IBCLC Detailed Content Outline: Psychology, Sociology, and Anthropology Focused CERPs - Section V
Access CERPs on Psychology, Sociology, and Anthropology for the IBCLC Detailed Content Outline recertification requirements. Enjoy convenient on-demand viewing of the latest Psychology, Sociology, and Anthropology focused IBCLC CERPs at your own pace.
Kamilla Gerhard Nielsen is as obstetrician and psychotherapist part of the delivery unit in Aabenraa in Southern Denmark. A unit that has worked towards minimizing intervention in a safe environment with good outcome for mother and child. After joint effort from doctors and midwifes the department now has a cesarean section rate of 13 %, which is the lowest in Denmark. The rate of elective cesarean is 3 % and the unit has a high rating of satisfaction in Denmark from women giving birth.
Kamilla teaches with Obstetriwise.dk in several countries on the Upright Breech Birth, Fear of Childbirth and Occiput Posterior workshops. All theoretical and practical workshops with the aim of reducing unnecessary intervention in childbirth.
Topic: Reducing Cesarean Rates Through Teamwork and Innovation: A Case Study From Denmark - [View Abstract]
Fear of childbirth can have significant impacts and it’s important for care providers to be familiar with effective methods of management. It is central that the couple is not only met by a solution of planned cesarean section as a treatment. With tools and cases, you will learn how to help clients determine the details of their fear, how to work through previous traumatic experiences and increase the feeling of safety that is often central in the problem. Also addressed will be ways to prevent trauma during birth which can help reduce the risk of fear of childbirth in subsequent pregnancies.
Impact of Paternal and Maternal Postpartum Depression on Parenting Behaviors and Infant/Child Outcomes
Dr. Sheehan Fisher is an Assistant Professor and clinical psychologist at Northwestern University. His research career focuses on the effects of perinatal and subsequent parental mental health on infant/child health outcomes, with a specialization in the emerging field of father mental health. More specifically, he examines: 1) the biopsychosocial risk factors for parental psychopathology, 2) the impact of parental psychopathology on parenting behaviors and the family environment, and 3) the combined effect of the family environment on infant/child medical and emotional health outcomes. His aim is to reconceptualize parental mental health research to integrally involve both mothers and fathers to differentiate the etiology, course, and potential interactivity of paternal and maternal mental health and, in turn, the longitudinal associations with child medical and mental health. Dr. Fisher’s research dovetails with his perinatal clinical practice, including being the clinical director of the Fathers’ Mental Health Specialty Clinic. Ultimately, the goal is for his research plan is to optimize the health and effectiveness of the parental team to positively influence the child health trajectory starting from infancy.
Maternal and paternal depression rates are elevated during the perinatal period compared to the normal population. Historically, fathers were excluded from perinatal mental health research but there is strong evidence that fathers have their own unique experiences that are more recently being considered within research. Mothers and fathers express and report depressive symptoms differently, which may influence detection of depression. Both parents’ mental health has an impact on parenting behaviors and the family functioning, which ultimately have an impact on child health. Perinatal clinical treatment would benefit from a comprehensive examination of the family dynamic to best provide treatment of perinatal depression and improve child health. Fathers can be utilized as an asset to mothers and clinicians to support maternal mental health. Future research is needed to optimize clinical treatment of perinatal mental illness that accounts for the full family dynamic.
Gail A. Bagwell, DNP, APRN, CNS works at Nationwide Children's Hospital as the CNS of Perinatal Outreach and clinical instructor of practice at the Ohio State University College of Nursing. In her role she works with the healthcare providers caring for neonates and provides education to healthcare providers on the well-newborn as well as care of the sick and premature newborn and serves as a resource on neonatal and quality improvement initiatives. Gail is a member of the National Association of Neonatal Nurses (NANN) and currently the Immediate Past President of the organization. She is also a member of the Central Ohio Association of Neonatal Nurses, American Nurses Association, Ohio Nurse’s Association, Association of Women’s Health and Neonatal Nursing, Academy of Neonatal Nursing, National Association of Clinical Nurse Specialists, Sigma Theta Tau and a Fellow in the American Academy of Nursing. Gail's interests are neonatal abstinence syndrome, breastfeeding, safe sleep, newborn resuscitation and stabilization and parent transition. Gail is a published author of book chapters in all six editions of the Kenner’s ""Comprehensive Neonatal Care"" textbook, the Encyclopedia of Child and Adolescent Development, Neonatal Nursing Care Handbook, editor of the NANN Guideline for Newborn Safe Sleep and multiple journal articles.
Sleep related deaths are the number one cause of infant deaths in the United States, with neonates that have been in a NICU being at a higher risk. In order to combat this problem, the American Academy of Pediatrics (AAP) in the early 1990's began publishing recommendations on how to prevent sleep related deaths in healthy term infants. This effort has led to a decrease in infant sleep related deaths, but confusion remains on when a premature or convalescing neonate be transitioned to a safe sleep environment in the NICU. This presentation will review the different types of sleep related deaths in infants, most current theory of cause of SIDS, review the myths of safe sleep and give guidance to the NICU nurse on how to implement safe sleep in their unit.
Implications of Early Life Experience and Brain Development in the Preterm Infant
Dr. Jacqueline McGrath is a Professor and Vice Dean for Faculty Excellence at the UTH San Antonio, School of Nursing. Research foci include integration of family-centered and developmentally supportive caregiving with premature infants and their families in the NICU. More specifically, her work has focused on the biobehavioral outcomes of increasing parent engagement on both parents and the infant. Increasing parent engagement is believed to be a mechanism for increasing parent self-management skills after infant discharge and ultimately enhancing infant long-term development. She has also conducted studies related to preterm infants’ oral feeding readiness and preterm infant touch and massage (parent provided). Based on her research, she developed the NICU-PLAY program for parents and their hospitalized preterm infants. She has published more than 150 peer-reviewed articles. Dr. McGrath is the Co-Editor for Advances in Neonatal Care the journal of the National Association of Neonatal Nurses. In 2007, Dr. McGrath became a fellow in the American Academy of Nursing. She received her BSN from the University of Akron; MSN from Kent State University in parent-child nursing; both a post-master’s certificate as a Neonatal Nurse Practitioner and a PhD from the University of Pennsylvania.
Parents are essential to infant brain development; high risk birth with admission to the Neonatal Intensive Care Unit (NICU) only increases their vital role. Current evidence increasingly provides direction for how best to fully engage parents through increased opportunities for both physical and emotional closeness enhancing parent-infant interactions and participation in NICU caregiving activities. Early brain development is highly affected by early experiences particularly those with parents. Parent engagement is defined as a dynamic process focused on enhancing and supporting the parent-infant experience; specifically enhancing the acquisition of skills for problem-solving and provision of appropriate infant care based on the unique infant needs. Enhancing parent engagement is one means of decreasing what has been recently documented as post-traumatic stress disorder (PTSD) often experienced by parents who must traverse the chaotic NICU environment while supporting their high-risk infant. Concurrently, the unique needs of the infant’s developing brain demands that caregiving by parent and health providers be neuroprotective matching the “expectations” for experiences that “nurture” their development.
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Improving the Outcomes for Women Who Develop Preeclampsia: What Can the Midwife Do?
Isabella is a Ph.D. candidate in the College of Nursing and Midwifery at Charles Darwin University in Australia. She has over 12 years’ experience as a midwife and has also been an educator and researcher in her home country Ghana. She holds a bachelor’s degree in nursing and a master’s in nursing from the University of Cape Coast in Ghana. Isabella is a foundation fellow of the Ghana College of Nurses and Midwives and a member of the Ghana Registered Midwives Association. Isabella is currently undertaking her PhD focusing on improving midwifery care for women who develop preeclampsia in Ghana. She loves to engage in advocacy and is currently a member of Action on Preeclampsia Ghana (APEC-GH), the sole advocacy group concerned with preeclampsia in Ghana. She is a member of the APEC newsletter committee and occasionally facilitates their online webinars for pregnant women, their families, and midwives.
Pre-eclampsia, a complex hypertensive disorder of pregnancy is the second leading cause of global maternal mortality affecting about 8% of pregnancies. Although there are more positive outcomes for women who develop pre-eclampsia in Europe, North America and Australia, there are far more devastating consequences in Low- and Middle-Income Countries (LMIC’s). To improve the outcomes and ultimately achieve the Sustainable Development Goals (SDG’s), effective care is recommended for all women who develop pre-eclampsia, and this should be based on high quality guidelines to facilitate prompt identification and management. As front-line maternity service providers, midwives are instrumental in reducing maternal and neonatal deaths from all complications including pre-eclampsia. Across the continuum of care, midwives have the potential to save over 30% of women who develop pre-eclampsia and eclampsia. Depending on the setting, midwives may assess, diagnose, initiate, and coordinate care for women who develop pre-eclampsia within regulated practice frameworks and in agreement with international practice standards. This presentation will highlight the burden of pre-eclampsia and discuss the current care recommendations during the antenatal, intrapartum, and postpartum periods. Practical application strategies in LMIC’s will be emphasized in the context of WHO’s quality care framework.
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Including Fathers and Partners to Support Perinatal Mental Health and Marriages
With over 25 years’ experience as a relationship counsellor, parents’ group facilitator, mental health educator, partner and mum, Elly Taylor has become an internationally known parenthood preparation and perinatal relationship expert and the award-winning author of Becoming Us. Elly’s passion is preparing parents for a happy and healthy family—at any stage in their parenthood journey, and especially in a challenging world. Her Becoming Us approach includes fathers and partners in all aspects of pregnancy, birth and beyond, harnesses the attachment bond between couples to stabilise them through the life changes and challenges of parenthood and links both parents into community services to support the mental, emotional and relational wellbeing of the whole family.
Elly has served as an advisor for numerous university research projects and her ground-breaking Becoming Us developmental framework has now become a comprehensive multi-disciplinary education and professional training and courses for parents. In a full circle moment, Elly recently trained midwives, allied health and therapy professionals in her local community and now Becoming Us Nest Building Sessions are preparing expectant parents in the hospitals where her children were born. Elly lives in Sydney, Australia with her firefighter husband, their three kidults and an abundance of pets.
Topic: Communication and Conflict - How Connection Supports Both - [View Abstract]
Topic: Including Fathers and Partners to Support Perinatal Mental Health and Marriages - [View Abstract]
"The “transition” into parenthood is supposed to be a time of joy, love and wonder, and yet research paints a very different picture: currently 1 in 3 mothers and 1 in 5 fathers suffer from anxiety or depression during the perinatal period. You might also be shocked to know that 92% of couples report increased conflict and 67% a decline in relationship satisfaction in the first few years of family.
And referring to parenthood as a “transition” is misleading – there are, in fact, multiple transitions for couples to navigate.
Including fathers or partners in pregnancy, birth and the multiple transitions of early parenthood helps to reduce both mothers' and fathers' risks for anxiety, depression and relationship problems and supports both parents' mental, emotional and relationship health, so the whole family can thrive. In this presentation, practitioners will learn simple and easy ways to include fathers and partners, even if they’re not in the room, and discover how small things can make a big difference to a family’s future.
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Kristin Kali, LM CPM is a midwife, teacher, writer, speaker, trainer and consultant specializing in LGBTQ family building and gender inclusivity. Kristin is a warm and engaging presence, delivering professionalism and expertise with a down-to-earth, personable style. Kristin is an authoritative resource on LGBTQ healthcare during conception and pregnancy, functional approaches to fertility, and midwifery model preconception care.
Kristin is the owner of MAIA Midwifery and Fertility Services, internationally renowned for LGBTQ family building expertise. In addition to providing preconception care via telemedicine to families across the globe, Kristin provides midwifery care, home insemination, classes and support groups in Seattle, WA. You can read more about MAIA services, download webinars, access professional training, and purchase fertility related products at MAIA Midwifery & Fertility.
Topic: Providing Preconception and Prenatal Care For lgbtq2s Families - [View Abstract]
Childbirth educators are often challenged to find ways to meet the needs of LGBTQ families in the classroom. This presentation offers an in-depth understanding of what is required to truly hold space for LGBTQ families. Concepts of sexual orientation and gender identity are explained in relation to the transformative experience of becoming a parent. A detailed outline is provided for protecting LGBTQ families against marginalization in the classroom, from advertising and communication with class participants to course materials and the physical classroom space. An exploration of gender inclusive language is included, so that childbirth educators can uniformly discuss pregnancy, birth and infant feeding in ways that are inclusive of new parents of all genders, orientations and family structures. For those who wish to teach specialized classes for LGBTQ families, additional aspects that arise in an exclusive space will be presented.
Indigenous Midwifery in Canada: A Primer for Improving Health and Well-Being
Dr. Karen Lawford (Ph.D., R.M., A.M.) is an Assistant Professor in the Department of Gender Studies at Queen’s University and an Adjunct Research Professor in the School of Indigenous and Canadian Studies at Carleton University. She is a member of Lac Seul First Nation
She is the first registered midwife and Indigenous midwife in Canada to obtain a doctoral degree and hold a university appointment. She advocates for maternity care that allows community members to give birth in their communities and on the land, and has explored the resiliency and resistance of women evacuated from their communities for birth. She also conducts research that examines the leadership of Indigenous women and Two Spirit people within health. She is a founding member of the National Aboriginal Council of Midwives.
Dr. Lawford is a 2020 Indspire Laureate in the category of Health. She also serves as a Senator for Queen’s University.
Since the formation of Canada in 1867, the Canadian government has systematically imposed a Euro-Western biomedical model of maternity care on Indigenous peoples. Colonialism and white supremacy rationalized the development of the Indian Residential School system with Christian organizations in attempts to “kill the Indian in the child.” Government goals were to civilize and assimilate Indigenous Peoples into a generic Canadian identity for the sake of nation building and colonial expansion. Eugenic ideologies underpinned the reduction of Indigenous populations through the forced, coercive, and covert sterilization of Indigenous women and girls. In Canada, two provinces had a Sexual Sterilization Act (Alberta and British Columbia), although it was practiced throughout the country. In the area of maternity care, Canadian healthcare systems have consistently failed Indigenous people and their children as evidenced by having highest IMR in Canada. Despite this, Indigenous midwifery and improved child and maternal health for Indigenous people, families, and communities can be realized. A return of birth to the land, recognition of Indigenous women’s and Two Spirit leadership in the provision of excellent culturally-informed, anti-colonial maternity care will contribute to the improved health and wellbeing of Indigenous Peoples.
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Infant and Young Child Feeding in Emergencies: Background, Best Practice, and What You Can Do
Karleen Gribble (BRurSc, PhD) is an Adjunct Associate Professor in the School of Nursing and Midwifery at Western Sydney University.
Her interests include infant and young child feeding in emergencies, marketing of breastmilk substitutes, parenting and care of maltreated children, child-caregiver and caregiver-child attachment, adoption reform, and treatment of infants and young children within the child protection, immigration detention, and criminal justice systems.
She has published research on these subjects in peer-reviewed journals, provided media commentary, contributed to government enquiries, provided expert opinion for courts, and engaged in training of health professionals, social workers, and humanitarian workers on these subjects.
Karleen is an Australian Breastfeeding Association Community Educator and Breastfeeding Counsellor. Since 2010 she has been a member of the Infant and Young Child Feeding in Emergencies Core Group and has been at the forefront of the development of policy, training and research in the area of infant and young child feeding in emergencies.
Topic: Infant and Young Child Feeding in Emergencies: Background, Best Practice, and What You Can Do - [View Abstract]
Topic: Milk Sharing: Comparative Risks and Biomedical Ethics - [View Abstract]
In any emergency, infants and young children are particularly vulnerable. Providing appropriate aid is vital to ensure that children have the best chance of surviving. This presentation will describe why infants and young children are at increased risk during times of crisis and outline how aid can support, or sometimes undermine the health of infants and young children. Detail on instruments to support appropriate infant and young child feeding in emergencies will be provided, along with information to assist participants in advocating for appropriate infant and young child feeding in emergencies in their context.
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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.
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.
