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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 (details)
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U.S.A. Patricia A. Scott, DNP, APRN, NNP-BC, C-NPT

Dr. Scott is the coordinator of the advanced practitioner group for Mednax Medical Group in Nashville, Tennessee as well as the coordinator of the neonatal transport service at Centennial Medical Center, also in Nashville. She is also an assistant professor in the neonatal nurse practitioner program at Vanderbilt University School of Nursing. For the last few years, she has become interested in the use of telemedicine in neonatal care and works with a Neonatology practice that actually practices using telemedicine in Level I and II facilities. She is also involved in quality improvement at the state level through her work with the Tennessee Initiative for Perinatal Quality Care.

Patti received her Bachelor’s Degree in Nursing from Vanderbilt University in 1988. Her Masters of Science Degree in Nursing with a specialty in neonatal critical care was completed in 1993 from Vanderbilt University and her Doctorate in Nursing Practice from the University of Tennessee Health Science Center. She has successfully completed the National Certification Corporation's Neonatal Nurse Practitioner, Neonatal Pediatric Transport, and the Neonatal Intensive Care examinations.

Patti is a member of several nursing, advanced practice, and neonatal professional organizations. She is an active NRP and S.T.A.B.L.E. instructor and has developed and provided numerous neonatal educational courses for staff.

U.S.A. Patricia A. Scott, DNP, APRN, NNP-BC, C-NPT
Abstract:

The use of telemedicine is an emerging trend in health care, this includes neonatal care. Benefits include real-time access to experts routinely and during emergency situations such as delivery room resuscitations and stabilizations, the ability for families to stay connected to their newborn in the Newborn Intensive Care Unit (NICU) after the mother has been discharged from the hospital, and to assist in the decision for transport of the newborn to a higher level of care. Several studies have documented the reduction in transfers from community hospitals since telehealth has been implemented in the nursery. Limitations include the need for knowledgeable and experienced providers to be at bedside, physicians who are familiar with advance practice providers and their abilities, and the technical challenges that can present and have to remedied.

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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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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”.

Abstract:

Did you know that a mother who breastfeeds her child is more likely to “match” as an organ donor than a mother who does not breastfeed her child? How does that happen? The answer may lie in the Maternal-Newborn Microbiome, AKA “The Oro-boobular” axis. The scientific world is exploding with excitement over the discovery of the microbiome. While it appears clear that a suckling infant’s intestinal microbiome communicates with the mother’s lactocyte and perhaps beyond, little is known about the effects of this communication in practical terms. This presentation will review what is known and attempt to explain what it means, both now and in the future.

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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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USA Lori J. Isenstadt, IBCLC, CCE, CBD

Lori J. Isenstadt, IBCLC, CCE, CBD, began her IBCLC career in 2 large hospitals and a local breastfeeding clinic. In 2007, she opened her practice, All About Breastfeeding, offering private consultations, and breastfeeding classes. Her expertise ranges from basic breastfeeding through the most complicated of breastfeeding challenges. In the last 30 years, Lori has taught breastfeeding classes to over 8000 parents where she focuses on what they should expect in the early days of breastfeeding. Lori is a member of Toastmasters International and enjoys speaking about mothering and breastfeeding. Lori is the host of All About Breastfeeding, a podcast where she interviews mothers, authors, researchers and physicians about topics related to breastfeeding. Lori believes that breastfeeding is a family affair. To help support her mission to educate families as well as corporations and business owners about breastfeeding, she has recently released the most comprehensive audio breastfeeding masterclass. She has produced over 300 shows many of which focus on breastfeeding educational topics. On a personal note, Lori resides in Phoenix, AZ is married to Alan for 38 years and is the mother of three adult children. Lori can be reached by email: [email protected] and website: www.aabreastfeeding.com

USA Lori J. Isenstadt, IBCLC, CCE, CBD
Abstract:

The historical evolution of infant feeding includes direct breastfeeding, wet nursing and bottlefeeding. Before the invention of bottles/ vessels to feed babies, wet nursing was the safest and most common alternative way to feed a baby. As bottles and nipples were developed, scientific advancement improved formulas, wet nursing fell out of favor. It gradually went from being widely accepted as the most normal way to feed a baby to where we currently are as a modern society. It is negatively seen as being weird and risky behavior. When mothers do not breastfeed or give their babies human milk, they use formula to feed their babies. Given the current knowledge of lack of complete nutrition formula has more mothers are showing an interest and actively pursuing wet/cross nursing. This presentation will help us understand the history of wet nursing and offer reasons to support, advocate and be encouraging to mothers who want to participate in the practice of wet/cross nursing.

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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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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.

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

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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Presentations: 29  |  Hours / CE Credits: 27.0  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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United Kingdom Emily Hills, OT MSc, CNT

Emily Hills is co-author and co-founder of Sensory Beginnings Ltd, she is a Clinical Specialist Neonatal Occupational Therapist at Royal Free London NHS Foundation Trust. Emily is a certified neonatal therapist (CNT). She has completed her MSc in Advanced Neonatal Studies at Southampton University. Emily is NIDCAP certified and lectures on The Family and Infant Neurodevelopmental Education (FINE) programme in the UK. Emily has completed Neonatal Touch and massage certification (NTMC) and has completed the advanced course in The Prechtl General Movement Assessment. She is a senior Brazelton trainer and lectures on both the Neonatal Behavioural Assessment Scale (NBAS) and Newborn Behavioural Observation (NBO). She is an Advanced Practitioner in Sensory Integration.

Lindsay Hardy is the Director of Clinical Services at PACE, where she leads a multidisciplinary team of therapists, providing therapy to children from 0- 19 years and support to their families. Lindsay has led the development of the Pace Early Intervention Service for children 0-3 years and their families. Lindsay has designed content and taught post-graduate courses in the field of paediatric occupational therapy, sensory integration, cerebral palsy, early intervention & developmental neurology. Lindsay was involved in the start-up of national organisations Sensory Integration Network UK & Ireland and EISMART. She is co -founder and co-author of Sensory Beginnings Ltd

United Kingdom Emily Hills, OT MSc, CNT
Abstract:

Human neurobiology is highly sensitive to stressors. Adverse early life experiences create stress that have the possibility to change brain chemistry, anatomy and gene expression. These changes can predispose a baby to impaired emotional regulation, poor cognitive development, and increased risk of cardiovascular, metabolic and immune system dysfunction. In addition, chronic stress can become trauma and have a long term effect. In the neonatal unit the infant, parents and staff are experiencing stress. This presentation will focus on the role of sensation and how we can use sensory experiences to create healing environments, enhance optimal development and minimise stress and trauma.

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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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Became an RN, 1994. PhD in medical sciences Uppsala University, Sweden, 2012 (The name of the thesis: Kangaroo Mother Care - Parents’ experiences and patterns of application in two Swedish neonatal intensive care units).

Currently one of two Head nurses at the NICU in Uppsala, Sweden and are responsible for nursing care research, education and nursing care improvement. Also an associate professor at Uppsala University. Is an active researcher within research area around neonatal care and has about 30 scientific publications in peer-reviewed journals.

Abstract:

This presentation will focus on the nurturing care of extremely preterm infants and their parents. Parent-infant separation is commonplace in NICUs and even more if the infant is born extremely preterm. Parent’s presence could be restricted by the rules and routines in the neonatal intensive care environment and skin-to-skin contact is not always possible due to the infant’s condition. Early and extensive contact between the infant and the parents enables the parents to get to know their infant and to feel and act like parents. At the NICU in Uppsala, Sweden, our experience is that parents, even those who have an extremely preterm infant want to be present and to stay close, 24/7, to their infant during the infants NICU stay. The aim of this presentation is to report clinical experiences from the NICU in Uppsala about how the NICU environment and NICU staff can facilitate or hinder parental presence, parental participation, and skin-to-skin contact when the infant is born extremely preterm.

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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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Canada Sharon L. Unger, MD, FRCP(C)

Dr. Sharon Unger comes from the East Coast of Canada and is a neonatologist at Sinai Health System in Toronto, Canada. She is a co-primary investigator for the Canadian Institutes of Health Research funded OptiMoM and MaxiMoM programs of research as well as the medical director for the Rogers Hixon Ontario Human Milk Bank. Her research interests are primarily in the use of human milk for the high risk neonate and its long term impact.

Canada Sharon L. Unger, MD, FRCP(C)
Abstract:

Mother’s milk is the unequalled nutritional source for the preterm or medically fragile neonate. Beyond its nutritional impact, it contains a myriad of bioactive molecules that are of particular health importance for the sick neonate. A majority of mothers who are pump dependent with an infant in a neonatal intensive care unit have an incomplete supply of their own milk. In this instance, human donor milk is an important supplement to have available while the mother is supported to increase her own milk supply. This lecture will focus on various aspects of the use of human donor milk including a review of the differences between mother’s milk and donor milk and the current methodologies used for processing donor milk. Recommended clinical guidelines will be discussed that are based on the evidence for short and long term health outcomes following the use of donor milk in the neonatal period. Future considerations will be explored including ethical issues with respect to donor milk use.

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Presentations: 33  |  Hours / CE Credits: 32.5  |  Viewing Time: 8 Weeks
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 6 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Presentations: 74  |  Hours / CE Credits: 75  |  Viewing Time: 52 Weeks
Hours / Credits: 1.25 (details)
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US Mary Coughlin McNeil, MS, NNP, RNC-E

A leader in neonatal nursing, Mary Coughlin MS, NNP, RNC-E has pioneered the concept of trauma-informed care as a biologically relevant paradigm for hospitalized newborns, infants, and their families. An internationally recognized expert in the field of age-appropriate care, Ms. Coughlin has over 35 years of nursing experience beginning in the US Air Force Nurse Corp and culminating in her current role as President and Founder of Caring Essentials Collaborative. A published author of a myriad of manuscripts, chapters and textbooks, Ms. Coughlin has mentored close to 10,000 interdisciplinary NICU clinicians from over 14 countries to transform the experience of care for the hospitalized infant and family in crisis.

US Mary Coughlin McNeil, MS, NNP, RNC-E
Abstract:

Early life adversity and the associated toxic stress literally gets under our skin and is embedded in our biology. Authentic nurturing experiences during early life, or the lack of them, are directly linked to mental health outcomes. The sense of touch plays a salient role in social relationships with important neurodevelopmental and psycho-socio-emotional outcomes. Healing presence and authenticity underlie caring actions, attitudes and behaviors. This talk will introduce the biological underpinnings of our unique therapeutic value in the clinical setting.

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Presentations: 1  |  Hours / CE Credits: 1.25  |  Viewing Time: 2 Weeks
Presentations: 11  |  Hours / CE Credits: 11.5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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U.S.A. Laurel A. Wilson, IBCLC, RLC, INHC, CLSP, CLE, BSc

Laurel Wilson, IBCLC, CLE, CCCE, CLD is a TEDx and international speaker, author, pregnancy and lactation expert, and consultant. She served as the Executive Director of Lactation Programs for CAPPA, the Childbirth and Postpartum Professional Association for 16 years and now is on the Senior Advisor Board. She served on the Board of Directors for the United States Breastfeeding Committee from 2016-2019. She also is on the Advisory Board for InJoy Health. She owns MotherJourney, focusing on training perinatal professionals on integrative and holistic information regarding pregnancy, childbirth, and breastfeeding. She has her degree in Maternal Child Health: Lactation Consulting and is an internationally board certified lactation consultant. As the co-author of two books, The Attachment Pregnancy and The Greatest Pregnancy Ever, original Editor of the CAPPA Lactation Educator Manual, and contributing author to Round the Circle: Doulas Talk About Themselves, she loves to blend today’s recent scientific findings with the mind/body/spirit wisdom. Laurel has been joyfully married to her husband for nearly three decades and has two wonderful grown sons, whose difficult births led her on a path towards helping emerging families create positive experiences. She believes that the journey into parenthood is a life-changing rite of passage that should be deeply honored and celebrated.

U.S.A. Laurel A. Wilson, IBCLC, RLC, INHC, CLSP, CLE, BSc
Abstract:

As humans evolved, the milk specific to nourishing, protecting, and developing their babies went through an incredible transformation. The unique demands of having placentas, growing large brains, and making milk for infants that required rapid maturation post-delivery led to a unique set of neohormones. Neohormones not only facilitate reproduction in the mammal, but they direct the development of mammary tissue and are a significant component of human milk. Neohormones interact with the epigenome and microbiome, targeting certain genes to lead to reproductive success for the mammal. Human milk prepares the infant’s epigenome and microbiome for long-term health and adaptation to the environment. Learn about these fascinating components in human milk and the extraordinary role they play in human development.

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Hours / Credits: 1 (details)
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Canada Sharon Unger, MD, FRCP(C)

Dr. Unger is a neonatologist at Sinai Health in Toronto, Canada. She is the medical director of the Roger Hixon Ontario Human Milk Bank and a professor of pediatrics at the University of Toronto. She is a co-primary investigator for the Canadian Institutes of Health Research funded MaxiMoM: Maximizing Mother’s own Milk Program of research. Dr Unger graduated from medical school at Dalhousie University on the east coast of Canada. She is the proud mother of three teenage daughters.

Canada Sharon Unger, MD, FRCP(C)
Abstract:

Although human milk confers important health promotion benefits to all infants, vulnerable babies admitted to an NICU stand to benefit even more. Their parents are typically strongly motivated to provide their own milk, although for a variety of reasons, such as parental ill health and stress (often complicated by the pandemic), parents may not have a full volume of their own milk. In this case, donor milk is the recommended supplement to bridge until parent’s milk is available. There is strong research evidence to support the use of human donor milk in preterm infants to prevent necrotizing enterocolitis, while there is less available evidence for the use of donor milk in late preterm infants. There are important differences between parent’s milk and donor milk with respect to their nutrient and non-nutrient components which may be secondary to processing techniques used in creating batches of donor milk. It is important to understand these differences and be able to interpret nutritional labelling on donor milk. Newer techniques in pasteurization may address some of the losses of bioactive molecules in human milk.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
This presentation is currently available through a bundled series of lectures.