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IBCLC Detailed Content Outline: Clinical Skills / Research Focused CERPs - Section VII D

Access CERPs on Clinical Skills / Research for the IBCLC Detailed Content Outline recertification requirements. On-demand viewing of the latest Clinical Skills / Research focused IBCLC CERPs at your own pace.

Hours / Credits: 1 (details)
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USA Dr. Scott Siegel, MD, DDS, FACS, FICS, FAAP

Dr. Siegel is a pioneering Tongue Tie surgeon, mentored through medical school, residency and in private by practice by the late Elizabeth Coryllos, MD. He is a dual degree MD, DDS Oral and Maxillofacial Surgeon, lectures internationally and publishes on the topic of Reflux associated with Lip and Tongue Ties.

USA Dr. Scott Siegel, MD, DDS, FACS, FICS, FAAP
Abstract:

This study aims to show a correlation between aerophagia in infants with tethered oral tissues (TOT’s) consisting of ankyloglossia and shortened maxillary labial frenula (tongue and lip-tie) and reflux. Currently there is little to no data on aerophagia as a possible cause of reflux in infants. Infants with tongue and possibly lip tie often have a poor latch in which there is often an inadequate seal around the breast and inefficient transfer of milk. As a result many of these infants swallow air during breastfeeding. Many of these infants suffer from symptoms of reflux. This study and results to demonstrate a correlation of ankyloglossia and shortened maxillary labial frenula with aerophagia and reflux.Treatment of these infants with a relatively simple frentomy procedure may reduce or eliminate reflux in this population.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Webinar

An Evidence-Based Guide to Using Domperidone as a Galactagogue

By Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, AdvPracPharm, FSHP
Hours / Credits: 1 (details)
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Australia Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, AdvPracPharm, FSHP

Associate Professor Luke Grzeskowiak is a clinical pharmacist and Practitioner Fellow in the College of Medicine and Public Health at Flinders University and the South Australian Health and Medical Research Institute, Australia. He is passionate about improving health outcomes for mothers and babies through the development and promotion of more effective and safer approaches towards medicines use. Luke has been undertaken research involving the use of domperidone for 10-years. He is currently the lead investigator on a number of projects examining the use of domperidone to increase breast milk supply in clinical practice, predictors of treatment response to domperidone, and causes of low breast milk supply. He is also the lead investigator on a large clinical trial comparing the effects of different doses of domperidone in the treatment of lactation insufficiency. He has published widely on the topic of treatment for low breast milk supply, with many of these publications cited in clinical practice guidelines locally and internationally.

Australia Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, AdvPracPharm, FSHP
Abstract:Whether real or perceived, low breast milk supply remains one of the most commonly reported reasons for early breastfeeding cessation. While non-pharmacological support strategies remain the first-line approach for addressing concerns with low breast milk supply, we know that many women are recommended or turn to using galactagogues (substances thought to promote lactation). Domperidone is one of the most widely recognised and recommended pharmaceutical galactagogues across the world. This presentation will provide an evidence-based overview of the benefits and risks associated with using domperidone as a galactagogue and describe treatment recommendations relating to treatment initiation, dosing, duration of treatment, and treatment cessation. Evidence relating to the association between domperidone and sudden cardiac death and ventricular arrhythmias will also be discussed with a focus on its relevance to lactating women and consideration of risk management approaches that can be utilized in clinical practice to reduce risk of harm.
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Presentations: 3  |  Hours / CE Credits: 3  |  Viewing Time: 6 Weeks
Presentations: 3  |  Hours / CE Credits: 3  |  Viewing Time: 4 Weeks
Presentations: 74  |  Hours / CE Credits: 75  |  Viewing Time: 52 Weeks
Hours / Credits: 1 (details)
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United States Nancy Mohrbacher, IBCLC, FILCA

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.


United States Nancy Mohrbacher, IBCLC, FILCA
Abstract:

This session provides a summary of the 7 universal principles of bioethics and examples of how they apply to milk banking and milk sharing. It also offers an analysis of the evidence that supports the use of pasteurized donor human milk with preterm babies and examines the range of milk-sharing options and the ethical and practical considerations for parents and breastfeeding supporters.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 6 Weeks
Hours / Credits: 1 (details)
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Bobby Ghaheri, MD is a board certified ear, nose and throat specialist with The Oregon Clinic in Portland, OR. His interest in treating children with tongue and lip-tie stems from his ardent support of breastfeeding and was furthered by his personal experiences, as his youngest child benefited from treatment for it. He enjoys working with children and has an interest in traditional and non-traditional approaches to pediatric pain control. To communicate with him, feel free to email him at [email protected] or follow him on Twitter at @DrGhaheri.

Abstract:

Numerous symptoms may arise which prevent mother-infant dyads from maintaining desired breastfeeding intervals. Investigations into treatments which positively influence breastfeeding outcomes allow for improved patient counseling for treatment decisions to optimize breastfeeding quality.

Surgical release of tongue/lip-tie results in significant improvement in breastfeeding outcomes. Improvements occur early (1-week postoperatively) and continue to improve through 1-month postoperatively. Improvements were demonstrated in both infants with classic anterior tongue-tie and less obvious posterior tongue-tie. This study identifies a previously under-recognized patient population that may benefit from surgical intervention if abnormal breastfeeding symptoms exist.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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As a little girl, Melanie had the opportunity to watch her OBGYN dad deliver babies and it was such an incredible process to be a part of, she knew she wanted to help babies when she grew up. She received her bachelor’s degree in Family Science from Brigham Young University and worked in adoption until she had her first of six children, which included twins, all of which she was able to exclusively breastfeed. She struggled with postpartum depression which has helped her to be all the more compassionate towards the mothers she works with. Once all 6 children were in school, she became a certified postpartum doula and focused on guiding families mainly with multiples. Given her personal experience, she felt called to serve breastfeeding mothers, so she went back to school to become an IBCLC. She has a passion for helping breastfeeding dyads and also loves educating others about the importance of treating ties. She feels very blessed to have trained with some of the top in the tongue tie field and hopes to continue to spread the word to help increase breastfeeding success.

Abstract:

Improve your investigation skills as we walk through case studies of infants with tongue ties that were initially missed and the subsequent consequences. We will then review once the ties were found how a frenectomy with complete release improved or completely resolved their symptoms. We will examine studies that involve infants with Down syndrome, G tube, NG tubes, and failure to thrive. Learners will be empowered to assess with more accuracy by relying on their knowledge of symptoms and function in addition to standard anatomical assessments. This will improve outcomes for breastfeeding dyads allowing more tongue-ties to be found earlier on.

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GOLD Learning Symposium Series, Lactation, Translated Lectures
Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks
GOLD Learning Symposium Series, Lactation, Translated Lectures
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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U.S.A Mohan Pammi, MD, PhD, MRCPCH

Mohan Pammi is a professor and neonatologist at Baylor College of Medicine. He was the medical director for a large NICU at Texas Children's Hospital for more than 4 years. His research interests are neonatal infections, microbiome and evidence-based medicine. He is currently funded by National Institute Health for clinical studies on the perinatal microbiome in preterm neonates.

U.S.A Mohan Pammi, MD, PhD, MRCPCH
Abstract:

Covid-19 was declared a pandemic by the WHO in March 2020. As the medical community dealt with the implications of rapid spread and high mortality and morbidity of the infection, many changes focused on infection control became paramount in the neonatal intensive care unit including attendance at delivery. We will review the manifestations of covid infection in neonates, risks of vertical and horizontal transmission, its impact on the delivery of neonatal care including visitation policies, restrictions on parental visitations, personal protective wear, social distancing, virtual rounding, breastfeeding, universal surveillance and changes in workflow and costs in the NICU.

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Presentations: 12  |  Hours / CE Credits: 12.5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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USA Barbara Robertson, MA, IBCLC, LLL

Barbara D. Robertson, IBCLC, has been involved in education for over 34 years. She received a Bachelor’s degree in Elementary Education in 1988 and her Master’s in Education in 1995. Barbara left teaching elementary students in 1995 to raise her two children. Barbara is now the Director of The Breastfeeding Center of Ann Arbor and of the brand new business LactaLearning.

The Breastfeeding Center of Ann Arbor will still continue to serve breast/chestfeeding families and now LactaLearning will be dedicated to all of Barbara’s professional lactation trainings. Barbara has developed two 95 hour professional lactation training, a group training and a completely self study training with Nancy Mohrbacher. Barbara’s idea of creating professional book groups has exploded with her hosting Making More Milk with Lisa Marasco, Supporting Sucking Skills with Cathy Watson Genna, Breastfeeding Answers, 2nd Edition with Nancy Mohrbacher, and new for the fall, Safe Infant Sleep with Dr. James McKenna. Barbara will be hosting a one day online conference in the fall with Lisa Marasco and Cathy Watson Genna using all of her tech savvy skills to make this a one of a kind experience. Barbara is also a speaker for hire on a wide variety of topics including Motivational Interviewing. Barbara volunteered for the United States Lactation Consultation Association as the Director of Professional Development for 4.5 years.

She just retired as Associate Editor for Clinical Lactation, a journal she helped create for USLCA. Barbara has free podcasts, a blog, and Youtube videos which can all be found on her websites lactalearning.com and bfcaa.com. She has written many articles as well. She loves working with parents and babies, helping them with breast/chestfeeding problems in whatever way she can.

USA Barbara Robertson, MA, IBCLC, LLL
Abstract:

If it is on the internet, it must be true! Not. Online media may present as an entertainment video but really be a commercial for a product. A publication can appear to a research article but actually be an opinion blog. We will identify ways in which businesses try to manipulate the viewer. Underlying messages will be decoded using the values of biomedical ethics and marketing techniques. Online breastfeeding media will be analyzed through the lens of biomedical ethics to uncover their true meaning.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 6 Weeks
Hours / Credits: 1 (details)
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USA Glenda Adams, RN, MSN, IBCLC

Glenda currently works at Duke University Hospital as an inpatient IBCLC. She has been with Duke since September 2017. Prior to working at Duke she was an Assistant Professor at the University of Louisville School of Nursing, primarily teaching the maternal newborn courses. She graduated with a BSN from the University of Louisville in 1990, a MSN from Old Dominion in 2004, and is currently a PhD candidate at the University of Louisville and will graduate May 2018. She is testing a new breastfeeding assessment instrument she created. She first became certified as an IBCLC in 1997 and took the certification exam for the 3rd time April 2017. She has worked maternal newborn, women’s health, and lactation during her 27 years as a RN. She has presented internationally (but the conference was in Louisville), nationally, and locally. She is a member of ICLA and USLCA.

USA Glenda Adams, RN, MSN, IBCLC
Abstract:

Reading let alone critically analyzing a research article can be quite intimidating to a non-researcher lactation consultant. How many lactation consultants find a research only to read the abstract, introduction, and conclusion to skip over the parts of the article they do not understand? Lactation consultants must provide evidence-based, ethical care to mothers, their baby, and their family. Lactation consultants can be instrumental and part of a multi-disciplinary research team. This presentation will help demystify research articles by providing ten practical tips for the non-researcher IBCLC. Not only will the lactation consultant feel more confident about reading the research article but the presentation will offer a great review of research concepts that are included in the IBLCE exam blueprint and prepare exam candidates for the IBLCE exam.

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Presentations: 29  |  Hours / CE Credits: 26  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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India Ruth Patterson, RN, IBCLC

Ruth Patterson is Cloud Nine's P I O N E E R & Most Sought Lactation Specialist with 33 years of rich experience - currently practicing at Jayanagar C9, Bangalore-India and a visiting Lactation Consultant with 9 other Cloud Nine branches locally. She also heads the 24 Pan India Cloud Nine Hospitals as the Manager Lactation.

Ruth's 30+ years of rich experience includes maternity, allied health and nursing care, both in rural and urban sector in India & Abroad. Her exclusive 18 years of experience in Lactation services, she has acquired immense practical knowledge in the last decade to identify most critical disorders of mother and babies during breastfeeding stage. She is acclaimed to have expertise in a lesser-known art of re-lactation and induced lactation.

Ruth is known for her ability to identify the most critical issues in Breastfeeding and restore/re-initiate feeds. She is acclaimed for the use of Dynamic Taping (only available at Jayanagar C9) that arrests/prevents breast surgery/abscess. This Dynamic Taping practice, alongside, a Gynecologist, Pediatrician and Physiotherapist at Cloud Nine, is patented.

Ruth is a well sought out person for patient hearing and provides her expert comments in News columns/Media and also delivers guest lectures.

Dr. Shazia Shadab (PT) is the HOD of the Cloud nine physiotherapist department (PAN-India). She has 10 years experience and has been exceptional in her career with constant learning of new skills and improvising in her services.

She has multiple articles published in acclaimed newspapers and many international certifications affiliated with her name like pelvic girdle dysfunction, labor mechanism, and has done basic advanced certification in dynamic tapping to name a few. She also has pursued her post-graduation in research methodology after her bachelor's in physiotherapy.

She has always been keen to learn how to progress in a variety of different treatment approaches to find better results. This has helped her and her team to develop an intervention to prevent breast abscess with no surgical approach and has been granted a patent on "a device to promote feeding and scar-free treatment of breast abscess treatment during lactation". She has worked along with professionals like Dr. Kishore Kumar, Dr. Prakash Kini, and Ruth Patterson, and has treated more than 100 patients suffering from breast abscesses without any surgical intervention. This would be an exceptional resource to help and provide better care.

She has extensive expertise in not only treating but also preventing multiple musculoskeletal conditions during pregnancy and postpartum. She has been awarded the ABCD (Above and Beyond the Call on Duty) Award for her unwavering and selfless dedication to her patients.

India Ruth Patterson, RN, IBCLC
Abstract:

"Lactational breast abscess is a common problem during breastfeeding. Surgical treatment of breast abscess involves maternal child separation and discontinuation of breast feeding. Surgical intervention with its inherent anxiety and probable unwanted side effects can deprive the lactating parent and baby of innumerable benefits. Non-surgical therapeutic modalities can potentially circumvent these problems. Dynamic taping with the help of a physiotherapist is a potential non-surgical intervention. This presentation presents the results of an observational, cohort study which was conducted in 20 consenting mothers with breast abscess attending an out-patient services tertiary maternal and neonatal unit. The mothers were administered two layers of dynamic tape as a single long segment on the breast avoiding the areola in an outward radiating direction to optimize lymphatic flow. Treatment was considered successful if there was resolution of the breast abscess with or without natural oozing."

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Presentations: 28  |  Hours / CE Credits: 29.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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U.S.A. Diane DiTomasso, IBCLC, PhD, RN

Dr. Diane DiTomasso achieved a Diploma in Nursing from Newport Hospital School of Nursing; a Bachelor of Science in Nursing, a Master of Science in Nursing Education, and a PhD from the University of Rhode Island. She is an Associate Professor at the University of Rhode Island College of Nursing.

Her research focus is human lactation and infant weight. She has multiple publications in journals such as Journal of Gynecologic & Neonatal Nursing (JOGNN), Journal of Human Lactation, Journal of Perinatal and Neonatal Nursing, and Nursing for Women’s Health and has presented her work nationally and internationally.

Dr. DiTomasso has received various honors and awards with the most recent being the 2020 Suzanne Feetham Nurse Scientist Family Research Award by the Eastern Nursing Research Society (ENRS) and the 2020 Best of JOGNN Award as first author of the article, “Systematic Review of Expected Weight Changes After Birth for Full-Term, Breastfed Newborn. She has served as Principal Investigator for a variety of neonatal research studies. Dr. DiTomasso is a member of AWHONN, the International Lactation Consultant Association, the Eastern Nursing Research Society, and Sigma Theta Tau International. She currently serves as a Member on the AWHONN Research Advisory Panel.

U.S.A. Diane DiTomasso, IBCLC, PhD, RN
Abstract:

This presentation will summarize the findings of recent studies on neonatal weight changes that occur in the early weeks of life among full-term, breastfed newborns.

Data Sources: Using the keywords breastfeeding, newborn, infant, weight, weight loss, and growth, we searched PubMed, Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, and MEDLINE for primary studies and secondary analyses. We also reviewed the reference lists of retrieved articles. Study Selection: Quantitative studies published in the English language from 2015 through 2019 that focused on newborn weight changes. From a total of 827 records initially screened, we included 11 studies in this analysis.

Data Extraction: Two authors independently reviewed the selected articles with the use of the Johns Hopkins Nursing Evidence-Based Practice Synthesis and Recommendations Tool. To determine evidence levels and quality ratings, we evaluated the consistency and generalizability of study results, sample sizes, study designs, adequacy of controls, and definitive nature of the conclusions. This presentation will discuss the finding of this study related to expected weight changes after birth for full-term, breastfed newborns.

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Presentations: 29  |  Hours / CE Credits: 29.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1.25  |  Viewing Time: 2 Weeks
Presentations: 74  |  Hours / CE Credits: 75  |  Viewing Time: 52 Weeks
This presentation is currently available through a bundled series of lectures.