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.
Clinical Assessment and Management of Low Milk Production
Barbara D. Robertson, IBCLC, has been involved in education for over 34 years. She received a Bachelor’s degree in Elementary Education in 1988 and her Master’s in Education in 1995. Barbara left teaching elementary students in 1995 to raise her two children. Barbara is now the Director of The Breastfeeding Center of Ann Arbor and of the brand new business LactaLearning.
The Breastfeeding Center of Ann Arbor will still continue to serve breast/chestfeeding families and now LactaLearning will be dedicated to all of Barbara’s professional lactation trainings. Barbara has developed two 95 hour professional lactation training, a group training and a completely self study training with Nancy Mohrbacher. Barbara’s idea of creating professional book groups has exploded with her hosting Making More Milk with Lisa Marasco, Supporting Sucking Skills with Cathy Watson Genna, Breastfeeding Answers, 2nd Edition with Nancy Mohrbacher, and new for the fall, Safe Infant Sleep with Dr. James McKenna. Barbara will be hosting a one day online conference in the fall with Lisa Marasco and Cathy Watson Genna using all of her tech savvy skills to make this a one of a kind experience. Barbara is also a speaker for hire on a wide variety of topics including Motivational Interviewing. Barbara volunteered for the United States Lactation Consultation Association as the Director of Professional Development for 4.5 years.
She just retired as Associate Editor for Clinical Lactation, a journal she helped create for USLCA. Barbara has free podcasts, a blog, and Youtube videos which can all be found on her websites lactalearning.com and bfcaa.com. She has written many articles as well. She loves working with parents and babies, helping them with breast/chestfeeding problems in whatever way she can.
Topic: Breastfeeding: Baby’s First Milestone - [View Abstract]
Topic: Clinical Assessment and Management of Low Milk Production - [View Abstract]
Topic: Deconstructing Online Messaging: Ethical Considerations - [View Abstract]
Topic: Milk Sharing and Milk Banking: Building Knowledge for Better Outcomes - [View Abstract]
Topic: The Baby's Not Gaining Weight! Now What? - [View Abstract]
Topic: The Great Nipple Shield Debate - [View Abstract]
Dr. Prescott is currently and Assistant Professor at the University of South Florida and the Assistant Director of the College of Nursing's Biobehavioral Lab. Her research centers around the maternal and neonatal microbiota and it's interaction with host immunity to impact growth and metabolism. She has been a neonatal nurse practitioner since 2010, completed her PhD at the University of Virginia in partnership with the National Institutes of Health. Her postdoctoral work at the National Cancer Institute assessed perinatal antibiotics on the microbiome of mothers and their offspring. She has written several educational and review articles addressing the management of neonates with cardiovascular disease.
Nurses and providers often encounter neonates with prenatally diagnosed or undiagnosed cardiovascular disease in the delivery room, well-baby nursery, or neonatal intensive care unit. Distinguishing between respiratory and cardiovascular disease is imperative for proper management. In this talk, I will review normal fetal, neonatal, and transitional circulation, and critical congenital heart diseases, their early presentation and initial treatment strategies. I will also discuss the cardiovascular implications and management strategies of common delivery complications and of prematurity.
Clinical Case Studies: Ankyloglossia in Babies With Marasmus and Kwashiorkor
Okky Nafiriana, MD is a member of Praborini Lactation Team, Indonesia.
She believes breastfeeding is the best way to feed and nurture baby.
But breastfeeding not always comes easy. Experienced breastfeeding her 2 daughters who were born with tongue and lip tie, made her realize the problems came with the ties and support frenotomy.
She currently works as a lactation counselor in Permata Depok Hospital and Puri Cinere Hospital, Indonesia, where she meets parents and educates the benefit of breastfeeding. She loves to study and currently pursued her dreams to deepen her knowledge in lactation.
Ratih Ayu Wulandari, MD, IBCLC is a
member of Praborini Lactation Team, Indonesia.
She believes breastfeeding is the best way to feed and nurture baby, therefore she became a breastfeeding counselor in 2012 and then IBCLC in 2014.
Experienced breastfeeding her three tongue-tied babies, she understand the pain and support early frenotomy.
She is practicing frenotomy for tongue-tie and lip-tie in Puri Cinere Hospital Depok Indonesia and a private practice. Her publications are including articles for international journal and books for mothers. Japan society of ADEL acknowledges her as Specialist of ADEL (Ankyloglossia with Deviation of Epiglottis and Larynx).
Successful breastfeeding depends on an infant’s latching onto the mother’s breast correctly. A poor latch will cause insufficient milk transfer that will cause poor growth. Each type of mammals produces different components of milk which make it species specific, which adjust to their needs, growth rate and breastfeeding habits. Human breast milk has many benefits for human babies because it contains various substances both as nutrition and as protection.
The authors present two infants who suffered ankyloglossia, which hindered the baby’s ability to breastfeed and eat solid food. These babies were diagnosed with marasmus and kwashiorkor (severe malnutrition). After revision of both the lip- and tongue-ties, supplementation with pasteurized human milk donor, and good complimentary feeding the babies finally reach an optimal growth and development. Learn more about how these two cases were managed to bring the babies back to health.
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 teaching, researching and writing about wellness and lactation-related topics. 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.
Topic: Beyond Fenugreek: An Individualized Approach to Dietary and Herbal Galactagogues - [View Abstract]
Topic: Beyond the Basics of Latch: Support Strategies for Helping Babies when the Basics Aren’t Enough - [View Abstract]
Topic: Common Infant Digestive Health Concerns and Useful Support Strategies - [View Abstract]
Topic: Connection and Care: Virtual Support for Tongue-Tied Infants - [View Abstract]
Topic: Feeding is Movement: Activities for Supporting Optimal Infant Oral Function - [View Abstract]
Topic: Infant Gut Health: Common Concerns and Useful Support Strategies - [View Abstract]
Topic: Infant Oral Assessment: Exploring Anatomy and Function Beyond the Frenulum - [View Abstract]
Topic: Low Milk Production Detective Work: Assessment and Care Plan Considerations - [View Abstract]
Topic: New Thoughts on Infant Pre and Post-Frenotomy Care - [View Abstract]
Topic: Placenta Medicine as a Galactogogue: Tradition or Trend? - [View Abstract]
Topic: Thinking Critically About the Use of Clinical Lactation Tools - [View Abstract]
Topic: Will It Hurt? Frenotomy Aftercare Strategies to Optimize Healing Outcomes for the Newborn - [View Abstract]
This session will focus on common concerns regarding infant digestive health and useful support strategies that care providers can incorporate into their work with families. We will discuss what's normal and what's not in regard to stooling, spit up/reflux, colic/fussiness, food sensitivities, and more. Many parents are coping with babies that are uncomfortable and unhappy due to digestive health concerns. Dealing with a fussy, uncomfortable baby is emotionally and physically draining. Having a basic understanding of infant gut health and care strategies can be useful tools for any type of practitioner working with infants.
View Details / Enroll
View Details / Enroll
Compensatory vs Novel Movements: 3 Keys for Babies With Tongue, Lip and Buccal Restrictions
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.
Topic: Breastfeeding and Cranial Nerve Dysfunction – the what, who and why of Cranial Nerve Dysfunction in the newborn to precrawling baby - [View Abstract]
Topic: Compensatory vs Novel Movements: 3 Keys for Babies With Tongue, Lip and Buccal Restrictions - [View Abstract]
Topic: Interoception: Beyond the Homunculus....The Real Sixth Sense and Its Primary Function as Sensory Input to the Autonomic Nervous System - [View Abstract]
Topic: The Vagus Nerve: Branchial Motor / Special Visceral Efferents: The Pharynx, Larynx, Soft Palate and one tiny tongue muscle - [View Abstract]
Topic: TummyTime!™ : A Therapeutic Strategy for Parents and Babies - [View Abstract]
Babies with tongue, lip and buccal ties commonly present with altered or compensatory movements of the tongue, lips, face, mandible, neck and whole body. These compensations are secondary to restrictions and subsequent oral dysfunction that results from not having full range of motion and movement of the tongue, a vital organizational organ of the body. While these compensatory strategies have been somewhat functional prior to release, once the ties are released, babies need novel movements to emerge for function to improve and breastfeeding to experience a positive shift. The difficulty is that novel movements often do not spontaneously arise, requiring therapeutic intervention. In this talk, Michelle will discuss 3 keys to eliciting and strengthening novel and more competent oral patterns and feeding abilities after release while making compensatory strategies obsolete.
Complex Cases of Tongue-tied Babies: What Do We Tackle First?
Kathy Parkes is a sought-after speaker and webinar presenter as well as a published author. She has lived all over the world, settling in San Antonio, Texas after her Air Force husband retired. Kathy is a Registered Nurse with a Masters in Nursing Education and received her International Board Certified Lactation Consultant designation in 1992. Her private practice, Breastfeeding Perspectives, adds to her over 30 years of lactation experiences, which include WIC staff and clients, in-patient hospital work on L&D, postpartum, and NICU, taking a hospital to Baby-Friendly designation, setting up a lactation visitation program for both a home health agency and for the largest birth doula organization in San Antonio, and providing home and office lactation visits for private clients. She specializes in tethered oral tissues (tongue-and-lip ties), milk supply problems, multiples, and preterm/late preterm infants.
On the fun side, Kathy met her husband of 47 years as she was jumping out of the airplane he was flying. (You could say she fell for him!) She loves animals, traveling, and gardening. Most of all, she loves teaching others about breastfeeding.
Topic: How to Start a Private Lactation Practice - [View Abstract]
Topic: I QUIT!! Burnout, compassion fatigue, and self-care for the healthcare professional - [View Abstract]
Topic: Lactation Choices Following Pre-and-perinatal Loss - [View Abstract]
Topic: Powerful Relationships: How Babies (and Parents) Learn To Love - [View Abstract]
Conservative estimations report that the number of frenotomies globally has tripled in the past 10 years. Breastfeeding/chestfeeding parents seek help on the internet, social media, support groups, lactation consultants, physicians, midwives, and other healthcare professionals and are frequently sent straight to a release provider without the care of the other providers. However, a tongue or lip tie is not always the cause of the feeding problems the dyad is experiencing. This session will provide information on assessment, diagnostic tools, comorbidities, treatments, and complicated case studies to broaden your knowledge about ankyloglossia.
Nancy Mohrbacher was born and raised in the Chicago area, where she lives today. She is a board-certified lactation consultant who has been helping nursing mothers since 1982. Her breastfeeding books for parents and professionals include Breastfeeding Answers Made Simple and its Pocket Guide; Breastfeeding Made Simple(with Kathleen Kendall-Tackett); Working and Breastfeeding Made Simple; and Breastfeeding Solutions and its companion app for Android and iPhone.
Nancy currently contracts with hospitals to improve breastfeeding practices, writes for many publications, and speaks at events around the world. Nancy was in the first group of 16 to be honored for her lifetime contributions to breastfeeding with the designation FILCA, Fellow of the International Lactation Consultant Association.
Topic: Applying Bioethics to Milk Banking and Milk Sharing - [View Abstract]
Topic: Concerns About Low Milk Production - [View Abstract]
Topic: Transitioning the Preterm Infant to the Breast - [View Abstract]
Topic: Using Gravity-Assisted Positions to Prevent Early Breastfeeding Problems - [View Abstract]
Topic: What Mothers Need to Exclusively Breastfeed - [View Abstract]
Topic: What's New In Lactation - [View Abstract]
This talk provides an analysis of the challenges associated with assessing milk adequacy during the hospital stay, the need for supplements, and when supplements are needed, recommended feeding volumes and methods. It also includes strategies for helping employed mothers use the Magic Number concept to keep milk supply steady long term and planning tips for the next baby when a mother had previous milk-production issues.
Debbie Fraser is an Associate Professor, Faculty of Health Disciplines, Athabasca University and a neonatal nurse practitioner in the NICU at St Boniface Hospital in Winnipeg Manitoba. She is the editor-in-chief of Neonatal Network and is the Executive Director of the Academy of Neonatal Nursing. Debbie has published three textbooks and over 70 book chapters and peer reviewed articles on topics related to high-risk newborns.
Topic: Late Preterm Infants: Not as Grown up as they look! - [View Abstract]
Topic: Not always a safe place: Intrauterine Infections - [View Abstract]
We think of the fetus as living in an impenetrable environment, protected from the outside elements. While most bacteria are too large to cross the placental barrier or infiltrate the amniotic membranes, some bacteria, viruses and parasites are capable of reaching the fetus and causing intrauterine infections. Over the years, the list of organisms responsible for these infections has grown with the addition of pathogens such HIV and West Nile Virus. Most recently, a resurgence of congenital syphilis has been identified in newborns born to women with an active infection in pregnancy. This session will review pathogens responsible for intrauterine infection with particular attention to congenital syphilis. A review of the effects of these infections will be accompanied by a discussion of the diagnosis, management and prognosis of intrauterine infections.
Carole Hervé is a private IBCLC (since 2011). She helps breastfeeding mothers at home or location of their choice, mostly in Paris and in the nearest neighborhood.
Prior to opening her private practice, she has been a La Leche Leader since 2008. Carole is passionate about information-gathering, education, articles writing, communications and training to provide lactation consulting and sensitive support to the families she works with.
She has been trained to support families with Sensory Food Aversion issues by Catherine Senez, a speech therapist in 2013 and is also BNCLC (Biological Nurturing Certified Lactation Consultant®).
She has been a speaker at the GOLD Lactation Online Conference in 2012, and in 2013 she translated 20 presentations from the GOLD Lactation Online Conference into French.
Carole has been strongly involved in the coordination of the International Breastfeeding Day (Journée Internationale de l’Allaitement), an event organized by La Leche League France. Carole is the mother of three children born in 2001, 2003 and 2006.
Children with Sensory Food Aversions consistently refuse to eat certain foods related to the taste, texture, temperature, smell and/or appearance. Feedings or mealtimes are therefore a displeasure for everyone.
Oral disorders are eating disorders caused by hypersensitivity.
Food aversions are common and believed to occur along a spectrum of severity, with some children reluctant to try new foods, and refusing whole food groups (vegetables, fruits, meats). Indeed, after an aversive experience, some children tend to generalize and refuse foods that look and/or smell like the aversive food (e.g., aversion to broccoli may be generalized to all green foods).
Reactions to the aversive foods can range from grimacing to gagging, throwing up, or spitting out the food. Some babies cannot even accept to be touched near their face, or mouth, they may not accept to be held in a wrap. Some children can't stand to have dirty hands, to walk in the sand, to be touched.
While this can be a challenge when a mother is trying to start solid food, this hypersensitivity may also even start with breastfeeding.
Babies need proper nutrition to grow and thrive, and difficulties with feeding in infancy can be a worrisome and become a dangerous condition. There are many different reasons why a baby may struggle with feeding. All merit evaluation and treatment. This conference aims at exploring solutions to support families who deal with oral aversion.
View Details / Enroll
View Details / Enroll
Counseling and Anticipatory Guidance to Reduce Perceived Insufficient Milk Production
Tameka Jackson-Dyer is an International Board-Certified Lactation Consultant (IBCLC) and Community Health Worker whose passion is community outreach. She holds a Bachelor of Applied Science in Health Studies from Siena Heights University, several lactation certifications and has been in the field for almost 20 years- honing her counseling and clinical skills in WIC agencies, OB/Gyn offices and Baby Friendly hospitals throughout the metro Detroit area. Her work as Manager of Community Collaboration with Coffective and consulting work with the EMU Center for Health Disparities, Innovations & Studies on their CDC/REACH and NACCHO grants- allows her to provide a voice for the populations who are historically underrepresented in conversations about breastfeeding support. To ensure she reaches as many families in her community as she can, the wife and mother of three owns a private practice, Crazymilklady Lactation Support Services, LLC, serves as Chair of the Metro Detroit/ Wayne County Breastfeeding Coalition, is a co-founder of the Southeast Michigan IBCLC’s of Color and volunteers as a Sisterfriend mentor with the Detroit Birthing Project.
