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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: 25  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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Spain Carmela Baeza, IBCLC,MD, Family Medicine Specialist

Carmela is a medical doctor; who specialized in family medicine and sexual therapy before she discovered (thanks to her first child) a passion for breastfeeding. She became an IBCLC in 2005 and is also a BFHI Evaluator since 2006. She works in a Family Wellness Clinic, Raices, where she does sex therapy, teaches Natural Family Planning (Symptothermal and LAM) and is in charge of the breastfeeding program. This program includes attending moms & babies at the clinic, doing pre and postnatal breastfeeding classes for parents, and an extensive offer of lactation training for health professionals, doulas and breastfeeding counsellors. She and her husband, Carlos, homeschool their four children.

Spain Carmela Baeza, IBCLC,MD, Family Medicine Specialist
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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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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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: 2  |  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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Katrina B. Mitchell, MD is a board-certified general surgeon, fellowship-trained breast surgical oncologist, and international board certified lactation consultant (IBCLC) whose practice includes the care and surgery of women with breast cancer and benign breast disease. She also treats maternal complications of lactation, and has a special interest in pregnancy and postpartum breast cancer. She 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 at the beach. More information about her clinical and educational interests is available at katrinamitchell.org.

Abstract:

This lecture reviews nipple and breast pain during pregnancy and both the early and late postpartum periods. It describes the anatomy and physiology of the breast and nipple areolar complex, and explores why pain during pregnancy and lactation is so common. Specific topics include the relationship between engorgement and infant latch; pump and other nipple trauma; hypo- and hyperlactation and how pain presents in these populations; vasospasm; dermatitis; nipple blebs; and, mastitis and plugging. The lecture also covers infant considerations and defines the lack of evidence for fungal infections as a significant contributor to pain. It delineates identification and treatment of functional pain and overlap of perinatal mood and anxiety disorders with pain.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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USA Elizabeth Myler, BS, BSN, IBCLC, RLC

Beth is the owner and manager of Mahala Lactation and Perinatal Services and Breastfeeding Center in Northwest NJ. She is an International Board Certified Lactation Consultant (IBCLC) and a NJ licensed Registered Nurse (RN) with a bachelor of science degree in psychology and reproductive biology from Tulane University and a bachelor of science degree in nursing from The Johns Hopkins University School of Nursing. She began her clinical nursing career in pediatric and adolescent medicine at the Children's Hospital of Philadelphia (CHOP) and now has over 16 years of experience in the areas of reproductive biology, community and mental health, school nursing and maternal/child health.
Beth was a US Peace Corp Volunteer in French-speaking Cameroon, West Africa, where her passion for working with mothers and babies was born. Beth is an accredited La Leche League Leader (since 2006) and has trained as a birth and postpartum doula. She enjoys working with medically diverse mother/infant dyads, training and mentoring lactation consultants and interns. She enjoys writing for breastfeeding publications and speaking professionally, especially internationally, where she has the opportunity to learn about the diversity of breastfeeding experiences and share her knowledge. She also enjoys planning and hosting Mother Blessing ceremonies, an alternative to the traditional "baby shower," where expectant mothers are emotionally supported to explore their instinctive abilities to birth and breastfeed their babies.
Beth is currently attending Georgetown University’s Online Family Nurse Practitioner Program and will graduate in the Spring of 2017. She looks forward to having the privilege of incorporating her lactation expertise with comprehensive primary health care of the whole family.

USA Elizabeth Myler, BS, BSN, IBCLC, RLC
Abstract:

This talk includes a review of the stages of nipple wounds including terminology you will use as clinicians and breastfeeding care providers to describe and recommend treatments for mothers. With the use of vivid clinical pictures, we will review steps in the differential diagnosis of nipple wounds and the evidence base for various treatment options including palliative, over-the counter and prescription therapies.

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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.