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IBCLC Detailed Content Outline: Pathology / Maternal Focused CERPs - Section III B

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

Hours / Credits: 1 (details)
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Kathryn Stagg is mum to 4 boys, twins and 2 subsequent singletons. She trained as a breastfeeding peer supporter and volunteered in the groups for years in and around Harrow, NW London, UK.

Kathryn caught the breastfeeding support bug and decided to further her knowledge training as a Breastfeeding Counsellor with the Association of Breastfeeding Mothers and then qualifying as an IBCLC 5 years ago. Kathryn started Breastfeeding Twins and Triplets Facebook group almost 8 years ago and it now has over 9000 members. It has recently been made into a UK charity. Kathryn is passionate about delivering high quality breastfeeding support to as many twin and triplet families as possible, creating resources and educating health care professionals and breastfeeding supporters. She runs a small private practice and continues to teach music part time, her original career path. Kathryn is the author of Breastfeeding Twins and Triplets; a guide for professionals and parents. /p>

Abstract:

This session will help you understand the challenges of a multiple pregnancy and birth. Discover preparations that can help ease stress and increase success in lactation. Learn how to support families experiencing premature birth. You will understand the best way to help parents establish breastfeeding their multiples, even with late preterm/early term birth. This session will help attendees gain and understanding of how to navigate the challenges of breastfeeding multiples and how to support families effectively during the different stages of their breastfeeding journeys.

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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
Presentations: 74  |  Hours / CE Credits: 75  |  Viewing Time: 52 Weeks
Hours / Credits: 1 (details)
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Canada Cecilia Jevitt, PhD, RM, CNM, APRN, FACNM

Cecilia Jevitt is the Midwifery Director and a tenured associate professor at the University of British Columbia, Faculty of Medicine. From 2013 to 2018, she directed the Yale School of Nursing’s Midwifery and Women’s Health Nurse Practitioner master’s degree programs. She has done capacity-building teaching and curriculum consultations in Switzerland, Laos, China and Ghana.
Jevitt studied midwifery at Emory University. Her 1993 doctorate in applied medical anthropology is from the University of South Florida. She established an academic division of midwifery with the University of South Florida College of Medicine while jointly appointed to the Colleges of Nursing and Public Health.
She is an elected Fellow of the American College of Nurse-Midwives and is the At Large Member of the FACNM Board. Jevitt was a Florida Nurses Association Great 100 Nurse in 2009, the 2010 Reviewer of the Year for the Journal of Midwifery & Women’s Health, the University of South Florida Department of Anthropology’s Distinguished Alumni in 2012, and a 2014 Connecticut Nightingale Excellence in Nursing Award winner.
Jevitt’s scholarship focuses on perinatal weight gain optimization and integrating obesity prevention and management into women’s health especially the perinatal and lactation periods.

Canada Cecilia Jevitt, PhD, RM, CNM, APRN, FACNM
Abstract:

Obesity affects more than 35% of women ages 20-39 in the United States. This presentation will summarize recent research that reconceptualizes obesity as adipose disease associated with smoking; socio-economic disparities in employment, education, health care access, food quality and availability; and environmental toxins, ultimately altering microbiomes and epigenetics. Obesity is an adaptation to an unhealthy environment more than poor individual eating choices. The female fetus forms her lifetime complement of ova during pregnancy; therefore, the effects of obesity may affect three generations in one pregnancy.

Individual prenatal care of women with obesity includes early testing for diabetes, counseling on epigenetic diets, advice supporting weight gain within national guidelines, and vigilance for signs of hypertensive disorders of pregnancy. Intrapartum care includes mechanical cervical ripening measures, patience with prolonged labor and uterotonic medication readiness in the event of postpartum hemorrhage. Postpartum care includes thrombus risk amelioration through early ambulation, use of compression stockings and anticoagulation. Delays in lactogenesis II can be offset by measures to support early breastfeeding. Sociopolitical actions for midwives at national, state and community levels to reduce population disparities in racism, education, employment; reduce pollution from obesogenic chemicals and improvement of food quality and distribution policies will be reviewed.

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Presentations: 13  |  Hours / CE Credits: 13.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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USA Alexandra Walker, BSN, MA, RN, IBCLC, RLC

Alex has been a lactation consultant in the Washington, DC area since 2010. In addition to running her private practice, Bethesda-Chevy Chase Lactation Consultants, Alex cares for breastfeeding moms and babies at Hirsch Pediatrics in Rockville, MD. After earning her master's in English Literature and teaching for several years, Alex met two extraordinary people that inspired her to enter the field of lactation: her daughters. Alex has worked at Inova Fairfax Hospital and Sibley Memorial Hospital as an in-patient lactation consultant. In 2015, she graduated summa cum laude from the University of Maryland Baltimore School of Nursing with a Bachelors of Science in Nursing. Alex is committed to increasing awareness for impaired mammary organ development (IMOD) and impaired mammary organ function (IMOF).

USA Alexandra Walker, BSN, MA, RN, IBCLC, RLC
Abstract:

Often overlooked and as elusive as the butterfly it resembles, the thyroid gland may lurk behind a number of breastfeeding difficulties, including low-supply, over-supply, and overt lactation failure. Recent research has revealed that thyroid disorders during pregnancy and postpartum are more common than previously thought. A substantial amount of our current professional discourse centers around tongue-tie, which occurs in anywhere from 4.2%-10.7% of babies, while thyroid disorders in lactating women may in fact be more prevalent than tongue tie, affecting anywhere from 6.7%-13.3% of women in the postpartum period. Even more alarming is that as many 50-80% of these cases may be missed by a woman’s healthcare provider. During this presentation, you will gain a basic understanding of how the thyroid gland functions and the various ways in which a dysfunctional thyroid can adversely affect lactation. You will also learn which signs and symptoms warrant a referral to a primary health care provider. We will review the latest evidence-based thyroid hormone reference values appropriate for a woman during pregnancy and postpartum so that, if your patient does undergo testing, you will feel confident discussing those results with her. Finally, we will discuss some herbal and dietary recommendations for improving thyroid function.

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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 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.

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

Surprisingly, lymphatic congestion forms the foundation of some lactation problems like chronic plugged ducts and un-resolving nipple and breast pain. In this cutting-edge presentation, Dr. Hazelbaker covers the anatomy and physiology of the lymphatic system (especially as it pertains to the breast) and discusses the most common presentations and causes of lymphatic breast congestion. She demonstrates the Lymphatic Drainage Therapy technique in videos of three cases. Dr. Hazelbaker leaves the audience with a brief breast self-care regimen that can enhance the breast health of every participant when used consistently.

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Presentations: 3  |  Hours / CE Credits: 3  |  Viewing Time: 4 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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India Ruth Patterson, RN, IBCLC

Ruth Patterson is Cloud Nine's P I O N E E R & Most Sought Lactation Specialist with 33 years of rich experience - currently practicing at Jayanagar C9, Bangalore-India and a visiting Lactation Consultant with 9 other Cloud Nine branches locally. She also heads the 24 Pan India Cloud Nine Hospitals as the Manager Lactation.

Ruth's 30+ years of rich experience includes maternity, allied health and nursing care, both in rural and urban sector in India & Abroad. Her exclusive 18 years of experience in Lactation services, she has acquired immense practical knowledge in the last decade to identify most critical disorders of mother and babies during breastfeeding stage. She is acclaimed to have expertise in a lesser-known art of re-lactation and induced lactation.

Ruth is known for her ability to identify the most critical issues in Breastfeeding and restore/re-initiate feeds. She is acclaimed for the use of Dynamic Taping (only available at Jayanagar C9) that arrests/prevents breast surgery/abscess. This Dynamic Taping practice, alongside, a Gynecologist, Pediatrician and Physiotherapist at Cloud Nine, is patented.

Ruth is a well sought out person for patient hearing and provides her expert comments in News columns/Media and also delivers guest lectures.

Dr. Shazia Shadab (PT) is the HOD of the Cloud nine physiotherapist department (PAN-India). She has 10 years experience and has been exceptional in her career with constant learning of new skills and improvising in her services.

She has multiple articles published in acclaimed newspapers and many international certifications affiliated with her name like pelvic girdle dysfunction, labor mechanism, and has done basic advanced certification in dynamic tapping to name a few. She also has pursued her post-graduation in research methodology after her bachelor's in physiotherapy.

She has always been keen to learn how to progress in a variety of different treatment approaches to find better results. This has helped her and her team to develop an intervention to prevent breast abscess with no surgical approach and has been granted a patent on "a device to promote feeding and scar-free treatment of breast abscess treatment during lactation". She has worked along with professionals like Dr. Kishore Kumar, Dr. Prakash Kini, and Ruth Patterson, and has treated more than 100 patients suffering from breast abscesses without any surgical intervention. This would be an exceptional resource to help and provide better care.

She has extensive expertise in not only treating but also preventing multiple musculoskeletal conditions during pregnancy and postpartum. She has been awarded the ABCD (Above and Beyond the Call on Duty) Award for her unwavering and selfless dedication to her patients.

India Ruth Patterson, RN, IBCLC
Abstract:

"Lactational breast abscess is a common problem during breastfeeding. Surgical treatment of breast abscess involves maternal child separation and discontinuation of breast feeding. Surgical intervention with its inherent anxiety and probable unwanted side effects can deprive the lactating parent and baby of innumerable benefits. Non-surgical therapeutic modalities can potentially circumvent these problems. Dynamic taping with the help of a physiotherapist is a potential non-surgical intervention. This presentation presents the results of an observational, cohort study which was conducted in 20 consenting mothers with breast abscess attending an out-patient services tertiary maternal and neonatal unit. The mothers were administered two layers of dynamic tape as a single long segment on the breast avoiding the areola in an outward radiating direction to optimize lymphatic flow. Treatment was considered successful if there was resolution of the breast abscess with or without natural oozing."

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Presentations: 28  |  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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United Kingdom Kim Morley, MSc, INP, RM, RN

Kim is an advanced clinical practitioner, independent nurse prescriber, registered nurse and registered midwife with additional qualifications in epilepsy, complex pregnancies, child protection, pharmacology, advanced decision making, epidemiology, diagnosis and history taking and research. She is a specialist in antiepileptic drug prescribing management & all aspects of reducing the impact of epilepsy. Since 2000, she has conducted a women with epilepsy service which provides holistic care and treatment support from teenage years to motherhood. In addition, she established and ran for 7 years a thriving community epilepsy specialist nursing service for Southampton and since 2017, a new rapidly expanding secondary care service for Winchester. Kim designed the maternity epilepsy toolkit embedded in the SUDEP (sudden unexpected death in epilepsy) Action professional checklist and focuses professionally and academically on safety and reducing the risk of avoidable adverse outcomes. She is an MBRRACE assessor and represents the Royal College of Midwives on behalf of midwives on the valproate stakeholders committee.

United Kingdom Kim Morley, MSc, INP, RM, RN
Abstract:

Epilepsy is a pre-existing, neurological disease present in 0.3%-0.5% of all pregnancies and is associated with increased risks of morbidity and mortality during the pregnancy continuum. These risks are often determined long before conception. This is because epilepsy and its treatment can impact on: education, employment, safety, menstruation, sexuality, fertility, contraception, pregnancy, breastfeeding, parenting, bone health, mental health, quality of life, driving status and independence. This trajectory and the quality of care received during the epilepsy journey can influence pregnancy presentation and outcome. The extremes can be a woman who has received expert epilepsy care and preconception preparation to ensure the risks were minimized when embarking on a planned pregnancy versus a woman who presents with an unplanned pregnancy having received no counselling, no epilepsy specialist care, prescribed a medication that is high risk to a developing baby whilst having uncontrolled seizures. These extremes highlight the need for maternity healthcare professionals to have awareness about the potential health burden associated with epilepsy, knowledge about seizure presentation and management, information about epilepsy treatments and understanding about potential risks to the women and her developing baby and how to reduce risks during pregnancy through joined-up, holistic, multi-professional healthcare provision.

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Presentations: 13  |  Hours / CE Credits: 13.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
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 (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
This presentation is currently available through a bundled series of lectures.