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IBCLC Detailed Content Outline: Pathology Focused CERPs - Section III

Access CERPs on Pathology for the IBCLC Detailed Content Outline recertification requirements. Enjoy convenient on-demand viewing of the latest Pathology focused IBCLC CERPs at your own pace.

Hours / Credits: 1 (details)
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U.S.A Rene Moore, IBCLC, RLC, CLE

Upon becoming a mother and struggling through breastfeeding both of her babies, René first began supporting breastfeeding as a peer counselor, with a desire to help others as she was helped, and continues to support families in this way. She became an IBCLC and started her private practice, First Food For Baby, to provide professional lactation care a few years later. Recognizing the need to serve underinsured and marginalized families, she founded the Phoenix based 501(c)(3) non-profit organization, American Breastfeeding Foundation, in 2020 that will one day reach and support families nationwide, facilitating specialized care for underserved populations.

René loves helping families through their unique breastfeeding journey, providing guidance to avoid complications and empowering them to exceed their goals. She welcomes the challenge this brings, from the complexities of airway issues to feeding position experimentation. She cherishes the loving interactions between babies and their parents. She considers it an honor to be trusted with each precious new life and to witness the intimacy and beauty that is breastfeeding. She bases her foundational knowledge on evidence-based data and research but realizes that the human experience she’s has learned over the past 25 years is equally important.

U.S.A Rene Moore, IBCLC, RLC, CLE
Abstract:

This presentation is focused on infant airway as it relates to tongue-tie. Participants will learn to recognize subtle, unhealthy deviations from normal, healthy breathing, including general tongue presentation and breathing patterns (especially before and after tongue-tie release). This is important for many reasons but could be helpful in contributing to optimal frenectomy outcomes and avoiding regression. Additionally, the importance of identifying at risk infants to help avoid common misdiagnosis and labelling that is more often actually struggle with breathing and sleep will be discussed, all of which ultimately optimize breastfeeding outcomes and health for the lifespan.

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GOLD Learning Symposium Series, Lactation
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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Australia Maureen Minchin, BA(Hons), MA (Melb), TSTC

Maureen Minchin is a medical historian whose 1970s experience of motherhood resulted in her second book, Food for Thought: a parent’s guide to food intolerance, recognized as ground breaking in its treatment of infant allergy. Her third book, Breastfeeding Matters, was declared a “milestone in the history of breastfeeding” by Prof JD Baum. For 35 years she has worked extensively in the area of infant nutrition, including for WHO, and UNICEF, and teaching health professionals in Australia and overseas. She was influential in the creation of IBLCE and BFHI, and a founding (and later Board) member of both ILCA and ALCA. Maureen has continued to work free of charge with families with both infant feeding and allergy problems. After a decade in eldercare, Maureen is getting back to writing, recently helping with the online infant feeding courses being developed by the UK’s University of York and the National HS-sponsored e-learning for health project. Her latest book, Milk Matters: Infant Feeding and Immune Disorder was published in 2015.

Australia Maureen Minchin, BA(Hons), MA (Melb), TSTC
Abstract:

This presentation outlines a new understanding of why early infant feeding matters, generated by recent research into the microbiome and epigenetics as well as clinical and personal experience over decades. It focuses on allergy as an bilateral legacy which compounds through generations. Emphasis is on presenting symptoms and management in the breastfeeding family, although some infant formula issues are considered.. Maternal diet in pregnancy and lactation, and the effects of allergy on families, are all discussed.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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USA Michelle Emanuel, OTR/L, IBCLC, CST, NBCR

Michelle has been a pediatric neurodevelopmental Occupational therapist specializing in precrawling infants for over 26 years. She has specialty certifications and training in lactation, manual therapy, and pre and peri natal psychology. Michelle has specialized in optimal cranial nerve function and oral restrictions, with an emphasis on infant movement, innate biological imperatives and human potential, providing novel curriculums, support and resources for both professionals and parents. She enjoys collaborating and working in teams for babies and families going through the tethered oral tissues release process.

USA Michelle Emanuel, OTR/L, IBCLC, CST, NBCR
Abstract:

Interoception is a term used to describe our nervous system's awareness of the sensations from the gastrointestinal and visceral system, as well as the primary sensory part/input to baby's Autonomic Nervous System. ANS function and regulation underlay all automatic processes of the body, from heart beat to breastfeeding and digestion function, as well as maintaining a calm state in order to engage in social interaction or to transition easily in and out of sleep. More simply put, interoception is "feelings from the body". In addition to visceral information, interoceptive pathways carry information related to affective touch, itch, temperature and pain and are delivered to a separate area of the brain, the insular cortex, which also contains a map of the body, similar to the well known homunculus. Interception plays a large role in dynamic equilibrium and autonomic regulation of tissues of the body. Interoceptive information and the processing is the basis of all important activity to optimize energy utilization. This system is often compromised in babies who present with complex oral dysfunction, tethered oral tissues, postural asymmetries, fussiness, gas, reflux or other dysregulation in function. How babies feel is mirrored in how they function, compromised function equals compromised interoceptive processing. This talk covers the basics of this system and practical clinical applications for precrawling babies to optimize neurodevelopment and breastfeeding abilities.

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Presentations: 3  |  Hours / CE Credits: 3  |  Viewing Time: 4 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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United Kingdom Sarah Oakley, RN, IBCLC

Sarah is a Registered General Nurse, Health Visitor, International Board Certified Lactation Consultant and Tongue-tie Practitioner with a busy private practice based in Cambridgeshire, UK. Sarah worked as a volunteer breastfeeding counsellor for the Association of Breastfeeding Mothers for several years and continues to run a weekly breastfeeding support group as a volunteer. Sarah is a founder member and former Chair of The Association of Tongue-tie Practitioners in the UK and is the author of the book, ‘Why Tongue-tie Matters’. She offers an online course in tongue-tie and infant feeding in association with Babyem and provides education on infant feeding and tongue-tie for healthcare professionals and breastfeeding supporters in the public, private and volunteer sectors.

United Kingdom Sarah Oakley, RN, IBCLC
Abstract:

This presentation will discuss the difficulties that surround defining and assessing for tongue-tie. It will explore what we know about the role of the tongue in infant feeding by reviewing evidence from ultrasound studies and other research on latch and examining what this tells us about the normal functioning of the tongue. Various available assessment tools will be described along with how these may assist in differentiating between a normal and abnormal lingual frenulum. Also discussed will be other causes of tongue restriction and how to differentiate these from an abnormal lingual frenulum.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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Bianca Balassiano has been working with families in private practice since 2008 as an IBCLC and perinatal psychologist/maternal-child health specialist. As a natural consequence of her professional background, has supported breastfeeding families into achieving individual goals while maintaining mental health and stimulating a holistic look towards the subject. Since 2014 is also working as an educator for healthcare professionals in one of the most recognized breastfeeding courses in Brazil, currently offering virtual classes and all over the country. Lives with husband and two children in Rio de Janeiro, Brazil. In 2020, she launched her first book aimed at families with the title "Gradual Weaning: How to Bring Your Breastfeeding Story to a Happy End".

Abstract:

With the increase in the prevalence of obesity internationally, the world is turning its attention to effective forms of treatment. As a result, surgical techniques are increasingly being used in an attempt to ensure weight loss, reduction of comorbidities and hormonal balance in young patients of childbearing age. However, as a restrictive and disabsortive surgery, its impacts on pregnancy, childbirth and postpartum outcomes have been increasingly studied closely. Scientific studies provide substantial data on lactation after bariatric surgery, with common outcomes such as greater use of supplementation, less exclusive breastfeeding, shorter duration of breastfeeding and a higher rate of nutritional and vitamin deficiencies. Less studied, however, are its emotional effects on the lactating person, as well as the impacts on body recognition and the difficulties in dealing with the new morphological breast/chest configuration. Therefore, it is essential that the health professional who is dedicated to working in support of breastfeeding is specially trained to support families for the proper management of breastfeeding in the presence of substantially increased risks, as demonstrated after bariatric surgery.

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Lactation, Translated Lectures
Presentations: 29  |  Hours / CE Credits: 29.5  |  Viewing Time: 8 Weeks
Presentations: 3  |  Hours / CE Credits: 3  |  Viewing Time: 4 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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United States Dixie Whetsell, MS, IBCLC

Dixie Whetsell, MS, IBCLC, has a Master’s Degree in Community Health Education from the University of Oregon. She began working with breastfeeding families in 1992 and became an IBCLC in 1998. She has worked as a lactation consultant in a variety of settings including private practice, county and state public health programs and high risk maternal and pediatric hospitals. She began teaching lactation training courses in 2003 and is currently an adjunct faculty member teaching in the Pathway 2 Lactation Training Program in the OHSU-PSU School of Public Health at Portland State University. She is a past presenter for the GOLD Perinatal Conference. She is an active member of the Oregon Washington Lactation Association, the US Lactation Consultant Association and the International Lactation Consultant Association. She was a founding Board Member for Northwest Mothers Milk Bank, a HMBANA non-profit donor milk bank.

Lisa Gonzales, BSN, RN, IBCLC earned her Bachelor of Science in Nursing from Linfield College. She started her nursing career as a Labor and Delivery nurse at a Level III OB hospital in 2006. After having her first baby, Lisa pursued lactation education and became an IBCLC in 2013. She made full career change in 2015 to become a lactation nurse in a high risk maternity and pediatric hospital, providing inpatient and outpatient consults to growing families. She is an active member of the Oregon Washington Lactation Association, the US Lactation Consultant Association and the International Lactation Consultant Association. Lisa currently helps families during in-home visits with her private practice.

United States Dixie Whetsell, MS, IBCLC
Abstract:

This case describes a 32-year-old primiparous woman who experienced an anaphylactic reaction associated with breastfeeding and milk expression on postpartum day four. With each episode her symptoms worsened and she developed hives, edema and difficulty breathing and swallowing. She had to be treated for her anaphylactic reaction in a hospital ER and ICU and she was released on postpartum day five on antihistamines.

Lactation anaphylaxis is a very rare condition that was first reported in the scientific literature in 1991. Since then there have been 11 other reported cases. Lactation anaphylaxis can be life-threatening and symptoms can include a rash, hives, edema resulting in difficulty breathing or swallowing, a dangerous decrease in blood pressure and a loss of consciousness. We will review this case and do a brief review of the previous case reports. We will discuss the possible causes for lactation anaphylaxis, the related risk factors, common treatments and possible breastfeeding outcomes. In most cases with proper treatment and management breastfeeding and milk expression can continue. Enhanced awareness of and knowledge about this rare condition will allow lactation consultants and other members of the health care team to better support breastfeeding parents who experience lactation anaphylaxis.

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Presentations: 33  |  Hours / CE Credits: 32.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 6 Weeks
Presentations: 74  |  Hours / CE Credits: 75  |  Viewing Time: 52 Weeks
Hours / Credits: 1 (details)
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USA Christine Staricka, BS, IBCLC, RLC, CLSP, CE, FILCA

Christine Staricka is a Registered, International Board-Certified Lactation Consultant and trained childbirth educator. As the host of The Lactation Training Lab Podcast, her current role focuses on training and coaching current and aspiring lactation care providers. Christine created and developed The First 100 Hours© concept, an early lactation framework designed to support lactation care providers with the knowledge and mindset they need to help families optimize early lactation. Christine worked as a hospital-based IBCLC for 10 years and has over 20 years experience providing clinical lactation care and support. She provides clinical lactation care to families at Baby Café Bakersfield and serves as its Director. Christine recently completed 6 years of service on the Board of the United States Lactation Consultant Association (USLCA.) She holds a Bachelor's Degree from the University of Phoenix. She has been married for 27 years, lives in California, and is the proud mother of 3 amazing daughters.

USA Christine Staricka, BS, IBCLC, RLC, CLSP, CE, FILCA
Abstract:

A growing body of work supports the lactation care provider in assessing, referring, and infant feeding after a revision of oral restrictions; far less has been said regarding ongoing lactation care when revision is not part of the plan in the short- or long-term. Whether because revision services are unavailable, inaccessible, or not desired by parents, the dyad that includes a baby with non-revised oral restrictions will require a customized plan to avoid problems of lactation related to infants with oral restrictions. This presentation will equip the lactation care provider with tools to support the identified population of dyads where the infant has or is suspected to have oral restrictions. (These tools shall include: a review of situations which might lead a dyad to be considered part of this specific population; a comprehensive understanding of the categories of potential problems of lactation associated with this population; and the creation of a lactation care plan with clinical skills specifically designed to consider and address the needs of a dyad in this population along the entire spectrum of normal lactation.) Lactation care providers in any setting and with any level of training will benefit from this review of the issue as it offers a deeper understanding of why particular tools, techniques, and routines might be required for this population as compared with other populations of dyads.

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GOLD Learning Symposium Series, Lactation
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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Catherine Watson Genna BS, IBCLC is an International Board Certified Lactation Consultant in private practice in New York City. Certified in 1992, Catherine is particularly interested in helping moms and babies breastfeed when they have medical challenges and is an active clinical mentor. She speaks to healthcare professionals around the world on assisting breastfeeding babies with anatomical, genetic or neurological problems. Her presentations and her writing are enriched by her clinical photographs and videos. Catherine collaborates with Columbia University and Tel Aviv University Departments of Biomedical Engineering on research projects investigating the biomechanics of the lactating nipple and various aspects of sucking and swallowing in breastfeeding infants. She is the author of Selecting and Using Breastfeeding Tools: Improving Care and Outcomes (Praeclarus Press 2009) and Supporting Sucking Skills in Breastfeeding Infants (Jones and Bartlett Learning 2008, 2013, 2017) as well as professional journal articles and chapters in the Core Curriculum for Lactation Consultant Practice and Breastfeeding and Human Lactation. Catherine served as Associate Editor of the United States Lactation Consultant Association’s official journal Clinical Lactation for its first seven years.

Abstract:

Infants with biologically based sucking problems can often breastfeed with specific lactation management and supportive techniques. This presentation provides an overview of some common medical problems that cause feeding difficulty and strategies that can help an infant with suboptimal sucking skills to feed more normally.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Presentations: 8  |  Hours / CE Credits: 8  |  Viewing Time: 6 Weeks
Hours / Credits: 1 (details)
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U.S.A. Hope K. Lima, PhD, RDN, LRD, IBCLC

Hope has always been the type of person to dive head-first into the deep end (literally - she learned to swim before she was 2!). Hope became an International Board Certified Lactation Consultant (IBCLC) in 2017, completed her PhD in nutritional biochemistry in 2018 at NC State University, and became a Registered Dietitian Nutritionist (RDN) in 2020.

In addition to owning and operating Hope Feeds Babies in Rock Hill, SC, Hope is employed full time at Winthrop University in the Department of Human Nutrition overseeing the Certificate in Medical Lactation and running a research lab that focuses on helping mothers to reach their infant feeding goals, improving access to human milk, and analyzing the nutritional content of human milk. As an IBCLC, Hope has a passion for connecting with mothers to help them to reach their individual feeding goals and advocacy for maternal health. As an RDN, Hope loves to support parents in feeding their children, whether that is traditional solids, baby-led weaning, or blenderized tube feeds.

Karin always knew that helping people would guide the course of her career. Karin’s professional path demonstrates this passion as she pursued a BA in psychology from Villanova University, a Master’s in Nutrition Education from Immaculata University, and is currently in the latter stages of her dissertation work towards a PhD in Health Education and Promotion from Walden University. In the past 20 years, Karin has sought opportunities that allow her to gather experience in various settings. While earning her Masters in Nutrition Education, she worked as a counselor and nutrition therapist at the world renown Renfrew Center in Philadelphia, PA. It was here that Karin adopted her view that an individual’s relationship with food and body are critical to change and sustain physical and mental health.

Sharing this approach with future health-minded individuals prompted Karin to begin teaching at Winthrop University, where she has taught for the past seven years courses related to health and nutrition. During this time, Karin continues her own education through the pursuit of Doctorate in Health Education and Promotion from Walden University. Her dissertation focuses on online faculty perceptions of college student mental health concerns and if these perceptions predict the likelihood of a mental health service referral.

U.S.A. Hope K. Lima, PhD, RDN, LRD, IBCLC
Abstract:

Anorexia nervosa (AN) is a clinical condition characterized by restriction of energy intake, fear of gaining weight or becoming fat, and body dysmorphia. As pregnancy and subsequent lactation are associated with changes in weight and body shape, it is important to consider the implications of a pre-existing or current diagnosis of AN during the postpartum period. The research examining the impact of body changes during pregnancy on individuals with a history of AN has mixed results; some show AN symptoms regress during pregnancy, while other results show a resurgence of AN symptoms. While there is limited evidence of the impact of AN on milk production, milk composition, and breastfeeding experiences of the parent, the evidence that we do have can help guide lactation consultants when providing care for the dyad during the fourth trimester. In this presentation, participants will learn about the diagnostic criteria and screening tools for AN, the impact of energy restriction and AN on milk supply and composition, and will participate in a exploration of the implications AN may have on dyad care.

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Presentations: 29  |  Hours / CE Credits: 29.5  |  Viewing Time: 8 Weeks
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 6 Weeks
Presentations: 1  |  Hours / CE Credits: 1.25  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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Barbara Wilson-Clay became a La Leche League Leader in 1982. She certified as an IBCLC and entered private practice in Austin, Texas in 1987. Barbara was named a Fellow of the International Lactation Consultant Association in 2008. She recently retired from her practice, which specialized in difficult breastfeeding situations. With a client load of 400-450 visits yearly, Barbara garnered a wealth of clinical and counseling experience and a trove of clinical teaching photos. In partnership with Kay Hoover, she created The Breastfeeding Atlas, which was translated into Chinese in 2019 by Fudan University Press. A Korean translation will be published in September 2020.

Barbara has been a citizen advocate for breastfeeding in the Texas legislature and helped pass a landmark law protecting breastfeeding rights. She is one of the co-founders of the non-profit Mothers Milk Bank at Austin, and retired as Vice President of the Board of Directors in 2010. She continues to serve on the Advisory Board. Barbara's research and commentaries have appeared in the Journal of Human Lactation, Archives of Disease in Childhood, the International Breastfeeding Journal, and others. She has served on various editorial review boards and contributed chapters to several lactation textbooks.

Abstract:

Clinical management of the breastfeeding mother and infant begins with accurate assessment of the issues that are affecting normal function. While breastfeeding is a dyadic activity, this presentation focuses on the infant. Specifically, the learner is invited to look closely at the individual baby, to observe facial tone and structure, and to identify any anomalies or restrictions in range-of-motion (such as those resulting from torticollis) that may negatively impact ability to breastfeed. Videos and photos will demonstrate both normal and abnormal presentations. Interventions will be proposed to assist infants who are unable to breastfeed so that they may continue to receive human milk, ideally from their own mothers, with an eventual goal of breastfeeding, if possible.

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Presentations: 3  |  Hours / CE Credits: 3  |  Viewing Time: 4 Weeks
This presentation is currently available through a bundled series of lectures.