IBCLC Detailed Content Outline: Clinical Skills Focused CERPs - Section VII
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Empowering Breastfeeding in Women Receiving Medication-Assisted Treatment for Opioid Use Disorder: A Call for Policy Change
Dr. Kelly McGlothen-Bell is an Assistant Professor at UT Health San Antonio, School of Nursing. As a nurse scientist, Dr. McGlothen-Bell is dedicated to understanding and resolving perinatal-infant health disparities in underrepresented groups, particularly among mother-infant dyads impacted by substance use disorders and preterm births. Dr. McGlothen-Bell uses interdisciplinary research, bio-behavioral methodologies, and community-engaged strategies to define and explore health priorities that can be remedied through culturally appropriate and sustainable health solutions. Her program of science focuses on understanding the relationship between infant feeding behaviors and readiness in high-risk infants and attunement between the primary caregiver and child during infancy and toddlerhood. The culmination of these findings contributes to the development of evidence-based interventions geared toward improving parental engagement and pediatric feeding success in marginalized populations. Dr. McGlothen-Bell has published numerous peer-reviewed articles related to developmental strategies for high-risk infants. She has also presented her work at conferences nationally and internationally. Dr. McGlothen-Bell has received numerous awards to include the 2019 National Association of Neonatal Nurses (NANN) Mentee/Mentor Grant Award. She was also selected as a 2019-2020 Academy Jonas Nurse Policy Scholar.
Topic: Feeding Behaviors in the Opioid Exposed Infant - [View Abstract]
Inequitable access to mother's milk often disempowers those who may benefit the most from it's' benefits. Moreover, suboptimal breastfeeding has the potential to negatively impact the health and well-being of future generations to come. Mother's own milk is internationally accepted as the most optimal source of nutrition for infants, yet breastfeeding initiation and duration rates among minority populations (i.e., women with opioid use disorders [OUDs]) continue to lag significantly behind that of the general population. The implications of the current U.S. opioid crisis and its increasing influence on women of reproductive age presents important considerations for the ways women and infants may receive inequitable access to breastfeeding and the benefits of mother's milk. In this presentation, learn the keys needed to empower lactation support providers to advocate for the use of scientific evidence that informs breastfeeding practices for women receiving MAT for OUD.
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Ending Sponsorship of Paediatricians by BMS Companies – Case Study of RCPCH
Tony Waterston is a retired consultant paediatrician who worked mainly in the community in Newcastle upon Tyne, UK. He spent 6 years working in Zambia and Zimbabwe and directed the Royal College of Paediatrics and Child Health Diploma in Palestinian Child Health teaching programme in the occupied Palestinian territories. He was an Editor of the Journal of Tropical Pediatrics and is on the Executive Committee of the International Society for Social Pediatrics. His academic interests are child poverty, advocacy for child health and children's rights. He is currently the lead moderator of CHIFA (HIFA's sister forum on child health and rights).
I shall summarise the problems created by sponsorship of paediatric associations by the manufacturers of Breastmilk Substitutes, using findings from the literature. I shall then present the experience of the Royal College of Paediatrics and Child Health (RCPCH) in the UK, over the last 20 years since efforts were first made by the membership to end the sponsorship by several formula manufacturers including Nestle and Danone. Following a number of motions passed at the AGM over successive years, members voted in 2017 to end sponsorship. Following this the leadership carried out a consultation of the whole membership which led to the policy of sponsorship being re-affirmed. In 2019, following a change in leadership and the publication of two critical papers in prominent medical journals, the policy was changed to end all sponsorship by BMS manufacturers. The essential ingredients of this successful advocacy were lobbying by members over a long period of years; the publication of critical data in medical journals; and the election of officers sympathetic to a change of policy.
Enhanced Counseling Skills for the Lactation Educator
Christy Jo has over 25 years of teaching experience. She is passionate about teaching in ways that simplify learning. She has been awarded the United States Presidential Volunteer Award for her community service, the Phyllis Klaus Founder's Award for her contribution to the Mother/Baby bond and the Above and Beyond Award for innovative projects that exemplify the mission of Public Health. She has also been named Lactation Educator Faculty of the Year from Childbirth and Postpartum Professionals Association and earned their Visionary Award in 2015. Christy Jo is the author of Mommy Feeds Baby and co-author of Making Milk. She created the Grow Our Own Lactation Consultant/IBCLC Prep Course which has been used to train hundreds of students to become Lactation Consultants. She currently resides in California with her husband and three children. She continues to serve her community as a birth doula, Private Practice IBCLC, Health Educator for Public Health, and faculty for the CAPPA CLE© and Childbirth Educator Programs.
Topic: Enhanced Counseling Skills for the Lactation Educator - [View Abstract]
Topic: Expanding Our Audience to Gain Greater Appreciation and Acceptance of Breastfeeding - [View Abstract]
Topic: Sharing Your Wisdom: From Abstract Idea to Awesome Prenatal Breastfeeding Class - [View Abstract]
Topic: The Art of Communication: Simplifying Birth and Breastfeeding - [View Abstract]
Functioning in the role of a lactation educator, one must be equipped with the tools for effective communication.
This topic explores the many ways to communicate successfully with prenatal and postpartum individuals. The talk highlights open-ended questions, affirmations, education and the anticipated results of three-step counseling. The presentation also explains how to recognize “change talk” and what words may signal an “open door” to further opportunities for sharing. Circle Charts and Participant Centered Education are discussed in detail. This talks prepares the counselor to share information in an open-minded, non-judgmental way that results in profitable teaching and learning for the counselor and perinatal person. These skills are presented in a fun, unique way and provide more tools for the lactation educator’s tool box.
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.
Anna Le Grange is an International Board Certified Lactation Consultant, Registered Paediatric Nurse, Mindfulness teacher and Author. She has worked with new families for over 20 years in a variety of clinical roles. Anna brings her passion for psychology, neuroscience and mindfulness into her lactation support work and facilitates other professionals to incorporate emotional well-being tools into their own lactation practice.
Mother to 3 children, Anna breastfed her 3rd child following breast reduction surgery and experienced first-hand, the emotional challenges that so often relate to infant feeding complexities. She used her personal experiences alongside mindfulness and lactation knowledge, to create a toolbox of techniques for breastfeeding families, which she includes in her courses and book, The Mindful Breastfeeding Book. Anna believes whole-heartedly in prioritising calm and connection within our breastfeeding support practices, both for our clients and ourselves.
Anna is currently studying for a MSc in Positive Psychology at Buckingham New University and has spoken at various events including the ILactation conference and Womanfest.
Dipti Shah is a Mother Support Group Leader - Lactation Counsellor since 1998 & Lactation Consultant since 2010. She was trained by BPNI Maharashtra Faculty & has been providing Lactation Counselling services in multiple Institutional Hospitals & small maternity homes in Mumbai for over 2 decades. She has wide experience in community advocacy & Individual Counselling in indoor, OPD, home and online settings. She is senior trainer for BPNI Maharashtra & participated as faculty in over 100 workshops in Seven States of India & for 5 batches of ’96 hrs of Lactation Specific Education’ for IBLCE preparation (2010-2021). She mentored many Lactation counsellors and consultants. She is a BFHI Assessor since 2001 & has trained two groups of ‘Traditional Massage Women’ in basics of infant feeding and childcare. She has extensively contributed to multiple training modules, presentations & videos for BPNI Maharashtra & Maharashtra Government & UNICEF. She is also office coordinator of BPNI Maharashtra since 2004. She participated in Expanded Global Breastfeeding Partners Meeting (GBPM) of WABA at Penang, Malaysia in 2010. She was felicitated with ‘Dr N.B. Kumta Award’ in 2016. She exclusively breastfed her son for 6 months and continued well into 2nd year.
The care of breast/chestfeeding dyads is not always straightforward. With the potential for postpartum medical concerns in parent or baby, the potential for a parent needing mental health support and the possibility of a baby needing a type of feeding support that falls outside of the scope of practice or experience of a lactation professional, it’s important for care provides to know when to refer, how to navigate barriers to referral and how to work collaboratively with other care providers once a referral has been made. Our panel of expert speakers will be sharing their clinical knowledge and experience to address these issues and help lactation professionals with the practicalities of making referrals and working collaboratively to ensure optimal outcomes for their clients.
Equity and Safer Infant Feeding in Times of Disaster and Civil Unrest
Lourdes Santaballa is a community activist and organizer, with a background in domestic violence, affordable housing, and economic equity advocacy. A La Leche League leader from 2009-2017 and IBCLC since 2011, she was the founder of the lactation program at sePARE, providing coordinated services to low income families, leading it to receive the ILCA Care Award and received the Wilson-Clay Hoover Award for Research. Lourdes received the notorious Drs. Ruth Lawrence and Audrey Naylor Legacy Scholarship in 2016 by the United States Breastfeeding Committee, the Miriam H. Labbok Award for Excellence at the Breastfeeding and Feminism conference in 2018 and is currently completing her master’s degree in clinical nutrition. In October 2017, following Hurricanes Irma and Maria, Lourdes founded Alimentación Segura Infantil or ASI, an Infant and Young Child feeding program focused on increasing breastfeeding, leadership and training in marginalized communities in Puerto Rico.
In times of civil instability and changing global climate, we risk natural disasters, infrastructure failure, terrorist situation, police brutality, mass migration, chemical accident, war or other type of emergencies. Infants and young children under the age of 2 are the most vulnerable due to their dependence on adults for survival and their delicate physiology. We know that lactation in emergencies saves lives, yet the unrest that occurs in the days immediately after the disaster may contribute to premature weaning. At the same time, many babies are not breast or chestfed at all or only partially. This session will explore the methods to preserve breastfeeding, decrease the use of formula and other human milk substitutes, promote relactation, and teach appropriate complementary feeding in a disaster appropriate, low tech and resource limited environment. We will also discuss the colonial and patriarchal of humanitarian relief and how to make equity our focal point.
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Establishing & Maintaining Milk Production When Exclusively Pumping
Kimarie Bugg is currently a Doctor of Nursing Practice student and is President and CEO of Reaching Our Sisters Everywhere (ROSE), a National nonprofit corporation developed in 2011 to address breastfeeding inequities in the African American community. Kimarie previously worked for Emory University, School of Medicine, as a nurse practitioner. She is a member of the faculty for CHAMPs, a Baby Friendly Hospital Initiative, and chair of the nominating committee of United States Breastfeeding Committee. She also provides training for healthcare providers and community transformers nationwide. She completed a Community Health Leadership Program, within the Satcher Health Leadership Institute at Morehouse School of Medicine that stressed best practices to provide global health equity and eliminating health disparities through action-oriented projects. In 2016, Kimarie received a Legacy Award from the United States Breastfeeding Committee for her work in the breastfeeding arena for 38 years. She believes that Truth, Racial Healing and Transformation can take place in marginalized communities, starting with Breastfeeding. Kimarie lives in the Atlanta area with her husband, Dr. George W. Bugg Jr, a neonatologist and they are the parents of 5 adult children.
Topic: Reaching Our Sisters Everywhere (ROSE) - [View Abstract]
In this presentation, you will learn about working with mothers' who are struggling to maintain their milk supply when infant is unable to latch or they have an infant in the NICU or wanting to plan ahead and maintaining a supply perhaps while they are either returning to work or school.
Kelsie Barta is an International Board Certified Lactation Consultant (IBCLC) who lives in Richmond, Texas with her spouse and two young children. She is currently pursuing a Doctorate of Philosophy in Nursing Science with Texas Woman’s University, with a primary research interest in lactation. She occupies her time with various part-time endeavors, including working as a Family Nurse Practitioner, a Clinical Nursing Instructor for nursing students in their maternal child health and pediatric clinical experiences, lactation consulting, and volunteer work with an emerging nonprofit maternal health organization in Houston, Texas. Her experiences with lactation are dynamic. Professionally, she has worked with breastfeeding/chestfeeding dyads in a postpartum hospital unit, through outpatient clinic visits, and via antenatal education. Her personal experiences include breastfeeding her children, serving as a resource to friends and family, and generally being “plugged in” to how lactation and lactation consulting may be perceived among people her age. She is passionate about empowering parents to reach their infant feeding goals, equitable access to lactation care, and health policy.
Health professionals that interact with birthing parents and their infants in the first few days of life are uniquely positioned to impact lactation. In the context of the maternal guilt, shame, and stigmatization that can accompany infant feeding decisions, lactation professionals have an obligation to provide ethical care. This presentation will review the ethical guidelines of autonomy, nonmaleficence, and justice in the context of lactation support in the early postpartum period. Participants will be presented with strategies to mitigate harm, promote autonomous decision-making, and increase equity in lactation care. Based on these ethical principles, the extent of lactation promotion and language considerations will be discussed, as well as an in-depth look at the health professional’s ethical responsibilities when encountering cessation of exclusive human milk feedings.
Robyn Lee is an Assistant Professor in Sociology at the University of Alberta. Previously, she was visiting scholar at the Brocher Foundation (Geneva, Switzerland) and a Banting Postdoctoral Fellow at Brock University. She holds a PhD in Social and Political Thought from York University. Her research interests include contemporary social theory, gender, sexuality, care work, and embodiment. She is the author of The Ethics and Politics of Breastfeeding: Power, Pleasure, Poetics, published by University of Toronto Press (2018) and has published articles in journals including Feminist Theory, Hypatia, Gender, Work, and Organization, and Family Theory and Review.
This presentation will explore some contemporary ethical issues in breastfeeding, situating them in social contexts. Issues to be explored will include social responsibilities vs individual responsibilities, social disparities and inequalities, and gender identity/expression.
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.
Topic: Ethical Issues in the Use of Medications During Lactation - [View Abstract]
Topic: Taking a Lactation History: From Pregnancy to Postpartum and Beyond - [View Abstract]
Topic: Urban Design Solutions to Support Breastfeeding in Public - [View Abstract]
Public health ethics relates to moral implications of activities aimed at maintaining and improving population health. Public health researchers embrace participation of affected populations in all stages of research from design to translation. In the past, pharmaceutical companies have avoided the issue of women’s reproductive life and excluded pregnant and breastfeeding women from the drug development process and then advised prescribers to avoid their medications in pregnancy and lactation. Therefore, when clinicians need to prescribe medications during lactation, they do this off-label, often without evidence or guidance regarding optimal dosing or treatment recommendations. Application of the concept of equity should ensure that all groups, including breastfeeding parents, are not neglected and receive directly targeted interventions to improve their health outcomes. The ethical frame which routinely excluded participants who may be pregnant or lactating from clinical trials, is now being turned around to recognise that these groups have the right to be included.
Diane Wiessinger, MS, IBCLC, is a co-author, with Diana West, Linda Smith, and Teresa Pitman, of La Leche League International’s Sweet Sleep Nighttime and Naptime Strategies for the Breastfeeding Family. She is also a co-author, with Diana West and Teresa Pitman, of the 8th edition of LLLl's Womanly Art of Breastfeeding. Other publications include chapters in Genna's Supporting Sucking Skills in Breastfeeding Infants and Smith's The ABC's of Private Practice, and journal articles and essays on latching, lip ties, D-MER, motherhood in other mammals, and breastfeeding language. Diane self-publishes more than 75 breastfeeding handouts for mothers. She has spoken in over 40 states and provinces and in Europe, Asia, and Oceania.
Topic: The Safe Sleep Seven: Middle Ground for Safe Infant Sleep - [View Abstract]
Babies haven’t changed, but our understanding of how they attach to the breast certainly has. A journey through more than 50 years of “skilled help” with breastfeeding, what we thought we knew, what we think we know, and how we’re circling back to our beginnings and some surprisingly simple conclusions.
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