IBCLC Detailed Content Outline: Clinical Skills Focused CERPs - Section VII
Access CERPs on Clinical Skills for the IBCLC Detailed Content Outline recertification requirements. Enjoy convenient on-demand viewing of the latest Clinical Skills focused IBCLC CERPs at your own pace.
When Breast Isn't Best: Challenges and Opportunities In Breastfeeding for Sexual Abuse Survivors
Elizabeth M. Johnson, MA is a trauma educator and peer support advocate in private practice. She helps people understand how sexual abuse affects sexual and reproductive health. She looks at how sexual abuse affects breastfeeding for example but also how traditional sex education ignores issues like how past abuse affects consent, teen pregnancy and risky behavior. Using a trauma lens, Elizabeth talks about everything sexual health related from Asking (about abuse) to Z(zzzz's) and everything in between. Elizabeth is the only educator in the world specializing in training and consulting on this topic.
In addition to training, speaking and consulting, Elizabeth has facilitated a free, weekly peer support group for sexual abuse survivors for over three years. She holds a Masters of Arts degree in Womens Studies from Southern Connecticut State University. Elizabeth identifies as a rape survivor and has worked with survivors since 2005. She lives in Durham, NC with her family.
Topic: When Breast Isn't Best: Challenges and Opportunities In Breastfeeding for Sexual Abuse Survivors - [View Abstract]
The benefits of breastfeeding are well known. Less known is how pervasive and long-lasting the effects of sexual abuse can be. As many as 1 in 3 women are survivors of contact sexual abuse. And, unfortunately, sexual abuse is rarely over when it's over.
Most new parents state that they want to at least “try” breastfeeding. And yet everyone knows someone for whom breastfeeding “didn’t work”. While informed care can sometimes help families stick with breastfeeding, even well-intended support can be triggering. Providers who deal with new families must have a working knowledge of sexual abuse as well as a trauma-informed approach in order to effectively support breastfeeding families. Learn how abuse can impact ability and desire to breastfeed, red flags that could indicate a history of sexual abuse and practical tools to support all families in a sensitive way.
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When Evidence and Empathy Aren't Enough: Changing Your Lactation Practice to Boost Client Success
Johanna Sargeant is an International Board Certified Lactation Consultant, teacher and writer based in Zurich, Switzerland. She is passionate about utilising her background in education, biological science, psychology and language to empower parents with empathetic support and evidence-based information through her private practice, Milk and Motherhood.
Originally from Australia, Johanna provides much-needed English-speaking support to many thousands of parents throughout Switzerland and across Europe, and has recently been writing new education modules for the European Society of Paediatric Research and the European Society of Neonatology. She has taught at the University of Zurich, has spoken as a panelist for the WHO's Baby Friendly Hospital Initiative congress in Geneva, has been an expert speaker and facilitator for Google, and has presented at a wide variety of international conferences. The complexities of her personal feeding experiences fuels her passion for providing knowledgeable, guilt-free infant feeding support globally.
Topic: Mastering Lactation Conversations: Creating Successful and Achievable Care Plans - [View Abstract]
Topic: Seeing the Bigger Picture: Finding Clues in Our Breastfeeding Clients' Surroundings - [View Abstract]
Topic: When Evidence and Empathy Aren't Enough: Changing Your Lactation Practice to Boost Client Success - [View Abstract]
Lactation professionals often accompany clients through the process of making difficult decisions: The client who wants to exclusively breast/chestfeed but loves that their partner gives infant formula each evening; The client who wants to and doesn’t want to stop pumping simultaneously; The parents who feel unsure about a potential frenotomy procedure; The client with breastfeeding aversion, desperately struggling with their 18 month old. Lactation professionals aim to provide empathetic care and to give the evidence needed to make informed decisions, and yet there are times where this is not enough and where clients continue to struggle to choose what works best for them. Here, learners will explore some Motivational Interviewing strategies that will actively empower clients, resulting in a significant shift in lactation practice overall. Discover how the strong desire to inform, advise and fix client problems can significantly reduce positive outcomes, and how a focus on the client’s own ‘change talk’ and ‘sustain talk’ can actively mobilize them towards their goal. Learn specific tools to immediately apply in consultations so parents feel deeply supported, feel motivated towards change, feel ownership of their plan, and to ultimately increase the likelihood of their success.
When Tears Flow and Milk Doesn’t: Support Through Breastfeeding Grief
Amy Barron Smolinski holds an MA from Union Institute and University, where her thesis explored re-emerging Sacred Feminine manifestations in the lives of contemporary women. She is the Executive Director of Mom2Mom Global, a network of breastfeeding peer support, education, and advocacy for military families. She works with breastfeeding dyads in a variety of settings, from inpatient postpartum and NICU to home visits, telephone, and online consulting as an Advanced Lactation Consultant and Certified Lactation Counselor. Supporting breastfeeding families has shown her how each parent’s breastfeeding journey with each of her children is a reclamation of her connection to her inner wisdom and power. Amy is an actress, director, and professional voice artist in Germany, where she resides with her husband and four sons, all of whom breastfed to self-weaning.
Topic: When Tears Flow and Milk Doesn’t: Support Through Breastfeeding Grief - [View Abstract]
Some women who initiate breastfeeding will not meet their duration goals. There are a number of factors that contribute to undesired weaning. For a woman who ceases breastfeeding before she desires to do so, it can be devastating. For the lactation professional or peer supporter, this can also feel like failure. Grief counseling and ethical principles are applicable to supporting a mother grieving the loss of the breastfeeding relationship she desired. This presentation uses case studies to address the questions of how breastfeeding supporters ethically and compassionately support mothers who end their breastfeeding journey before they wish to, how lactation professionals and peer supporters can manage our own feelings in these situations, and what are the ramifications of these cases as we continue to share accurate breastfeeding information in the face of media-driven culture in which infant feeding is loaded with guilt, shame, and fear.
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Where to Start: Creating a Lactation Care Plan for Complex Breastfeeding Cases
Annette Leary is a registered nurse with over 33 years of experience working in Maternal Child Health (pediatrics, postpartum, home health care and level 2 NICU). She became an IBCLC in 1995. She owns a private practice providing office, in home, and virtual visits at Orlando Lactation and Wellness. In 2022 she formed a collaborative company Baby B.L.I.S.S. : Central Florida Feeding Collaborative where she and her business partners help families prenatally, antepartum and post partum navigate the growth, development and feeding journey of their children. She began her craniosacral therapy training through the Upledger Institute in 2015, taking advanced maternal and pediatric specialty classes. Annette has found great improvement incorporating craniosacral therapy techniques with lactation consulting. Helping Families Latch onto Parenting has always been her mantra.
Topic: Where to Start: Creating a Lactation Care Plan for Complex Breastfeeding Cases - [View Abstract]
Designing a sustainable proposal of lactation care involves many components. The parents are the main leaders in constructing this plan. Family dynamics that include the physical, emotional and mental health of both parent and child make up the key layout. Setting client-centered goals, developing strategies, outlining tasks and setting up routines are important to accomplishing their personal goals. Families often seek a holistic integrative approach that includes personal goals, support networking, comfort, and collaborative resources that make up their action plan of care. This program will review several complex case studies and how the families designed their plan of care with the guidance and understanding of a team approach.
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Will It Hurt? Frenotomy Aftercare Strategies to Optimize Healing Outcomes for the Newborn
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.
Topic: Beyond Fenugreek: An Individualized Approach to Dietary and Herbal Galactagogues - [View Abstract]
Topic: Beyond the Basics of Latch: Support Strategies for Helping Babies when the Basics Aren’t Enough - [View Abstract]
Topic: Common Infant Digestive Health Concerns and Useful Support Strategies - [View Abstract]
Topic: Connection and Care: Virtual Support for Tongue-Tied Infants - [View Abstract]
Topic: Feeding is Movement: Activities for Supporting Optimal Infant Oral Function - [View Abstract]
Topic: Infant Gut Health: Common Concerns and Useful Support Strategies - [View Abstract]
Topic: Infant Oral Assessment: Exploring Anatomy and Function Beyond the Frenulum - [View Abstract]
Topic: Low Milk Production Detective Work: Assessment and Care Plan Considerations - [View Abstract]
Topic: New Thoughts on Infant Pre and Post-Frenotomy Care - [View Abstract]
Topic: Placenta Medicine as a Galactogogue: Tradition or Trend? - [View Abstract]
Topic: Thinking Critically About the Use of Clinical Lactation Tools - [View Abstract]
Topic: Will It Hurt? Frenotomy Aftercare Strategies to Optimize Healing Outcomes for the Newborn - [View Abstract]
There are a few emerging theories and clinical practice ideas when it comes to frenotomy aftercare for the newborn. Clinicians and families sometimes struggle with the idea of how to balance efficient post-frenotomy care while minimizing stress and discomfort of the newborn. While the evidence strongly points to the benefit of frenotomy for tongue-tied neonates, there is little published evidence regarding best aftercare practices. During this presentation we will explore the neonatal experience of pain along with pain management and oral healing strategies. We will also discuss the impact of stress on wound healing and focus on ways to help keep babies calm and happy through the recovery process. For families coping with a tongue-tied baby, it is often a physical and emotional roller coaster ride. This presentation will help provide a well-rounded view of frenotomy aftercare issues as well as clinical, care strategies to optimize healing and feeding for the newborn.
Nikki started as an LPN in 1971, got her RN and BSN, and a graduate degree. She is an author, a teacher, a holistic lactation consultant, a craniosacral therapy practitioner, and a baby body worker (teaching Infant Massage and TummyTime! She is mother to 2 wonderful (breastfed for a long time) daughters, wife to 3 interesting men, only one of whom was the right one for the past 37 years, Rafe!
Her publications include the books, Complementary and Alternative Medicine in Breastfeeding Therapy and A Breastfeeding Owner’s Manual; the monographs, “Benefits of Breastfeeding and Their Economic Impact” and “Sexuality and Breastfeeding” and the educational pamphlet “How to help yourself through labor”. She has been the reviews editor for the journal Clinical Lactation, and has worked as the lactation consultant for the division of Maternal, Child, and Family Health at the Philadelphia Department of Public Health since 2006.
Topic: Words That Work - [View Abstract]
In the past, childbirth educators and breastfeeding helpers have given information that has inadvertently worked against breastfeeding exclusivity and duration. This presentation will address at least 4 common teachings and how they can reinforce perceived milk insufficiency and new mothers’ insecurity about milk supply. Strategies, evidence and scripts will be given to update breastfeeding education.
Anna Le Grange is an International Board Certified Lactation Consultant, Registered Pediatric 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 prioritizing 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 Gold Lactation, ILactation Conference and Nurturing The Future.
Topic: Being Mindful: Case Studies of Mindfulness Tools in Clinical Lactation Practice - [View Abstract]
Topic: Breast/Chestfeeding After Breast Reduction - [View Abstract]
Topic: Working With Anxious Parents and Fussy Babies - [View Abstract]
In this talk Anna Le Grange explores the causes of anxiety in parents, reasons why babies might exhibit unsettled behavior, and the links between parents with anxiety and unsettled babies. Drawing on recent studies, she shares the latest insights on the correlation between anxiety, infant fussiness and breastfeeding outcomes. Next Anna will describe the autonomic nervous system in parents and babies and how anxiety and infant fussiness may impact both members of the dyad. In the second half of this talk Anna discusses the practical steps that lactation supporters can take when working with babies and their parents to encourage a more calm and connected feeding experience.
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You Don’t Have To: The Duty Mistake, The Justification Trap and Perceived Pressure to Breastfeed
Fiona Woollard is an Associate Professor of Philosophy at the University of Southampton. She works in the Philosophy of Pregnancy, Birth and Early Motherhood, with a special interest in infant feeding. She argues that identifying philosophical mistakes in the way we think about maternal behaviour can help improve conversations about infant feeding decisions. Her work has been widely published in journals aimed at philosophers, medical professionals and peer supporters, and in venues aimed at a general audience. To read more about her work on infant feeding, see https://fionawoollard.weebly.com/infant-feeding.html
Anecdotal evidence of the perception of pressure surrounding infant feeding decisions is easy to acquire simply by talking to new mothers. Several sociological studies report an association between decisions to formula feed and feelings of guilt, blame and failure. I connect perceived pressure regarding infant feeding decisions to a mistaken assumption that if breastfeeding benefits the child, the mother must have a defeasible duty to breastfeed. I call this the Duty Mistake. I show how the Duty Mistake contributes to guilt and shame surrounding the use of formula. It also produces what I call “the Justification Trap”: in a moralized context, requests for information or offers of support are perceived as calls for justification. This makes it much harder to ensure that women are given the support and information they need to meet their feeding goals. This presentation provides an overview of the issues and looks at how they impact the ethical responsibility of lactation professionals to promote and support breastfeeding.
Your Responsibility to the WHO Code: Evaluating Real-World Scenarios for Compliance
Christine Staricka is a Registered, International Board-Certified Lactation Consultant and trained childbirth educator. As the host of The Lactation Training Lab Podcast, her current role focuses on training and coaching current and aspiring lactation care providers. Christine created and developed The First 100 Hours© concept, an early lactation framework designed to support lactation care providers with the knowledge and mindset they need to help families optimize early lactation. Christine worked as a hospital-based IBCLC for 10 years and has over 20 years experience providing clinical lactation care and support. She provides clinical lactation care to families at Baby Café Bakersfield and serves as its Director. Christine recently completed 6 years of service on the Board of the United States Lactation Consultant Association (USLCA.) She holds a Bachelor's Degree from the University of Phoenix. She has been married for 27 years, lives in California, and is the proud mother of 3 amazing daughters.
Topic: Tongue-Tied and Troubled: A Breastfeeding Journey at Risk - [View Abstract]
Topic: Your Responsibility to the WHO Code: Evaluating Real-World Scenarios for Compliance - [View Abstract]
The International Code of Marketing of Breastmilk Substitutes (WHO Code) exists to protect health during a vulnerable period of life. In the course of practicing health care in the service of families with babies and young children, health care workers of all disciplines will encounter situations which should be guided by the WHO Code. It is in the interest of families and health for all health workers to be aware of the WHO Code and what it requires, as well as to be able to evaluate a situation where a commercial entity is interacting with the public regarding infant and young child feeding. Using a rubric of WHO Code guidance, the participant will practice evaluating real-world case studies and determining whether or not they are in compliance with the WHO Code.
“The Little Engine That Could”: Breastfeeding Journeys of Very Premature Babies on Home Tube Feeds
Karen Lasby leads a specialized nursing team in post-discharge follow-up of extremely premature infants and their families in Alberta, Canada. She has presented locally, nationally, and internationally on the topics of premature babies, neonatal oral feeding, and NICU-to-home transition, including the 2019 and 2022 GOLD Neonatal Conferences. She has been the co-investigator in several research studies examining outcomes for very low birth weight infants and has published articles on maternal work in the NICU, neonatal transition, and gastroesophageal reflux. An educator for nearly thirty years, Karen has taught, written instructional material, and produced online neonatal nursing courses. Formerly the president of the Canadian Association of Neonatal Nurses, she served on this national board for twelve years, and on the board of the Council for International Neonatal Nurses for three years. Karen’s work has been recognized by the Canadian Institute of Child Health and College and Association of Registered Nurses of Alberta. Karen is the co-author for the parent book, "Preemie Care: A guide to navigate the first year with your premature baby".
Noriko Woods is a member of a specialized nursing team in post-discharge follow-up of extremely premature infants and their families in Alberta, Canada. She started her Level 4 NICU RN career in Kanagawa, Japan, trained and worked for 5 years before moving to Canada. She worked 5 years as a Level 4 NICU RN in Calgary Alberta before she started her current position at Postpartum Community Health Services, as a public health nurse. She became passionate about breastfeeding with her own experience with her first child in 2009 and obtained the IBCLC in 2011. She has been working with early postpartum mothers and babies to reach their breastfeeding goals as a Lactation Consultant in her community. She is passionate about supporting families to achieve positive feeding experience with a bottle and at breasts. She has been participating with various committees such as Calgary NICU LC group to revise the breastfeeding guidebook for NICU parents, Calgary Breastfeeding Matters Group annual conference committee, GOLD Neonatal Professional Advisory Committee.
Long NICU stays, invasive oral procedures, chronic lung disease, and gastrointestinal complications can contribute to a complex oral feeding journey for premature infants. Frequently, the NICU journey prioritizes bottle feeding over breast feeding. Breastmilk supply and transfer are challenging for mothers and infants born very premature. At the time of NICU discharge, most very premature infants remain fragile oral feeders with weak breast-feeding and bottle-feeding skills, and some require tube feeding support. Community-based breastfeeding support is often lacking, and breastmilk intake and direct breastfeeding diminish beyond discharge. The authors will highlight four remarkable case studies of very premature newborns who were discharged home on nasogastric tube feeding. All four babies had a complex oral feeding journey in the NICU with minimal opportunity to develop breastfeeding skills. Parent comments will be shared, including barriers and facilitators for breastfeeding. Take away messages will focus on helpful strategies to support families taking home a fragile feeder and progressing toward positive, enjoyable oral feedings and more importantly, weaning from tube support and advancing breastfeeding.