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.
Zero Separation of Mother and Newborn: The Science Behind the Concept
Dr Nils Bergman calls himself a Public Health Physician, and currently promotes and researches skin-to-skin contact on a fulltime basis.
He is an Honorary Senior Lecturer at the University of Cape Town, South Africa, and a research affiliate of the South African Medical Research Council.
Dr. Bergman was born in Sweden and raised in Zimbabwe, where he also later worked as a mission doctor. He received his medical degree (MB ChB) at the University of Cape Town, and later a Masters in Public Health at the University of the Western Cape. During his years in Zimbabwe he completed a doctoral dissertation (MD, equivalent to PhD) on scorpion stings. He has worked in rural South Africa, Zimbabwe and Sweden, and his last posting was Senior Medical Superintendent of Mowbray Maternity Hospital in Cape Town, overseeing 18000 births per year.
He enjoys sharing the wildlife of Africa with his wife and three youngsters.
Topic: Zero Separation of Mother and Newborn: The Science Behind the Concept - [View Abstract]
The central dogma of all biological processes is based on DNA and genes, how these make proteins and specifically neurons, and how such neurons result in a brain producing behaviours, with the overriding objective of ‘reproductive fitness’. This presentation translates this dogma to the context of human birth, with the emphasis on the role of the environment is epigenetically informing genes how to make protein, through environmental sensory inputs formatting the brain to that environment, in which reproductive fitness encompasses not just survive but also thrive. The perinatal period is crucial to a number of biological processes, with the mother’s body being the defining environment for human newborns. These can be listed as transition to extra-uterine life, early suckling and colostrum protection, microbiota protection, sensory regulation of physiology, and sensory bonding to parent, synchrony of state organisation with feed and sleep cycling, synchrony and sensitization to and of the mother (and father) with a narrow window of opportunity in the first day. All these processes are place dependent, i.e. only happen in immediate and continuous maternal-infant skin-to-skin contact. Separation has immediate adverse consequences, disrupting all described above. It is not merely a temporary hold up of positive development; it is an active adaptation of stress biology with life long consequences for social and physical health. Bowlby first described this concept as the “Environment of Evolutionary Adaptedness”, Narvaez provides contemporary updating in the “Evolved Developmental Niche”.
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“How You Are Is as Important as What You Do”: The Importance of Reflective Practice in Providing Trauma-Informed Care
Sarah McNamee is a Licensed Clinical Social Worker and endorsed as an Infant Mental Health Mentor (Clinical). She is the Director/Owner of McNamee & Associates, LLC, a company that specializes in infant and early childhood mental health and supports families, communities, and providers through direct service, consultation, supervision/mentoring, and training. Sarah’s specialties include infant/early childhood mental health (with a focus on supporting families with baby/young child born premature, babies and young children with special health care needs, and highly sensitive babies/young children/parents), supporting infant regulation, reflective practice, and the provision of reflective supervision/consultation. Sarah is passionate about co-creating spaces that welcome the inherent wisdom and strength of individuals and communities in a trauma-informed and culturally responsive way. It is in these spaces that we discover the best tools we have for supporting individuals and communities, as well as changing our systems of care for babies, young children, and families. Sarah is the parent to three beautifully amazing and challenging human beings who continue to teach her the true meaning of intentional, attuned, and responsive caregiving.
"Grounded in the concept that “how you are is as important in what you do"" (Pawl & St. John, 1998), this presentation will allow participants the chance to learn about and engage in reflective practice. Reflective practice is the discipline of regularly “stepping back” to consider the meaning of what has transpired in relationships, and to examine one’s professional and personal responses to these interactions for the purpose of determining further action. (Emde, et al., 2001) Best practice suggests that by consistently engaging in reflective practice, we are better equipped to do our work in a relationship-based, trauma-informed, culturally responsive way.
Our time together will begin with the exploration of the possible ways in which stress and dysregulation (as well as regulation) show up in our bodies, our work, and in our lives. Through the use of didactic instruction and experiential exercises, we will then spend time learning about and utilizing reflective practice to better understand how to best support our regulation and strengthen the connections we build with others including the parents and babies we serve. "
“I just really wanted to breastfeed” - The Impact of Stress on Birth & Baby Feeding in a UK Multi-Ethnic Community
Sally is an IBCLC in Leicester, UK, and has been supporting families there, particularly families from BME communities, for 15 years. Her interest in multi-culturalism and diversity has grown, from teaching French in a large community college, to her current role leading Leicester Mammas CIC, a city-wide community breastfeeding peer support programme developed and delivered by and for local mothers. She has previously been a La Leche League leader, and was part of the pioneering LLL Peer Counsellor Programme team, under the leadership of Sarah Gill, who brought the LLLPCP from the US to the UK. A core element of her approach to protecting, promoting and supporting breastfeeding is its role in the wider society: mitigating poverty, health inequalities and social isolation, and creating strong communities of women from all walks of life. She is has recently completed an MA in Integrated Provision for Families in Early Years. Sally is Deputy Chair of LCGB (Lactation Consultants of Great Britain).
Breastfeeding is valued among BME parents in the UK for cultural/religious reasons. BME communities experience high levels of stress associated with socio-economic inequalities and other factors. Women experiencing depression and anxiety may find breastfeeding alleviates or exacerbates their symptoms, dependent on the quality of breastfeeding support received, and success or otherwise in overcoming early challenges.
Little is known however about how stress impacts on infant feeding, or how women who have faced significant stress feel about their experiences around pregnancy, birth and feeding. This study explored the experiences of mothers in a multi-ethnic, inner-city community, and the effectiveness of community breastfeeding peer support in helping overcome stress-related barriers. I also considered the experiences of the previous generation within the same community and how they compared to the current generation. I found that stress factors impacted heavily on breastfeeding outcomes. Peer support is an important factor in helping women achieve their goals, mitigating stress.
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“It Was Right but so Wrong:” Helping Families Make Sense of Difficult Births with Trauma Sensitive and Prenatal and Perinatal Healing Approaches
Kate White is and award-winning craniosacral and massage therapist, prenatal and early childhood educator. She is trained in somatic therapies, prenatal and perinatal health, lactation, brain development, infant mental health, and has specialized in mother-baby dyad care using somatic prevention and trauma healing approaches for nearly 20 years. She is a mother of two children, holds a BA and MA in Communication, is a Registered Craniosacral Therapist in the Biodynamic Craniosacral method and a Somatic Experiencing® Practitioner. Her work combines somatic therapy with brain development to help give families with babies and small children the best possible start. She is Founding Director of Education for the Association for Prenatal and Perinatal Psychology and Health from 2013 – 2018 where she managed a large online educational program for professionals. She currently co-directs this program, administering an online program for parents and parent professionals, runs a private practice and offers her own seminars through the Center for Prenatal and Perinatal Programs, ppncenter.com.
Topic: Best Practices in Prenatal and Perinatal Psychology and Somatic Health for Optimal Birth Outcomes - [View Abstract]
Topic: Integration of the Science of Safety and Resilience into Perinatal Care: A 5 Step Process - [View Abstract]
Topic: The Science of Safety and Trauma Specific Recognition to Improve Birth Outcomes: What Does It Mean for the Midwife? - [View Abstract]
Topic: “It Was Right but so Wrong:” Helping Families Make Sense of Difficult Births with Trauma Sensitive and Prenatal and Perinatal Healing Approaches - [View Abstract]
Recent reports suggest that the percentage of mothers who experience birth trauma is much higher than previously realized. Those of us who support mothers, babies and birth know that if a mother has an overwhelming birth, it affects her perception of herself, her partner and her baby.Many women carry memories of difficult births their whole lives. This presentation will outline trauma sensitive approaches to helping families heal from difficult births using somatic or body-oriented practices as a base. Recent trends in trauma resolution will be discussed, including trauma informed care in the perinatal period, and polyvagal theory and its application for birth. A new model of obstetric care will be introduced that includes somatic trauma resolution skills, especially what it looks like to weave these tools into medical or private therapeutic practice. It will also include the baby’s experiences to complete a package of holistic trauma sensitive care for the birthing family.
