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IBCLC Detailed Content Outline: Pharmacology and Toxicology Focused CERPs - Section IV

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

Webinar

An Evidence-Based Guide to Using Domperidone as a Galactagogue

By Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, ㅤㅤㅤㅤㅤㅤㅤㅤㅤ AdvPracPharm, FSHP
Hours / Credits: 1 (details)
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Australia Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, ㅤㅤㅤㅤㅤㅤㅤㅤㅤ AdvPracPharm, FSHP

Associate Professor Luke Grzeskowiak is a clinical pharmacist and Practitioner Fellow in the College of Medicine and Public Health at Flinders University and the South Australian Health and Medical Research Institute, Australia. He is passionate about improving health outcomes for mothers and babies through the development and promotion of more effective and safer approaches towards medicines use. Luke has been undertaken research involving the use of domperidone for 10-years. He is currently the lead investigator on a number of projects examining the use of domperidone to increase breast milk supply in clinical practice, predictors of treatment response to domperidone, and causes of low breast milk supply. He is also the lead investigator on a large clinical trial comparing the effects of different doses of domperidone in the treatment of lactation insufficiency. He has published widely on the topic of treatment for low breast milk supply, with many of these publications cited in clinical practice guidelines locally and internationally.

Australia Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, ㅤㅤㅤㅤㅤㅤㅤㅤㅤ AdvPracPharm, FSHP
Abstract:Whether real or perceived, low breast milk supply remains one of the most commonly reported reasons for early breastfeeding cessation. While non-pharmacological support strategies remain the first-line approach for addressing concerns with low breast milk supply, we know that many women are recommended or turn to using galactagogues (substances thought to promote lactation). Domperidone is one of the most widely recognised and recommended pharmaceutical galactagogues across the world. This presentation will provide an evidence-based overview of the benefits and risks associated with using domperidone as a galactagogue and describe treatment recommendations relating to treatment initiation, dosing, duration of treatment, and treatment cessation. Evidence relating to the association between domperidone and sudden cardiac death and ventricular arrhythmias will also be discussed with a focus on its relevance to lactating women and consideration of risk management approaches that can be utilized in clinical practice to reduce risk of harm.
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Presentations: 3  |  Hours / CE Credits: 3  |  Viewing Time: 6 Weeks
webinar

Birth Kit Essentials for Lactation

By Stephanie McBride, BA-Certified Clinical Herbalist, Certified Aromatherapist,Functional Nutritionist
Hours / Credits: 1 (details)
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U.S.A Stephanie McBride, BA-Certified Clinical Herbalist, Certified Aromatherapist,Functional Nutritionist

Stephanie McBride is a passionate advocate for the use of Essential Oils as a form of natural self-care and in clinical practice for pregnant women, natural health educators and birth professionals. Her 30 years of botanical medicine studies, coupled with practical experience as a certified clinical herbalist, professional aromatherapist, and functional nutritionist, qualify her to provide the in-depth knowledge necessary to simplify this ancient health modality for others to benefit from and enjoy.

U.S.A Stephanie McBride, BA-Certified Clinical Herbalist, Certified Aromatherapist,Functional Nutritionist
Abstract:

This presentation, an excerpt from a longer training course, provides an overview of the most relevant information related to essential oil use for lactating moms. Innovations in processing and application have brought this traditional therapy to a whole new level of effectiveness and popularity. Participants will come away feeling capable in their understanding of the top five oils for nursing moms and the safe and effective clinical use of essential oils as well as their, individual properties, dosages, and contraindications during lactation.

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Presentations: 26  |  Hours / CE Credits: 24.5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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USA Amber Valentine Forston, MS, CCC-SLP, BCS-S, IBCLC, CNT

Amber Valentine Forston is a Speech-Language Pathologist who graduated from the University of Kentucky with her MS in Communication Disorders. She is a Board Certified Specialist in Swallowing and Swallowing Disorders and an International Board Certified Lactation Consultant, as well as a Certified Neonatal Therapist (CNT). She worked for Baptist Health Systems, Inc for 8 years before moving to Florida where she worked for Wolfsons Children’s Hospital and Mayo Florida. She is now back in Kentucky working for Baptist Health Lexington. She has experience in adults and pediatrics with feeding and swallowing difficulties including: bedside swallow evaluations, Modified Barium Swallow studies, FEES, and pediatric feeding evaluations including NICU. She has experience with head and neck cancer patient including evaluation and treatment of swallowing difficulties, PMV use, and voice after total laryngectomy including TEP. She has provided guest lectures for the University of Kentucky, Eastern Kentucky University, and the University of Louisville on feeding and swallowing topics. She has presented at the hospital, local, state, national, and international levels on pediatric feeding/swallowing and breastfeeding.

USA Amber Valentine Forston, MS, CCC-SLP, BCS-S, IBCLC, CNT
Abstract:

Feeding is the most complex task of infancy, even in term babies with no complications. There are many diagnoses, conditions, syndromes, and co-morbidities that can impact feeding in neonates and infants. This talk will briefly highlight many of those, but we will focus on three specific populations of interest –Cleft lip and palate, Infants of Diabetic Mothers, and Down Syndrome. We will discuss the specific implications these conditions can have on feeding, why these infants may have difficulty, and the classic symptoms one could expect to see. The differences between delayed and disordered feeding will also be addressed. Strategies and adaptions for both breast and bottle feeding will be discussed. Positioning, nipple flow rate, and external strategies will be explained. Case studies will be shared at the end of the presentation.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Hours / Credits: 0.5 (details)
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USA Bethany Sasaki, RN, IBCLC

Bethany Sasaki is an advanced practice nurse, lactation consultant and the co-founder of Midtown Lactation Consultants (MiLC). Her nursing background includes pediatrics, women’s health, emergency/trauma nursing and clinical research. She is currently completing the nurse midwifery program at Frontier Nursing University. She plans to continue conducting breastfeeding research focusing on nipple wounds and breast infections. Bethany and her husband Brent live in Sacramento California, USA with their 5 year old son named Leo and 3 year old daughter named Piper.

USA Bethany Sasaki, RN, IBCLC
Abstract:

Background: Use of lanolin has become a cultural norm while the evidence is conflicting on its safety and efficacy. Little to no evidence is available on the relationship between lanolin and infection.
Methods: This is a feasibility study, using case control retrospective chart review, examining lanolin use and the development signs and symptoms of nipple or breast infection in breastfeeding mothers with nipple pain. Fungal infection versus bacterial infection was suspected according to the corresponding effective treatment.
Results: Lanolin users were suspected to have a 62% infection rate, as compared to non-lanolin users at 18%, odds ratio 7.5 (2.4-23.4). Though not significant, fungal infection may have been more frequent than bacterial infection based on effective corresponding treatment.
Conclusion: A randomized control trial is called for to determine if frequent lanolin use increases the risk of nipple or breast infection.

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Presentations: 27  |  Hours / CE Credits: 24  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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United States Dr. Frank Nice, RPh, DPA,CPHP

Dr. Frank J. Nice has practiced as a consultant, lecturer, and author on medications and breastfeeding for over 40 years. He holds a Bachelor’s Degree in Pharmacy, a Masters Degree in Pharmacy Administration, Master’s and Doctorate Degrees in Public Administration, and Certification in Public Health Pharmacy. He retired after 43 years of government service, including 30 years of distinguished service with the US Public Health Service. He currently is self-employed as a consultant and President, Nice Breastfeeding LLC.

Dr. Nice has published Nonprescription Drugs for the Breastfeeding Mother, The Galactogogue Recipe Book, and Recreational Drugs and Drugs Used To Treat Addicted Mothers: Impact on Pregnancy and Breastfeeding. Dr. Nice has also authored over four dozen peer-reviewed articles on the use of prescription medications, recreational drugs, Over-the-Counter (OTC) products, and herbals during breastfeeding. He has organized and participated in over 50 medical missions to the country of Haiti.


United States Dr. Frank Nice, RPh, DPA,CPHP
Abstract:

Domperidone currently is used worldwide as an anti-nausea agent for adults, children, and women. It is currently available in 60 countries including Canada and Mexico. Domperidone was recently given orphan drug designation for the treatment of hypoprolactinemia in breastfeeding. Over 60,000 cases of hypoprolactinemia are reported annual in the United States. Infants who do not receive human milk cost the healthcare system over $13 billion each year and result in over 900 unnecessary infant deaths annually. Domperidone can produce significant increases in prolactin with subsequent increases in milk production. No drug is currently approved for the condition of hypoprolactinemia of lactation in any country.

This presentation will describe and explain the Orphan Drug Act and the steps necessary for domperidone to receive approval under the Act. Prolactin facts will be discussed as well as a review of the rare disease, hypoprolactinemia. The scientific rationale for the use of domperidone will be covered. Practical information will be presented on domperidone dosing and withdrawal of the drug with sufficient milk supply and with insufficient milk supply.

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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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I received my Neonatal Nurse Practitioner from Georgetown University and worked full time as NNP in a level IV NICU for 23 years. Subsequently I received a Family Nurse Practitioner Degree from State University of New York Health Science Center Syracuse and then a Post Master’s Degree as a Psychiatric Nurse Practitioner from University of Buffalo specializing in Reproductive Psychiatry. For me, this brought my NICU practice full circle treating the entire family. In 2013 I transitioned to academia and am currently on faculty at the Pomeroy College of Nursing at Crouse Hospital. I also spearhead programs at Crouse Hospital for maternal mental health. I have been a lecturer/educator for NANN, AWHONN, New York State Nurse Practitioner Association and a variety of other venues.

Abstract:

Over the past decade NICU’s census has grown due drug dependent neonates. Some of the maternal drug use is necessary for medical conditions however the vast majority are mothers in a treatment program receiving either methadone or suboxone. NICU’s continue to strive for consistency in screening and treating infants. This presentation will describe a best practice in both screening and treatment. Also, because it is best practice to treat the entire NICU family the presentation will offer strategies in working with this sometimes challenging population.

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Presentations: 20  |  Hours / CE Credits: 20.25  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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USA Laurel Wilson, IBCLC, RLC, BSc, CLE, CCCE

Laurel Wilson, IBCLC, BSc,CLE, CCCE, CLD, is an international speaker, pregnancy and breastfeeding specialist, consultant, and author. Laurel is the co-author of two books, The Attachment Pregnancy and The Greatest Pregnancy Ever and the contributing author to Round the Circle. She loves to blend today's recent scientific findings with the mind/body/spirit wisdom. She serves on the Board of Directors for the United States Breastfeeding Committee, a Senior Advisor for CAPPA, and is on the Advisory Board for InJoy Health. Laurel has been joyfully married to her husband for more than two and a half decade and has two wonderful grown sons, whose difficult births led her on a path towards helping emerging families create positive experiences. She believes that the journey into motherhood is a life-changing rite of passage that should be deeply honored and celebrated.

USA Laurel Wilson, IBCLC, RLC, BSc, CLE, CCCE
Abstract:

As the recreational and medicinal use of marijuana increases around the world, the potential for babies to be impacted by this herb during breastfeeding increases exponentially. In the United States, several states have recently legalized or are on the path to legalizing the consumption of marijuana (cannabis). This trend has led to more lactation consultants and healthcare professionals being faced with the question, "Is it safe for me to use marijuana while I breastfeed?" The answers given vary widely and this is due largely to myth, bias, and poorly conducted and accessed research. The Medications and Mother's Milk Guide considers cannabis to be an L5, contraindicated for breastfeeding while Lactnet states that it is preferable for users to continue breastfeeding and yet minimize the baby's exposure to smoke. These widely differing recommendations lead healthcare professionals to scratch their heads and face the knowledge that they just don't know what to say to mothers. Additionally, there are reports of social services removing babies from homes due to mother's marijuana use while breastfeeding. This presentation looks at the most recent research and policies surrounding this controversial herb

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Presentations: 27  |  Hours / CE Credits: 24  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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U.S.A. Melissa Cole, MS, IBCLC

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.

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

For some mothers, insufficient milk supply impacts their ability to fully breastfeed their infants. Many of these mothers seek holistic options to increase their milk supply. Amongst some women, placenta medicine and/or postpartum placenta consumption as a purported galactogogue is a practice on the rise. There is some limited historical research, and more recently some phenomenological data, about the practice of placenta as a galactogogue. However little is truly known about the benefits and risks of placentophagy. Even less is known about whether or not placenta can be viewed as a galactogogue. This presentation aims to review the existing literature and purpose a further call for research in regards to placenta as a galactogogue.

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Presentations: 27  |  Hours / CE Credits: 24  |  Viewing Time: 8 Weeks
This presentation is currently available through a bundled series of lectures.