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IBCLC Detailed Content Outline: Pathology / Infant Focused CERPs - Section III A

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

Hours / Credits: 1 (details)
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USA Joy MacTavish, MA, IBCLC, RLC, ICCE

Joy MacTavish, MA, IBCLC, RLC, ICCE is an International Board Certified Lactation Consultant, Registered Lactation Consultant. She is the owner of Sound Beginnings, which provides in-home consultations and education on lactation, babywearing, and more. Her background as a birth and postpartum doula, and childbirth, newborn, and parenting educator, inform her compassionate and evidence-based support of new families in the greater Seattle area. Joy holds a Master of Arts in Cultural Studies, graduate certificate in Gender, Women and Sexuality Studies, and two Bachelors degrees from the University of Washington. She serves as adjunct faculty at the Simkin Center for Allied Birth Vocations at Bastyr University where she created the Breastfeeding for Doulas course. Joy is passionate about her family, social justice, and continuing education.

USA Joy MacTavish, MA, IBCLC, RLC, ICCE
Abstract:

Dental caries are the most common chronic infectious disease of early childhood and new recommendations urge families to seek pediatric dental care at a younger age. For families who are practicing full-term breastfeeding and/or nocturnal breastfeeding (night-nursing), many are also reporting increased pressure to night-wean, wean completely, or otherwise incorporate care that is often not practical or evidence-based. A clear understanding of the research and realities of breastfeeding and the risks of dental caries, along with advocacy skills, are integral for breastfeeding families feeling confident in their breastfeeding relationship and their dental care. This presentation will compare the latest research and recommendations from the dental and lactation fields, as well as outline support strategies for assisting lactation clients as they understand the relevant information, communicate with their dental professionals, and make informed decisions about their breastfeeding relationships.

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Presentations: 26  |  Hours / CE Credits: 24.5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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USA Dr. Scott Siegel, MD, DDS, FACS, FICS, FAAP

Dr. Siegel is a pioneering Tongue Tie surgeon, mentored through medical school, residency and in private by practice by the late Elizabeth Coryllos, MD. He is a dual degree MD, DDS Oral and Maxillofacial Surgeon, lectures internationally and publishes on the topic of Reflux associated with Lip and Tongue Ties.

USA Dr. Scott Siegel, MD, DDS, FACS, FICS, FAAP
Abstract:

This study aims to show a correlation between aerophagia in infants with tethered oral tissues (TOT’s) consisting of ankyloglossia and shortened maxillary labial frenula (tongue and lip-tie) and reflux. Currently there is little to no data on aerophagia as a possible cause of reflux in infants. Infants with tongue and possibly lip tie often have a poor latch in which there is often an inadequate seal around the breast and inefficient transfer of milk. As a result many of these infants swallow air during breastfeeding. Many of these infants suffer from symptoms of reflux. This study and results to demonstrate a correlation of ankyloglossia and shortened maxillary labial frenula with aerophagia and reflux.Treatment of these infants with a relatively simple frentomy procedure may reduce or eliminate reflux in this population.

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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. Dr. James Murphy, MD, FAAP, FABM, IBCLC

James G. Murphy, MD, is a private practice pediatrician specializing in Breastfeeding Medicine. He was formerly an Assistant Professor of Pediatrics at the F. Edward Hérbert School of Medicine, Uniformed Services University of the Health Sciences. He served 25 years active duty as a physician with the US Navy, 12 years as a contract pediatrician with the US Navy and 6 years as a Government Service Medical Officer at the Naval Medical Center in San Diego, CA. He is a Fellow of the American Academy of Pediatrics, a Fellow of the Academy of Breastfeeding Medicine, Vice President of the San Diego County Breastfeeding Coalition, a member of ILCA and, since 2009, an IBCLC. Dr Murphy began performing lingual frenulotomies in Oct 2003 and has performed over 2800 of these procedures to date including posterior sub-mucosal fibrous bands and 300 Upper Lip Tie releases.

U.S.A. Dr. James Murphy, MD, FAAP, FABM, IBCLC
Abstract:

The concept of Tongue Tie has changed as expertise in the recognition and management of this entity has expanded. Also the consequences of not recognizing and effectively managing this entity and the “Faux Ties” which mimic it are many and expanding as data is collected to document the relationship. Breastfeeding is the most obvious and most severely affected function in infancy. Additional problems become apparent as the infant grows and develops into an ever more complicated organism. This presentation will discuss the many variations of tongue anatomy which present as a Tongue Tie, how to recognize each of these and the consequences of not managing this problem effectively in early infancy.

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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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David Elad is a Professor of Biomedical Engineering at Tel Aviv University since 1985.  He received his B.Sc. in Mechanical Engineering on 1973, M.Sc. and D.Sc. in Biomedical Engineering on 1978 and 1982, all from the Technion, Haifa, Israel. He was then awarded the Rothschild and Bantrell post-doctoral fellowships at Imperial College London and M.I.T.    
David pioneered computational studies of biofluid transport phenomena in the nasal cavity in the late 80's. In the early 90's he established a comprehensive research program in bioengineering of human reproduction, both at Tel Aviv University. He developed his expertise in the fields of Respiratory Biomechanics and Reproductive Bioengineering, from complete organs all the way to the cellular levels. The respiratory studies included integrative assessment of respiratory muscles, transport phenomena in the human nose, objective noninvasive evaluation of nasal function and mechano-transduction of nasal epithelial cells cultured under air-liquid interface conditions, including effects of air-pollution. The reproductive studies included the role of uterine peristalsis in early human life, pre-implantation embryo transport after IVF, feto-maternal blood circulations in the placenta, transport of nutrition, pharmaceuticals and carcinogenic materials across a tissue engineered placental barrier, mechano-transduction of cultured ovarian cancer cells and biomechanics of infant breastfeeding. He published over 120 articles in peer-review journals and was the leading editor of 5 special journal issues in reproductive bioengineering, respiratory biomechanics and biofluid mechanics.
David has been a visiting scholar at Imperial College London, Massachusetts Institute of Technology, Northwestern University, Nagoya Institute of Technology, Drexel University, Georgia Institute of Technology, University of Toronto, City College New York and Columbia University. He is a member of the World Council for Biomechanics (2002-14) and a fellow of the American Institute for Medical and Biological Engineering (2004), the Biomedical Engineering Society, USA (2005) and the International Academy of Medical and Biological Engineering (2013).
Dr. Elad is currently on sabbatical leave from Tel Aviv University and affiliated with the Department of Biomedical Engineering of Columbia University.

Abstract:

The physical mechanisms executed by the infant during breastfeeding have been intriguing topics that lead to a long scientific controversy; whether it is sucking of the milk or mouthing of the nipple/areola. We developed a dynamic analysis of ultrasound video clips acquired during breastfeeding in order to explore the kinematics of the tongue. Then, we have developed a three-dimensional biophysical model of the breast and lactiferous tubes that enabled mimicking latch-on and the dynamic characteristics of the tongue and nipple observed in ultrasound imaging during breastfeeding. Then, we simulated breastfeeding and explored the biomechanical aspects of breastfeeding. We demonstrated that latch-on to draw the nipple/areola into the infant mouth, as well as milk extraction during breastfeeding, require development of time varying sub-atmospheric pressures within the infant's oral cavity. Analysis of infant tongue motility was compared between breast and bottle feeding. The presentation will also include discussion of oral pressure measurements.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Available in: Infant Suck Lecture Pack
Hours / Credits: 1 (details)
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Australia Lisa Amir, MBBS, MMed, PhD, IBCLC

Professor Lisa Amir is a general practitioner and has been an International Board Certified Lactation Consultant since 1989. She is the author of over 120 peer-reviewed articles on breastfeeding. She works in breastfeeding medicine at The Royal Women’s Hospital in Melbourne, Australia. She is a Principal Research Fellow at Judith Lumley Centre, La Trobe University and is the Editor-in-Chief of the open access journal, International Breastfeeding Journal.

Australia Lisa Amir, MBBS, MMed, PhD, IBCLC
Abstract:

For over 20 years, Dr Lisa Amir has been seeing breastfeeding women with nipple and breast pain and infections. As a medical student she was taught that most clinical diagnoses are made by taking a careful history. Allowing the patient to tell their own story, while asking pertinent questions, usually reveals the likely cause of the problem. Careful physical examination, and occasional use of investigations, confirm the diagnosis. Using case studies from her breastfeeding medicine practice, Lisa demonstrates how to ask the right questions to correctly diagnose and treat nipple and breast problems. She will present case studies including mastitis, recurrent mastitis, breast abscess, and nipple and breast candida infection, and also discuss rare and unusual causes of nipple and breast pain and infection.

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Presentations: 28  |  Hours / CE Credits: 23.25  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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Bobby Ghaheri, MD is a board certified ear, nose and throat specialist with The Oregon Clinic in Portland, OR. His interest in treating children with tongue and lip-tie stems from his ardent support of breastfeeding and was furthered by his personal experiences, as his youngest child benefited from treatment for it. He enjoys working with children and has an interest in traditional and non-traditional approaches to pediatric pain control. To communicate with him, feel free to email him at [email protected] or follow him on Twitter at @DrGhaheri.

Abstract:

Numerous symptoms may arise which prevent mother-infant dyads from maintaining desired breastfeeding intervals. Investigations into treatments which positively influence breastfeeding outcomes allow for improved patient counseling for treatment decisions to optimize breastfeeding quality.

Surgical release of tongue/lip-tie results in significant improvement in breastfeeding outcomes. Improvements occur early (1-week postoperatively) and continue to improve through 1-month postoperatively. Improvements were demonstrated in both infants with classic anterior tongue-tie and less obvious posterior tongue-tie. This study identifies a previously under-recognized patient population that may benefit from surgical intervention if abnormal breastfeeding symptoms exist.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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Bobby Ghaheri, MD is a board certified ear, nose and throat specialist with The Oregon Clinic in Portland, OR. His interest in treating children with tongue and lip-tie stems from his ardent support of breastfeeding and was furthered by his personal experiences, as his youngest child benefited from treatment for it. He enjoys working with children and has an interest in traditional and non-traditional approaches to pediatric pain control. To communicate with him, feel free to email him at [email protected] or follow him on Twitter at @DrGhaheri.

Abstract:

While most breastfeeding problems can be managed effectively by a lactation consultant, situations arise where conservative interventions are ineffective in improving symptoms of a poor latch. Infant symptoms (aerophagia, poor weight gain, falling asleep prematurely, or frustration at the breast) or mother's symptoms (pain, engorgement, nipple damage) can often be explained by tongue-tie or lip-tie. I will explain effective diagnostic strategies and surgical interventions (scissors vs laser) in addressing these problems.

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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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USA Alison K. Hazelbaker, PhD, IBCLC, FILCA, CST, RCST, PPNE

Dr. Hazelbaker has been a therapist in private practice for over 30 years. She specializes in cross-disciplinary treatment and to that end has taken training in several modalities to best assist her clients. She is a certified Craniosacral Therapist, a Lymph Drainage Therapy practitioner, a Tummy Time™ Trainer, a Haller Method practitioner, A Pre and Perinatal Psychology Educator, a Lactation Therapist Diplomate, an International Board Certified Lactation Consultant and a fellow of the International Lactation Consultant Association.

She earned her Master’s Degree from Pacific Oaks College (Human Development specializing in Human Lactation) and her doctorate from The Union Institute and University (Psychology, specializing in Energetic and Transformational healing.)

People recognize her as an expert on infant sucking issues caused by various structural problems like torticollis, plagiocephaly, brachycephaly and tissue shock-trauma. She invented the Hazelbaker™ FingerFeeder and the Infant Breastfeeding CranioSacral Protocol™ to assist in the resolution of this type of infant sucking dysfunction.

USA Alison K. Hazelbaker, PhD, IBCLC, FILCA, CST, RCST, PPNE
Abstract:

This presentation examines several influential recent studies that will change the way we think about tongue-tie; the manner in which we examine, treat and perform therapy on babies. From the overall perspective of development, Dr. Hazelbaker looks at histology, speech development, posture, wound healing, lasers and airway integrity, citing the most exciting studies on these subjects, explaining how each will impact our philosophical, intellectual and clinical involvement with study findings. Further, Dr. Hazelbaker makes suggestions of how these various studies should guide our thinking about when and how to assess and treat tongue-tied infants.

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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
This presentation is currently available through a bundled series of lectures.