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Pre & Post Care Online Course(s) & Continuing Education

Access the latest clinical skills and research for Pre & Post Care for Tongue-tie, Lip Tie & Structure professional training. These Pre & Post Care online courses provide practice-changing skills and valuable perspectives from leading global experts. This Pre & Post Care 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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USA Cara J. Riek, DNP, RN, FNP-BC, IBCLC, DABLS

Dr. Cara graduated from Arizona State University of with Doctor of Nursing Practice degree. She is a board certified Family Nurse Practitioner in addition to having her IBCLC certification. Dr. Cara is also a diplomate of the American Board of Laser Surgery, specializing in “Oral Surgery in Infants, Toddler, and Adults.” Dr. Cara very much enjoys helping families to reach their breastfeeding goals.

Dr. Stevanie Bahnerth is a family chiropractor with over 14 years of experience. She earned her Bachelor of Science degree from Purdue University and then went on the attend Palmer College of Chiropractic in Davenport, Iowa. Having breastfeed her three own children, she developed a passion for helping breastfeeding families. She is an active La Leche League Leader. In her free time, Dr. Stevanie enjoys spending time with family and friends, yoga, and traveling.


USA Cara J. Riek, DNP, RN, FNP-BC, IBCLC, DABLS
Abstract:

It is well known that tethered oral tissue (TOT) contributes to difficulty in breastfeeding. TOTs cause an alteration in ability of the infant to latch to the breast and coordinate a proper suck to allow for appropriate transfer of milk. While only medical and dental providers can perform TOT releases on infants, care for the mother/baby dyad after releases requires the work of multiple disciplines to optimize breastfeeding and support the dyad, and it’s important to understand everyone role. Understanding the biomechanics of breastfeeding including joints, bones, muscles, and cranial nerves and how TOT affects this process is necessary to understanding appropriate aftercare for infants who are released. This talk focuses on the necessary aftercare including support of the family of infants receiving release of TOT. Appropriate exercises, the role of body work, and additional consideration related to birth trauma are discussed in this talk. This talk utilizes the experiences of both a provider performing releases with additional IBCLC education and an infant chiropractor.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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U.S.A. Renee Beebe, M.Ed., RLC, IBCLC

Renee is a board certified lactation consultant in private practice. She has been working in the field of lactation since the birth of her first child in 1990--as a La Leche League Leader, postpartum doula and IBCLC. She draws from her background in education and child development every time she works with a breastfeeding dyad. Since becoming certified in 1997, Renee has supported moms through home, hospital and clinic visits, drop-in groups in the Seattle area and phone and Skype consultations internationally. She has the great fortune to work closely with several local Drs. who do excellent frenotomy. Renee is thankful to live in breastfeeding-friendly Seattle, close to her 2 grown daughters.

U.S.A. Renee Beebe, M.Ed., RLC, IBCLC
Abstract:

The diagnosis of tongue tie can send parents reeling. Especially true when they receive conflicting information from the pediatrician, various lactation consultants, nurses and other parents. In this age of instant information and social marketing, everyone seems to be an expert. What is a parent to do? Who does a mother trust? What is the right course of action? Using case studies from over 20 years in the field, Renee takes us through the tongue tie journey from the evaluation through the myriad possible steps to successful breastfeeding. Assessment, revision, body work, maintaining milk supply and keeping mothers “in the game” until baby can breastfeed all present challenges to the practitioner. This is especially true since each dyad needs it's own individualized plan that may morph frequently as treatment progresses. Join Renee as she takes you through the process of identification through resolution from the experience of her clients. She will also explore some cultural/regional differences and the challenges working with families through the tongue tie roller coaster.

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Presentations: 6  |  Hours / CE Credits: 6.0  |  Viewing Time: 4 Weeks
Available in: Tongue-tie Lecture Pack
Hours / Credits: 1 (details)
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U.S.A. Melissa Cole, MS, IBCLC, RLC

Melissa Cole is a board-certified lactation consultant, neonatal oral-motor assessment professional and clinical herbalist in private practice. Melissa is passionate about providing comprehensive, holistic lactation support and improving the level of clinical lactation skills for health professional. She enjoys researching and writing, especially on topics such tongue tie and botanical medicine.

Her bachelor’s degree is in maternal/child health and lactation and her master’s degree is in therapeutic herbalism. Before pursuing her current path, Melissa’s background was in education and cultural arts, which has served her well in her work as a lactation consultant and healthcare educator. She loves living, working and playing in the beautiful Pacific Northwest with her 3 children.

U.S.A. Melissa Cole, MS, IBCLC, RLC
Abstract:

A hotly debated topic among tongue tie professionals is pre and post-frenotomy care. Infants may have varying degrees of suck dysfunction and lip/ tongue mobility issues before and even after release. In addition, wound care of the incision sites, structural support, emotional support for the dyad and optimal feeding care plan formation is vital. Melissa Cole, IBCLC, RLC will present some pre and post-frenotomy case studies and care basics from her own clinical practice that have proven to improve frenotomy healing outcomes. Parents are often exhausted from the physical and emotional roller coaster that feeding a tongue/lip tied infant presents and sensitive care for the whole family is needed. Melissa also recognizes that pre and post-frenotomy care ‘best practice’ is still in its infancy and she proposes a call to research this subject matter further

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Presentations: 6  |  Hours / CE Credits: 6.0  |  Viewing Time: 4 Weeks
Available in: Tongue-tie Lecture Pack
Hours / Credits: 1 (details)
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United Kingdom Sarah Oakley, BA(Hons) RN HV IBCLC

Sarah lives and works in the UK and has a background in community nursing, health visiting and primary care. She qualified as a breastfeeding counsellor with the Association of Breastfeeding Mothers in 2004 and as an IBCLC in 2009. In 2009 she set up a private practice and sees 600-700 families per year in this role. She trained in 2011 to perform scissor frenotomy with Mervyn Griffiths and Carolyn Westcott and has since performed over 4000 procedures. She is a founder member and former chair of The Association of Tongue-tie Practitioners in the UK. Sarah has written articles for magazines and journals and contributed to books on lactation for parents and professionals. She has recently been commissioned to write a book on tongue-tie for parents.

United Kingdom Sarah Oakley, BA(Hons) RN HV IBCLC
Abstract:

This presentation explores professional and lay perspectives on bleeding post tongue-tie division. It will examine what constitutes abnormal bleeding and why this may occur. Risk assessment and reduction will be discussed. Management strategies that have been found to be effective, along with the development of guidelines on bleeding by the Association of Tongue-tie Practitioners will be described.

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Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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U.S.A. Robyn Merkel-Walsh, MA, CCC-SLP/COM®

Robyn Merkel-Walsh, M.A., CCC-SLP/COM® is a Licensed Speech Pathologist with over 25 years of experience. She is employed full time by the Ridgefield Board of Education and runs a private practice in Ridgefield, NJ. She is also an author, lecturer, and consultant for TalkTools® . Robyn specializes in Oral-Placement, feeding, and orofacial myofunctional disorders in the pediatric population. Her publications include, SMILE (Systematic Intervention for Lingual Elevation), Art Talk, Handy Handouts, OPT-S Kit, and she co-authored Sensory Stix, A Sensory-Motor Approach to Feeding, Functional Assessment and Remediation of Tethered Oral Tissues and Oral Placement Therapy Goals for Speech Clarity. She has also written several articles for the TalkTools® website, The ASHA Leader, and Advance Magazine for Speech Pathologists. She has been published five consecutive years at the annual convention of the American Speech-Language and Hearing Association. Robyn received both her undergraduate and graduate degrees from Montclair State University, where she was later invited to be an adjunct/clinical supervisor. She has also taught classes and/or as a clinical supervisor for: Bergen Community College, Seton Hall University and Malloy College. She is a member of American Speech-Language and Hearing Association, American Academy of Private Practice in Speech Pathology and Audiology, New Jersey Education Association, International Association of Orofacial Myology, Oral Motor Institute, Ankyloglossia Bodyworkers , International Consortium of Ankylofrenula Professionals and The Bergen County Apraxia Association. She served a term on the New Jersey Speech and Hearing Association Board of Directors and was the private practice co-chair. She is also the Board Chair of the Oral Motor Institute and the Associate Editor of the International Journal of Orofacial Myology.

U.S.A. Robyn Merkel-Walsh, MA, CCC-SLP/COM®
Abstract:

There is a better understanding within the fields of medicine and dentistry, lactation, speech-pathology, occupational and physical therapies that functional assessment and treatment is critical for optimal lingual, buccal and labial frena releases. Semantics and terminology however are often confused regarding a treatment protocol. Post-op TOTs care has two phases: 1) Active Wound Management to maintain the integrity of the wound and avoid scarring and re-attachment and 2) Neuromuscular Re-Education to address the underlying muscle and motor- based deficits that are secondary to the oral restriction(s). Both stages of treatment must be considered. This course will outline the two stages, review national scopes of practice for various professionals involved in TOTs care and discuss guidelines for referrals to team members. Specific techniques will be reviewed and categorized as to which stage of treatment is being addressed, which sometimes may overlap.

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Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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U.S.A. Melissa Cole, MS, IBCLC, RLC

Melissa Cole is a board-certified lactation consultant, neonatal oral-motor assessment professional and clinical herbalist in private practice. Melissa is passionate about providing comprehensive, holistic lactation support and improving the level of clinical lactation skills for health professional. She enjoys researching and writing, especially on topics such tongue tie and botanical medicine.

Her bachelor’s degree is in maternal/child health and lactation and her master’s degree is in therapeutic herbalism. Before pursuing her current path, Melissa’s background was in education and cultural arts, which has served her well in her work as a lactation consultant and healthcare educator. She loves living, working and playing in the beautiful Pacific Northwest with her 3 children.

U.S.A. Melissa Cole, MS, IBCLC, RLC
Abstract:

There are a few emerging theories and clinical practice ideas when it comes to frenotomy aftercare for the newborn. Clinicians and families sometimes struggle with the idea of how to balance efficient post-frenotomy care while minimizing stress and discomfort of the newborn. While the evidence strongly points to the benefit of frenotomy for tongue-tied neonates, there is little published evidence regarding best aftercare practices. During this presentation we will explore the neonatal experience of pain along with pain management and oral healing strategies. We will also discuss the impact of stress on wound healing and focus on ways to help keep babies calm and happy through the recovery process. For families coping with a tongue-tied baby, it is often a physical and emotional roller coaster ride. This presentation will help provide a well-rounded view of frenotomy aftercare issues as well as clinical, care strategies to optimize healing and feeding for the newborn.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
This presentation is currently available through a bundled series of lectures.