IBCLC Detailed Content Outline: Clinical Skills / Equipment and Technology Focused CERPs - Section VII A
Access CERPs on Clinical Skills / Equipment and Technology for the IBCLC Detailed Content Outline recertification requirements. On-demand viewing of the latest Clinical Skills / Equipment and Technology focused IBCLC CERPs at your own pace.
The Value of Prenatal Hand Expression of Colostrum
Naida Hawkins is a Registered Nurse and Lactation consultant in North Battleford, Saskatchewan. She is a passionate registered nurse who has cared for breastfeeding families for 14 years.
Almereau Prollius is an Obstetrician and Gynecologist in Saskatoon, SK. Together with Naida they have a special interest in strategies to promote successful breast feeding and are advocates of prenatal hand expression. They work as part of an interdisciplinary team supporting families to have an easier time starting and continuing breastfeeding.
More Milk Sooner is their program which supports and promotes hand expression in the antenatal and early postpartum period. Based out of Saskatoon and North Battleford in Saskatchewan, they hope to empower patients and care providers to increase successful breastfeeding. They are delighted to be sharing their journey with you. They are actively involved in research reviewing the outcomes of the implementation of the prenatal hand expression education strategy.
Exclusive breastfeeding for the first six months of life is currently recommended by numerous health authorities including the World Health Organization and UNICEF, and should be encouraged and supported prenatally, perinatally and postpartum. Despite these recommendations, the rate of sustained breastfeeding to six months of life remain low. Prenatal hand expression (PHE) is a method used to assist with colostrum collection beginning near term pregnancy. This technique is low-cost and easy to teach and learn. It has been shown to reduce problems with milk stasis, mastitis and breast engorgement by mobilizing colostrum and breastmilk. Learn more about how this technique can improve breastfeeding exclusivity and duration and how to implement it in your practice.
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Tom Johnston is unique as a midwife and lactation consultant and the father of eight breastfed children. Recently retired after 27 years in the US Army, he is now an Assistant Professor of Nursing at Methodist University where he teaches, among other things, Maternal-Child Nursing and Nutrition. You may have heard him at a number of conferences at the national level, to include the Association of Woman’s Health and Neonatal Nurses (AWHONN), the International Lactation Consultant’s Association (ILCA), or perhaps at dozens of other conferences across the country. In his written work he routinely addresses fatherhood and the role of the father in the breastfeeding relationship and has authored a chapter on the role of the father in breastfeeding for “Breastfeeding in Combat Boots: A survival guide to breastfeeding in the military”.
Topic: Human Milk Synthesis: Just When You Thought You Knew - [View Abstract]
Topic: New Insights Into the Maternal Child Microbiome - [View Abstract]
Topic: Promoting Provider Self-Efficacy in Breastfeeding Support - [View Abstract]
Topic: Still Swimming Upstream: Breastfeeding in a Formula Feeding World - [View Abstract]
Topic: The Making of Human Milk: A Clinical Update - [View Abstract]
Topic: The Maternal-Child Microbiome or: The “Oro-boobular axis” - [View Abstract]
Topic: The Maternal-Child Microbiome or: The “Oro-boobular axis” - [View Abstract]
Topic: The Perinatal Microbiome - [View Abstract]
Topic: Using Evidence to Develop Clinical Lactation Skills - [View Abstract]
The field of Human Lactation is a new profession. Much of what we use comes from apprenticeship programs and hard learned lessons from a mother’s own personal experience. The lactation profession needs to investigate several of their practices and policies to discover what is evidence based and what is anecdotal evidence. This presentation explores the practices commonly employed in breastfeeding (growth monitoring, infant positioning, the use of assisted feeding devices, and counseling skills) to determine which are evidence based and which will require further study if they are to be used in clinical practice.
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“Zooming Ahead”; Post-NICU Discharge Very-Low-Birth-Weight Infant Follow-up Program Goes Virtual
Karen has worn a number of hats in her nursing career but always comes back to her passion for premature babies. Her background includes NICU nurse, transport nurse and NICU educator, rural nursing, staff development, pediatrics, pediatric intensive care, and community health. For over 20 years Karen has lead Calgary’s specialized “Neonatal Transition Team”, which she will talk about today. Karen has presented locally, nationally, and internationally and has also been co-investigator in several research and quality improvement studies examining outcomes for very low birth weight infants. For nearly 30 years, Karen taught, wrote instructional material, and produced on-line courses for nurses to earn a certificate in neonatal nursing through Mount Royal University. Karen is a past-president of the Canadian Association of Neonatal Nurses and served on this national board for 12 years, and on the international board of the Council for International Neonatal Nurses for 3 years. In 2019, Along with co-author, Tammy Sherrow, Karen published the book “Preemie Care: A guide to navigating the first year with your premature baby”.
Topic: “Zooming Ahead”; Post-NICU Discharge Very-Low-Birth-Weight Infant Follow-up Program Goes Virtual - [View Abstract]
Many preterm infants remain vulnerable following discharge from the neonatal intensive care unit (NICU). Health challenges persist beyond the NICU including respiratory illness, breastfeeding progression, bottle feeding incoordination, behavior and development issues, impaired growth, infrequent stooling, and gastroesophageal reflux. Preterm infants are up to two times more likely than full term infants to be hospitalized in the first year of life. Parents are challenged to transition their premature baby home and to keep them home!
Community-based, specialized follow-up services following NICU discharge have a powerful impact. The Neonatal Transition Team in Calgary, Alberta, Canada provides post-NICU follow-up for very-low-birth-weight infants and their families. The team consists of community health registered nurses with advanced skill in premature infant outcomes, feeding and neurodevelopmental assessment, and a consultation partnership with nutritional and feeding specialists. While home visits have been the backbone of this service, the team questioned the feasibility and acceptance of virtual care and completed a three month quality improvement pilot. This virtual care pilot demonstrated optimization of health-care resources by providing safe, high-quality care at a reduced operational cost. The pilot was instrumental in the team’s management during the SARS-COVID-19 pandemic. Virtual care has been fully operationalized into the service delivery model and expanded to serve other newborns with feeding or growth challenges.
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