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Breast and Nipple Pain Online Course(s) & Continuing Education

Access the latest clinical skills and research for Breast and Nipple Pain for Lactation & Breastfeeding professional training. These Breast and Nipple Pain online courses provide practice-changing skills and valuable perspectives from leading global experts. This Breast and Nipple Pain education has been accredited for a variety of CEUs / CERPs and can be accessed on-demand, at your own pace.

Hours / Credits: 1 (details)
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Australia Dr. Virginia Thorley, PhD, IBCLC, FILCA

Dr Virginia Thorley is a pioneer of the breastfeeding movement in Australia. She was the first breastfeeding counsellor in Queensland and in 1985 was in the first cohort in the world to certify IBCLC. In 2008 she was one of the first Fellows of the International Lactation Consultant Association (FILCA). She has two Research Higher Degrees in History (MA and PhD) and her current research interests include influences on mothers' infant-feeding decisions, wet-nursing, milk-sharing and milk banking. Dr Thorley is an Honorary Research Fellow in the School of HPRC at the University of Queensland. She is the author of several books and book chapters and most recently was co-editor, with Melissa Vickers, of The 10th Step & Beyond: Mother Support for Breastfeeding. She has presented at conferences on five continents.

Australia Dr. Virginia Thorley, PhD, IBCLC, FILCA
Abstract:

Mothers who have experienced severe nipple pain when latching their babies may respond to their fear of pain with a behavior that causes the very pain they are trying to avoid. This presentation will provide information for identifying this behaviour, the process behind it, and how this flinching negatively impacts on latch. Strategies are provided to assist the clinician to assist the mother to recognize what she is doing and why, and teach her strategies using more than one of her senses to override the fear response. Finally, as nipple pain may have more than one cause, checking for common or uncommon co-morbidities is discussed.

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Presentations: 27  |  Hours / CE Credits: 24  |  Viewing Time: 8 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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Egypt Fayrouz Essawy, MD, IBCLC

Dr Fayrouz Essawy is a pediatrician, neonatologist and neonatology consultant. She obtained her Bachelor of Medicine and Surgery from Cairo university, Egypt in 2004 and her Masters degree of Pediatrics from Ain shams University in 2012. She gained Egyptian neonatology fellowship in 2015, and also became a Lactation Consultant (IBCLC) in the same year. Dr Essawy specializes in Breastfeeding Medicine and is also a Baby friendly coordinator. In 2020 she completed the Harvard Graduate of Training trainee program. Dr Essawy is also a member of various associations including: Egyptian Society of Pediatrics, Egyptian Lactation Consultant Association (ELCA), Academy of Breastfeeding Medicine (ABM) and the International Lactation Consultant Association (ILCA).

Egypt Fayrouz Essawy, MD, IBCLC
Abstract:

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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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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U.S.A. Marsha Walker, RN, IBCLC

Marsha is a registered nurse and international board certified lactation consultant. She has been assisting breastfeeding families in hospital, clinic, and home settings since 1976. Marsha is the executive director of the National Alliance for Breastfeeding Advocacy: Research, Education, and Legal Branch (NABA REAL). As such, she advocates for breastfeeding at the state and federal levels. She served as a vice president of the International Lactation Consultant Association (ILCA) from 1990-1994 and in 1999 as president of ILCA. She is a board member of the Massachusetts Breastfeeding Coalition, the US Lactation Consultant Association, and Baby Friendly USA, USLCA’s representative to the USDA’s Breastfeeding Promotion Consortium, and NABA REAL’s representative to the US Breastfeeding Committee. Marsha is an international speaker, and an author of numerous publications including ones on the hazards of infant formula use, Code issues in the US, and Breastfeeding Management for the Clinician: Using the Evidence.

U.S.A. Marsha Walker, RN, IBCLC
Abstract:

Sore nipples are the bane of breastfeeding mothers. Nipple pain and/or damage is one of the top reasons for the early abandonment of breastfeeding. There are a large number of suggested remedies, many of which have little or no high quality evidence to recommend their use. This presentation will explore the structure of the nipple, potential screening tools for sore nipples, contributors to sore nipples, antenatal interventions, flat and inverted nipples, colonization and infection of the nipples, biofilms, small colony variants of Staphylococci aureus, and a plethora of pharmaceutical and non-pharmaceutical treatments to relieve pain and hasten healing.

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Presentations: 28  |  Hours / CE Credits: 23.25  |  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
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
Hours / Credits: 1 (details)
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USA Diana West, BA, IBCLC

Diana West is an IBCLC in private practice. She is the co-author of “Sweet Sleep: Naptime and Nighttime Strategies for the Breastfeeding Family,” the 8th edition of La Leche League International’s “The Womanly Art of Breastfeeding,” “The Breastfeeding Mother’s Guide to Making More Milk,” the clinical monograph “Breastfeeding After Breast and Nipple Procedures,” and ILCA’s popular “Clinician’s Breastfeeding Triage Tool.” She is the author of the “Defining Your Own Success: Breastfeeding After Breast Reduction Surgery.” She is on the Editorial Review Board for the “Journal of Clinical Lactation,” a La Leche League Leader and the Director of Media Relations for La Leche League International. She has a bachelor’s degree in psychology and is the administrator of the popular BFAR.org, LowMilkSupply.org, and LactSpeak.com websites. She lives with her three sons and one husband in the picturesque mountains of western New Jersey in the United States.

USA Diana West, BA, IBCLC
Abstract:

In a vivid (and sometimes graphic!) presentation of photos contributed by lactation colleagues around the world, a wide variety of nipple pain causes, treatments, and counseling strategies are explored and discussed.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 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: 4 Weeks
Hours / Credits: 1 (details)
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U.S.A. Jeanette Mesite Frem, MHS, IBCLC, RLC, CCE

Jeanette Mesite Frem, MHS, IBCLC, RLC, CCE is an experienced childbirth educator, IBCLC-lactation consultant and retired birth doula. She started her career working with families while serving as a Peace Corps Volunteer in Côte d'Ivoire, West Africa in the early 90s. She loved that work so much she went on to receive a public health masters degree from Johns Hopkins School of Public Health, focusing her studies on nutrition for maternal and child health. Her two children were breastfed for more than 2 years each and Jeanette has experience pumping at work for both children and has supported more than a thousand families with feeding and pumping over the last 20 years.

Jeanette provides prenatal childbirth and breastfeeding classes at her office in Northborough, Massachusetts, as well as providing virtual and office feeding consultations. She also enjoys leading workshops for perinatal health professionals and mentoring those who work with families. If you have questions, feel free to email [email protected]

U.S.A. Jeanette Mesite Frem, MHS, IBCLC, RLC, CCE
Abstract:

Perinatal professionals in hospitals have great influence over how much human milk a baby receives, as well as how encouraged parents feel related to pumping and initiating and maintaining their milk production and eventually meeting their infant feeding goals. When hospital staff help with pumping in the early hours, days, and weeks of a new and fragile baby’s life—especially when at breast, chest or body feeding isn’t possible—getting that professional support is likely to make a difference in the long-term health of that child as well as the health of their parent. Healthcare providers can facilitate milk collection and provision of it to babies and support parents with specific and updated guidance on pump choices, pump usage, flange fit and milk storage. Those who work in hospitals with families can make an important positive impact on long-term breastfeeding and human-milk feeding rates. This session will cover 12 simple ways (including the what, why, how, when and where of pumping) that healthcare providers can support parents who pump for their hospitalized baby.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
This presentation is currently available through a bundled series of lectures.