IBCLC Detailed Content Outline: Psychology, Sociology, and Anthropology Focused CERPs - Section V
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The First 1,000 days: Promoting Infant Mental Health
Monica Roosa Ordway, PhD, APRN, PNP-BC is an assistant professor at Yale University School of Nursing where she teaches community health in the Graduate Entry Prespecialty into Nursing and Masters programs. Her research interests include the assessment of psychosocial and biological variables that influence early parent-child interactions and the development of the capacity for parental reflective functioning (RF). Her current research is focused on examining sleep, stress, and health among toddlers living with socioeconomic adversity. Her research goals include evaluating programs using a biological-psychosocial profile in order to translate programs for practical and sustainable use within pediatric clinical settings with the aim of mitigating the effects of toxic stress and the development of subsequent risk factors that lead to chronic illnesses. Dr. Ordway is also a pediatric nurse practitioner and board certified lactation consultant with almost 20 years of clinical experience.
Infant mental health is an interdisciplinary professional field of inquiry, practice and policy, concerned with alleviating suffering and enhancing the social and emotional competence of young children. The focus of this presentation is to highlight the importance of supporting the relationships between infants and toddlers and their primary caregivers to ensure healthy social and emotional development. Considering the increasing understanding of the impact of toxic stress on the lifelong health of very young children, it is critical that we identify methods to buffer the experience of toxic stress on children beginning at the earliest stages of life. Without appropriate regulation from a supportive caregiver, exposure to toxic stress in early childhood can result in wide-ranging physiological disruptions, including alterations in mental health. This presentation will provide an overview of infant and toddler development, the toxic stress literature, and provide important information on how to screen and assess infants (and toddlers) and their families for risk and protective factors that may trigger or buffer the effects of toxic stress.
Susan Winograd, PT, owns and operates a private Pelvic Health and
Wellness practice in Boca Raton, Florida called Pelvicore Rehab LLC.
She specializes in Woman's Health, Men’s Health issues, and
Pre and Postnatal Care.
She has earned a Scar Release therapy Certification from Acumed
and is certified in the Wurn Technique and Clear Passage Approach.
Susan earned a masters degree from the College of Staten Island in
1998. In her 22 years of clinical experience she has gained extensive
knowledge in the treatment of various populations such as orthopedics,
manual therapy, geriatrics, pediatrics and men/women's pelvic dysfunction,
and prenatal/postpartum care.
She has continued her post graduate educate through seminars with
The Herman and Wallace Institute, MPS Scar Release Therapy, Myofascial
Release, The institute for Birth Healing, Clear Passage Therapies, and is pursuing education in Cranial Sacral therapy with the Upledger Institute
and Total Body Balancing with the D’Ambrogio Institute.
Susan enjoys teaching workshops throughout South Florida on pelvic
health and wellness related topics.
Her hands-on treatment approach of treating the whole person has
often led her to discover the primary or contributing cause of pain,
dysfunction, or imbalance was pelvic floor related.
Her passion and commitment now is treating, healing, and educating
her patients and healthcare providers with pelvic floor dysfunction using a
whole body approach to relieve pain, restore optimal function, and
improve quality of life.
She is committed to providing the highest quality of individualized
that care that every patient deserves.
Topic: The Fourth Trimester: Postpartum Healing and Recovery - [View Abstract]
Topic: The Pelvic Floor and the Core; A Dynamic Duo - [View Abstract]
The third trimester is an exciting time for moms. There is much attention placed on her with the excitement and preparation of an upcoming birth. In the fourth trimester, the 12 weeks that follow birth, we often see this attention transition to focus on the newborns' needs by healthcare practitioners, family, friends, and of course by the mom. It is important to recognize that this is a critical time for mothers. They are struggling with sleeplessness, adapting emotionally and are in the active recovery phase of healing physically. In France, Sweden and other parts of the world, the healthcare system pays much closer attention to mom’s well being after birth. In many of these countries being assessed and treated by a pelvic health physical therapist is the standard of care. The American College of Obstetrics and Gynecology (ACOG) recently came out with recommendations for improved focus on maternal health. This includes emotional well-being, health maintenance, sexuality, and physical therapy as the standard of care and practice. We are still behind many other countries in maternal postpartum care but we are slowly making improvements. Midwives have the important opportunity to spread the awareness that every mom should get the postpartum care they deserve.
To fully support their clients’ health throughout gestation, birth, and nursing, midwives need to know about herbs. Not a lot; in fact, what most midwives need to know can be learned in few hours. Wise use of herbs is especially important during pregnancy and lactation. Using herbs instead of drugs to allay problems protects both mom and fetus from harm. Even more importantly, the abundant nutrition available from select herbs – like stinging nettle, oatstraw, comfrey leaf, and red clover blossoms–has a much more profound influence on maternal health than any supplement and can make the difference between an easy birth and a complicated one. Herbal medicine is simple, safe, and effective at all times in a woman’s life, including during her childbearing years. Here are the things I think it most important that a midwife know about herbs and herbal medicine.
To fully support their clients’ health throughout gestation, birth, and nursing, midwives need to know about herbs. Not a lot; in fact, what most midwives need to know can be learned in few hours. Wise use of herbs is especially important during pregnancy and lactation. Using herbs instead of drugs to allay problems protects both mom and fetus from harm. Even more importantly, the abundant nutrition available from select herbs – like stinging nettle, oatstraw, comfrey leaf, and red clover blossoms–has a much more profound influence on maternal health than any supplement and can make the difference between an easy birth and a complicated one. Herbal medicine is simple, safe, and effective at all times in a woman’s life, including during her childbearing years. Here are the things I think it most important that a midwife know about herbs and herbal medicine.
The Importance of Addressing Mental Health & Wellbeing During Pregnancy
Dr Raja Gangopadhyay is a Consultant Obstetrician & Gynaecologist at the West Hertfordshire Hospitals NHS Trust, UK, with a special interest in Perinatal Mental Health (PMH) and a Visiting Lecturer at the University of Hertfordshire (UK). In conjunction with his multidisciplinary team, Raja has been championing joint approaches to perinatal mental health that take into account infant mental health. Raja is a well-known Trainer in PMH and organises teaching, training and Conference for Obstetricians, Midwives, GP and other healthcare professionals. He is a renowned speaker and has been invited to speak at many National and International events. He obtained a Certificate in Medical Education from the University of Bedfordshire, UK. He has been invited to House of Lords meeting as a member of the Expert panel and organised and chaired events at the House of Commons (UK Parliament). He has been invited to many media interviews (Radio/ Television) and views/ opinions have been quoted in many leading UK newspapers. He is the Founder of the International Forum for Wellbeing In Pregnancy (IFWIP): a unique initiative to raise awareness of mental wellbeing during pregnancy from a global perspective (www.ifwip.org)
The presentation will start with the global statistics of mental health conditions during pregnancy and the economic cost to health and social care. Then the impact of stress and mental health problems during pregnancy will be discussed with an outline of 'Foetal Programming'. Subsequently, the practical aspects of care of Perinatal Mental Health conditions will be elaborated with a focus on screening, Care Planning, use of medication during pregnancy and breastfeeding. An outline of the concept of wellbeing will be discussed with lifestyle modification and stress management strategies (NURTURE Approach).
Dr. Natalia Varela is a professor at the Externado University of Colombia. She directs the family and children research department. Dr. Natalia´s research experience on child development involved an interdisciplinary approach that enabled her to acquire tools working on an array of projects involving at-risk children and families around the world (Colombia, Canada, India, Vietnam, Indonesia, Burundi). Having worked with United Nations agencies and international NGOs, Dr. Natalia has gained expertise in academic research, as well as international development. Dr. Natalia works closely with the Kangaroo Foundation in Colombia on interesting research about premature birth and fatherhood. She holds a Ph.D. in Psychology from Laval University in Canada.
Over the past decades, researchers have established the importance of the father on child development. Research shows that when fathers are involved, child development is affected. Children show better cognitive skills, fewer aggressive interactions, and better performance in school. Research shows that the earlier the involvement, the better. Nonetheless, when the baby is born premature, this interaction is usually delayed as life is in danger and, the baby is placed in the NICU. Premature birth (≤ 37 weeks of gestation) is a sudden and overwhelming event for the whole family. Parents of premature babies experience high levels of stress, anxiety, and depression. Most studies and interventions are focused on babies and mothers, neglecting fathers. The Kangaroo mother care method in which the baby must be placed in skin-to-skin position as long and much as possible has transformed not only the NICU practices but also the involvement of family members (especially fathers) in the care of premature babies. We will explore the experiences and impact of skin to skin contact on fathers in different countries and cultures.
The Importance of Fathers' Mental Health
Jane has been interested and concerned with perinatal mental health(PMH) for over 35 years. During this time Jane has researched attitudes, ethnic beliefs and the mental health of fathers around this time. She is an honorary Lecturer on PMH at Swansea University and is a Past President of the International Marcé Society for Perinatal Mental Health. She is a currently on the Executive Board. She is also on several PMH committees, both nationally and internationally. Jane has written 2 books on PMH and is in the process of writing a third. She has written many peer reviewed articles and has been a speaker at national and international conferences. Jane is the Director of the PMH Training Company which, working in partnership with other experts in the field, including Mark Williams, delivers high quality training to health professionals and those practitioners concerned with families affected by perinatal mental disorders and illness.
Mark Williams is a keynote speaker, author and International campaigner. In 2004 he himself experienced depression and suffered in silence for years until a breakdown. He founded International Fathers Mental Health Day and #Howareyoudad campaign to make sure all parents are having support for the whole family.
Mark has spoken on television and radio stations around the world and works with Dr Jane Hanley who has both published articles on Fathers Mental Health together. Mark was awarded Inspirational father of the year and local hero at the Pride of Britain Awards in 2012 and was invited to meet The Royal Family on World Mental Health Day in 2016.
The importance of fathers’ mental health is increasingly recognized as a significant factor in family life. As the construct of traditional society changes, it is becoming more commonplace for the father to be the primary carer of the infant. Should the mother suffer from a mental illness or disorder, then often the father is her main carer too. Studies have shown that if the father also suffers from mental ill health, this can have a significant impact on the relationship with the mother and have a detrimental effect on the development of the infant. Historically, men are conscious of their role as the provider and protector. The social expectations of men often preclude them from disclosing their feelings; therefore there is a tendency for them to confide their personal concerns to smaller networks of individuals, as they often fear they risk rejection should they admit to them publically. Studies have shown that if the complexities of their relationship with the partner are too much of an encumbrance, fathers often become distressed, frustrated and either withdraw into an activity or sport with which they feel more in control or resort to negative coping skills and misuse drugs and /or alcohol. They are more likely to ask for help when they experience suicide ideation. There are approximately 6,000 suicides annually in the UK.
Raised with her Penobscot culture and Native American spiritual practices, Dr. Jus Crea realized the healing powers of nature at a young age. Rich with ancestral knowledge of healing, medicine, and midwifery, Dr. Jus Crea received a Doctorate in Naturopathic Medicine from the University of Bridgeport and a BS in Ethnobotany and Holistic Health from UMass, Amherst. She has also been trained as an auricular acupuncture detox specialist at Lincoln Hospital, WTS therapy for restorative healing as well as Indigenous Midwifery with Mewinzha Ondaadiziike Wiigaming. She is also a Certified Indigenous Breastfeeding Counselor. Dr. Jus Crea has lectured extensively on herbal medicine, ethnobotany, midwifery, naturopathic medicine, environmental medicine, and cultural history and traditions of Wabanaki people. She was previously an adjunct professor of Nutrition at Springfield College and Pathology at STCC as well as a primary care physician in Brattleboro VT. Dr. Jus Crea has been practicing Naturopathic Family Medicine at The Integrative Health Group in Springfield MA since 2005.
Topic: The Importance of Gut Flora in Perinatal Nutrition - [View Abstract]
Optimal gut flora balance is an important part of perinatal nutrition. Our gut microbiome plays a critical role in the prevention of many illnesses and chronic disease. Gut flora can be impacted from genetic and environmental factors including poor diets, antibiotics, cesarean sections, formula feeding, and stress. It is important to optimize gut flora as part of perinatal nutrition for the optimal health of the newborn. Optimal gut flora balance is necessary for balanced immune function, digestive health, preventing chronic metabolic disorders, and mental health. Promoting optimal gut flora in maternal nutrition can aid the health of the newborn baby.
Sonia Story developed the Brain and Sensory Foundations training to provide in-depth, comprehensive training in the use of innate rhythmic and infant primitive and postural reflex movements for addressing sensory, learning, physical, behavioral, emotional, social, and speech challenges. Sonia trained directly with Harald Blomberg, MD and Moira Dempsey, among many other mentors. Her training courses are approved for professional continuing education for occupational therapists, physical therapists, and massage therapists.
Sonia was a presenter at the 2018 Autism One conference on how innate neurodevelopmental movements help with sensory issues. Her work has been featured in the book, Almost Autism: Recovering Children from Sensory Processing Disorder, and in the books Special Ed Mom Survival Guide; Family Health Revolution; and Same Journey, Different Paths, Stories of Auditory Processing Disorder.
Sonia is currently enrolled in Master's program in Movement Science.
In this engaging presentation we discuss the important role of innate infant movements in human development and what can happen when these innate movements are disrupted. We answer the question: Are neurodevelopmental challenges associated with disruption of innate infant movements in early life? And we explore the evidence for using these innate infant movements later in life to overcome learning and other neurodevelopmental challenges.
The Intersection Between Lactation, Sleep, and Family Well-Being
Joy MacTavish, MA, IBCLC, RLC is an International Board Certified Lactation Consultant and certified Holistic Sleep Coach focusing on the intersections of infant feeding, sleep, and family well-being. Through her business, Sound Beginnings, she provides compassionate and evidence-based support to families in the greater Seattle area, and virtually everywhere else. She entered the perinatal field in 2007 as birth and postpartum doula, and childbirth and parenting educator. 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 enjoys combining her academic background, analytical skills, and passion for social justice into her personal and professional endeavors. Joy serves as an Advisory Committee Member and guest speaker for the GOLD Lactation Academy. When not working or learning, she can be found homeschooling, building LEGO with her children, or dreaming up her next big adventure.
Topic: Full-Term Breastfeeding/Chestfeeding: Benefits, Considerations, and Ways to Offer Support - [View Abstract]
Topic: Mindful Breastfeeding: How Lactation Professionals Can Support Calm and Connection - [View Abstract]
Topic: Sending Reports: What’s in it for IBCLCs? - [View Abstract]
Topic: Supporting Clients Facing Fertility Treatment - [View Abstract]
Topic: The Intersection Between Lactation, Sleep, and Family Well-Being - [View Abstract]
Topic: Weaning: Supporting Families Stopping Lactation and/or Ending Their Breastfeeding/Chestfeeding Relationship - [View Abstract]
New parents often have questions and concerns about infant sleep, and the changes and challenges that go along with it. It is important to meet families where they are at the intersection between infant feeding, lactation, sleep, and family well-being. As lactation professionals, we can support them in gaining greater understanding of what to expect for infant sleep, as well as how to navigate challenges that may arise while working toward their lactation goals.
This presentation provides evidence-based information about common topics related to lactation and infant sleep. Participants will leave with an understanding of the key steps for how to integrate the management of infant sleep challenges into a lactation care plan. This includes 1.) a process for obtaining information about current sleep, and the variety of factors that may be impacting infant and parental sleep; 2.) elements to consider as a lactation care plan is created; and 3.) how to provide evidence-based information and resources in a compassionate manner that will allow informed decision-making about next steps toward their lactation and sleep goals. Incorporating this process into one’s practice will lead to more comprehensive care plans that take into account the realities and needs of the each family.
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The Midwife's Role in Core and Pelvic Floor Health During the Perinatal Period
Bernadette is a midwife with a Master in Public Health (MPH), core and pelvic floor specialist, published author and previous pant wetter. She has worked in midwifery across Australia from remote Aboriginal Communities to big city hospitals to publicly funded homebirth. She spent a year volunteering as a midwifery educator in the Solomon Islands and teaches midwifery emergency courses in rural and remote areas around Australia. She was awarded the Sidney Sax award for best overall performance in her MPH. She is also the Founder and Creator of Core and Floor Restore – online education and exercise programs, workshops, and consultations. Her passion is to enable people to use their bodies and minds to their greatest ability in all aspects of life. A big part of her work is centered around emotional and physical birth trauma and postpartum recovery. She offers free online antenatal classes and co-host's "The Great Birth Rebellion" an evidence-informed podcast. Bernadette’s life mission to bring the rate of birth trauma down to zero whilst simultaneously improving postpartum care. She has epically birthed two babes at home and recovered from incontinence and prolapse. When she isn’t working or studying you can find her out bush, camping and hiking or splashing in the bath at home with her boys.
Up to 75% of women will experience a prolapse in their lifetime. 1 in 3 will experience urine incontinence and 1 in 10 faecal incontinence. Around 60% of women experience diastasis recti. Add in pelvic girdle pain, a hypertonic pelvic floor, perineal and vulva trauma, vaginismus, vulva varicosities, anal fissures and haemorrhoids and most women, at some point, will describe their body as feeling broken.
Midwives play a crucial role in assisting women in the prevention and treatment of these conditions. International guidelines and clinical standards advise that pregnant and postpartum people should be doing pelvic floor muscle training (PFMT). This however, is not just as simple as doing Kegels while waiting at traffic lights. In order to provide best care, midwives need a deeper understanding of the physiology of the core and pelvic floor in pregnancy, birth and postpartum.
This presentation will enable a deeper understanding of the physiology of the core and pelvic floor during pregnancy, birth and postpartum. You will learn practical techniques to assist women in protecting their core and pelvic floor during these stages, including how best to support physiological birth and what we can do when interventions occur. We will also cover techniques and realities for postpartum healing and evidence-based advice to managing existing conditions.
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