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IBCLC Detailed Content Outline: Clinical Skills / Research Focused CERPs - Section VII D

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

Webinar

An Evidence-Based Guide to Using Domperidone as a Galactagogue

By Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, AdvPracPharm, FSHP
Hours / Credits: 1 (details)
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Australia Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, AdvPracPharm, FSHP

Associate Professor Luke Grzeskowiak is a clinical pharmacist and Practitioner Fellow in the College of Medicine and Public Health at Flinders University and the South Australian Health and Medical Research Institute, Australia. He is passionate about improving health outcomes for mothers and babies through the development and promotion of more effective and safer approaches towards medicines use. Luke has been undertaken research involving the use of domperidone for 10-years. He is currently the lead investigator on a number of projects examining the use of domperidone to increase breast milk supply in clinical practice, predictors of treatment response to domperidone, and causes of low breast milk supply. He is also the lead investigator on a large clinical trial comparing the effects of different doses of domperidone in the treatment of lactation insufficiency. He has published widely on the topic of treatment for low breast milk supply, with many of these publications cited in clinical practice guidelines locally and internationally.

Australia Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, AdvPracPharm, FSHP
Abstract:Whether real or perceived, low breast milk supply remains one of the most commonly reported reasons for early breastfeeding cessation. While non-pharmacological support strategies remain the first-line approach for addressing concerns with low breast milk supply, we know that many women are recommended or turn to using galactagogues (substances thought to promote lactation). Domperidone is one of the most widely recognised and recommended pharmaceutical galactagogues across the world. This presentation will provide an evidence-based overview of the benefits and risks associated with using domperidone as a galactagogue and describe treatment recommendations relating to treatment initiation, dosing, duration of treatment, and treatment cessation. Evidence relating to the association between domperidone and sudden cardiac death and ventricular arrhythmias will also be discussed with a focus on its relevance to lactating women and consideration of risk management approaches that can be utilized in clinical practice to reduce risk of harm.
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Presentations: 3  |  Hours / CE Credits: 3  |  Viewing Time: 6 Weeks
Presentations: 3  |  Hours / CE Credits: 3  |  Viewing Time: 4 Weeks
Presentations: 74  |  Hours / CE Credits: 75  |  Viewing Time: 52 Weeks
Hours / Credits: 1 (details)
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USA Glenda Adams, RN, MSN, IBCLC

Glenda currently works at Duke University Hospital as an inpatient IBCLC. She has been with Duke since September 2017. Prior to working at Duke she was an Assistant Professor at the University of Louisville School of Nursing, primarily teaching the maternal newborn courses. She graduated with a BSN from the University of Louisville in 1990, a MSN from Old Dominion in 2004, and is currently a PhD candidate at the University of Louisville and will graduate May 2018. She is testing a new breastfeeding assessment instrument she created. She first became certified as an IBCLC in 1997 and took the certification exam for the 3rd time April 2017. She has worked maternal newborn, women’s health, and lactation during her 27 years as a RN. She has presented internationally (but the conference was in Louisville), nationally, and locally. She is a member of ICLA and USLCA.

USA Glenda Adams, RN, MSN, IBCLC
Abstract:

Reading let alone critically analyzing a research article can be quite intimidating to a non-researcher lactation consultant. How many lactation consultants find a research only to read the abstract, introduction, and conclusion to skip over the parts of the article they do not understand? Lactation consultants must provide evidence-based, ethical care to mothers, their baby, and their family. Lactation consultants can be instrumental and part of a multi-disciplinary research team. This presentation will help demystify research articles by providing ten practical tips for the non-researcher IBCLC. Not only will the lactation consultant feel more confident about reading the research article but the presentation will offer a great review of research concepts that are included in the IBLCE exam blueprint and prepare exam candidates for the IBLCE exam.

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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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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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U.S.A. Diane DiTomasso, IBCLC, PhD, RN

Dr. Diane DiTomasso achieved a Diploma in Nursing from Newport Hospital School of Nursing; a Bachelor of Science in Nursing, a Master of Science in Nursing Education, and a PhD from the University of Rhode Island. She is an Associate Professor at the University of Rhode Island College of Nursing.

Her research focus is human lactation and infant weight. She has multiple publications in journals such as Journal of Gynecologic & Neonatal Nursing (JOGNN), Journal of Human Lactation, Journal of Perinatal and Neonatal Nursing, and Nursing for Women’s Health and has presented her work nationally and internationally.

Dr. DiTomasso has received various honors and awards with the most recent being the 2020 Suzanne Feetham Nurse Scientist Family Research Award by the Eastern Nursing Research Society (ENRS) and the 2020 Best of JOGNN Award as first author of the article, “Systematic Review of Expected Weight Changes After Birth for Full-Term, Breastfed Newborn. She has served as Principal Investigator for a variety of neonatal research studies. Dr. DiTomasso is a member of AWHONN, the International Lactation Consultant Association, the Eastern Nursing Research Society, and Sigma Theta Tau International. She currently serves as a Member on the AWHONN Research Advisory Panel.

U.S.A. Diane DiTomasso, IBCLC, PhD, RN
Abstract:

This presentation will summarize the findings of recent studies on neonatal weight changes that occur in the early weeks of life among full-term, breastfed newborns.

Data Sources: Using the keywords breastfeeding, newborn, infant, weight, weight loss, and growth, we searched PubMed, Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, and MEDLINE for primary studies and secondary analyses. We also reviewed the reference lists of retrieved articles. Study Selection: Quantitative studies published in the English language from 2015 through 2019 that focused on newborn weight changes. From a total of 827 records initially screened, we included 11 studies in this analysis.

Data Extraction: Two authors independently reviewed the selected articles with the use of the Johns Hopkins Nursing Evidence-Based Practice Synthesis and Recommendations Tool. To determine evidence levels and quality ratings, we evaluated the consistency and generalizability of study results, sample sizes, study designs, adequacy of controls, and definitive nature of the conclusions. This presentation will discuss the finding of this study related to expected weight changes after birth for full-term, breastfed newborns.

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Presentations: 29  |  Hours / CE Credits: 29.5  |  Viewing Time: 8 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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UK Helen Gray, MPhil IBCLC

Helen Gray MPhil IBCLC is Joint Coordinator of the UK Steering Group of the World Breastfeeding Trends Initiative (WBTi). In 2017 she and Clare Meynell IBCLC jointly received the Award for Outstanding Contribution to Breastfeeding from the Lactation Consultants of Great Britain (LCGB), for leading the UK’s first WBTi assessment of infant feeding policies and programmes.

Helen is an international speaker on ethics and conflicts of interest. She represents La Leche League of Great Britain on the UK Baby Feeding Law Group, which works to bring the International Code of Marketing of Breastmilk Substitutes into UK law. She is also Policy and Advocacy Lead for Lactation Consultants of Great Britain, and previously co-chaired LCGB’s Communications Team.

Helen’s background in anthropology and human evolution has influenced her interest in how breastfeeding, and the way we nurture our babies, are influenced by both human biology and culture.

Her current advocacy focus is the need for strong policies to protect infant feeding in emergencies. She currently serves on the Advisory Panel for a London Food Resilience research project with Oxford University.

In her spare time, she can be found sculling on the River Thames.

UK Helen Gray, MPhil IBCLC
Abstract:

The profession of lactation consultant has grown around the world and has evolved enormously since its inception in 1985. At first, the development of the profession provided skilled breastfeeding counsellors with a role that aligned with the medical model, provided a career pathway, and provided evidence of lactation skills and experience.

Over the years, the certification has grown and now there are over 33,000 International Board Certified Lactation Consultants© (IBCLC©) in 125 countries with the exam now offered in 17 languages. Lactation consultants are now recognised at national and global levels as providers of expert lactation care, and they work within a “landscape” of varied roles and qualifications, each of which brings their own important skill set. IBCLCs play many roles, ranging from advocate to clinical expert, from policy consultant to researcher. The profession has evolved in response to sociocultural change and global issues. One major change has been the increasing importance of technology and the internet, driven partly by the fact that the consumers of breastfeeding care are the most internet involved generation in history, with a particularly rapid transition in response to the COVID-19 pandemic. Major shifts have included the recognition of structural racism, health disparities, inequities in health care and in breastfeeding support, the importance of building a more diverse workforce, recognition of the gendered nature of lactation care and the need for inclusion for people of all genders, breastfeeding as a reproductive right and as a human right of the breastfeeding dyad, and the impact of how babies are fed on many other spheres, including climate change and public health.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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U.S.A Allison Walsh, IBCLC, LCCE, FACCE, LLLL, Postpartum Doula

Allison Walsh IBCLC LCCE FACCE is an International Board Certified Lactation Consultant (2006), Lamaze Certified Childbirth Educator (2000), and and doula (2000) in private practice in New York City. She is one of the three founders of the Lactation Learning Collective, which offers education and support to those on the pathway toward certification as International Board Certified Lactation Consultants along with families in need of lactation support. She trains childbirth educators as a Co-Director of the NYC Lamaze Childbirth Educator Program and is a past president of Lamaze. Allison has represented Lamaze International as a delegate to the United States Breastfeeding Committee since 2004, and has served in various leadership and committee roles. Allison is a member of the New York City Breastfeeding Leadership Council, the New York Lactation Consultant Association, and an active La Leche League Leader. She co-chaired the Save the Birthing Center Committee which was a group of professionals, advocates and consumers who fought valiantly but unsuccessfully to stop the closure of the Mount Sinai West (formerly Roosevelt) Birthing Center in New York City. Prior to the birth of her first child, Allison was a political consultant and community organizer. Skills from that “past life” are useful in all aspects of her work in the birth world. She is a graduate of Syracuse University and mother of three formerly breastfed children. Allison thinks that babies are the most interesting of all people and never underestimates the power of a good cup of tea, fresh air, and fresh bed linen.

U.S.A Allison Walsh, IBCLC, LCCE, FACCE, LLLL, Postpartum Doula
Abstract:

The possibility of serving as a mentor can feel perfectly comfortable to some people, while overwhelming and frightening to others. This presentation will discuss the steps to becoming a mentor and fostering a productive mentoring relationship to grow the lactation care profession. Join one of the founders of NYC's Lactation Learning Collective for an in-depth look at the why’s and how’s of mentoring the next generation. Learn about IBLCE’s requirements and how to smooth the process and make it fulfilling for both mentees and mentors.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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USA Ruth Lucas, PhD, RNC, CLS

Ruth Lucas, PhD, RNC, CLS, received her Bachelor of Science in Nursing from George Mason University (1986) and her Doctor of Philosophy of Science (2011) from the University of Illinois at Chicago. Based on 20 years of supporting women and infants to initiate breastfeeding, her research focuses on the biobehavioral mechanisms of breastfeeding, such as breast and nipple pain. Dr. Lucas and her team conducted a pilot randomized control trial (RCT) as part of the Center for Accelerating Precision Pain Self- Management (CAPPS-M) (P20NR016605). The pilot RCT tested the feasibility, acceptability, and efficacy of a breastfeeding self-management (BSM) intervention for breast and nipple pain during breastfeeding and found the BSM intervention significantly reduced breast and nipple pain and is associated with pain sensitivity polymorphisms. Her published work describes management of pain during breastfeeding, a clinical indictor of infant breastfeeding behaviors, and a biomedical device to measure breastfeeding in real time.

USA Ruth Lucas, PhD, RNC, CLS
Abstract:

Despite 90% of women experiencing breast and nipple pain during breastfeeding, mothers rarely receive adequate knowledge and skills for breastfeeding pain self-management and cease breastfeeding. Our randomized control trial (RCT) pilot study tested the feasibility, acceptability, and efficacy of a breastfeeding self-management intervention (BSM) on breast and nipple pain and breastfeeding outcomes. Sixty women were recruited after delivery and completed survey measures of pain and breastfeeding outcomes, pain sensitivity testing and a biological sample to assess genetic risk for pain at baseline. Both groups completed pain and breastfeeding outcomes surveys via texting links using REDCap 7.4. Women in the intervention group received biweekly nurse-lead texting and cloud-based educational modules addressing breast and nipple pain and breastfeeding challenges. The BSM intervention was acceptable and sustainable for 94% of the women who continued to breastfed to 6 weeks. Acute breast and nipple pain at 1 and 2 weeks were significantly reduced and was associated with pain sensitivity polymorphisms, suggesting a genetic risk profile of pain-associated breastfeeding cessation.

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Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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Canada Rosann Edwards, RN, MScN, IBCLC, PhD

Rosann Edwards is an Assistant Professor in the Department of Nursing and Health Sciences at the University of New Brunswick Saint John, an experienced front line public health nurse, and lactation consultant. She is also a third-degree karate black belt, and mother of boys. Rosann’s research and community work focuses on breastfeeding, the transition to motherhood, maternal satisfaction with breast/infant feeding, mothering in the shelter system, and empowering vulnerable populations of women and their children. She is the co-editor of the recent Demeter Press Anthology Breasts across Motherhood: Lived Experiences and Critical Examinations.

Canada Rosann Edwards, RN, MScN, IBCLC, PhD
Abstract:

Mothers 35 year of age or older are the fastest growing demographic of new mothers in many developed countries, & a steadily emerging global trend. The quality of a mother's breastfeeding experience has the potential to affect breastfeeding duration and factors that promote healthy maternal-infant attachment, infant growth and development, and maternal mental health. There is a lack of understanding of how older first-time mothers make decisions about breastfeeding and mothering. Learn more about new research that looked to answer the research question ‘What factors affect how first-time mothers >35 years of age make decisions about breastfeeding and the motherhood in the first six months postpartum?’ The findings provide a framework to work in partnership with older first-time mothers to enhance positive breastfeeding experiences, adaptation to motherhood and positive mental health outcomes through strategies that promote resiliency and shared decision-making around early postpartum care, and breastfeeding/infant feeding supports. Key components include helping mothers identify what satisfaction with breastfeeding is for them, encouraging increased levels of knowledge, control, trust and ownership, supporting them in redefining their core self, and providing realistic, evidence-based information.

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Lactation, Translated Lectures
Presentations: 29  |  Hours / CE Credits: 29.5  |  Viewing Time: 8 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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Canada Michael Narvey, MD, FAAP, FRCPC

Dr. Narvey began his training in Pediatrics at the University of Manitoba in Winnipeg where he completed a year of further training in Neonatology. This was followed by two years of Neonatal fellowship at the University of Alberta in Edmonton. Afterwards he began his career as a Neonatologist in the same city and over the 6 years he spent there, his career included both clinical and administrative duties including 4 years as the Fellowship Program Director and two years as the Medical Director for a level II unit. In late 2010 he accepted a position in Winnipeg to become the Section Head of Neonatology and continues to hold this post. In 2016 he took on the additional role of Medical Director of the Child Health Transport Team. In 2015 he became a member of the Canadian Pediatric Society’s Fetus and Newborn Committee and in 2019 took over as Chair of the same. His interests predominantly lie in the use of non-invasive technology to minimize painful procedures during an infants stay in the NICU. He is active on social media and has a passion for fundraising and is an active board member of the Children’s Hospital Foundation of Manitoba.

Canada Michael Narvey, MD, FAAP, FRCPC
Abstract:

Hypoglycemia is one of the most common problems encountered by the practitioner in newborn care. How low is too low and how does the age of the patient influence these thresholds? Moreover, when a patient’s blood glucose is found to be low, what are the best steps to take in order to normalize it? This is not your usual talk on hypoglycemia but rather one that looks at the journey one center took in its quest to answer these questions. On this path we encountered some results that were definitely “sweet” and others that left a “sour” taste in our mouths. In this talk you will be follow the story of our center which produced a cautionary tale that demonstrates that you shouldn’t always believe everything you read!

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Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Presentations: 11  |  Hours / CE Credits: 11.5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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USA Amy Holmes, PharmD, BCPPS

Amy Holmes has practiced as a pharmacist for 21 years with the last 9 years being focused in neonatal critical care at Novant Health Forsyth Medical Center in Winston Salem, NC. She holds degrees in pharmacy from University of North Carolina (BS) as well as the University of Maryland at Baltimore (PharmD). Amy serves as the Residency Program Director for the acute care PGY1 program at Novant Health Forsyth Medical Center. She is active in state and national pharmacy organizations including the Pediatric Pharmacy Advocacy Group (PPAG) and the American Society of Health-System Pharmacists (ASHP).

USA Amy Holmes, PharmD, BCPPS
Abstract:

This presentation will provide a general overview of neonatal abstinence syndrome (NAS) followed by a more detailed discussion of some of the more recently published approaches to treatment. This will include review of alternative dosing strategies for morphine as well as the use of buprenorphine for management of NAS symptoms.

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Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Presentations: 11  |  Hours / CE Credits: 11.5  |  Viewing Time: 8 Weeks
This presentation is currently available through a bundled series of lectures.