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Optimizing Milk Production Lecture Pack

Concerns about milk production are the primary reason for supplementing and premature weaning. Because of this, it is essential for health care providers who are supporting breastfeeding families to have a thorough understanding of how milk synthesis works. There are numerous factors to consider including the anatomy of the breast, hormone levels, the baby’s ability to effectively remove milk, the frequency of feedings etc. Join our experts for a focused look at what we know about milk production, how to establish, and maintain it, and specialized situations such as exclusive pumping and relactation.

$110.00 USD
Total CE Hours: 6.00   Access Time: 4 Weeks  
Lectures in this bundle (6):
Duration: 65 mins
Wendy Jones, PhD, MRPharmS
Galactogogues and Breastfeeding
UK Wendy Jones, PhD, MRPharmS

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

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

Objective 1: Describe why do women perceive they have a low milk supply;

Objective 2: Discuss what herbal or food remedies women recommend to each other and are they effective;

Objective 3: Analyze the evidence behind prescribed medication to increase milk supply.

UK Wendy Jones, PhD, MRPharmS

We know that the most common reason mums stop breastfeeding before they would otherwise choose is because they believe they don’t have enough breastmilk. In many cultures there a herbal remedies to increase milk supply. We have medicinal options available as well. What is the research behind the “magic wands”? Can any products cause harm rather than benefit? When should they be used and when is skilled breastfeeding support more important? Why is some populations is poor milk supply never a concern? Who is responsible for the perceived need to increase milk supply?

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Duration: 62 mins
Nancy Mohrbacher, IBCLC, FILCA
Concerns About Low Milk Production
United States Nancy Mohrbacher, IBCLC, FILCA

Nancy Mohrbacher was born and raised in the Chicago area, where she lives today. She is a board-certified lactation consultant who has been helping nursing mothers since 1982. Her breastfeeding books for parents and professionals include Breastfeeding Answers Made Simple and its Pocket Guide; Breastfeeding Made Simple(with Kathleen Kendall-Tackett); Working and Breastfeeding Made Simple; and Breastfeeding Solutions and its companion app for Android and iPhone.

Nancy currently contracts with hospitals to improve breastfeeding practices, writes for many publications, and speaks at events around the world. Nancy was in the first group of 16 to be honored for her lifetime contributions to breastfeeding with the designation FILCA, Fellow of the International Lactation Consultant Association.

Objective 1: Describe milk production norms during the hospital stay and evaluate the validity current methods of assessing the need for supplements;

Objective 2: Discuss the effects of breast storage capacity on an employed mother’s need to express milk;

Objective 3: Summarize the strategies a mother with a history of low milk production can use to maximize her milk supply with the next baby.

United States Nancy Mohrbacher, IBCLC, FILCA

This talk provides an analysis of the challenges associated with assessing milk adequacy during the hospital stay, the need for supplements, and when supplements are needed, recommended feeding volumes and methods. It also includes strategies for helping employed mothers use the Magic Number concept to keep milk supply steady long term and planning tips for the next baby when a mother had previous milk-production issues.

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Duration: 59 mins
Kimarie Bugg, DNP (s), RN, MPH, IBCLC
Establishing & Maintaining Milk Production When Exclusively Pumping
USA Kimarie Bugg, DNP (s), RN, MPH, IBCLC

Kimarie Bugg is currently a Doctor of Nursing Practice student and is President and CEO of Reaching Our Sisters Everywhere (ROSE), a National nonprofit corporation developed in 2011 to address breastfeeding inequities in the African American community. Kimarie previously worked for Emory University, School of Medicine, as a nurse practitioner. She is a member of the faculty for CHAMPs, a Baby Friendly Hospital Initiative, and chair of the nominating committee of United States Breastfeeding Committee. She also provides training for healthcare providers and community transformers nationwide. She completed a Community Health Leadership Program, within the Satcher Health Leadership Institute at Morehouse School of Medicine that stressed best practices to provide global health equity and eliminating health disparities through action-oriented projects. In 2016, Kimarie received a Legacy Award from the United States Breastfeeding Committee for her work in the breastfeeding arena for 38 years. She believes that Truth, Racial Healing and Transformation can take place in marginalized communities, starting with Breastfeeding. Kimarie lives in the Atlanta area with her husband, Dr. George W. Bugg Jr, a neonatologist and they are the parents of 5 adult children.

Objective 1: Discuss the therapeutic use of breastfeeding aid devices and equipment;

Objective 2: Discuss barriers to establishing breastfeeding as the societal norm;

Objective 3: Describe a Plan for BF maintenance in therapeutic feeding plan.

USA Kimarie Bugg, DNP (s), RN, MPH, IBCLC

In this presentation, you will learn about working with mothers' who are struggling to maintain their milk supply when infant is unable to latch or they have an infant in the NICU or wanting to plan ahead and maintaining a supply perhaps while they are either returning to work or school.

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Duration: 55 mins
Relactation and Induced Lactation

Annet Mulder became interested in breastfeeding when she became a mother in 2000. During and because of her own breastfeeding experiences, in 2002 she became a volunteer at the Dutch breastfeeding organisation. In 2008 she passed her exam and started working as an IBCLC in a BFHI hospital in the Netherlands. In 2011 she started her private practice. Annet has spoken on several symposia and conferences. Teaches different subjects to lactation consultants in training and is vice president at the Dutch Association of IBCLC’s. (NVL)

Objective 1: Describe what relactation and induced lactation means;

Objective 2: Discuss different goals with mothers;

Objective 3: Discuss how to give mothers lactational support.


If a woman wants to induce their milk supply after a separation or interruption of breastfeeding, she needs support. A lot of support! There are different angles to look at; latching on again and bringing back a sufficient milk supply. But success is not guaranteed…With dedication and preparation, breast-feeding without pregnancy (induced lactation) might also be possible. Annet will discuss different options and will use her experiences with mothers in this topic.

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Duration: 60 mins
Barbara Robertson, MA, IBCLC, LLL
Breastfeeding by the Numbers: What do They Mean and When are They Useful?
USA Barbara Robertson, MA, IBCLC, LLL

Barbara D. Robertson, IBCLC, has been involved in education for over 34 years. She received a Bachelor’s degree in Elementary Education in 1988 and her Master’s in Education in 1995. Barbara left teaching elementary students in 1995 to raise her two children. Barbara is now the Director of The Breastfeeding Center of Ann Arbor and of the brand new business LactaLearning.

The Breastfeeding Center of Ann Arbor will still continue to serve breast/chestfeeding families and now LactaLearning will be dedicated to all of Barbara’s professional lactation trainings. Barbara has developed two 95 hour professional lactation training, a group training and a completely self study training with Nancy Mohrbacher. Barbara’s idea of creating professional book groups has exploded with her hosting Making More Milk with Lisa Marasco, Supporting Sucking Skills with Cathy Watson Genna, Breastfeeding Answers, 2nd Edition with Nancy Mohrbacher, and new for the fall, Safe Infant Sleep with Dr. James McKenna. Barbara will be hosting a one day online conference in the fall with Lisa Marasco and Cathy Watson Genna using all of her tech savvy skills to make this a one of a kind experience. Barbara is also a speaker for hire on a wide variety of topics including Motivational Interviewing. Barbara volunteered for the United States Lactation Consultation Association as the Director of Professional Development for 4.5 years.

She just retired as Associate Editor for Clinical Lactation, a journal she helped create for USLCA. Barbara has free podcasts, a blog, and Youtube videos which can all be found on her websites and She has written many articles as well. She loves working with parents and babies, helping them with breast/chestfeeding problems in whatever way she can.

Objective 1: Students will be able to identify 5 ways of confirming good milk transfer;

Objective 2: Students will be able to perform a pre and post weight with a baby and calculate breastmilk transfer;

Objective 3: Students will be able to roughly calculate a baby’s total number of oz or cc they need to consume to grow in a 24 hour period.

USA Barbara Robertson, MA, IBCLC, LLL

Numbers are used all the time in the lactation field. Test weights, percentiles, % of weight gain, are just some of the information that is gathered to help make infant feeding decisions. But what are they really telling us? When are they useful? Using these numbers in a way that actually helps support and promotes breastfeeding are key. Appropriate infant weight gain, how to do a test weight, scale calibration, calculating infant intake, and the possible need for supplementation, will all be covered.

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Duration: 65 mins
Human Milk Synthesis: Just When You Thought You Knew

Tom Johnston is unique as a midwife and lactation consultant and the father of eight breastfed children. Recently retired after 27 years in the US Army, he is now an Assistant Professor of Nursing at Methodist University where he teaches, among other things, Maternal-Child Nursing and Nutrition. You may have heard him at a number of conferences at the national level, to include the Association of Woman’s Health and Neonatal Nurses (AWHONN), the International Lactation Consultant’s Association (ILCA), or perhaps at dozens of other conferences across the country. In his written work he routinely addresses fatherhood and the role of the father in the breastfeeding relationship and has authored a chapter on the role of the father in breastfeeding for “Breastfeeding in Combat Boots: A survival guide to breastfeeding in the military”.

Objective 1: Participants will be able to define Milk Synthesis and Milk Production;

Objective 2: Participants will be shown basic working knowledge of available strategies for measuring milk supply (both synthesis and production), and their limitations;

Objective 3: Participants will learn to choose helpful teaching strategies and counseling styles that will minimize the perceptions of inadequate milk supply.


"I didn't make enough milk!" We hear it on a regular basis from heartbroken new mothers. In fact, this is the number one factor contributing to breastfeeding failure after two weeks of age is a perception of inadequate milk production. This phenomenon of sudden onset lactation failure is widely accepted as a common occurrence among breastfeeding mothers. This topic has been the subject of a number of quality studies that have yielded a conflicting mix of responses from primary health care providers and lactation consultants alike. This discussion will attempt to shed light on the very different concepts of "Milk Production" vs. "Milk Synthesis" and will demonstrate how confusion between those two concepts have clouded the study of milk production, promote the fallacy of "insufficient milk production syndrome", and contribute to the failure of breastfeeding. This presentation will also attempt to provide a preliminary course of action to begin anew in milk production research and perhaps even provide a framework for helping the new mothers facing the milk supply challenge.

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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 send us an email to [email protected] if you have any questions.

Tags / Categories

(IBCLC) Equipment and Technology, (IBCLC) Infant, (IBCLC) Maternal, (IBCLC) Maternal, (IBCLC) Pharmacology and Toxicology, (IBCLC) Physiology and Endocrinology, (IBCLC) Techniques, Induced Lactation & Relactation, Managing Milk Supply, Pumping & Milk Expression

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