IBCLC Detailed Content Outline: Development and Nutrition / Maternal Focused CERPs - Section I B
Access CERPs on Development and Nutrition / Maternal for the IBCLC Detailed Content Outline recertification requirements. On-demand viewing of the latest Development and Nutrition / Maternal focused IBCLC CERPs at your own pace.
I was born in Detroit Michigan and graduate from M.L. King High School in 2001. I completed a B.S. in Chemistry at Oakland University in Michigan and Ph.D. in Chemistry at Vanderbilt University. After completing postdoctoral research at Memorial Sloan Kettering Cancer Center, I began an independent career at Vanderbilt In 2014.
When antibiotics were first broadly introduced in the 1930s, they were considered the most important advancement in modern medicine. Deaths attributed to communicable diseases were drastically reduced leading to the belief that infectious diseases were conquerable. Bacteria, however, counter antibiotic chemotherapy with resistance mechanisms that result in the emergence of infections untreatable by the current artillery of therapeutics. Efforts to develop new antimicrobial agents with unique structural motifs and novel modes of action to fight multi-drug resistant pathogens are ongoing. During this seminar, I will discuss our groups ongoing efforts to develop human milk oligosaccharides as novel antimicrobial agents.
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Michal A. Young, M.D., FAAP, FABM is currently an Associate Professor in the Department of Pediatrics and Child Health at Howard University College of Medicine. She also serves as the Medical Director of the B.L.E.S.S. (Breastfeeding Lactation Education Support Services) Initiative as well as Director of the NICU and Newborn Services, at Howard University Hospital. She is a graduate of Howard University College of Medicine, Class of 1979. Dr. Young completed a rotating internship in Medicine and Pediatrics at Grady Memorial and Emory Hospitals in Atlanta, Georgia, followed by a Pediatric residency in the Howard University Hospital/D.C. General Hospital Combined Program, and a fellowship in Neonatal-Perinatal Medicine at Georgetown University Hospital.
Dr. Young has several publications and presentations over a range of topics governing infant care. Her research interests are in developmental outcomes of the ELBW, HIV perinatal transmission, the Diabetic Dyad and in breastfeeding education for professionals and parents.
She is a member of Alpha Omega Alpha, a fellow of the American Academy of Pediatrics (sections on Perinatal Medicine and Breastfeeding), a Fellow and member of the Board of Directors of the Academy of Breastfeeding Medicine (Chairman of its Protocol Committee), member of the National Medical Association (a Past Chair of its Pediatric Section), Member of the Board of Directors for the D.C. Breastfeeding Coalition, Member of the Board of Directors for ROSE: Reaching Our Sisters Everywhere, Inc., one of the Chapter Breastfeeding Coordinators for the D.C. Chapter of the American Academy of Pediatrics and Board Member of the Prolacta Bioscience Foundation.
Human milk provides multiple layers of immune protection to the newborn by providing bioactive components that protect the infant from pathogenic infection, facilitate immune development and establish a healthy gut microbiome. This presentation will review the cellular and humoral components of human milk that help provide this protection. Additionally, the nutritional components of human milk that also contribute to its immune impact will be briefly explored. The long-term protective effect of breast milk on adult illnesses and disease and its presumed role will be discussed. Lastly the impact milk storage, milk banking practices and use of donor milk as mechanisms to provide immune support to the newborn will be considered. An interactive power point presentation will be used to deliver this important topic.
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Dr.Fayrouz Essawy Pediatrician, Neonatologist, IBCLC • Neonatology Consultant • Bachelor of Medicine and surgery - Cairo University 2004 • Master degree of pediaterics - Ain shams University 2012 • Egyptian neonatology fellowship 2015 • IBCLC 2015 • LCCC course instructor & developer 2016 • Breastfeeding medicine specialist. • Baby friendly coordinator. • Harvard Graduate of Training of trainee program 2020. • Member of the Egyptian Society of Pediatrics • Member of the Egyptian lactation consultant association (ELCA) • Member of the academy of breastfeeding medicine (ABM) • Member of the international lactation consultant Association (ILCA)
The feeding of breast milk during the NICU admission reduces the risk of short-and long-term morbidities especially in premature infants. Breastmilk provides immunological, anti-infective, anti-inflammatory, epigenetic, and mucosal membrane protecting properties. The mechanisms by which human milk provides its protection are varied. These mechanisms include immunological and specific unique human milk components that are not present in formula. Thus, the feeding of mother’s own breastmilk should be a NICU priority and every NICU should have a breastmilk storage and handling policy. In this presentation we will discuss how we can counsel parents about the infection control measures and guidelines related to storage, handling and administration of breastmilk to babies in the NICU. Learn more about hospital grade pumps, pumping at home vs pumping in hospital setting, prevention and management of potential mistakes such as giving a child another mother’s milk and how to handle and store fortified breastmilk.
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Oral Colostrum Care as an Immunological Intervention in the NICU
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.
Topic: Breastfeeding The Baby With Congenital Heart Disease - [View Abstract]
Topic: Breastfeeding with Insufficient Glandular Tissue - [View Abstract]
Topic: Clinical Assessment and Management of Jaundice in the Newborn - [View Abstract]
Topic: Oral Colostrum Care as an Immunological Intervention in the NICU - [View 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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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.
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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Preventing the Plunge: Why the First 2 Weeks are Crucial for Breastfeeding Duration.
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.
Topic: Meeting your breastfeeding goals - [View Abstract]
Topic: Preventing the Plunge: Why the First 2 Weeks are Crucial for Breastfeeding Duration. - [View 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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Decalie is a Registered nurse/midwife with over 40 years of experience collectively working as an IBCLC in a clinical roles within Primary Care and Community Health. Currently working as a Child & Family Health Clinical Nurse Specialist 2 in busy Community of the Blue Mountains, NSW Australia. She supports health professionals and parents with education of lactation/infant feeding/settling and behavioural issues for infants and children 0 to 5 years of age as a clinical specialist. A current BFHI Assessor. Has shared her extensive clinical experience in workshops at many ILCA, LCANZ and ABA conferences over the years. Her passion in support for mothers and babies.
Decalie has volunteered for Board of Director for the Australian Lactation Consultants Association (ALCA) 7 years on the ILCA International Lactation Consultant Association, last 2 years as President. On the Inaugural World Trends Initiative WBTI AUS Core group. Advisory committee for International Childbirth Education Ass. ICEA. World Health Organisation working group for revision of BFHI Education package, WABA advisory group. ILCA Nominations committee chair, IBCLC Care award Co chair.
Enjoying the next level of parenting being Mimi to her 3 year old grandson Cole.
The breastfeeding journey for a woman and her baby is very special. Mothers who may be larger-breasted and lactating often have special breastfeeding needs and issues. This online session empowers clinicians with supportive tools to help these women successfully breastfeed. This session will enable clinicians to utilize simple, practical techniques, tips, explore the challenges of larger breasts during lactation. Attendees will develop their advanced breastfeeding counseling skills to manage individual situations and provide the unique support necessary. The research shows that if mothers with above average weight are provided with the appropriate breastfeeding management and support early, their breastfeeding experience will be enhanced and sustained. This sensitive session is designed to aid clinicians in developing their own practical breastfeeding support kit, as well as honing specific skills for a positive outcome when supporting larger breasted women to breastfeed their babies.
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Talk To Me: How Breastmilk Acts as a Communication and Gene Expression Tool Between Mother and Child
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.
Topic: Epigenetics and Breastfeeding: The Potential Longterm Impact of Breastmilk - [View Abstract]
Topic: Hold the Phone! Diet Does Matter During Breastfeeding: Implication of Diet on Fatty Acid Composition and Other Nutrients - [View Abstract]
Topic: Postpartum Mood Disorders, Breastfeeding and the Epigenetic Links from Past Into Future - [View Abstract]
Topic: Talk To Me: How Breastmilk Acts as a Communication and Gene Expression Tool Between Mother and Child - [View Abstract]
Topic: The Milk Sharing Conundrum - The Grey Area Between Scope and Need - [View Abstract]
Topic: The Placenta and Breastmilk-Unraveling the Mysterious World of the Intelligent Organs that Protect our Babies - [View Abstract]
Topic: Understanding Zika and Lyme and Breastfeeding - [View Abstract]
Topic: Unraveling the Mysteries of Human Milk: The Fascinating Role of Neohormones, Epigenetics, the Microbiome and More! - [View Abstract]
Breastmilk has long been understood to be a pathway towards long-term health for both mother and child. The specific mechanisms for how this communication works has long been studied and today many researchers believe that messenger RNAs and stem cells contribute in many ways to appropriate developmental pathways for the baby and cause gene activation that promotes health for life. mRNA in breastmilk can also be influenced by the time of day and even the timing of the babies delivery, becoming adaptive for the baby’s unique needs. Not only do these messenger RNA communicate important genetic information to the baby via breastmilk, changes in the mothers body via mRNA occur during lactation responding to a new “mothering” focus during the period of lactation. This may impact the mother’s postpartum mental states, adaptation to stress, and changes in fatty acids. This presentation highlights some of the fascinating studies that demonstrate the myriad of ways that stem cells and mRNA during lactation become the ultimate communicators, affecting change for years to come.
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Shondra Mattos is an IBCLC, Entrepreneur & Speaker who delivers progressive, up-to-date lectures that challenge the current standard of Lactation Care. She is widely regarded as the go-to source for those looking for clear, understandable clinical knowledge.
In 2018, Shondra rebranded her lactation practice Mattos Lactation and provided location-independent lactation support to families across the country. In 2020 she founded Lactnerd LLC with the focus of helping healthcare providers gain knowledge while conquering the intimidation of learning the complex science of Lactation.
Through her companies- Lactnerd & Mattos Lactation - she provides tools, resources, education & mentoring to aspiring and established lactation professionals across the USA.
This presentation will cover skills & strategies of conducting assessments of oral dysfunction in a telehealth setting, a situation many Lactation providers were thrusted into due to Covid-19. Through real life examples of processes & strategies I use in my location-independent practice which specializes in oral dysfunction, the learner will gain practical insight to improve the quality of the virtual lactation visits they provide.
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Wendy is a breast biologist at the University of Adelaide, Australia. Her research explores the biology of how the breast develops and functions to better understand how disease states occur, including lactation mastitis and breast cancer.
After postdoctoral research as an NHMRC CJ Martin Fellow at Albert Einstein College of Medicine in New York, USA, Wendy returned to Adelaide in 2005 and established the Breast Biology and Cancer Unit at the University of Adelaide. In 2011 she was appointed a National Breast Cancer Foundation Fellow and also The Hospital Research Foundation Associate Professor of Breast Cancer Research, which is her current appointment.
In 2016 Wendy won the Award for Excellence in Reproductive Biology Research from the Society for Reproductive Biology. Wendy’s research challenges old paradigms and explores new concepts in how the breast develops and functions to improve breast health across the life course.
The mammary gland is a unique tissue, common to all mammals, that undergoes the majority of development postnatally, particularly during puberty and pregnancy. During pregnancy, the mammary gland acquires the ability to make and secrete copious amounts of milk to provide essential nutrients and immunological protection to the newborn. The biological mechanisms that lead to milk synthesis and secretion are finely orchestrated as the composition, abundance and timing must meet the unique and specific needs of each mother-baby pair during this critical phase of infant development. This lecture will encompass the developmental mechanisms that enable the mammary gland to undergo lactation, the composition and secretion of breast milk, and a comparative analysis of the mammary gland between human and other mammalian species to better appreciate the remarkable functions of this unique tissue.
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