IBCLC Detailed Content Outline: Psychology, Sociology, and Anthropology Focused CERPs - Section V

Sleep related deaths are the number one cause of infant deaths in the United States, with neonates that have been in a NICU being at a higher risk. In order to combat this problem, the American Academy of Pediatrics (AAP) in the early 1990's began publishing recommendations on how to prevent sleep related deaths in healthy term infants. This effort has led to a decrease in infant sleep related deaths, but confusion remains on when a premature or convalescing neonate be transitioned to a safe sleep environment in the NICU. This presentation will review the different types of sleep related deaths in infants, most current theory of cause of SIDS, review the myths of safe sleep and give guidance to the NICU nurse on how to implement safe sleep in their unit.

Pre-eclampsia, a complex hypertensive disorder of pregnancy is the second leading cause of global maternal mortality affecting about 8% of pregnancies. Although there are more positive outcomes for women who develop pre-eclampsia in Europe, North America and Australia, there are far more devastating consequences in Low- and Middle-Income Countries (LMIC’s). To improve the outcomes and ultimately achieve the Sustainable Development Goals (SDG’s), effective care is recommended for all women who develop pre-eclampsia, and this should be based on high quality guidelines to facilitate prompt identification and management. As front-line maternity service providers, midwives are instrumental in reducing maternal and neonatal deaths from all complications including pre-eclampsia. Across the continuum of care, midwives have the potential to save over 30% of women who develop pre-eclampsia and eclampsia. Depending on the setting, midwives may assess, diagnose, initiate, and coordinate care for women who develop pre-eclampsia within regulated practice frameworks and in agreement with international practice standards. This presentation will highlight the burden of pre-eclampsia and discuss the current care recommendations during the antenatal, intrapartum, and postpartum periods. Practical application strategies in LMIC’s will be emphasized in the context of WHO’s quality care framework.

"The “transition” into parenthood is supposed to be a time of joy, love and wonder, and yet research paints a very different picture: currently 1 in 3 mothers and 1 in 5 fathers suffer from anxiety or depression during the perinatal period. You might also be shocked to know that 92% of couples report increased conflict and 67% a decline in relationship satisfaction in the first few years of family.
And referring to parenthood as a “transition” is misleading – there are, in fact, multiple transitions for couples to navigate.
Including fathers or partners in pregnancy, birth and the multiple transitions of early parenthood helps to reduce both mothers' and fathers' risks for anxiety, depression and relationship problems and supports both parents' mental, emotional and relationship health, so the whole family can thrive. In this presentation, practitioners will learn simple and easy ways to include fathers and partners, even if they’re not in the room, and discover how small things can make a big difference to a family’s future.

Since the formation of Canada in 1867, the Canadian government has systematically imposed a Euro-Western biomedical model of maternity care on Indigenous peoples. Colonialism and white supremacy rationalized the development of the Indian Residential School system with Christian organizations in attempts to “kill the Indian in the child.” Government goals were to civilize and assimilate Indigenous Peoples into a generic Canadian identity for the sake of nation building and colonial expansion. Eugenic ideologies underpinned the reduction of Indigenous populations through the forced, coercive, and covert sterilization of Indigenous women and girls. In Canada, two provinces had a Sexual Sterilization Act (Alberta and British Columbia), although it was practiced throughout the country. In the area of maternity care, Canadian healthcare systems have consistently failed Indigenous people and their children as evidenced by having highest IMR in Canada. Despite this, Indigenous midwifery and improved child and maternal health for Indigenous people, families, and communities can be realized. A return of birth to the land, recognition of Indigenous women’s and Two Spirit leadership in the provision of excellent culturally-informed, anti-colonial maternity care will contribute to the improved health and wellbeing of Indigenous Peoples.

In any emergency, infants and young children are particularly vulnerable. Providing appropriate aid is vital to ensure that children have the best chance of surviving. This presentation will describe why infants and young children are at increased risk during times of crisis and outline how aid can support, or sometimes undermine the health of infants and young children. Detail on instruments to support appropriate infant and young child feeding in emergencies will be provided, along with information to assist participants in advocating for appropriate infant and young child feeding in emergencies in their context.

Good doctor–patient communication is essential for positive health care outcomes. Ideal doctor–patient communication generally is reflected in a partnership communication style. However, in Southeast Asian settings, we often see a more one-way style with little input from the patient. Helpline services is breaking the ice, and is considered a new option modality for patients in Indonesia. The ease in contacting medical professionals through phone and text messages seems more comfortable, personal and inexpensive.
Breastfeeding support via a helpline helps mother to feel reassured, confident and more determined to continue breastfeeding, and in majority of occasions resolves their particular concerns.
Lactation Clinic in Puri Cinere Hospital, Depok, West Java, Indonesia was established in August 2011 and operated a helpline since the beginning of its establishment. Helpline service is open 24 hours daily, through phone, text messages, whatsapp, or blackberry messenger directly to doctors who are also breastfeeding counselors. There are six doctors who take turns every month to receive calls and reply to messages. Helpline numbers are distributed to patients during post natal rounds or at patients doctors appointments in lactation clinic.
A longitudinal study conducted in March to December 2014 shows 202 helpline cases in 9 months. There were 29 cases (14%) questioning EBM handling, 24 cases (12%) asking about complementary feeding, 19 cases (9%) of infant stool, 19 cases (9%) medication and mother's milk, 15 cases (7%) frenotomy after care and other various problems. 63% cases were successful managed via helpline, and 37% cases were referred to the Lactation Clinic to get further help.
There were many cases resolved through helpline calls and messages. High success rate of helpline management shows that helpline program is effective to help mothers and resolved their particular concerns; especially in Indonesia.

Many of us come to work in breastfeeding envisioning a world where mothers and babies can breastfeed without barriers; however, we quickly learn that breastfeeding challenges go beyond latching and positioning.

To effectively support a breastfeeding/chestfeeding family, we have to support the parents, the extended family, the primary care provider, the workplace culture, the childcare, and the community; in summary, supporting one dyad can be an intervention to the whole social system. Indeed, breastfeeding advocacy is about building systems and consistently leading cultural changes to more deeply reinforce human feeding as the norm.

Kouzes and Posner (2012) state: “if you want to have a significant impact on people, on organizations, and oncommunities, you’d be wise to invest in learning the behaviors that enable you to become the very best leader you can.” With that in mind, lactation consultants and lactation advocates would benefit by learning leadership behaviors and skills that will support their efforts towards cultural change, inspire shared visions, challenge processes, becoming strategic advisors, and leading from the inside out.

Lactation leaders would benefit by being able to align values and beliefs with actions and strategies to promote breastfeeding as part of whole community development and as a public health strategy. In that way, lactation has a presence in early childhood initiatives, maternal and infant health, mental health programs, and any health, social, educational intervention. Want to normalize lactation? Join this interactive session and become the leader who can make extraordinary lactation things happen in your community.

Muchos de nosotros comenzamos a trabajar en lactancia visualizando un mundo donde las madres y los bebés pueden amamantar sin barreras; sin embargo, aprendemos rápidamente que los desafíos de la lactancia materna van más allá del prendimiento y el posicionamiento.

Para apoyar efectivamente a una familia que amamanta, debemos apoyar a los padres, a la familia extendida, al doctor, a la cultura del lugar de trabajo, a la guardería y a la comunidad; en resumen, apoyar a una familia se transforma en la oportunidad para afectar todo el sistema social. De hecho, promover la lactancia se trata de construir sistemas y liderar cambios culturales para reforzar más profundamente la alimentación con leche humana como la norma.

Kouzes y Posner (2012) afirman: "si desea tener un impacto significativo en las personas, en las organizaciones y en las comunidades, lo más recomendable sería invertir en aprender comportamientos que le permitan convertirse en el mejor líder que pueda ser". Con esto en mente, los consultores y asesores de lactancia se beneficiarían aprendiendo conductas de liderazgo y habilidades que apoyarán sus esfuerzos hacia el cambio cultural, inspirarán visiones compartidas, desafiarán procesos, se convertirán en asesores estratégicos y liderarán desde adentro hacia afuera.

Los líderes en el mundo de la lactancia se beneficiarían de poder alinear valores y motivaciones con acciones y estrategias para promover la lactancia como parte del desarrollo de toda la comunidad y como una estrategia de salud pública. De esta forma, la lactancia tiene presencia en las iniciativas para la primera infancia, la salud materna e infantil, los programas de salud mental y cualquier intervención sanitaria, social y educativa.

¿Quiere normalizar la lactancia? Participe de esta presentación y aprenda a liderar iniciativas de lactancia extraordinarias en su comunidad.

Millennial parents live and learn on social media. Yet, much of the information available online, even through lactation “support” groups, is outdated, inaccurate, and counterproductive. Millennial parents, particularly mothers, also place pressure on themselves to get parenting “right,” which leads to a complex and dangerous blend of anxiety, guilt, and fear surrounding all of their parenting decisions. Facebook closed groups can be an effective platform for creating a virtual breastfeeding support group, but just as in real life, the groups must be properly facilitated. This presentation offers step by step guidance to creating, setting up, and maintaining a Facebook breastfeeding support group. We’ll deconstruct common controversies that occur within social media, and analyze conflict management strategies to create safe spaces online.

As lactation professionals and supporters, we will encounter LGBTQIA+ and gender non-conforming families in health care settings, private visits and support groups. Deepen your knowledge of the unique needs of queer, trans and gender-non conforming parents during lactation. This session allows participants to explore our awareness, ask questions in a safe space and develop the tools to meet all families where they are.