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Tongue-tie Lecture Pack

This package addresses the problems faced by infants with structural challenges and compromised sucking skills. As well, this special package touches on current lactation research, and staff education of this health care specialty. This lecture series was originally offered during GOLD Lactation 2014 and GOLD Perinatal 2014.

$85.00 USD
Total CE Hours: 6.00   Access Time: 4 Weeks  
Lectures in this bundle (6):
Duration: 62 mins
Alison K. Hazelbaker, PhD, IBCLC, FILCA, CST, RCST, PPNE
The Faux Tie: When is a "Tongue-tie" NOT a Tongue-tie?
USA Alison K. Hazelbaker, PhD, IBCLC, FILCA, CST, RCST, PPNE

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

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

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

Discuss the events that can cause a tongue to appear tied

List the differences between tongue-tie and faux tie

Describe an assessment process to make a differential diagnosis

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

Has the incidence of tongue-tie increased or are we seeing more cases of "tongue-tie" because of poor differential diagnosis? In this presentation, Dr. Hazelbaker describes the differences between actual tongue-tie and sucking issues that can appear to be tongue-tie due to structural restrictions that pull the tongue back in the throat. She provides the conceptual framework for such an occurrence and shows both pictures and video that help the participant grasp the differences between the two thereby distinguishing a true tie from a faux tie in his or her clinical setting.

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Duration: 60 mins
Edith Kernerman, IBCLC, NBCI
The New IBC Tongue Tie Assessment Tool: From Validation to Practice
Canada Edith Kernerman, IBCLC, NBCI

Edith Kernerman is an International Board Certified Lactation Consultant and clinician in Toronto, seeing over 2000 breastfeeding families each year. She is co-founder and President of the International Breastfeeding Centre (IBC), co-founder and Clinic Director of the Newman Breastfeeding Clinic, (NBC), senior faculty at IBC’s Centre for Breastfeeding Studies, and an IBLCE mentor. She is the creator and founder of the International Meeting of the Minds, co-creator of Dr. Jack Newman’s Visual Guide to Breastfeeding, the L-Eat Latch and Transfer Tool; author of GamePlan for Protecting and Supporting Breastfeeding in the First 24 hours of Life and Beyond, and creator of the Pain Algorithm for Sore Nipples and Breasts. Her recent focus has been 1] not yet latching baby, 2] identifying and treating tongue and lip tie, 3] Mammary Constriction Syndrome. Kernerman is also co-founder and President of the Ontario Lactation Consultants Association. Edith Kernerman has 3 wonderful breastfed children.

1. Identify criteria for assessing tongue tie 2. Differentiate between objective assessment and expert opinion 3. Understand ways to apply assessment criteria to everyday practice

Canada Edith Kernerman, IBCLC, NBCI

The International Breastfeeding Centre has been in need of a validated TT assessment tool that works for newborn and babies of any age, is very quick and easy to administer by a practitioner who has not been trained on the tool, has as few criteria as necessary, captures both anterior and posterior, as well as submucosal ties, is applicable to both breastfeeding and non-breastfeeding babies.  Because of this need, IBC created such a tool and proceeded to have it validated.  To this end IBC's goal was to achieve: 1. Criterion-related validity (compared to HATLFF); 2. Criterion-related validity (compared to physician's assessment); 3. Face validity (>4 Experts); and 4. Inter-rator reliability.

This talk discusses the applications of the IBC TT Assessment Tool, whether or not validation was achieved and the process to achieving it, and how the tool has been put into practice.

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Duration: 60 mins
Melissa Cole, MS, IBCLC
New Thoughts on Infant Pre and Post-Frenotomy Care
U.S.A. Melissa Cole, MS, IBCLC

Melissa Cole is a board-certified lactation consultant, neonatal oral-motor assessment professional and clinical herbalist in private practice. Melissa is passionate about providing comprehensive, holistic lactation support and improving the level of clinical lactation skills for health professional. She enjoys teaching, researching and writing about wellness and lactation-related topics. Her bachelor’s degree is in maternal/child health and lactation and her master’s degree is in therapeutic herbalism. Before pursuing her current path, Melissa’s background was in education and cultural arts, which has served her well in her work as a lactation consultant and healthcare educator. She loves living, working and playing in the beautiful Pacific Northwest with her 3 children.

1. Describe ways to support an infant pre-frenotomy 2. Describe ways to support an infant post frenotomy 3. Identify issues that complicate pre and post frenotomy healing

U.S.A. Melissa Cole, MS, IBCLC

A hotly debated topic among tongue tie professionals is pre and post-frenotomy care. Infants may have varying degrees of suck dysfunction and lip/ tongue mobility issues before and even after release. In addition, wound care of the incision sites, structural support, emotional support for the dyad and optimal feeding care plan formation is vital. Melissa Cole, IBCLC, RLC will present some pre and post-frenotomy case studies and care basics from her own clinical practice that have proven to improve frenotomy healing outcomes. Parents are often exhausted from the physical and emotional roller coaster that feeding a tongue/lip tied infant presents and sensitive care for the whole family is needed. Melissa also recognizes that pre and post-frenotomy care ‘best practice’ is still in its infancy and she proposes a call to research this subject matter further

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Duration: 55 mins
Renee Beebe, M.Ed., RLC, IBCLC
Helping Parents Navigate the Roller Coaster Ride of Tongue-Tie and Breastfeeding
U.S.A. Renee Beebe, M.Ed., RLC, IBCLC

Renee is a board certified lactation consultant in private practice. She has been working in the field of lactation since the birth of her first child in 1990--as a La Leche League Leader, postpartum doula and IBCLC. She draws from her background in education and child development every time she works with a breastfeeding dyad. Since becoming certified in 1997, Renee has supported moms through home, hospital and clinic visits, drop-in groups in the Seattle area and phone and Skype consultations internationally. She has the great fortune to work closely with several local Drs. who do excellent frenotomy. Renee is thankful to live in breastfeeding-friendly Seattle, close to her 2 grown daughters.

1. Learner will name 3 ways to gain trust of parents. 2. Learner will name 2 possible cultural challenges inherent in tongue tie release. 3. Learner will name 2 ways to help parents with conflicting information.

U.S.A. Renee Beebe, M.Ed., RLC, IBCLC

The diagnosis of tongue tie can send parents reeling. Especially true when they receive conflicting information from the pediatrician, various lactation consultants, nurses and other parents. In this age of instant information and social marketing, everyone seems to be an expert. What is a parent to do? Who does a mother trust? What is the right course of action? Using case studies from over 20 years in the field, Renee takes us through the tongue tie journey from the evaluation through the myriad possible steps to successful breastfeeding. Assessment, revision, body work, maintaining milk supply and keeping mothers “in the game” until baby can breastfeed all present challenges to the practitioner. This is especially true since each dyad needs it's own individualized plan that may morph frequently as treatment progresses. Join Renee as she takes you through the process of identification through resolution from the experience of her clients. She will also explore some cultural/regional differences and the challenges working with families through the tongue tie roller coaster.

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Duration: 57 mins
Diagnosis and Management of Tongue Tie and Lip Tie in Breastfeeding

Bobby Ghaheri, MD is a board certified ear, nose and throat specialist with The Oregon Clinic in Portland, OR. His interest in treating children with tongue and lip-tie stems from his ardent support of breastfeeding and was furthered by his personal experiences, as his youngest child benefited from treatment for it. He enjoys working with children and has an interest in traditional and non-traditional approaches to pediatric pain control. To communicate with him, feel free to email him at [email protected] or follow him on Twitter at @DrGhaheri.

1.Demonstrate appropriate techniques for diagnosing tongue or lip tie 2.Understand the techniques for addressing tongue-tie or lip tie  3.Understand the classification systems for lip tie and tongue tie


While most breastfeeding problems can be managed effectively by a lactation consultant, situations arise where conservative interventions are ineffective in improving symptoms of a poor latch. Infant symptoms (aerophagia, poor weight gain, falling asleep prematurely, or frustration at the breast) or mother's symptoms (pain, engorgement, nipple damage) can often be explained by tongue-tie or lip-tie. I will explain effective diagnostic strategies and surgical interventions (scissors vs laser) in addressing these problems.

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Duration: 62 mins
Dr. James Murphy, MD, FAAP, FABM, IBCLC
Ankyloglossia – Recognition of the many different forms & Impact on Breastfeeding and Lifelong Health
U.S.A. Dr. James Murphy, MD, FAAP, FABM, IBCLC

James G. Murphy, MD, is a private practice pediatrician specializing in Breastfeeding Medicine. He was formerly an Assistant Professor of Pediatrics at the F. Edward Hérbert School of Medicine, Uniformed Services University of the Health Sciences. He served 25 years active duty as a physician with the US Navy, 12 years as a contract pediatrician with the US Navy and 6 years as a Government Service Medical Officer at the Naval Medical Center in San Diego, CA. He is a Fellow of the American Academy of Pediatrics, a Fellow of the Academy of Breastfeeding Medicine, Vice President of the San Diego County Breastfeeding Coalition, a member of ILCA and, since 2009, an IBCLC. Dr Murphy began performing lingual frenulotomies in Oct 2003 and has performed over 2800 of these procedures to date including posterior sub-mucosal fibrous bands and 300 Upper Lip Tie releases.

1.Recognize the various forms of presentation of Tongue Tie 2. How I Identify a Lingual Frenulum as Causing a Functional Impairment of Tongue Movement 3. Discuss shared experiences of Clinical Experts regarding Outcomes of Missed Treatment Encounters

U.S.A. Dr. James Murphy, MD, FAAP, FABM, IBCLC

The concept of Tongue Tie has changed as expertise in the recognition and management of this entity has expanded. Also the consequences of not recognizing and effectively managing this entity and the “Faux Ties” which mimic it are many and expanding as data is collected to document the relationship. Breastfeeding is the most obvious and most severely affected function in infancy. Additional problems become apparent as the infant grows and develops into an ever more complicated organism. This presentation will discuss the many variations of tongue anatomy which present as a Tongue Tie, how to recognize each of these and the consequences of not managing this problem effectively in early infancy.

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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
6.0 CERPs (5 L-CERPs, 1 R-CERP)
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, Breastfeeding the Tongue Tied Infant, Differential Diagnosis & Management, Frenotomy & Tongue Tie Treatment, Pre & Post Care, Tongue & Lip Tie Assessment

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  • The viewing time will be specified for each product. When you purchase multiple items in your cart, the viewing time becomes CUMULATIVE. Ex. Lecture 1= 2 weeks and Lecture Pack 2 = 4 Weeks, you will have a total of 6 weeks viewing time for ALL the presentations made in that purchase.
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  • During our online conferences, presentations that occur live are also followed by a short 15 minute Question & Answer Session. The Speaker addresses questions that were posted by Delegates during the presentation. We include the recording of these Q&A Sessions as a bonus for you.

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