IBCLC Detailed Content Outline: Clinical Skills / Public Health and Advocacy Focused CERPs - Section VII E
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10 Steps to a Breastfeeding Friendly Shelter: Building a Policy

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]
This presentation will describe the 5-year journey to the creation and implementation of the 10 Steps to a Breastfeeding Friendly Shelter, starting with a key person, the prime mover, wondering, as she struggled in her resource-rich home with breastfeeding, "what do mothers experiencing homelessness do when they have trouble breastfeeding?" This question led to the formation of a committee, with the eventual outcome of a published policy paper and the Office of Homeless Services changing its provider contract to include accommodations for breastfeeding.

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14 Principles We Wish We’d Known at the Beginning; Reflections on 20 Years as IBCLC’s

Cindy Leclerc and Jana Stockham are Registered Nurses and IBCLCs with over 20 years experience helping families get started with breastfeeding. In addition to hands on care, Cindy and Jana use technology to support families through their website (cindyandjana.com), online prenatal breastfeeding classes (simplybreastfeeding.ca) and iPhone app, NuuNest. Cindy is a strong believer in mother-to-mother support, helping to facilitate breastfeeding and postpartum depression support groups. She is intrigued by all things online and actively uses social media to promote breastfeeding. Jana has been trained as a Baby Friendly assessor and helped to coordinate the first Baby Friendly designation in Saskatchewan. She has a passion to help families with new babies and facilitates a group for breastfeeding moms.
Topic: Meeting your breastfeeding goals - [View Abstract]
Topic: Preventing the Plunge: Why the First 2 Weeks are Crucial for Breastfeeding Duration. - [View Abstract]
IBCLC’s begin their career with a baseline of theoretical and practical knowledge. As in every other profession, there is wisdom that can only be learned on the job. IBCLC’s who have worked on the frontlines for over 20 years share principles that will help you to be more effective and compassionate in your practice. They will share actual stories and examples from their work with families, including a few mistakes made along the way. Learn what Cindy & Jana wish they had known when they first became IBCLC’s.

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Jodine Chase is a public relations and communications consultant specializing in issues and crisis management news analysis. Jodine is a long-time breastfeeding advocate who, as a volunteer, works for many breastfeeding related causes including advocating for the re-establishment of milk banks, amending policies and legislation to protect breastfeeding rights, and appropriate infant and young child feeding during emergencies including the Syrian refugee crisis. Jodine serves on the board of her local breastfeeding advocacy group, the Breastfeeding Action Committee of Edmonton (BACE), which is implementing a human rights education grant project to increase the number of Breastfeeding Friendly public spaces in her city. She also volunteers with the Best for Babes Foundation, ILCA, INFACT Canada, and Friends of the WHO Code. She’s involved in many breastfeeding related events including BfB’s Miracle Milk Stroll and Quintessence’s Breastfeeding Challenge.
Despite advances in human rights legislation in Canada and the US, women still face harassment and discrimination when they breastfeed in public. In the last 15 years in Alberta, Canada, reports of discrimination escalated even as policies were adopted to affirm and support the right of women and children to breastfeed in public. In 2014 the Breastfeeding Action Committee of Edmonton (BACE) received a grant from the Alberta Human Rights Education and Multiculturalism Fund to further development of a tool kit for Breastfeeding Friendly spaces. The project included policy, procedure and training development for stakeholders and a public education campaign. Public attitudes towards breastfeeding in public, including in specific spaces where discrimination had occurred - swimming pools, the public library - were measured prior to the implementation of a Breastfeeding Friendly program that included policy articulation, staff training, and public education. Public attitudes were measured after program implementation. This presentation will explore the impact of the implementation of Edmonton's Breastfeeding Friendly project on the potential for families to feel safe and welcome to breastfeed in Edmonton's public spaces.

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Marion Rice, Ed.D., IBCLC is the Executive Director of the Breastfeeding Coalition of Oregon (BCO). BCO is the statewide entity that serves to build and link families, community partners and geographic and culturally specific coalitions to support, promote and protect breastfeeding in Oregon. The Breastfeeding Coalition of Oregon works to address the Surgeon General's Call to Action to Support Breastfeeding by working to provide technical assistance, support and training to 20 (and more emerging) breastfeeding coalitions throughout the state. Marion is working to understand and address the impact of racial inequity on breastfeeding support and on helping all families reach their breastfeeding goals to improve the lifelong health of their babies. She sees breastfeeding as a social justice issue, and tries to reveal and address public policy and practice that inadvertently discourage women from reaching their breastfeeding goals and helping to maintain family economic security. Marion believes breastfeeding is unifying and builds cultural bridges and personal relationships for deeper personal understanding of the commonalities of the human experience.
Kimberly Seals Allers is an award-winning journalist and a leading commentator, speaker and consultant on breastfeeding issues, with an expertise in African American women and racial disparities in breastfeeding. As a consultant and speaker, Kimberly works with organizations looking to better understand the cultural barriers and community influences that impact breastfeeding continuation rates in vulnerable communities. She is also the founder of Shift Strategies, a health communication consulting firm helping organizations increase programmatic outcomes with more effective communication strategies. Kimberly has designed and developed strategic messaging campaigns and exploratory community-based projects examining the role of “place” in breastfeeding success and pioneered the concept of “first food deserts” and “First Food Friendly” communities. She is the director of The First Food Friendly Community Initiative (3FCI), a W.K. Kellogg Foundation funded pilot program to create and accredit breastfeeding-supportive community environments. A former writer at Fortune and senior editor at Essence magazine, Kimberly is an IATP Food & Community Fellow, connecting the “first food” to the broader food movement. Kimberly was also selected as a lead commentator for the United States Breastfeeding Committee’s “Break Time for Nursing Mothers” federal campaign. Previously, she served as the editorial director of the Black Maternal Health Project of Women’s eNews. Kimberly fifth book, The Big Let Down—How Big Business, Medicine and Feminism Undermine Breastfeeding will be released in July 2016 by St. Martin’s Press.
This session will look at challenges to reducing the barriers to greater availability of banked human milk within the context of breastfeeding inequities, disparities in birth outcomes and the state of motherhood in the United States. The session will provide participants with understanding of the evidence around the inequities in preterm birth and infant mortality rates of specific cultural groups and the importance of advancing human milk banking and breastfeeding as a primary strategy for improving the health of the most vulnerable citizens, babies through an equity lens.

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Avoid Lawsuits and Pink Slips! Legal and Ethical Issues for the IBCLC

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]
This presentation is a first of its kind: a "survey course" of legal and ethical tensions unique to the IBCLC. Regardless of one’s other professional licenses or credentials, there are four primary practice-guiding documents for the IBCLC. After a review of those “rules of the road,” we’ll navigate a simple algorithm the IBCLC can use to determine what she could, should or must do, in any situation that sets off ethical red flags in the IBCLC’s mind. Then, we’ll hit highlights of legal and ethical issues for the IBCLC: certification vs. licensure vs. certificates-for-classes-and-courses; who is the patient/client?; conflicts of interest (and tensions from “wearing many hats”); intellectual property law; the (WHO) International Code; the IBCLC in the courtroom (as expert or witness); the IBCLC on the Internet; the IBCLC as breastfeeding advocate, and its corollary: the IBCLC as advocate for a breastfeeding mother.

Beyond Baby Friendly, Thinking Outside the Box

Dr. Jane Morton has had a long, fulfilling career as a general pediatrician, She has also had a long-standing interest in breastfeeding, from understanding its clinical benefits to practical solutions for mothers having difficulty in providing breastmilk to their infants. Over the years, she has conducted research on human milk and breastfeeding and has designed and implemented systems and policies to help breastfeeding mothers. She produced award winning videos on this topic, including “Breastfeeding: A Guide to Getting Started”, “A Preemie Needs His Mother: Breastfeeding a Premature Baby” and “Making Enough Milk, the Key to Successful Breastfeeding”. These have been translated and widely used in thousands of hospitals to train both staff and new mothers. As an executive board member of both the Academy of Breastfeeding Medicine and the American Academy of Pediatrics Section on Breastfeeding, she enjoyed working to enlarge the footprint of breastfeeding, both nationally and internationally.
For a 5 year period, she joined the neonatology clinical faculty at Stanford to develop the Breastfeeding Medicine Program. In that position, she had the opportunity to design a nationally recognized educational program, conduct and publish original research on milk production and composition in mothers of very low birth weight infants, and publish a study with the AAP on the efficacy of a breastfeeding curriculum for physician residents in training. She was an advisor to the California Perinatal Quality Care Collaborative, and was a key author of the toolkit “Nutritional Support for the Very Low Birth Weight Infant”. She co-authored the book Best Medicine: Human Milk in the NICU. She has published extensively and presented her original research and educational workshops internationally. She continues to teach at Stanford where she is an Adjunct Clinical Professor of Pediatrics, Emerita.
Topic: First Touch, First Food, First Hour …in a mother’s hands - [View Abstract]
Complications of insufficient milk production and suboptimal intake account for delayed discharge, readmission, potentially serious medical complications and a sharp drop off in any breastfeeding before 1 month. Reframing lactation support based on prevention, accessibility and sustainability, we could logically reduce these complications, while increasing exclusive breastfeeding rates for both low and at-risk infants. Recent science supports the importance of beginning this support for all mothers in the first post delivery hour, to prevent what might be called, “the lost first hour syndrome”.

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Beyond “Screening”: Nurturing Safer Spaces to Elicit and Respond to Disclosures of Abuse

An advocate for women, Jodi Hall has dedicated herself to understanding the impact of traumatic events on the childbearing years, and toward creating solutions designed to change lives. Jodi shares her knowledge on topics related to trauma in the lives of mothers through workshops and training sessions for healthcare professionals, counsellors and social service workers throughout the world.
Jodi has worked as a doula since 1995, and a woman’s abuse counsellor where Jodi gained experience working directly with women experiencing abuse. It is through years of sharing spaces with women experiencing abuse, that Jodi’s much sought after way of ‘being with’ women was nurtured.
Jodi Hall holds a PhD in Health and Rehabilitation Sciences from the University of Western Ontario. Jodi has been instrumental in various research studies on marginalized women’s access to services that promote health. She resides with her family in London, Ontario, where she co-runs a private counseling practice with Amanda Saunders, MSW, RSW and Holly Gibson, MSW, RSW, who are also skilled birth workers, called Sharing Spaces.
Topic: Unpacking the concept of “Holding Space”: Beyond rhetoric toward action in supporting survivors of trauma in the childbearing years - [View Abstract]
Topic: “If They Just Knew Better, They’d Do Better”: Care Provider Myths, Transliteracy, and the Need for a Trauma Informed Approach in Reproductive Care - [View Abstract]
Health care professionals supporting women during the transition to mothering play an essential role in creating safer spaces to inquire about potential abuse. However, many health professionals are reluctant to routinely and universally inquire about abuse in pregnancy and the postpartum period, even though there is widespread recognition that abuse has devastating physical and emotional effects on the lives of women and their children with particular vulnerabilities during the transition to mothering. Research and experiential evidence suggests that pregnant women with histories of abuse want caregivers who are sensitive and responsive to their needs, know how to respond to disclosures of abuse, and are knowledgeable about services that could offer support. This workshop will provide a starting place to explore the nuances of creating safer spaces for women survivors of abuse, and some strategies to respond to disclosures.

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Dr. Rice has been working at the intersection of education and health for social justice and public good. She is the former Executive Director of the Breastfeeding Coalition of Oregon. Currently, Dr. Rice works on organizational development, communication, marketing, public policy and community engagement to advance health equity through access to donor human milk. A national thought leader, she is deeply engaged in convening conversations about the importance of maintaining women’s biological integrity, advancing feminist approaches to human milk banking and at the same time, encouraging capacity building for human milk derived therapies improving health outcomes for the most vulnerable babies.
Most recently Dr. Rice provided consulting as a Policy Associate with Mothers' Milk Bank of San Jose and has provided strategy and policy consulting for the Human Milk Banking Association of North America (HMBANA). Marion holds a doctorate in Education Leadership and is an Internationally Board Certified Lactation Consultant, IBCLC.
This session will look at how for profit corporations are seeking to aggregate, control and exploit human milk. In the absence of federal health policy and consumer regulation/protection, companies are emerging seeking to build commercial markets for human milk often under the guise of improving the economic status of women and infant health.
We will examine companies currently paying for milk both domestically and internationally and the implications for women and emerging policy both at the federal and state level.
Entities setting a price for human milk in the absence of supportive public policy may in fact undermine women’s biological integrity, infant health and contribute to the vulnerability of women and babies.
I will ask participants to consider the issues and to support models of community engagement and decision making that are women centered and women led that keep this biologically critical substance within the community from where it comes; supporting breastfeeding and benefiting women and babies.

Breastfeeding Education in Secondary Schools—Research and Application for Lactation Professionals

After studying biology at Meredith College in North Carolina, Nicola Singletary, PhD, MAT, IBCLC spent the early part of her career sharing her love of science with middle school students. It was not until after the birth of her first child in 2007 and the challenges she faced breastfeeding that she became interested in pursuing a career in breastfeeding support. She enrolled at North Carolina State University to study human nutrition and completed the Mary Rose Tully Training Initiative through the Carolina Global Breastfeeding Institute at UNC Chapel Hill in 2012. In the fall of 2013, she opened Harmony Lactation, LLC with the goal of helping mothers meet their breastfeeding goals. She recently completed her PhD in Nutrition and is a postdoctoral researcher at NCSU; her research focuses on breastfeeding education. She is also co-owner of Next Level Lactation, an educational and consulting company for lactation professionals.
Topic: Funny Tasting Milk: The Biochemistry and Clinical Applications of Human Milk Oxidation vs. High Lipase Action - [View Abstract]
As part of efforts to increase breastfeeding initiation and duration, educational interventions aimed to increase awareness and positive attitudes towards breastfeeding beginning during the school years are recommended by the World Health Organization and UNICEF UK. Breastfeeding education in the school setting offers the opportunity to introduce the topic to a wide range of students from a variety of socioeconomic and cultural backgrounds. The purpose of this presentation is to 1) present a critical review of the literature regarding stakeholder views of breastfeeding education programs in schools, 2) explore ongoing mixed methods research on North Carolina family and consumer science teacher attitudes and practices relating to infant feeding education in the secondary classroom, and 3) make recommendations for opportunities for lactation professionals to promote breastfeeding education in schools.

Breastfeeding Support for Young Mothers From a Maternity Shelter: A Qualitative Study

Rosann Edwards is an Assistant Professor in the Department of Nursing and Health Sciences at the University of New Brunswick Saint John, an experienced front line public health nurse, and lactation consultant. She is also a third-degree karate black belt, and mother of boys. Rosann’s research and community work focuses on breastfeeding, the transition to motherhood, maternal satisfaction with breast/infant feeding, mothering in the shelter system, and empowering vulnerable populations of women and their children. She is the co-editor of the recent Demeter Press Anthology Breasts across Motherhood: Lived Experiences and Critical Examinations.
Topic: Supporting Older First-Time Mothers with Breastfeeding and Becoming a Mother: Insights for Clinical Practice - [View Abstract]
To explore the breastfeeding experiences of young at-risk breastfeeding mothers who either were or had resided in a local maternity shelter. Goals: To increase awareness of issues unique to this population, and develop clinical interventions when providing breastfeeding supports. Data Collection and Analysis: Interpretive description design, using semi-structured interviews, and inductive content analysis. Participants: Nine mothers aged 17 to 24, who had initiated any breastfeeding, and were residing or had resided at a maternity shelter. Findings: Nurses had a critical role in the establishment of early breastfeeding by providing a combination of practical hands-on and emotional support. Ongoing, accessible, and non-judgemental peer, family, and community resources were important to breastfeeding duration. These young mothers took ownership of their choice to breastfeed and found empowerment in this choice and practice. Conclusion: Young at-risk mothers need an ongoing combination of emotional and practical supports from multiple trusted sources, including professional and peer. Nurses need to focus the practical aspects of breastfeeding while establishing strong therapeutic relationships.

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