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IBCLC Detailed Content Outline: Pathology Focused CERPs - Section III

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

Hours / Credits: 1 (details)
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United States Dixie Whetsell, MS, IBCLC

Dixie Whetsell, MS, IBCLC, has a Master’s Degree in Community Health Education from the University of Oregon. She began working with breastfeeding families in 1992 and became an IBCLC in 1998. She has worked as a lactation consultant in a variety of settings including private practice, county and state public health programs and high risk maternal and pediatric hospitals. She began teaching lactation training courses in 2003 and is currently an adjunct faculty member teaching in the Pathway 2 Lactation Training Program in the OHSU-PSU School of Public Health at Portland State University. She is a past presenter for the GOLD Perinatal Conference. She is an active member of the Oregon Washington Lactation Association, the US Lactation Consultant Association and the International Lactation Consultant Association. She was a founding Board Member for Northwest Mothers Milk Bank, a HMBANA non-profit donor milk bank.

Lisa Gonzales, BSN, RN, IBCLC earned her Bachelor of Science in Nursing from Linfield College. She started her nursing career as a Labor and Delivery nurse at a Level III OB hospital in 2006. After having her first baby, Lisa pursued lactation education and became an IBCLC in 2013. She made full career change in 2015 to become a lactation nurse in a high risk maternity and pediatric hospital, providing inpatient and outpatient consults to growing families. She is an active member of the Oregon Washington Lactation Association, the US Lactation Consultant Association and the International Lactation Consultant Association. Lisa currently helps families during in-home visits with her private practice.

United States Dixie Whetsell, MS, IBCLC
Abstract:

This case describes a 32-year-old primiparous woman who experienced an anaphylactic reaction associated with breastfeeding and milk expression on postpartum day four. With each episode her symptoms worsened and she developed hives, edema and difficulty breathing and swallowing. She had to be treated for her anaphylactic reaction in a hospital ER and ICU and she was released on postpartum day five on antihistamines.

Lactation anaphylaxis is a very rare condition that was first reported in the scientific literature in 1991. Since then there have been 11 other reported cases. Lactation anaphylaxis can be life-threatening and symptoms can include a rash, hives, edema resulting in difficulty breathing or swallowing, a dangerous decrease in blood pressure and a loss of consciousness. We will review this case and do a brief review of the previous case reports. We will discuss the possible causes for lactation anaphylaxis, the related risk factors, common treatments and possible breastfeeding outcomes. In most cases with proper treatment and management breastfeeding and milk expression can continue. Enhanced awareness of and knowledge about this rare condition will allow lactation consultants and other members of the health care team to better support breastfeeding parents who experience lactation anaphylaxis.

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Presentations: 33  |  Hours / CE Credits: 32.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 6 Weeks
Presentations: 74  |  Hours / CE Credits: 75  |  Viewing Time: 52 Weeks
Hours / Credits: 1 (details)
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U.S.A. Hope K. Lima, PhD, RDN, LRD, IBCLC

Hope has always been the type of person to dive head-first into the deep end (literally - she learned to swim before she was 2!). Hope became an International Board Certified Lactation Consultant (IBCLC) in 2017, completed her PhD in nutritional biochemistry in 2018 at NC State University, and became a Registered Dietitian Nutritionist (RDN) in 2020.

In addition to owning and operating Hope Feeds Babies in Rock Hill, SC, Hope is employed full time at Winthrop University in the Department of Human Nutrition overseeing the Certificate in Medical Lactation and running a research lab that focuses on helping mothers to reach their infant feeding goals, improving access to human milk, and analyzing the nutritional content of human milk. As an IBCLC, Hope has a passion for connecting with mothers to help them to reach their individual feeding goals and advocacy for maternal health. As an RDN, Hope loves to support parents in feeding their children, whether that is traditional solids, baby-led weaning, or blenderized tube feeds.

Karin always knew that helping people would guide the course of her career. Karin’s professional path demonstrates this passion as she pursued a BA in psychology from Villanova University, a Master’s in Nutrition Education from Immaculata University, and is currently in the latter stages of her dissertation work towards a PhD in Health Education and Promotion from Walden University. In the past 20 years, Karin has sought opportunities that allow her to gather experience in various settings. While earning her Masters in Nutrition Education, she worked as a counselor and nutrition therapist at the world renown Renfrew Center in Philadelphia, PA. It was here that Karin adopted her view that an individual’s relationship with food and body are critical to change and sustain physical and mental health.

Sharing this approach with future health-minded individuals prompted Karin to begin teaching at Winthrop University, where she has taught for the past seven years courses related to health and nutrition. During this time, Karin continues her own education through the pursuit of Doctorate in Health Education and Promotion from Walden University. Her dissertation focuses on online faculty perceptions of college student mental health concerns and if these perceptions predict the likelihood of a mental health service referral.

U.S.A. Hope K. Lima, PhD, RDN, LRD, IBCLC
Abstract:

Anorexia nervosa (AN) is a clinical condition characterized by restriction of energy intake, fear of gaining weight or becoming fat, and body dysmorphia. As pregnancy and subsequent lactation are associated with changes in weight and body shape, it is important to consider the implications of a pre-existing or current diagnosis of AN during the postpartum period. The research examining the impact of body changes during pregnancy on individuals with a history of AN has mixed results; some show AN symptoms regress during pregnancy, while other results show a resurgence of AN symptoms. While there is limited evidence of the impact of AN on milk production, milk composition, and breastfeeding experiences of the parent, the evidence that we do have can help guide lactation consultants when providing care for the dyad during the fourth trimester. In this presentation, participants will learn about the diagnostic criteria and screening tools for AN, the impact of energy restriction and AN on milk supply and composition, and will participate in a exploration of the implications AN may have on dyad care.

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Presentations: 29  |  Hours / CE Credits: 29.5  |  Viewing Time: 8 Weeks
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 6 Weeks
Presentations: 1  |  Hours / CE Credits: 1.25  |  Viewing Time: 2 Weeks
Hours / Credits: 1.25 (details)
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USA Melissa Cole, MS, IBCLC

Melissa Cole, MS, IBCLC, RLC is a board certified lactation consultant, neonatal oral-motor assessment professional, and clinical herbalist in private practice. Melissa has been passionate about providing comprehensive, holistic lactation support and improving the level of clinical lactation skills for health professionals. She enjoys teaching, researching and writing about wellness and lactation-related topics. Melissa holds a bachelor of science degree in maternal child health and lactation consulting and her master’s work is in therapeutic, clinical herbalism. Melissa actively conducts research and collaborates with several lactation and health care professional associations. 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.

USA Melissa Cole, MS, IBCLC
Abstract:

Concerns about low milk production can be frustrating for parents and clinicians alike. There are many reasons milk production can be compromised. How can lactation and health professionals best assess the root causes of the production issue at hand and suggest targeted, sustainable ideas? This presentation will help clinicians think about the ‘detective work’ needed to help provide personalized care. Through interactive case studies, participants will critically-think about assessment and care plan strategies for the families in their care that are struggling with low milk production.

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Presentations: 29  |  Hours / CE Credits: 29.5  |  Viewing Time: 8 Weeks
Presentations: 6  |  Hours / CE Credits: 6.25  |  Viewing Time: 4 Weeks
Presentations: 1  |  Hours / CE Credits: 1.25  |  Viewing Time: 2 Weeks
Presentations: 74  |  Hours / CE Credits: 75  |  Viewing Time: 52 Weeks
Hours / Credits: 1 (details)
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Carmela is a family medicine MD, bachelor´s degree in Public Health Education, and IBCLC since 2005. She is also a BFHI Evaluator and the co founder and past president of the Spanish Lactation Consultant Association (AECCLM). She works in a private Family Wellness Clinic, Raices, as person in charge of the lactation program, which includes two IBCLCs attending breastfeeding families and an extensive offer of breastfeeding training for health care professionals and breastfeeding peer counsellors. The team has trained over three thousand doctors, midwives and nurses from both the Spanish National Health Service and the private sector in Spain. She is a frequent lecturer at national conferences, and has also lectured internationally, both on-site and online. She is the author of several scientific papers on breast pain, mastitis and tongue tie. She is also the author of a breastfeeding/parenting book, “Amar con los Brazos Abiertos” (To Love with Open Arms). She is married to Carlos and they homeschool their four children.

Abstract:

When a breastfeeding mother consults because of chronic, deep breast pain, we feel weak at the knees. Often these mothers have been to several specialists and nothing has worked for them. Is it mastitis? Thrush? Referred pain from an inadequate latch? Emotional issues? Or is it all of the above, and even more? In this presentation we will learn to do an in-depth clinical history and to use an holistic model for a systematic management of chronic breast pain, so we can offer these mothers more efficient solutions – and better counselling.

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Presentations: 29  |  Hours / CE Credits: 26  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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United States Katrina B. Mitchell, MD, IBCLC, FACS

Katrina B. Mitchell, MD, IBCLC, PMH-C is a breast surgeon, lactation consultant, and perinatal mental health provider. Her surgical practice includes the care of women with breast cancer and benign breast disease. She sees runs a daily breastfeeding medicine practice, treating patients for a wide variety of lactation concerns ranging from hypolactation to nipple trauma. Additionally, she provides medication management and support for women impacted by perinatal mood and anxiety conditions.

Dr. Mitchell lectures locally, nationally, and internationally on the intersection of lactation and surgery, and has authored book chapters, clinical care protocols, and journal articles on the topic. She is the creator of the physicianguidetobreastfeeding.org, an evidence-based resource for breastfeeding families and the communities that support them. Dr. Mitchell resides in Santa Barbara, California and practices at the Ridley Tree Cancer Center at Sansum Clinic. She enjoys reading, traveling, and spending time with her son camping at the beach. She can be reached at physicianguidetobreastfeeding.org.

United States Katrina B. Mitchell, MD, IBCLC, FACS
Abstract:

The purpose of this presentation is to first review basic components of the breast physical exam, and then transition into the management of challenging maternal complications of lactation. We also briefly will review breast imaging that may be required for diagnostic purposes in this setting.

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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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USA Megan Dunn, BS, IBCLC

Megan Dunn is a board certified Lactation Consultant and Health Educator who views infant feeding from an anthropological perspective and through a sociological lens. Her experiences have run the gamut as a volunteer, peer-to-peer counselor, clinical IBCLC, and as an educator.

Currently she is the Breastfeeding Program Coordinator for a local WIC agency where she is coordinating a pilot program to equitably expand peer services. She is privileged to be a part of the excellent team at Legacy Health as a perinatal Educator. She also provides community lactation support as a home-visiting provider. Her goals are to support biological feeding norms and to offer practical and empowering solutions for dyads. Professionally, her special interests include the fascinating world of our microbiome, empowering parents through Participant Centered and motivational approaches, and creating successful feeding solutions for complex cases. She is eager to collaborate on projects which focus on improving public policy and accessibility to culturally aware and trauma informed care for all perinatal families.

When she’s not pondering and working on all things human milk, Megan enjoys cooking, hanging out with her teenagers, going on nature walks, volunteering, and spinning tunes as a community radio host and DJ.

USA Megan Dunn, BS, IBCLC
Abstract:

The billions of unicellular organisms which form a symbiotic relationship with our bodies provide essential functions which regulate, modulate, and maintain homeostasis. The microbiome has an essential role in prompting a proper immune response, maintaining adequate digestion and metabolic function, managing inflammatory status, supporting mental health, and many more functions which are required for good health. Dysbiotic conditions during the perinatal period are common and impact the infant feeding relationship. In this presentation, participants will learn about the functions of the microbiome as it relates to lactation and infant health as well as the consequences of dysbiosis and its impact on lactation/infant feeding.

Additionally, participants will learn how to address dysbiotic conditions within their profession’s scope. This presentation provides clinically applicable information and recommendations that participants can apply when providing lactation education and developing care plans.

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Presentations: 29  |  Hours / CE Credits: 29.5  |  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 (details)
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USA Angela Gooden, DNP, APRN, CPNP-PC/AC

Angela Gooden, a Pediatric Nurse Practitioner with dual certification and expertise in pediatric cardiology, is the Director of Advanced Practice Providers at Texas Children's Hospital. Ms. Gooden has a special interest in reducing morbidity and mortality for infants born with complex congenital heart defects who require staged palliative surgical interventions. Additionally, in her leadership role, Ms. Gooden is focused on promoting the advanced practice role through advocacy, organizational engagement, professional development, and mentorship. She currently serves as a legislative ambassador for the Texas Nurse Practitioners organization.

USA Angela Gooden, DNP, APRN, CPNP-PC/AC
Abstract:

In neonates, a comprehensive approach to the management of known or suspected cardiac defects is critical to ensuring diagnostic accuracy and the best possible outcome. Essential elements of this process include early recognition, initial resuscitation and stabilization, systematic evaluation, and immediate and long-term management strategies.

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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: 1.25 (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 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
This presentation is currently available through a bundled series of lectures.