, IBCLC, FACS

The purpose of this presentation is to first review basic components of the breast physical exam, and then transition into the management of challenging maternal complications of lactation. We also briefly will review breast imaging that may be required for diagnostic purposes in this setting.

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Duration: 60 mins
Differentiating Normal Newborn Weight Loss From Breastfeeding Failure

Micaela Notarangelo, PhD, IBCLC, RLC, obtained her IBCLC certification in 2010. She has a private lactation consultant practice in Lerici, Italy and takes a particular interest in everything that concerns breastfeeding science and medicine. From 1992 to 2001, Micaela lived in Japan, where in 1998 she earned a PhD in Economics at Hokkaido University, Sapporo. She also worked as assistant professor at Hokkaido University and Utrecht University. After returning to Italy, she became a La Leche League Leader in 2005 and was the Area Professional Liaison of LLL Italy from 2010 to 2013. In 2017, together with Chiara Toti, IBCLC, Micaela has developed a new two-day course for health care providers about breastfeeding support for babies with lip and/or palate cleft. The course has been held, with the financial support of Aismel, a parents' association, in several major Italian hospitals.

Objective 1: Compare physiological weight loss and weight loss from breastfeeding failure or mismanagement

Objective 2: List factors which can contribute to higher neonatal weight loss

Objective 3: Discuss feeding behaviors that are associated with higher risk of hypernatremic dehydration and appropriate interventions to protect breastfeeding


There is increasing concern for the risk of hypernatremic dehydration (HD) in infants breastfeeding poorly, and weight loss (WL) is often considered a key variable in deciding whether to supplement a newborn. However, WL is the net sum of different forces, and it might be difficult to determine which actions will be the most effective in protecting both the baby and breastfeeding. This presentation will review the newest scientific evidence about WL, and by a comparison of the results of previous quantitative studies will provide a more comprehensive framework to interpret weight changes and feeding behaviors that can be suggestive of an increased risk of HD, in order to facilitate the detection of infants who can benefit from additional breastfeeding support and those who might eventually require supplementation. The data confirm that both birth and breastfeeding perinatal practices have influence on WL and the risk of HD, and are therefore important modifiable factors to improve breastfeeding outcomes.

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Duration: 60 mins
Nicola Singletary, PhD, MAT, IBCLC
Funny Tasting Milk: The Biochemistry and Clinical Applications of Human Milk Oxidation vs. High Lipase Action
USA Nicola Singletary, PhD, MAT, IBCLC

After studying biology at Meredith College in North Carolina, Nicola Singletary, PhD, MAT, IBCLC spent the early part of her career sharing her love of science with middle school students. It was not until after the birth of her first child in 2007 and the challenges she faced breastfeeding that she became interested in pursuing a career in breastfeeding support. She enrolled at North Carolina State University to study human nutrition and completed the Mary Rose Tully Training Initiative through the Carolina Global Breastfeeding Institute at UNC Chapel Hill in 2012. In the fall of 2013, she opened Harmony Lactation, LLC with the goal of helping mothers meet their breastfeeding goals. She recently completed her PhD in Nutrition and is a postdoctoral researcher at NCSU; her research focuses on breastfeeding education. She is also co-owner of Next Level Lactation, an educational and consulting company for lactation professionals.

Objective 1: Describe the biochemical processes involved in human milk oxidation and high lipase action;

Objective 2: Differentiate between milk that is rancid due to oxidation and milk with high lipase action; and

Objective 3: Choose strategies to help mothers with sour or rancid milk reduce the impact of oxidation or lipase action on their stored milk.

USA Nicola Singletary, PhD, MAT, IBCLC

Some breastfeeding parents find that their stored milk tastes sour or rancid, and sometimes this milk is refused by their baby. These flavors and odors are often described as metallic, fishy, rancid, sweaty or soapy. But what exactly causes these ‘off’ flavors and what can be done about milk that is refused? Is the solution always to scald milk? Milk with high lipase action leads to milk with increased levels of free fatty acids during storage that can produce rancid and sweaty flavors. Enzymes such as lipase can be inactivated by heating prior to milk storage. Milk with high levels of polyunsaturated fatty acids is susceptible to fat oxidation during storage leading to fishy and metallic flavors. Storage recommendations to reduce oxidation of fatty acids in milk include using short storage times, thawing at cold temperatures, and avoiding light exposure during storage. Case studies of both oxidized milk and high lipase action will be presented along with possible solutions.

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Duration: 60 mins
Sekeita Lewis-Johnson, BSN, RN, IBCLC, DNPc
Marijuana and Breastfeeding: A Second Look, A Better Approach
United States Sekeita Lewis-Johnson, BSN, RN, IBCLC, DNPc

Sekeita Lewis-Johnson is a Registered Nurse and International Board-Certified Lactation Consultant (IBCLC). She earned her Bachelor of Science degree in Nursing from Michigan State University in 1997. Most of her career has been as a labor and delivery nurse, with almost 10 years of experience as a Lactation Consultant. She consults with clients in the hospital setting, as well, as outpatient settings. She is currently a Doctor of Nursing Practice candidate at Wayne State University. Passionate about breastfeeding and its health outcomes, Sekeita provides lactation services with an emphasis on exclusivity.
Sekeita recently received “The People’s Choice Award” from the Michigan Council of Nurse Practitioners for her Poster Presentation titled: Implicit Bias of Health Care Providers and Breastfeeding Disparities Amongst African American Women. Additionally, she was awarded “IBCLC of the Decade” by Black Mothers’ Breastfeeding Association. She participated in a Community Innovations Project for the Massachusetts Institute of Technology (MIT). She is currently the President of Black Mothers’ Breastfeeding Association.

Objective 1: List current clinical recommendations regarding marijuana use and breastfeeding based on current evidence;

Objective 2: Describe opportunities for growth related to equitable care practices of lactation management regarding marijuana use; and

Objective 3: Verbalize the impact of policies and bias on the influence lactation management and marijuana use.

United States Sekeita Lewis-Johnson, BSN, RN, IBCLC, DNPc

Legalization of marijuana for medicinal and recreational purposes presents challenges for health care providers in maternal-child health. Inconsistent messaging regarding marijuana use and lactation management is creating alarm for patients and health care organizations alike. Oftentimes, policies and policing of marijuana use are filtered by biases. This webinar will explore current literature regarding marijuana use and breastfeeding, as well as, confusing and inconsistent messaging and policies regarding marijuana use while breastfeeding. Discussion will include recommendations for equitable care practices regarding this topic.

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Duration: 76 mins
Shu-Fang Wang, PhD, RN, CNM, IBCLC
B Theory of Breastfeeding: Baby-Breast-Brain-Backup Axis (Mindfulness-Based Stress Reduction)
Taiwan Shu-Fang Wang, PhD, RN, CNM, IBCLC

I am the mother of three breastfed children. Certified as an IBCLC in 2007, the next year, in 2008, setup the first IBCLC clinic in the medical center in Taiwan. As the President of the Chinese Lactation Consultant Association from 2015 till now. I have been teaching in the university for 30 years and as a part-time associate professor in the Department of Midwife & Women Health, National Taipei University of Nursing and Health Science, Taiwan now. After I retired from the university, I fund and as the CEO of WELL International Co., aims to promote the three-stages certification of profession lactation support competence.

Objective 1: Describe the B theory of breastfeeding and mindfulness-based stress reduction

Objective 2: Apply mindfulness to change the brain’s perception and feedback of breastfeeding

Objective 3: Describe strategies for empowering families to work with their care provider to solve their breastfeeding difficulties

Taiwan Shu-Fang Wang, PhD, RN, CNM, IBCLC

Breast is best. The World Health Organization recommends that exclusive breastfeeding for at least the first six months after birth. Breastfeeding 10 times a day and each lasts for 30 minutes for 180 days; that sum up to 54,000 minutes devoted for "healthy next generation". Wang (2008) propose the B theory of breastfeeding: Baby-Breast-Brain-BackUp axis, an interpretation and application of the lactation mechanism with a new perspective. Breastfeeding is involving physical, psychological and social aspects of life. How does the lactation consultant based on counseling skills, apply the Mindfulness-Based Stress Reduction (MBSR) to empower breastfeeding women, who can activate the positive brain feedback, prompt oxytocin reflexes, and bravely express individual needs. A breastfeeding friendly society therefore be fostered and the breastfeeding family could truly enjoy their breastfeeding goals & lives.

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Duration: 60 mins
Reflections on a Breastfeeding Peer Counselor Program in Lebanon: Lessons Learned and Looking Forward

Tamara Drenttel Brand holds an MA in Near Eastern Studies from the University of Arizona and a Master’s in Public Health (MPH) from the American University of Beirut. She spent 10 years in the Middle East, where she worked as a public health practitioner, infant and maternal health consultant and an IBCLC. She has supported breastfeeding dyads from all over the world both in private practice and as a volunteer. In 2011, she founded and still actively facilitates “Mama 2 Mama Beirut Breastfeeding Support,” the largest breastfeeding peer support network in the Middle East (currently at 25k+ members). Additionally, she founded Galactablog, a professional group for lactation specialists and those aspiring-to-be (currently at 4.7k+ members) and has authored several articles for La Leche League’s monthly leader publications in both the Middle East and Ireland.

She is currently an international speaker on the topics dealing with breastfeeding in the Middle East, innovative lactation teaching strategies, working in resource-scarce settings, providing culturally sensitive lactation support, developing and implementing peer counselor training programs, mast cell disease and other related topics. Due to her own chronic health conditions, she has a special interest in educating others about mast cell disease and supporting those with chronic illnesses. She currently resides in a seaside village in Ireland with her family.

Objective 1: Identify at least 2 reasons Breastfeeding Peer Counseling (BPC) Training Programs are effective in increasing breastfeeding rates;

Objective 2: Describe 5 basic components to consider when developing a BPC Training Program; and

Objective 3: List at least 1 quantitative and 1 qualitative method to utilize when conducting a BPC Training Program evaluation; and

Objective 4: Discuss at least 2 ethical considerations to take into account when developing, implementing and/or evaluating a BPC Training Program.


Breastfeeding rates are exceptionally low in Lebanon. Only 40% of mothers exclusively breastfed through the first month and 2.4% continued to exclusively breastfeed between 4 and 5 months. In 2012, I developed, implemented and evaluated a pilot Breastfeeding Peer Counselor (BPC) Training Program in Beirut, Lebanon. I chose this format since BPCs are adaptable to local contexts and studies have shown that that improve rates of breastfeeding initiation, duration, and exclusivity in a variety of settings and across diverse populations.

The program successfully trained 8 BPCs and led directly to the establishment of the largest mother-to-mother peer breastfeeding online support network in the Middle East (over 11,000 members to date). This presentation will provide participants with the knowledge to develop, adapt, and implement their own BPC Training programs suited to their local context. In addition, this presentation will reflect upon ethical considerations of such programs and will offer guidance on the process of program evaluation. This will allow participants to identify their own program’s strengths and weaknesses, which can improve the effectiveness of subsequent organizations.

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Duration: 59 mins
Eithne Murray, IBCLC, BEd, MA, Dip BfC
Mothering Experiences: The Development of Self-Efficacy in First Time Mothers
Ireland Eithne Murray, IBCLC, BEd, MA, Dip BfC

Eithne Murray developed a passion for breastfeeding as a result of her own experience as a mother – a passion she did not know she had. She initially trained as a breastfeeding counsellor with NCT in the UK and, upon moving back to Ireland, trained as a breastfeeding counsellor with Cuidiú-the Irish Childbirth Trust, later becoming a tutor. She qualified as an IBCLC in 2009, and worked privately for a while. She now works predominantly in education. This presentation was based on the research undertaken for a dissertation on transition to motherhood as part of her studies for a Masters degree.

Objective 1: Describe the concept of self-efficacy in new mothers

Objective 2: List themes in the transition to motherhood

Objective 3: Describe the styles of support preferred by many mothers

Ireland Eithne Murray, IBCLC, BEd, MA, Dip BfC

Aims: The aims of this study were to explore the role of education and support in the development of self-efficacy in first-time mothers during the transition to motherhood.

Methodology: Using a qualitative approach, first time mothers, whose babies were less than 15 months old, were recruited from among women who had attended various models of antenatal classes They took part in a semi-structured interview on their experiences and personal constructs relating to the perceived quality of support they received were then elicited.

Findings: Becoming a mother was a process that held great meaning for all the mothers. For the women interviewed, breastfeeding was both a practice and a process which held meaning for these women. The impact of the various forms of antenatal classes in developing self-efficacy for all parental tasks is explored. The elicitation of personal constructs provides a novel format for women to evaluate the quality of the support they received – a topic which has been seldom researched.

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Duration: 64 mins
Elaine Burns, RM, RN, PhD
Liquid Gold from the Milk Bar: Health Professional Language and Practices When Providing Breastfeeding Support
Australia Elaine Burns, RM, RN, PhD

Dr Elaine Burns is a Registered Midwife and Senior Lecturer at Western Sydney University and Chair of the NSW Branch of the Australian College of Midwives. Elaine has worked in the area of midwifery and women’s health for more than two decades and has an established track record as clinician, educator and researcher. Her current research interests focus around midwifery practice during the early postnatal period and peer and professional breastfeeding communication. Elaine is passionate about improving support for women who are breastfeeding and the early transition to mothering.

Objective 1: Describe the impact of the language used when discussing breastfeeding with new mothers

Objective 2: Discuss the components of communication which can enhance mother-infant connectivity and those which can hinder this connection.

Objective 3: Analyze their own language and practices when providing breastfeeding support and assess whether communication can be enhanced.

Australia Elaine Burns, RM, RN, PhD

The language and practices of health professionals can impact upon how a woman feels about breastfeeding and her breastfeeding baby. This presentation will report on the observed, and audio recorded, language used by health professionals during the early establishment phase of breastfeeding. Much of the language positioned breastfeeding as the mechanical production of nutritious fluid rather than a relational interaction between mother and baby. At times the infant was positioned as an antagonistic being with the capacity to ‘think and decide’ whether to cooperate with breastfeeding. An alternative discourse emerged from a more relationship-focused approach to breastfeeding support. This presentation will report on projects which have included the observation of interactions between breastfeeding women and midwives, and/or lactation consultants and/or trained breastfeeding peer supporters. Exemplars of best practice for health professionals, and peer supporters, who provide breastfeeding support during the early establishment of breastfeeding, will be provided.

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Duration: 60 mins
Epigenetic Impact of Breastfeeding on Infant Stress Regulation

Dr. Hawes provides clinical services in the Neonatal Intensive Care Unit and at the Perinatal and Postpartum Clinic at the Center for Children and Families at Women & Infants Hospital, where she treats women and their partners experiencing perinatal mood and anxiety issues. Treatment includes individual and family psychotherapy. She is an assistant professor (adjunct) in the Department of Pediatrics at The Warren Alpert Medical School of Brown University. She trained in adult psychiatry and mental health at the University of Rhode Island and is board certified in adult psychiatric-mental health advanced practice nursing. Her research, clinical work, and lectures focus on stress and trauma related to the premature birth experience. In addition she studies the relationship between nursing practice and parent and infant outcomes; nurse-patient interaction; the healthcare work environment and provider and patient outcomes; and the epigenetics of stress. (

Objective 1: Describe basic epigenetic processes;

Objective 2: Explain the relationship between DNA methylation and infant HPA stress response; and

Objective 3: Describe the impact of exclusive breastfeeding on DNA methylation and decreased cortisol reactivity in infants.


Classic animal studies have shown that maternal care of rat mothers e.g. licking and grooming and arched back nursing, impacts offspring outcomes such as behavior, development, and stress regulation. These outcomes persist over subsequent generations. Epigenetics, the study of how environmental influences affect gene expression, mediates these effects. In this session we will discuss and explore how similar epigenetic mechanisms in humans possibly relate to the protective effects of breastfeeding and maternal tactile stimulation on infant stress reactivity.

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Duration: 60 mins
Equity and Safer Infant Feeding in Times of Disaster and Civil Unrest

Lourdes Santaballa is a community activist and organizer, with a background in domestic violence, affordable housing, and economic equity advocacy. A La Leche League leader from 2009-2017 and IBCLC since 2011, she was the founder of the lactation program at sePARE, providing coordinated services to low income families, leading it to receive the ILCA Care Award and received the Wilson-Clay Hoover Award for Research. Lourdes received the notorious Drs. Ruth Lawrence and Audrey Naylor Legacy Scholarship in 2016 by the United States Breastfeeding Committee, the Miriam H. Labbok Award for Excellence at the Breastfeeding and Feminism conference in 2018 and is currently completing her master’s degree in clinical nutrition. In October 2017, following Hurricanes Irma and Maria, Lourdes founded Alimentación Segura Infantil or ASI, an Infant and Young Child feeding program focused on increasing breastfeeding, leadership and training in marginalized communities in Puerto Rico.

Objective 1: Identify the unique feeding needs and risks of infants and young children and their parents following a disaster situation;

Objective 2: Incorporate low technology interventions and feeding techniques, focusing on preserving or augmenting lactation or reducing risk with substitute feeding for families affected by the lack of resources including utilities and equipment; and

Objective 3: Develop intervention techniques that emphasize equity, linguistically and culturally appropriate services, local community identified initiatives and resources, and the rejection colonial models of humanitarian intervention.


In times of civil instability and changing global climate, we risk natural disasters, infrastructure failure, terrorist situation, police brutality, mass migration, chemical accident, war or other type of emergencies. Infants and young children under the age of 2 are the most vulnerable due to their dependence on adults for survival and their delicate physiology. We know that lactation in emergencies saves lives, yet the unrest that occurs in the days immediately after the disaster may contribute to premature weaning. At the same time, many babies are not breast or chestfed at all or only partially. This session will explore the methods to preserve breastfeeding, decrease the use of formula and other human milk substitutes, promote relactation, and teach appropriate complementary feeding in a disaster appropriate, low tech and resource limited environment. We will also discuss the colonial and patriarchal of humanitarian relief and how to make equity our focal point.

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Duration: 60 mins
Stephanie Carroll, MBA, IBCLC, CLC, CLS
Barriers to Breastfeeding in Appalachia: A Sociocultural Perspective
United States Stephanie Carroll, MBA, IBCLC, CLC, CLS

Stephanie Carroll is an International Board Certified Lactation Consultant (IBCLC) who lives in southeast Ohio with her two daughters. She founded the Appalachian Breastfeeding Network in May of 2016. Now has grown to over 500 members across 15 states. Stephanie owns a private practice and works for a Breast Pump DME part-time. She also works as a speaker and marketing manager for Lactation Education Consultants. She continues to work towards transformation of breastfeeding culture, women's health equity, and increasing access to care in Appalachia, giving a voice to Appalachia, which continues to be underserved and overlooked.

Objective 1: Describe Appalachian culture in means of a woman’s expectations, from family life to healthcare surroundings.

Objective 2: Discuss specific barriers in women’s healthcare in Appalachian; specifically of birthing age.

Objective 3: Describe tools to help create a new culture trend in Appalachia centered around breastfeeding success and duration

United States Stephanie Carroll, MBA, IBCLC, CLC, CLS
Abstract:Appalachia - the physical region along the Appalachian mountains, stretching from southern New York to northern Alabama, is often described as simply an area on a map of the United States. However, Appalachia is a separate entity and culture from the rest of the country in many ways. Breastfeeding trends and attitudes can be quite different in this area, and we notice a much lower rate of initiation and duration rates that coincide with these cultural attitudes.

The issue of lower breastfeeding rates in Appalachia goes beyond poverty – as many women in the region are willing to travel out of the area to receive good care. Why isn’t access to care easier to obtain in these rural areas? Why are women getting most of their prenatal education from their family members – making much of the education outdated and incorrect? Why have these women lost trust in their healthcare providers that are local?
The answers to these question reverts back to two major conclusions:

  1. Women are still considered second class in Appalachia and;
  2. Many healthcare providers do not understand Appalachian culture in order to serve them in the best way possible.

This presentation will discuss: a. What these specific barriers are; b. How we, as health professionals, can approach these barriers; c. How to help to create a new culture trend; and d. How to empower Appalachian women to take hone of their healthcare – specifically their birth and breastfeeding journey.

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Duration: 67 mins
Nancy Williams, MA, Marriage and Family Therapist, CCE, IBCLC
Teens 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: List at least three unique challenges for the teen mother;

Objective 2: Describe breastfeeding barriers for the teen mother; and

Objective 3: Discuss strategies for supporting the teen mother.

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

Current information on working with teen mothers includes issues such as body art, nutrition, grandmothers, and adolescent brain development. Strategies for connecting with and teaching these mothers will be addressed.

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Duration: 60 mins
Carole Hervé, IBCLC, BNCLC
Could Breastfeeding Help Prevent and Overcome Sensory Food Aversion?
France Carole Hervé, IBCLC, BNCLC

Carole Hervé is a private IBCLC (since 2011). She helps breastfeeding mothers at home or location of their choice, mostly in Paris and in the nearest neighborhood.

Prior to opening her private practice, she has been a La Leche Leader since 2008. Carole is passionate about information-gathering, education, articles writing, communications and training to provide lactation consulting and sensitive support to the families she works with.

She has been trained to support families with Sensory Food Aversion issues by Catherine Senez, a speech therapist in 2013 and is also BNCLC (Biological Nurturing Certified Lactation Consultant®).

She has been a speaker at the GOLD Lactation Online Conference in 2012, and in 2013 she translated 20 presentations from the GOLD Lactation Online Conference into French.

Carole has been strongly involved in the coordination of the International Breastfeeding Day (Journée Internationale de l’Allaitement), an event organized by La Leche League France. Carole is the mother of three children born in 2001, 2003 and 2006.

Objective 1: Describe Sensory Food Aversions
Objective 2: Discuss its impact on babies and the general population
Objective 3: Discuss oral desensitization massages as a tool to help families

France Carole Hervé, IBCLC, BNCLC

Children with Sensory Food Aversions consistently refuse to eat certain foods related to the taste, texture, temperature, smell and/or appearance. Feedings or mealtimes are therefore a displeasure for everyone. 
Oral disorders are eating disorders caused by hypersensitivity.

Food aversions are common and believed to occur along a spectrum of severity, with some children reluctant to try new foods, and refusing whole food groups (vegetables, fruits, meats). Indeed, after an aversive experience, some children tend to generalize and refuse foods that look and/or smell like the aversive food (e.g., aversion to broccoli may be generalized to all green foods).

Reactions to the aversive foods can range from grimacing to gagging, throwing up, or spitting out the food. Some babies cannot even accept to be touched near their face, or mouth, they may not accept to be held in a wrap. Some children can't stand to have dirty hands, to walk in the sand, to be touched.

While this can be a challenge when a mother is trying to start solid food, this hypersensitivity may also even start with breastfeeding.

Babies need proper nutrition to grow and thrive, and difficulties with feeding in infancy can be a worrisome and become a dangerous condition. There are many different reasons why a baby may struggle with feeding. All merit evaluation and treatment. This conference aims at exploring solutions to support families who deal with oral aversion.

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Duration: 61 mins
Kathleen Kendall-Tackett, PhD, IBCLC, FAPA
Lessons to Learn from Fed Is Best: How Can We Improve Our Care?
U.S.A. Kathleen Kendall-Tackett, PhD, IBCLC, FAPA

Kathleen Kendall-Tackett is a health psychologist and International Board Certified Lactation Consultant, and the Owner and Editor-in-Chief of Praeclarus Press, a small press specializing in women's health. Dr. Kendall-Tackett is Editor-in-Chief of two peer-reviewed journals: Clinical Lactation and Psychological Trauma. She is Fellow of the American Psychological Association in Health and Trauma Psychology and Past President of the APA Division of Trauma Psychology. Dr. Kendall-Tackett specializes in women's-health research including breastfeeding, depression, trauma, and health psychology, and has won many awards for her work including the 2017 President’s Award for Outstanding Service to the Field of Trauma Psychology from the American Psychological Association’s Division of Trauma Psychology. Dr. Kendall-Tackett has authored more than 460 articles or chapters and is author or editor of 38 books.

Objective 1: Describe how providers influence mothers’ oxytocin levels, either positively or negatively, and the long-term effects of these interactions.

Objective 2: Describe how birth and postpartum interventions (such as rooming in and skin-to-skin care) can influence oxytocin levels.

Objective 3: Describe the implications of the lack of basic breastfeeding support that can occur due to a mother's race/ethnicity or body-mass index

U.S.A. Kathleen Kendall-Tackett, PhD, IBCLC, FAPA

Fed is Best is a foundation with a major social media presence who seek to warn parents and practitioners about the dangers of insufficient exclusive breastfeeding. Through their social media campaigns that have galvanized a backlash against exclusive breastfeeding, lactation care providers, and the Baby-Friendly Hospital Initiative. Although lactation specialists disagree with much of their content, they have raised awareness about mothers who do fall through the cracks of our care system and may suffer as a result. The steep drop-off in rates of exclusive breastfeeding is an indication of this. This presentation will examine three provider-level barriers that negatively impact breastfeeding and what we can do to improve care so that mothers will reach their breastfeeding goals.

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Duration: 60 mins
Dr. Natalie Shenker, BM, BCh (Oxon), PhD (Imp)
The Resurgence and Role of Human Milk Banking
England Dr. Natalie Shenker, BM, BCh (Oxon), PhD (Imp)

Dr Natalie Shenker is a former surgeon, scientist, and the cofounder of the Human Milk Foundation, which aims to ensure more babies are fed with human milk. As well as supporting a range of educational and research studies, the HMF aims to ensure assured access to screened donor milk through a network of human milk banks based on the cost-effective innovative model of the Hearts Milk Bank (HMB). Milk banks provide screened breastmilk to premature babies whose own mothers need time to establish breastfeeding, protecting them from a range of life-threatening complications and supporting the mother to breastfeed. The HMB has been operating in the UK for 18 months, and has supported neonatal units as well as families in the community where breastfeeding is impossible or taking time to establish.

Objective 1: Describe the history of milk banking

Objective 2: Discuss the roles of milk donation in public health, including beyond the NICU

Objective 3: Describe the physiology and significance of an exclusive human milk diet

England Dr. Natalie Shenker, BM, BCh (Oxon), PhD (Imp)

Evolution has created human milk as a way to protect the baby postnatally, patterning the immune system and microbiome, and providing diverse developmental cues for each organ system to develop normally. Milk also provides nutrition. When screened donated human milk (DHM) is available, mothers facing the most stressful circumstances of having an ill premature baby tend to have high chances of establishing breastfeeding. If donor milk is used appropriately as a bridge to lactation, they are less likely to perceive that their bodies have failed. The work of the Hearts Milk Bank over 18 months have laid the foundation for a UK-centred drive to upscale milk bank capacity, facilitate research to determine the optimal use of donor milk, and support a shift in perception about the role of human milk, underpinned by the latest science.

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Duration: 75 mins
Kathleen Kendall-Tackett, PhD, IBCLC, FAPA
Does Breastfeeding Protect Maternal Mental Health? The Role of Oxytocin and Stress
U.S.A. Kathleen Kendall-Tackett, PhD, IBCLC, FAPA

Kathleen Kendall-Tackett is a health psychologist and International Board Certified Lactation Consultant, and the Owner and Editor-in-Chief of Praeclarus Press, a small press specializing in women's health. Dr. Kendall-Tackett is Editor-in-Chief of two peer-reviewed journals: Clinical Lactation and Psychological Trauma. She is Fellow of the American Psychological Association in Health and Trauma Psychology and Past President of the APA Division of Trauma Psychology. Dr. Kendall-Tackett specializes in women's-health research including breastfeeding, depression, trauma, and health psychology, and has won many awards for her work including the 2017 President’s Award for Outstanding Service to the Field of Trauma Psychology from the American Psychological Association’s Division of Trauma Psychology. Dr. Kendall-Tackett has authored more than 460 articles or chapters and is author or editor of 38 books.

Objective 1. Describe the stress and oxytocin systems and how they are governed by the paraventricular nucleus

Objective 2. Discuss how birth interventions, such as Pitocin and epidurals, increase the stress response and decrease naturally occurring oxytocin

Objective 3. Discuss the role of exclusive breastfeeding in better maternal sleep and mental health

U.S.A. Kathleen Kendall-Tackett, PhD, IBCLC, FAPA

Depression research contains many conclusions that appear to contradict each other regarding the role of breastfeeding. For example, breastfeeding lowers the risk of depression, but depression increases the risk that breastfeeding will fail. Moreover, breastfeeding problems increase women's risk of depression. These findings are not as contradictory as they may seem. By understanding the underlying physiological mechanism, we can understand these seemingly paradoxical findings. This presentation will describe the link between the stress and oxytocin systems, and how they relate to both maternal mental health and breastfeeding. When the stress system is upregulated, depression and breastfeeding difficulties follow. Conversely, when oxytocin is upregulated, maternal mental health and breastfeeding rates improve. This talk also includes the role of birth interventions and mother-infant sleep, as well as practical strategies that increase oxytocin.

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Duration: 75 mins
Lyndsey Hookway, BSc, RNC, HV, IBCLC
Addressing Complex Sleep Problems While Optimizing Breastfeeding
United Kingdom Lyndsey Hookway, BSc, RNC, HV, IBCLC

Lyndsey is an experienced paediatric nurse, children’s public health nurse, International Board Certified Lactation Consultant, Holistic Sleep Coach, researcher and responsive parenting advocate. She has worked in hospitals, clinics, the community and within clients’ homes for 20 years, serving within the UK NHS, in private practice and voluntarily.
The co-founder and clinical director of the Holistic Sleep Coaching program, Lyndsey regularly teaches internationally, as well as providing mentorship for newer sleep coaches. She is passionate about responsive feeding, gentle parenting and promoting parental confidence and well-being.
With Professor Amy Brown, she is the co-founder of Thought Rebellion – an education and publishing company seeking to inspire, challenge and equip professionals and writers in the parenting, lactation and perinatal space with an evidence based revolution.
Lyndsey is currently a PhD researcher at Swansea University, exploring the needs and challenges of medically complex breastfed infants and children. In 2019 she set up the Breastfeeding the Brave project to raise awareness of the unique breastfeeding needs of chronically, critically, and terminally ill children in the paediatric setting. The mother of a childhood cancer survivor, she often talks about the impact of chronic serious illness on families, and seeks to support other families living through a serious childhood illness.
Lyndsey is a respected international speaker and teacher, and regularly speaks out against the dominant sleep training culture, as well as advocating for the rights of families to receive high-quality, compassionate and expert support. She is the author of Holistic Sleep Coaching (2018), Let’s talk about your new family’s sleep (2020), Still Awake (2021), Breastfeeding the Brave (2022) and co-author of The Writing Book (2022).

Objective 1: Describe core principles of sleep biology

Objective 2: Discuss the importance of supporting families with complex sleep problems

Objective 3: List some sleep scenarios

Objective 4: Explain practical support options for optimizing sleep in breastfeeding families

United Kingdom Lyndsey Hookway, BSc, RNC, HV, IBCLC

Many health, lactation, and childcare professionals find themselves in a position where the families they work with require support with sleep. Without readily accessible, evidence-based, gentle and effective sleep support, some of these families turn to sleep training which often leaves breastfeeding abandoned in the quest for more sleep.

Understanding key sleep biology principles, and being able to apply these to both simple and complex sleep scenarios can empower parents with the tools they need to maintain breastfeeding while also getting more sleep. In this presentation, we will explore some key concepts, and apply them to some practical real-life examples of both adults and infant-related sleep problems.

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Duration: 60 mins
It’s Time For a Change in the Way We Market Breastfeeding and Human Milk (Panel Discussion)

Kathleen Kendall-Tackett, PhD, IBCLC, FAPA, is a health psychologist and International Board Certified Lactation Consultant, and the Owner and Editor-in-Chief of Praeclarus Press, a small press specializing in women's health. Dr. Kendall-Tackett is Editor-in-Chief of two peer-reviewed journals: Clinical Lactation and Psychological Trauma. She is Fellow of the American Psychological Association in Health and Trauma Psychology and Past President of the APA Division of Trauma Psychology. Dr. Kendall-Tackett specializes in women's-health research including breastfeeding, depression, trauma, and health psychology, and has won many awards for her work including the 2017 President’s Award for Outstanding Service to the Field of Trauma Psychology from the American Psychological Association’s Division of Trauma Psychology. Dr. Kendall-Tackett has authored more than 460 articles or chapters and is author or editor of 38 books.

Amy Brown, PhD, Professor, is based in the Department of Public Health, Policy and Social Sciences at Swansea University in the UK. With a background in psychology, she has spent the last thirteen years exploring psychological, cultural and societal influences upon infant feeding decisions in the first year. Her research seeks to understand how we can shift our perception of how babies are fed away from an individual mothering issue to a wider public health problem – with societal level solutions. Dr Brown has published over 60 papers exploring the barriers women face in feeding their baby during the first year. She is a mother to three human children and three book babies: Breastfeeding Uncovered: Who really decides how we feed our babies, Why starting solids matters, and The Positive Breastfeeding Book: Everything you need to feed your baby with confidence. She is a regular blogger, aiming to change the way we think about breastfeeding, mothering and caring for our babies.

Nekisha Killings, MPH, IBCLC, LLLL, is an experienced marketer, writer, equity strategist, and international board certified lactation consultant. After spending years in consumer-packaged goods marketing and community partnership building, followed by a decade of public relations and ghostwriting, she found her life’s work in lactation support and maternal and child health equity through her personal experiences with birth and breastfeeding. Nekisha contributed the chapter on Cultural Humility in the latest Core Curriculum for Interdisciplinary Lactation Care. She acts as equity strategist for lactation-related organizations that seek to better reach underserved communities. Recently, she co-founded Nikki & Nikki: Lactation Career Consultants, an organization dedicated to equipping aspirants of color to sit the IBCLC exam. In addition to being spouse to an active duty United States Air Force member, Nekisha also homeschools three little future world changers and enjoys writing and research on the impact of historical trauma on families’ breastfeeding experiences today.

Objective 1: Describe the importance of marketing breastfeeding and human milk

Objective 2: Describe the impact of recent public health marketing campaigns

Objective 3: List at least 3 examples of ways in which marketing of breastfeeding and human milk could be improved


We don’t often think about “marketing” breastfeeding/chestfeeding and human milk, but when it comes to public health messaging, that’s exactly what we’re doing. Marketing is defined as “the action or business of promoting and selling products or services, including market research and advertising”. Recent public health campaigns have been successful at increasing breastfeeding initiation rates, but the duration of exclusive breastfeeding remains low, certain groups that question the safety of exclusive breastfeeding are gaining traction, and lactation professionals continue to be seen as “pushing breastfeeding” and causing feelings of guilt of shame. Clearly it is time for a change. This panel of experts will look at the reasons why marketing of breastfeeding and human milk is important, the impact of recent marketing campaigns, and what we could be doing better.

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CERPs - Continuing Education Recognition Points
Applicable to IBCLC Lactation Consultants, Certified Lactation Consultants (CLCs), CBEs, CLE, Doulas & Birth Educators. GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07. 27.5 CERPs (23.5 L-CERPs/1 E-CERP/3 R-CERPs) Approved.

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: 8 Weeks

Tags / Categories

(IBCLC) Clinical Skills, (IBCLC) Education and Communication, (IBCLC) Equipment and Technology, (IBCLC) Infant, (IBCLC) Infant, (IBCLC) Maternal, (IBCLC) Maternal, (IBCLC) Pharmacology and Toxicology, (IBCLC) Psychology, Sociology, and Anthropology, (IBCLC) Public Health and Advocacy, Breast and Nipple Pain, Breastfeeding & Health, Breastfeeding Advocacy, Breastfeeding in Emergencies, Breastfeeding Support, Breastmilk / Human Milk, Cultural Competency, Drug & Alcohol Use, Establishing Breastfeeding, Human Milk Banks, IBCLC & Legal Issue / Situations, Infant Nutrition, Infant Sleep, Legal Issues & Breastfeeding, Maternal Illness, Mindfulness & Stress Reduction in Breastfeeding, Peer Support for Breastfeeding, Perinatal Mood and Anxiety Disorders, Pumping & Milk Expression, Sleep, Slow Weight Gain, Stress & Child Development, Teens & Breastfeeding, Tongue & Lip Tie Assessment, Trauma & Breastfeeding, Weaning

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