IBCLC Detailed Content Outline: Clinical Skills / Education and Communication Focused CERPs - Section VII B
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Touch a Life, Impact a Lifetime: The Therapeutic Value of YOU
A leader in neonatal nursing, Mary Coughlin MS, NNP, RNC-E has pioneered the concept of trauma-informed care as a biologically relevant paradigm for hospitalized newborns, infants, and their families. An internationally recognized expert in the field of age-appropriate care, Ms. Coughlin has over 35 years of nursing experience beginning in the US Air Force Nurse Corp and culminating in her current role as President and Founder of Caring Essentials Collaborative. A published author of a myriad of manuscripts, chapters and textbooks, Ms. Coughlin has mentored close to 10,000 interdisciplinary NICU clinicians from over 14 countries to transform the experience of care for the hospitalized infant and family in crisis.
Early life adversity and the associated toxic stress literally gets under our skin and is embedded in our biology. Authentic nurturing experiences during early life, or the lack of them, are directly linked to mental health outcomes. The sense of touch plays a salient role in social relationships with important neurodevelopmental and psycho-socio-emotional outcomes. Healing presence and authenticity underlie caring actions, attitudes and behaviors. This talk will introduce the biological underpinnings of our unique therapeutic value in the clinical setting.
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Nancy Mohrbacher was born and raised in the Chicago area, where she lives today. She is a board-certified lactation consultant who has been helping nursing mothers since 1982. Her breastfeeding books for parents and professionals include Breastfeeding Answers Made Simple and its Pocket Guide; Breastfeeding Made Simple(with Kathleen Kendall-Tackett); Working and Breastfeeding Made Simple; and Breastfeeding Solutions and its companion app for Android and iPhone.
Nancy currently contracts with hospitals to improve breastfeeding practices, writes for many publications, and speaks at events around the world. Nancy was in the first group of 16 to be honored for her lifetime contributions to breastfeeding with the designation FILCA, Fellow of the International Lactation Consultant Association.
Topic: Applying Bioethics to Milk Banking and Milk Sharing - [View Abstract]
Topic: Concerns About Low Milk Production - [View Abstract]
Topic: Transitioning the Preterm Infant to the Breast - [View Abstract]
Topic: Using Gravity-Assisted Positions to Prevent Early Breastfeeding Problems - [View Abstract]
Topic: What Mothers Need to Exclusively Breastfeed - [View Abstract]
Topic: What's New In Lactation - [View Abstract]
To most effectively help preterm babies learn to breastfeed, we need to first understand how preterm babies’ breastfeeding behaviors differ from term babies. This talk describes the research-based 7 preterm breastfeeding stages, the “road map” that shows parents and providers what to expect during this transition. It also includes strategies that can smooth the path and speed the journey to exclusive breastfeeding.
Trauma Informed and Family Centered Care! Keeping the Family Unit at the Center of a Tongue-Tie Treatment Model
Ramya Kumar is an ASHA certified Speech Language Pathologist specializing in infant and pediatric feeding disorders while practicing in a Level 3 NICU and outpatient settings in Phoenix, AZ. She is a Board Certified Specialist in Swallowing & Swallowing Disorders, Certified Neonatal Therapist, International Board Certified Lactation Consultant, Neonatal Touch & Massage Certified Therapist & has completed the Trauma Informed Professional Certificate. Ramya is an internationally sought out speaker & clinical mentor on the topic of neuroprotective care in the NICU, Pediatric Feeding Disorders and Tethered Oral Tissues. Ramya is passionate about helping families create mealtime success through a whole-body lens. More recently, Ramya has been serving as a NICU Developmental Coordinator championing changes in unit culture, system-wide policy development and supporting transition of NICU families to community based programs. She has also co-founded Arizona NICU Follow-Up Specialists, a community resource supporting NICU grads and their families as they transition from hospital to home.
Topic: Trauma Informed and Family Centered Care! Keeping the Family Unit at the Center of a Tongue-Tie Treatment Model - [View Abstract]
Research repeatedly tells us that families experience significant levels of stress, fear and fatigue when navigating challenges with feeding their infant. These experiences have a significant impact on their well-being, negatively affecting both physical and emotional health. Compound this with the need to navigate information and emotions that surround surgical intervention like tongue tie releases and the subsequent impact on their child’s comfort and pain as well as fear about success after a release is completed. Parental involvement in the care of their infant’s feeding plan is essential for protecting their identity roles, decreasing risk of depression and anxiety, and increasing parent confidence and competence in caring for their child (Obeidat,2009). Health professionals have a crucial role to play in understanding and implementing a trauma informed, family centered care model when planning the timing of a tongue tie release and supporting the family through the journey. This session will highlight the four core concepts of family centered care as well as tenets of trauma informed care and ways to utilize this during the various stages of a tongue tie evaluation. We will also cover strategies to minimize trauma recurrence and empowering parents and caregivers throughout the process.
Trauma-Informed Care: A Guide to Patient Advocacy for Trauma Survivors
Mandy Irby, pronouns are she/her, is a board certified labor nurse with 13 years of experience supporting survivors of assault and trauma through pregnancy, birth planning, and at their bedside during childbirth and pregnancy loss. After experiencing her own birth trauma, she quickly learned that the birth care system is NOT centered on human rights, patient choice, and the individual experience. In 2020, Mandy made education a full-time career. She now teaches and supports parents and nurses how to better center voice, choice, and physiology in birth. It's Mandy’s mission to change birth culture so that it's parent-centered, trauma-informed, and safe for all.
Mandy enjoys teaching in-person, in whole-team learning: Peanut Ball, Labor Support Skills and Trauma-Informed Care At the Bedside workshops. She also supports local parents with small-group Spinning Babies® Parent Classes when in-person learning is safest. Mandy is also an international educator through her online, on-demand childbirth ed classes and she supports anxious parents-to-be with virtual, one-on-one trauma-informed birth strategy sessions. She’s the co-founder of Fearless Birth, Delivered, founder and owner of The Birth Nurse®, and a proud co-creator of the BRAND NEW Trauma-Informed Birth Nurse Program. As a creative educator, Mandy is also the co-author of an Amazon best-seller, Baby Got VBAC, and reaches millions of viewers each month through her engaging, tongue-in-cheek social media platforms.
When she’s not working from home, Mandy might be found at any local plant nursery adding to her, some may say, out-of-control house plant collection. She’s a serial craft starter and non-finisher, loves walking her doodle puppy, and playing in the creek with her 2 kids.
Topic: Trauma-Informed Care: A Guide to Patient Advocacy for Trauma Survivors - [View Abstract]
Thanks to the brave whistle blowers who have shared their stories, the community at large has become increasingly aware of the prevalence of sexual assault and trauma. Healthcare professionals report a lack of education specifically related to the care of assault survivors and an eagerness to learn trauma-informed care practices. A shift in care practice is nearly impossible, however, if healthcare professionals, especially nurses, hold a feeling of perceived powerlessness in their professional role. In this session, we’ll review patient advocacy definitions as they relate to a patient-centered standard of care. Participants will also learn how to provide compassionate, trauma-sensitive care to survivors of trauma while preventing further harm. Instead of feeling powerless, participants can begin to develop awareness of the unique superpowers that perinatal healthcare providers possess and receive a foundational understanding for how to be strong, confident patient advocates.
A love for babies fueled Kimberly's 20+ year career serving families in the postpartum time frame. With a passion for nurturing new parents, she trains doulas and educators with CAPPA to support and educate for a strong beginning of bonding and connection. She loves teaching expectant families to have a smooth transition to new baby life through the Providence Healthcare System in Portland, OR. She began as a postpartum doula, then quickly added breastfeeding and new parent classes to help parents from the very beginning, and then became an IBCLC to meet their bigger challenges. She owns ABC Doula & Newborn Care in Portland, OR, is the mother of 2 grown kids, and resides in Phoenix near her parents. Like many other baby whisperers, Kimberly has honed skills for listening and responding to babies that parents can quickly learn to understand and interpret their tiny humans. When she sees parents struggling, and especially with the most fussy of babies, her heart hopes that all parents could be given the tools to compassionately support their little ones, and learn how to meet their needs, which creates more confidence in themselves in their new roles as well.
Topic: Understanding Infant Crying - [View Abstract]
How much crying is too much crying? When parents reach out with questions about their babies crying, what parameters are available to help guide them to understand their infants? This session will aim to guide professionals who support the newborn family, including offering guidelines for number of hours that are considered normal, descriptions of high and low criers, timelines of expected crying, and solutions and alternatives when the typical approaches don’t seem to work. Utilizing the research on the Crying Curve--a pattern of crying beginning at about 42 weeks of gestation, peaking at 6-8 weeks of age, and sharply declining by 12-15 weeks--parents can navigate newborn life according to their gestational age. 15 different studies have concluded that this pattern is common across infants of all cultures, gestational ages (based on a 40-week gestation), and parenting styles—and the applications are many in the early parenting world. Help families learn to utilize this model to help assess their newborn. Multiple models of interpreting newborn crying from body language to sound and tone to help interpret newborn needs will be shared. Let’s move beyond reassuring parents that “colic” will end by 3 months and offer them solutions and alternatives.
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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]
Evidence-based practice directly influences and drives day-to-day clinical practice in the current healthcare environments. Lactation consultants need to keep up to date with research evidence for best practice. Although the primary goal of lactation providers is to provide optimal lactation care to breastfeeding mothers, it is necessary to know how to apply appropriate evidence to use on a regular basis by understanding research process and how to read research articles. The purposes of this presentation are to present basic concepts related to conducting and understanding lactation related research including quantitative and qualitative research methods. In addition, the presentation also will cover the guides to reading scientific research articles. The participants do not require extensive or advanced medical or research methodological knowledge to attend this workshop. Some breastfeeding research papers including case studies, clinical trials, and qualitative research will be used as examples.
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Laurel Wilson, IBCLC, CLE, CCCE, CLD is a TEDx and international speaker, author, pregnancy and lactation expert, and consultant. She served as the Executive Director of Lactation Programs for CAPPA, the Childbirth and Postpartum Professional Association for 16 years and now is on the Senior Advisor Board. She served on the Board of Directors for the United States Breastfeeding Committee from 2016-2019. She also is on the Advisory Board for InJoy Health. She owns MotherJourney, focusing on training perinatal professionals on integrative and holistic information regarding pregnancy, childbirth, and breastfeeding. She has her degree in Maternal Child Health: Lactation Consulting and is an internationally board certified lactation consultant. As the co-author of two books, The Attachment Pregnancy and The Greatest Pregnancy Ever, original Editor of the CAPPA Lactation Educator Manual, and contributing author to Round the Circle: Doulas Talk About Themselves, she loves to blend today’s recent scientific findings with the mind/body/spirit wisdom. Laurel has been joyfully married to her husband for nearly three decades and has two wonderful grown sons, whose difficult births led her on a path towards helping emerging families create positive experiences. She believes that the journey into parenthood is a life-changing rite of passage that should be deeply honored and celebrated.
Topic: Epigenetics and Breastfeeding: The Potential Longterm Impact of Breastmilk - [View Abstract]
Topic: Hold the Phone! Diet Does Matter During Breastfeeding: Implication of Diet on Fatty Acid Composition and Other Nutrients - [View Abstract]
Topic: Postpartum Mood Disorders, Breastfeeding and the Epigenetic Links from Past Into Future - [View Abstract]
Topic: Talk To Me: How Breastmilk Acts as a Communication and Gene Expression Tool Between Mother and Child - [View Abstract]
Topic: The Milk Sharing Conundrum - The Grey Area Between Scope and Need - [View Abstract]
Topic: The Placenta and Breastmilk-Unraveling the Mysterious World of the Intelligent Organs that Protect our Babies - [View Abstract]
Topic: Understanding Zika and Lyme and Breastfeeding - [View Abstract]
Topic: Unraveling the Mysteries of Human Milk: The Fascinating Role of Neohormones, Epigenetics, the Microbiome and More! - [View Abstract]
With the recent spread of the virus, Zika and the bacterial infection, Lyme Disease, many pregnant and breastfeeding families worry about the potential impact on their babies. There is a great deal of inaccurate information on the internet regarding these diseases that many parents encounter. Having good resources and current information on these emerging diseases is imperative for new families. This presentation will address transmission of the diseases, risks to babies prenatally and during breastfeeding, and precautions for pregnant and breastfeeding mothers to take.
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Urban Design Solutions to Support Breastfeeding in Public
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]
Some mothers find it challenging to breastfeed outside the home, and this may contribute to cessation of breastfeeding earlier than planned. To date, breastfeeding women have not been included in most public space designs, such as parks, shopping centres or public buildings. I worked with experts in planning and urban design to explore design features that invite or deter breastfeeding in public. We conducted interviews and focus groups with breastfeeding mothers in three local government areas in Victoria, Australia. We received input from over 80 mothers speaking five languages, as well as health professionals and council planning staff. Many participants reported avoiding breastfeeding in public spaces due to social expectations or physical comfort. Mothers reported that best spaces for breastfeeding were dignified, safe, comfortable, accessible, compatible with their other needs and responsibilities with a high level of amenity. Using these data, we developed design guidelines that outline how a range of everyday shared spaces could become breastfeeding-friendly as well as the optimal design characteristics for dedicated breastfeeding spaces.
Using a Cool Head When You’re on the Hot Seat: Ethical and Legal Topics That Make Us Sweat, and How to Avoid Getting Burned
Liz Brooks is a private practice International Board Certified Lactation Consultant (IBCLC) and licensed lawyer, with expertise in criminal, administrative, non-profit, ethics, and lactation-related law. Liz offers in-home lactation consultations, and bedside care and teaching in two Baby-Friendly-designated hospitals.
She has been a leader in organizations for IBCLCs, breastfeeding promotion, and non-profit human milk banking. She authored the only textbook on legal and ethical issues for the IBCLC, and writes on health care ethics, equity, and conflict-of-interest in several books, blogs, and peer-reviewed journals.
She is a popular international conference speaker, offering practical tips with wit and wisdom for anyone who works with lactating and human milk-using families. Liz self-identifies as a cisgender hetero white woman with unearned privilege, and uses she/her/hers pronouns.
Topic: Using a Cool Head When You’re on the Hot Seat: Ethical and Legal Topics That Make Us Sweat, and How to Avoid Getting Burned - [View Abstract]
Topic: What’s Too “Friendly” for an IBCLC on Social Media? - [View Abstract]
Topic: Whiners and Deniers: Ethics and Diplomacy in Difficult Cases - [View Abstract]
We all understand, generally, that lactation support providers – from licensed primary healthcare providers (HCP) to volunteer peer counselors – owe a “duty of care” to the parents they work with, defined by laws and ethics codes. But many are concerned that they do not know what is really expected of them, in the moment of clinical care, when decisions about how to do things “the right way” must be made. This session will cover the basic of ethics and legal duty as a lactation support provider. Examples from the International Board Certified Lactation Consultant (IBCLC) literature will be used. A few topics that are the most common "hot spots" for practitioners (the ones that make us sweat) will be explored with a few slides, and a lot of free-flow Q&A with session attendees, as we ponder realistic tactics to protect ourselves as practitioners with cool heads and clinical excellence.
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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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