IBCLC Detailed Content Outline: Clinical Skills Focused CERPs - Section VII
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Providing Culturally Sensitive Support for Breastfeeding Muslim Families
Tamara Drenttel Brand holds an MA in Near Eastern Studies from the University of Arizona and a Master’s in Public Health (MPH) from the American University of Beirut. She spent 10 years in the Middle East, where she worked as a public health practitioner, infant and maternal health consultant and an IBCLC. She has supported breastfeeding dyads from all over the world both in private practice and as a volunteer. In 2011, she founded and still actively facilitates “Mama 2 Mama Beirut Breastfeeding Support,” the largest breastfeeding peer support network in the Middle East (currently at 25k+ members). Additionally, she founded Galactablog, a professional group for lactation specialists and those aspiring-to-be (currently at 4.7k+ members) and has authored several articles for La Leche League’s monthly leader publications in both the Middle East and Ireland.
She is currently an international speaker on the topics dealing with breastfeeding in the Middle East, innovative lactation teaching strategies, working in resource-scarce settings, providing culturally sensitive lactation support, developing and implementing peer counselor training programs, mast cell disease and other related topics. Due to her own chronic health conditions, she has a special interest in educating others about mast cell disease and supporting those with chronic illnesses. She currently resides in a seaside village in Ireland with her family.
Topic: Contextualizing Breastfeeding in Lebanon - [View Abstract]
Topic: Lactation Education Outside the Box: Innovative Teaching Strategies to Engage Your Audience - [View Abstract]
Topic: Mast Cell Diseases and Lactation Care in the Post-Covid Era - [View Abstract]
Topic: Providing Culturally Sensitive Support for Breastfeeding Muslim Families - [View Abstract]
Topic: Reflections on a Breastfeeding Peer Counselor Program in Lebanon: Lessons Learned and Looking Forward - [View Abstract]
Lactation professionals can provide invaluable assistance to Muslim families seeking to successfully breastfeed. However, cultural differences and a lack of understanding of Islamic culture could create barriers between professionals and the families they are trying to support. It is crucial that professionals and health care providers are aware of and acknowledge the unique role that culture and religion can play in this dynamic, both to prevent obstacles to breastfeeding and to encourage breastfeeding through culturally specific methods and arguments.
This presentation will show how to adapt your approach, language and content to ensure effective and sensitive care that will be more readily accepted by the mother and her family. It explores what the Qur’an says about breastfeeding and delves into traditional and cultural Islamic attitudes and practices surrounding breastfeeding. Moreover, it will explore the father’s role in Muslim culture and offer religious justification to encourage him to support breastfeeding, as well as issues of wet-nursing, milk sharing and adoption (as it relates to breastfeeding) within the Islamic context. As a participant, you will be encouraged to challenge your own assumptions about Islamic traditional and cultural practices and to use new knowledge gained to empower others to reflect on the benefits of being a culturally sensitive and responsive lactation professional and health care provider.
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Providing Enhanced Lactation Care for Families Following Late Miscarriage, Stillbirth, Neonatal and Infant Death
Katherine is a Senior Lecturer at School of Sociology, Australian National University. Katherine’s particular areas of interest include the sociology of reproduction and motherhood, perinatal medicine, lactation sciences, human milk banking and donation. Her current projects include an Australian Research Council funded study on maternal experiences of lactation after infant death, and a Mayo Clinic funded research project on the communication with families regarding periviable infant resuscitation.
Every day, around the world, many mothers are faced with the complex task of managing the initial onset, or continuation, of their lactation following a late miscarriage, stillbirth, neonatal or infant loss. This presentation explores findings from a multi-year, multi-site Australian study conducted with bereaved families and health professionals that confirmed the limited nature and scope of lactation care currently available to bereaved families.
This presentation will provide evidence of the need and benefit of approaching lactation after infant death using a biopsychosocial care framework, so that bereaved families are able to make informed decisions from the full array of lactation management options that may be available including: suppression, sustained expression, breastmilk donation or using milk as memento. The challenges involved in providing bereaved lactation care will be acknowledged and discussed. Health professionals will be advised on what information and support bereaved families need and want, how and when this information may be best provided and who may be best placed to offer lactation care to bereaved families.
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Briana Tillman received her undergraduate degree in International Relations from the United States Military Academy at West Point. She has been a La Leche League Leader for 9 years and is a board certified lactation consultant. After spending 10 years as a stay-at-home mom, she is currently in her third year of medical school at Rocky Vista University College of Osteopathic Medicine in Parker, Colorado. She loves spending time with her husband and three kids—as a family they like to travel, go camping, and play string instruments in “family ensemble.”
Nick is a 3rd year medical student at Rocky Vista University College of Osteopathic Medicine. He has a background in mechanical and systems engineering but found his calling in medicine after volunteering for Health4Haiti in 2011. He lives in Colorado with his wife and they enjoy hiking, camping and fishing in the great outdoors.
Topic: What a Letdown: Exploring the Physiology of the Milk Ejection Reflex - [View Abstract]
Due to the global shortage of mental health professionals, many primary care providers have become the first-line responders to a wide variety of psychiatric concerns. While lactation consultants and breastfeeding support counselors are not called upon to diagnose and treat mental health disorders, they nonetheless often become enmeshed in the topic due to the holistic nature of breastfeeding management. An understanding of the major psychiatric topics that can arise during lactation consultation is therefore a valuable asset.
In this presentation, we will describe mental health benefits and drawbacks of breastfeeding, and explore the controversy surrounding the “breast is best” campaign as it regards maternal mental health. We will also briefly explore the pharmacological and non-pharmacological options in treatment of major psychiatric disorders (e.g. generalized anxiety, major depressive disorder, bipolar mood disorder, schizophrenia) as they relate to lactation. Finally, we will review the scientific literature related to potential long-term mental health effects of breastfeeding on babies.
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Pumping for Hospitalized Babies: 12 Keys to Supporting Families
Jeanette Mesite Frem, MHS, IBCLC, RLC, CCE is an experienced childbirth educator, IBCLC-lactation consultant and retired birth doula. She started her career working with families while serving as a Peace Corps Volunteer in Côte d'Ivoire, West Africa in the early 90s. She loved that work so much she went on to receive a public health masters degree from Johns Hopkins School of Public Health, focusing her studies on nutrition for maternal and child health. Her two children were breastfed for more than 2 years each and Jeanette has experience pumping at work for both children and has supported more than a thousand families with feeding and pumping over the last 20 years.
Jeanette provides prenatal childbirth and breastfeeding classes at her office in Northborough, Massachusetts, as well as providing virtual and office feeding consultations. She also enjoys leading workshops for perinatal health professionals and mentoring those who work with families. If you have questions, feel free to email [email protected].
Topic: Pumping for Hospitalized Babies: 12 Keys to Supporting Families - [View Abstract]
Perinatal professionals in hospitals have great influence over how much human milk a baby receives, as well as how encouraged parents feel related to pumping and initiating and maintaining their milk production and eventually meeting their infant feeding goals. When hospital staff help with pumping in the early hours, days, and weeks of a new and fragile baby’s life—especially when at breast, chest or body feeding isn’t possible—getting that professional support is likely to make a difference in the long-term health of that child as well as the health of their parent. Healthcare providers can facilitate milk collection and provision of it to babies and support parents with specific and updated guidance on pump choices, pump usage, flange fit and milk storage. Those who work in hospitals with families can make an important positive impact on long-term breastfeeding and human-milk feeding rates. This session will cover 12 simple ways (including the what, why, how, when and where of pumping) that healthcare providers can support parents who pump for their hospitalized baby.
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Karolina Ochoa is a Mother-Baby nurse, International Board Certified Lactation Consultant, speaker, and researcher. She has close to a decade of experience in serving breastfeeding families in both in-patient and outpatient settings. Karolina currently runs a successful Private Practice in the Inland Empire, California and she is a CEO of LactationHub.
Her areas of emphasis are clinical management of lactation, behavioral feeding aversions, as well as implementation and management of lactation programs in different healthcare settings. Karolina is passionate about addressing the inequality in access to lactation professionals across the US. She is a big advocate of extended maternity leave for all parents.
Karolina lives with her husband Julio and two lively toddlers in Redlands, CA
Pumping can be a choice or a necessity and the role of Lactation Professionals is to meet the parents where they are at. There are endless reasons for parents to use a breast pump, including prematurity, maternal-infant separation, low milk supply, return to work. Pumping can also be a choice for parents that do not wish to directly latch their baby, called Exclusive Pumping. Pumping parents deserve the same kind of evidence-based care as their exclusively breastfeeding counterparts but are often marginalized. During this workshop, you will learn how to best support a pumping parent: the importance of proper flange sizing, pumping schedules, exclusive pumping, the emotional toll of triple feeding, and how to help parents set realistic goals based on their own values.
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Debbie Albert, PhD, BSN, IBCLC, is a full time lactation consultant at UC Davis Med Center--working with all facets of their lactation service; including maternity floor, level IV NICU, pediatrics, PICU, and Employee Breastfeeding Support Program. She is also a prenatal instructor with their patient education program, nursing staff educator, and chairs the UCD Breastfeeding Task Force and the UCD Breastfeeding Support Program Committee. She received an Employee Excellence Award June, 2013 and June, 2015, and a Nursing Excellence Award in May, 2016. In addition, UC Davis programs have received IBCLC Lactation Care Awards and Sacramento Coalition and California State Coalition Breastfeeding Awards. Debbie has lactation experience in Florida, Texas, and California. She is Member of the LEAARC Board, a member of ILCA’s Equity Committee, and UCD Status of Women Committee. She is married to Dan Albert for 33 years, and has two sons, Josh (28), and David (24).
Raynauds is an illusive condition that tends to be confused with other conditions, misdiagnosed, and consequently rarely treated--causing the breastfeeding dyad to suffer. This program provides a review of the symptoms, medical and lactation resources, and clinical applications that facilitate most the effective treatment/comfort for the patient.
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Reflections on a Breastfeeding Peer Counselor Program in Lebanon: Lessons Learned and Looking Forward
Tamara Drenttel Brand holds an MA in Near Eastern Studies from the University of Arizona and a Master’s in Public Health (MPH) from the American University of Beirut. She spent 10 years in the Middle East, where she worked as a public health practitioner, infant and maternal health consultant and an IBCLC. She has supported breastfeeding dyads from all over the world both in private practice and as a volunteer. In 2011, she founded and still actively facilitates “Mama 2 Mama Beirut Breastfeeding Support,” the largest breastfeeding peer support network in the Middle East (currently at 25k+ members). Additionally, she founded Galactablog, a professional group for lactation specialists and those aspiring-to-be (currently at 4.7k+ members) and has authored several articles for La Leche League’s monthly leader publications in both the Middle East and Ireland.
She is currently an international speaker on the topics dealing with breastfeeding in the Middle East, innovative lactation teaching strategies, working in resource-scarce settings, providing culturally sensitive lactation support, developing and implementing peer counselor training programs, mast cell disease and other related topics. Due to her own chronic health conditions, she has a special interest in educating others about mast cell disease and supporting those with chronic illnesses. She currently resides in a seaside village in Ireland with her family.
Topic: Contextualizing Breastfeeding in Lebanon - [View Abstract]
Topic: Lactation Education Outside the Box: Innovative Teaching Strategies to Engage Your Audience - [View Abstract]
Topic: Mast Cell Diseases and Lactation Care in the Post-Covid Era - [View Abstract]
Topic: Providing Culturally Sensitive Support for Breastfeeding Muslim Families - [View Abstract]
Topic: Reflections on a Breastfeeding Peer Counselor Program in Lebanon: Lessons Learned and Looking Forward - [View Abstract]
Breastfeeding rates are exceptionally low in Lebanon. Only 40% of mothers exclusively breastfed through the first month and 2.4% continued to exclusively breastfeed between 4 and 5 months. In 2012, I developed, implemented and evaluated a pilot Breastfeeding Peer Counselor (BPC) Training Program in Beirut, Lebanon. I chose this format since BPCs are adaptable to local contexts and studies have shown that that improve rates of breastfeeding initiation, duration, and exclusivity in a variety of settings and across diverse populations.
The program successfully trained 8 BPCs and led directly to the establishment of the largest mother-to-mother peer breastfeeding online support network in the Middle East (over 11,000 members to date). This presentation will provide participants with the knowledge to develop, adapt, and implement their own BPC Training programs suited to their local context. In addition, this presentation will reflect upon ethical considerations of such programs and will offer guidance on the process of program evaluation. This will allow participants to identify their own program’s strengths and weaknesses, which can improve the effectiveness of subsequent organizations.
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Research Ethics & Infant Feeding: How to Utilise the Four 'D's of a Brief Assessment
Zainab Yate is a Biomedical Ethicist, with a specialist interest in infant feeding. Zainab is Vice Chair and named qualitative lead on a paediatric flagged Research Ethics Committee Panel for the Health Research Authority (HRA) in the UK, reviewing research protocols for over a decade. Zainab's previous working background is in Public Health and Commissioning the National Health Service (NHS) in the UK. She had also been a volunteer breastfeeding peer supporter with the NHS for a number of years, is the owner-author of the resource site for mothers and healthcare practitioners on Breastfeeding / Nursing Aversion and Agitation and author of "When Breastfeeding Sucks".
Topic: Breastfeeding / Nursing Aversion and Agitation (BAA) in breastfeeding mothers - [View Abstract]
Topic: Research Ethics & Infant Feeding: How to Utilise the Four 'D's of a Brief Assessment - [View Abstract]
Research ethics institutions protect the rights, safety, dignity, and well-being of research participants, and also have a duty to ensure ‘good’ research. Conducting poor research is unethical, and there are many studies in the field of breastfeeding and lactation that have been challenged when published, simply because their findings and results are, at best, incorrect. Proper definitions, project design and industry conflict of interest are important factors, and these can be critiqued and challenged at the ethical review stage.
Participants will learn how to use the method of the '4 Ds of a Brief Assessment' to scrutinise the research questions, definitions of words used, disclosures and even the research methodology to decide if a study will have both scientific and ethical merit in the field of breastfeeding and lactation. If you are a donor, an applicant, a manager or a researcher you need to be aware of the process of ethical review of research protocols, the possibility of specialist review, and also of how to sift through published studies that have questionable study designs, and the findings.
Dr Philip Hand practices in Melbourne, Australia . His certifications include: BDS (Otago N.Z.), FICCDE LA&HA Master in Laser Dentistry (Slovenia), MSc Laser Dentistry (UCSC – Rome). He is the Secretary of the International Academy of Innovative Dentistry (IAID) and Assistant Professor UCSC-Rome. Dr. Hand is interested and practices in all fields of general dentistry. These include Implant Dentistry, Endodontics, Periodontics and Orthodontics (POS Graduate). He is a devoted proponent of the use of the dental microscope and dental lasers. He is passionate about tackling the issues and treatment for infant feeding both breast and bottle, airway health and growth and sleep from a dental perspective. He works collaboratively with lactation consultants, maternal health nurses, paediatricians, paediatric osteopaths and chiropractors in the treatment of infants in this pursuit and is actively involved in teaching the importance of this treatment for our patients from infants to adults.
This presentation will look at new research into lingual frenulum restriction and its surgical release to achieve improvement in problems with reflux, breastfeeding and pain for the breastfeeding mother. I will also expand this into restrictive tethered oral tissues (lip-tie, buccal-tie) as a whole, as this was part of my published study into the laser surgical release of restrictive tethered oral tissues on breastfeeding and Gastroesophageal Reflux Disease (GERD). Learn more about the impact of surgical release (frenotomy) of tongue- tie, lip-tie, buccal-tie on both reflux and breastfeeding outcomes for the classically recognised anterior tongue-tie and the less obvious (without functional assessment) posterior tongue-tie. Posterior tongue-tie was noted in 71% of the study cohort.
Research Review: What the Evidence Tells Us About Improving Breastfeeding Outcomes
Wilai Rojjanasrirat, PhD, RN, IBCLC, FILCA, FAAN is a Professor and Director of Research and Scholarship at Graceland University’s School of Nursing in Independence, Missouri. Her background is in midwifery and maternal and child health nursing.
She is an international board certified lactation consultant. She earned her Bachelor’s in Nursing and Midwifery from Thailand and Master’s and Doctorate and Post-Doctorate in Nursing from the University of Kansas. She teaches in graduate nursing program. Her research focuses on promoting and supporting breastfeeding, psychometric development, and educational outcome evaluation.
Using telehealth in providing lactation support, evaluation of the breastfeeding outcomes among late-preterm, near term, and term infants, and evaluation of the Business Case for Breastfeeding Program’s impact among employed breastfeeding mothers in Kansas are among some of the research projects.
Dr. Rojjanasrirat has multiple publications and recently contributed to a book chapter on Employment and Breastfeeding in Wambach & Spencer, Breastfeeding and Human Lactation, 6th edition in 2021. She served as a former president of the Pi Eta Chapter of the Nursing Honor Society, a board member of the KC Board of Directors of Kansas City, Kansas, and a former president of the Greater Kansas City Lactation Consultant Association for several years.
Topic: Understanding Lactation-Related Research - [View Abstract]
Despite the many benefits of breastfeeding to both mothers and infants, the majority of women are unable to reach the recommendations of the World Health Organization of exclusive breastfeeding for the first 6 months of life and continued breastfeeding for two years or longer. It's important for health care professionals to stay up to date with the latest research to always ensure that the care they're providing is in line with current best evidence.
This presentation will present the results of a research review on the effectiveness of interventions to improve breastfeeding outcomes. A database search including PubMed, Cochrane, and CINAH were conducted to identify systematic review and meta-analysis studies in English that focused on breastfeeding interventions that addressed breastfeeding outcomes in full-term healthy newborns from 2012 to 2022. Learn more about the which breastfeeding interventions are backed by strong evidence, quality issues in certain studies, and the implications for further research.
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