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IBCLC Detailed Content Outline: Development and Nutrition Focused CERPs - Section I

Access CERPs on Development and Nutrition for the IBCLC Detailed Content Outline recertification requirements. Enjoy convenient on-demand viewing of the latest Development and Nutrition focused IBCLC CERPs at your own pace.

Hours / Credits: 1.25 (details)
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United Kingdom Mark Johnson, PhD, BM, BSc, FRCPCH

Dr Mark Johnson is a consultant neonatologist at University Hospital Southampton NHS Foundation Trust and an honorary senior clinical lecturer in neonatal medicine at the University of Southampton. He is also currently the clinical director for neonatal medicine in Southampton. Dr Johnson graduated in medicine (BM) from the University of Southampton in 2004, and undertook an intercalated degree in biomedical science during his medical training. Dr Johnson was awarded a prestigious NIHR doctoral research fellowship to fund his PhD, which he was awarded by the University of Southampton in 2015. Dr Johnson’s PhD focused on change management in neonatal care in the context of nutrition, successfully implementing improved nutritional practices in order to improve the growth of preterm infants. Dr Johnson's research centres around the nutritional care and growth of premature babies, and the implementation of practice change in order to improve care, and has published on these topics widely, including systematic reviews looking at the use of early parenteral nutrition in preterm infants, the impact of enhanced nutrition on the neurodevelopmental outcomes of preterm infants and the effect of preterm birth on body composition and growth. He has also contributed to national and international guidance on nutritional care.

United Kingdom Mark Johnson, PhD, BM, BSc, FRCPCH
Abstract:

Current recommendations for the growth of preterm infants are that they should try and achieve the same pattern of growth they would they were still in-utero. This growth should be both the right quantity, but also the right quality in terms of body composition and the relative proportions of fat and lean tissue. This requires higher amounts of nutrition that can be difficult to deliver, meaning that preterm infants are at risk of poor growth and body composition that favours fat accretion over lean mass. This is important, as nutrition, growth and body composition in early life are associated with neurodevelopmental outcomes and longer-term cardiovascular risk. However, the exact pattern of growth that results in optimal short- and long-term outcomes in these infants is not well defined. This talk will explore current patterns of growth, the evidence for the pattern of growth for optimal clinical outcomes, and what can be achieved in clinical practice. It will then go on to consider different strategies for nutritional care and how these can be implemented in clinical practice for preterm infants in the neonatal unit to achieve optimal growth.

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Presentations: 1  |  Hours / CE Credits: 1.25  |  Viewing Time: 2 Weeks
Presentations: 15  |  Hours / CE Credits: 15.5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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USA Robin P. Glass, MS, OTR/L, IBCLC

Robin P. Glass, MS, OTR, IBCLC practices occupational therapy at Seattle Children's Hospital in Seattle, WA and is an Assistant Clinical Professor in the Department of Rehabilitation, at the University of Washington. Her clinical specialty is the treatment of infants, with a strong focus on feeding and swallowing issues. She provides treatment for hospitalized infants including the NICU with a wide range of medical and developmental diagnoses. She is NDT trained and is a 20 year Board Certified Lactation Consultant. Robin has extensive national and international experience speaking about infant feeding.

Robin has received numerous awards including the National Association of Neonatal Therapists (NANT) 2015 Pioneer Award and the 2018 Nancy Danoff Spirit of Service award from the Breastfeeding Coalition of WA and Nutrition First. Robin has co-authored numerous journal articles as well as the book Feeding and Swallowing Disorders in Infancy: Assessment and Management.

USA Robin P. Glass, MS, OTR/L, IBCLC
Abstract:

For the baby born prematurely, learning to breast/chestfeed may be more complex. There are factors related to the infant, the environment and to the lactating parent that can make this process more challenging. Many babies often leave the NICU not fully breastfeeding and continue to struggle once at home. This presentation will describe, evidence-based approaches to developing breastfeeding in the premature infant. It will review developmental and co-morbid factors affecting the infant’s feeding acquisition and describe interventions that can be used to improve breastfeeding skill.

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Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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Mariana Colmenares Castano was born in Mexico City, and from an early age she was fascinated by animals and nature.She studied medicine at the National University of Mexico (UNAM), and foundher passion as a pediatrician doing her residency at the National Pediatric Institute. When her first child was born she witnessed the lack of knowledge and commitment to breastfeeding within the medical profession, and so she decided to specialize in breastfeeding medicine. She certified as a Lactation Consultant (IBCLC) in 2011.Mariana is a member of the International Lactation Consultant Association, the Academy of Breastfeeding Medicine, and a proud founding member of the National Lactation Consultant Association of Mexico (ACCLAM), where she served on the Board of Directors as Education Coordinator (2014-2019). She is part of board director for the Academy of Breastfeeding Medicine for a 3 year period (2019-2022) and recently named as secretary for the Academy of Breastfeeding Medicine. Mariana is a member of the team for Breastfeeding Country Index BFCI, a project from Yale University and Universidad Iberoamericana. She is consultant for the National Health Institute in Mexico and has collaborated with UNICEF in breastfeeding projects and part of the steering committee for the WHO. She has spoken at national and international conferences, co-published numerous articles and co-authored a chapter for the National Academy of Medicine. At the moment she is a Clinical Fellow in Community Paediatrics in London.

Abstract:

Breastmilk must be the food for every human on earth. During the last decades we have been learning much more about the immunoprotective and immunomodulating properties of human milk, specifically colostrum. With advancements in neonatal care, we also have new challenges. As health care professionals it is an ethical responsibility to protect and promote breastfeeding practices for every family. Oral colostrum care is the use of own mother's colostrum in the cheeks and mouth of the baby not for a feeding purpose. It is an opportunity to initiate an immunological intervention in small or sick babies, allowing interaction of immunological properties with the linfoid tissue, promoting and improving microbiome and immune response. The mother and the family can also benefit from this intervention improving and enhancing integral participation and prevalence of breastfeeding in the long term.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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USA Maya Bolman, RN, BA, BSN, IBCLC

Maya Bolman was born and raised in Minsk, Belarus. She was certified as IBCLC in 2001 and currently works as a lactation consultant at Senders Pediatrics and Breastfeeding Medicine of Northeast Ohio.

Maya is well known internationally for her work promoting hand expression and breast massage to health professionals and parents. She recognizes that teaching these basic tools helps empower them to work through breastfeeding challenges including engorgement, plugged ducts, separation from the infant, and milk supply concerns. She has worked with Dr. Ann Witt to create an instructional video “The Basics of Breast Massage and Hand Expression” and conducts research on the effectiveness of Therapeutic Breast Massage in Lactation (TBML) both in the office and as a treatment at home for mothers.

USA Maya Bolman, RN, BA, BSN, IBCLC
Abstract:

Breast pain is a major cause of weaning. Milk stasis, which occurs in engorgement, mastitis and plugged ducts, is a common cause of pain that may lead to the temporary or permanent cessation of breastfeeding. Therapeutic Breast Massage in Lactation (TBML) is one clinical tool to help resolve breast pain quickly. Therapeutic Breast Massage in Lactation (TBML) provides a simple, readily accessible method that can be easily taught to parents and health professionals. Empowering parents to resolve complications at home may be a critical skill for extending breastfeeding duration.

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Presentations: 16  |  Hours / CE Credits: 16.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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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.

Abstract:

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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Presentations: 29  |  Hours / CE Credits: 27.0  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1.25 (details)
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U.S.A Terri Marin, PhD, NNP-BC, FAAN, FAANP

Dr. Marin is currently an Assistant Professor at Augusta University, and is an active researcher in the Level IV NICU at Children’s Hospital of Georgia. She received her BSN from the University of Tennessee, her MSN from Stony Brook and her PhD from Emory University. Dr. Marin’s program of research is focused on defining non-invasive methods to predict early-onset acute kidney injury in preterm infants, including analysis of metabolomics, proteomics, the gut-kidney microbiome axis, and renal hypoxia measured by near-infrared spectroscopy as they relate to subclinical and actual acute kidney disease.

U.S.A Terri Marin, PhD, NNP-BC, FAAN, FAANP
Abstract:

Acute kidney Injury (AKI) prior to the completion of nephrogenesis at 34 weeks’ gestation has significant life-long effects. The immature kidney only receives 3-4% of total cardiac output, compared to 20% in term infants, children and adults. Therefore, minimal decreases in oxygen delivery may substantially compromise proper oxygen utilization increasing the risk for morphologic changes and reduced nephron endowment. Current diagnostic criteria (serum creatinine (sCr) elevations with oliguria) cannot detect early-onset AKI, as up to 50% of nephron damage has already occurred by the time these abnormalities become apparent. This presentation will look at new research related to the current diagnostic criteria for AKI in the preterm infant, the physiologic mechanisms involved in AKI and short and long-term implications.

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Presentations: 14  |  Hours / CE Credits: 14.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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Dr. Dyah Febriyanti is a medical doctor, an IBCLC, a breastfeeding counselor, and a mother living in Jakarta, Indonesia. She has been working in hospitals since she graduated in 2012. She was facing many struggles to succeed breastfeeding her daughter for two years. She has been an IBCLC since 2017. She works with breastfeeding dyads in a team, called Praborini lactation team, consisting of all lady doctors in outpatient and inpatient care units. Concerning breastfeeding and nutrition in early life, she has published a semi-cookbook about complementary foods for breastfed babies and cooking videos to educate and help mothers feed their babies. She also has been working on scientific writing. She is a member of the Academy of Breastfeeding Medicine, International Lactation Consultant Association, and a trainer of the Indonesian Society of Perinatology.

Abstract:

Breastfeeding for the first two years has physical and psychological benefits. The baby should be well-fed through exclusive human milk for the first 6 months, then given complementary feeding (or 'start solids') while continuing to breastfeed until weaning after two years. Inadequate complementary feeding may lead to nutritional as well as developmental problems. Due to a lot of misinformation many parents are unaware of current recommendations on starting solids, and it is often a time when poor understanding of the baby’s nutritional needs leads to unnecessary concern about intake of solids and subsequent weaning. Education is crucial during this period, and it is important for health care providers to be up to date on the latest best practice guidelines and skilled at counselling parents to avoid unnecessary weaning and nutritional deficits.

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Presentations: 29  |  Hours / CE Credits: 29.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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can Cindy Leclerc, RN IBCLC

Cindy Leclerc and Jana Stockham are Registered Nurses and IBCLCs with over 20 years experience helping families get started with breastfeeding. In addition to hands on care, Cindy and Jana use technology to support families through their website (cindyandjana.com), online prenatal breastfeeding classes (simplybreastfeeding.ca) and iPhone app, NuuNest. Cindy is a strong believer in mother-to-mother support, helping to facilitate breastfeeding and postpartum depression support groups. She is intrigued by all things online and actively uses social media to promote breastfeeding. Jana has been trained as a Baby Friendly assessor and helped to coordinate the first Baby Friendly designation in Saskatchewan. She has a passion to help families with new babies and facilitates a group for breastfeeding moms.

can Cindy Leclerc, RN IBCLC
Abstract:

The majority of women begin breastfeeding at birth. Within the first 6 weeks, however, breastfeeding rates fall dramatically. To help women hang in with breastfeeding beyond the first weeks, we must first understand why they struggle. Learn what the research is saying and what you can do in your practice to help women meet their breastfeeding goals. IBCLC’s who specialize in the early weeks of breastfeeding will share case examples based on over 20 years of working with breastfeeding families.

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Presentations: 28  |  Hours / CE Credits: 26.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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United Kingdom Amanda Smith, RN (Child), Neonatal QiS, IBCLC

Amanda is a children's nurse, having worked on pediatric wards and in the community supporting children with complex health needs, although over ten years of her nursing career have been in neonatal care, where she is further qualified in specialty (QiS). She trained and volunteered in breastfeeding peer support two years into her nursing career, ultimately sitting the exam to become an IBCLC to ensure that the families within neonatal care had access to an infant feeding specialist familiar with their journey. Amanda has since further specialized in Neonatal Homecare, is a Nurse Practitioner in restrictive lingual frenulum, and has worked as an Infant Feeding Lead for a regional surgical NICU and SCBU, as well as a regional Infant Feeding Advisor to ten neonatal units across a regional network. She has recently been appointed to the Board of Trustees for the Lactation Consultants of Great Britain (LCGB), where she is the Neonatal Lead.

United Kingdom Amanda Smith, RN (Child), Neonatal QiS, IBCLC
Abstract:

While approximately 80% of UK mothers initiate breastfeeding, by 3-4 months, just 15% of infants receive any breastmilk. Despite the low rates of breastfeeding nationally, in 2021-22, 64% of the NICU graduates in our unit were discharged receiving breastmilk. One possible reason for the higher rates of breastfeeding in this population may be our innovative home NGT feeding programme. In order to hasten discharge from NICU, many mothers feel under pressure to introduce bottles to meet “full oral feeding” criteria. The home nasogastric tube (NGT) feeding programme focusses on the infant’s and family’s needs, without rushing the infant towards full oral feeding, which some are not yet ready for. In this way, all oral feeds can be at the breast, with NGT feeds as required for supplementation. We aim to reduce unnecessary days in hospital, reduce readmissions post-discharge, keep families close to their infants, and embrace the integration of families as essential members of the neonatal care team. This presentation will discuss the practicalities of designing a discharge pathway that optimises parental confidence and ensures competence with home administration of NGT feeds. It will also discuss how to predict which infants are ideal candidates for short-term home NGT feeding, and how to transition to direct breastfeeding. Finally, the presentation will present a case for home NGT feeding as an intervention to protect the mother’s breastfeeding goals, optimise clinical outcomes for infants, and improve the experience of neonatal care for families.

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Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Presentations: 15  |  Hours / CE Credits: 15.5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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Canada Michael Narvey, MD, FAAP, FRCPC

Dr. Narvey began his training in Pediatrics at the University of Manitoba in Winnipeg where he completed a year of further training in Neonatology. This was followed by two years of Neonatal fellowship at the University of Alberta in Edmonton. Afterwards he began his career as a Neonatologist in the same city and over the 6 years he spent there, his career included both clinical and administrative duties including 4 years as the Fellowship Program Director and two years as the Medical Director for a level II unit. In late 2010 he accepted a position in Winnipeg to become the Section Head of Neonatology and continues to hold this post. In 2016 he took on the additional role of Medical Director of the Child Health Transport Team. In 2015 he became a member of the Canadian Pediatric Society’s Fetus and Newborn Committee and in 2019 took over as Chair of the same. His interests predominantly lie in the use of non-invasive technology to minimize painful procedures during an infants stay in the NICU. He is active on social media and has a passion for fundraising and is an active board member of the Children’s Hospital Foundation of Manitoba.

Canada Michael Narvey, MD, FAAP, FRCPC
Abstract:

Newborns may develop respiratory distress for a number of reasons. Using a case study approach, several conditions will be explored with emphasis on what the standard of care is and what is the latest in our 2022 toolbox for treating them.

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Presentations: 14  |  Hours / CE Credits: 14.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
This presentation is currently available through a bundled series of lectures.