Podium Research Presentations Lecture Pack #1

This presentation was originally presented at the 21st Annual International Meeting of the Academy of Breastfeeding Medicine.
This lecture pack consist of three presentations presented during the Podium Research Presentations on Friday, October 14th
This lecture just offers CERPs, if you are looking for CME,CNE credits please purchase The Academy of Breastfeeding Medicine Lecture Package

$10.00 USD
Total CE Hours: 0.75   Access Time: 2 Weeks  
Lectures in this bundle (3):
Durations: 15 mins
Fetal and Labor Stress and Breastfeeding

EDUCATION: Tbilisi State Medical University with honours; Wellstart Int.,Lactation Management course, San-Diego, USA; Institute of Pediatrics, Moscow, Russia; Ph.D. course. Working experience: Chief Pediatrician of Georgia; President of NGO/UNICEF Regional Network for Children of CEE/CIS and the Baltic States elected for two terms. AWARDS: Georgian National Academy of Science Awards For Science Achievements In Medicine; SOUTHEAST European Medical Forum Awards for contribution to medical science development; Title of the Best doctor of Georgia; Certificate of Achievement for successful participation in a technical cooperation program -Agency for Development of the Government, Washington, USA. PUBLICATIONS: Author of more than 100 medical articles including manuals; 2 copyright patent certificate; Co-author of Georgian Law on “Protection and Promotion of Breastfeeding and Regulation of Artificial feeding;

Objective 1: Influence of maternal stress (mild and severe) during pregnancy on breastfeed
Objective 2: Influence of maternal stress (mild and severe) during pregnancy on mother-child bonding.
Objective 3: Influence of maternal stress and anxiety during pregnancy on short term(breastfed, mother-child bonding) and long-term (child’s global development. adhd ,early childhood wheezing and asthma) effects on her offspring.


Background: The effects of fetal emotional stress on lactation are not known. Objective: To assess the association’s influence of maternal stress (mild and severe) during pregnancy on breastfeed and mother-child bonding. Materials/methods: We conducted a prospective study of 15 women in which were observed the pregnant and delivery and took blood samples for analysis of stress hormone. Each day during the first 1 week postpartum, the mothers collected a milk sample. Result: Multiple regressions indicated that several markers of fetal stress were associated with delayed breast fullness, lower milk volume. 2. The factors associated with lactogenesis were parity (P<0.10), maternal exhaustion (P0.10) for timing of breast fullness; exhaustion (P0.10) and lower breast-feeding frequency on day 2(P0.005). Conclusion: Mothers who with severe stres during pregnancy and after childbirth should receive additional lactation guidance during the first week postpartum. It is worked out in the framework of the project of Rustaveli Scientific National Fund (project # DO385/8-308/14)

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Durations: 15 mins
Amy G. Bryant, MD, MSCR
Lactational Effects of Contraceptive Hormones: an Evaluation (LECHE)
USA Amy G. Bryant, MD, MSCR

Amy G. Bryant, MD, MSCR, is Assistant Professor in the Division of Family Planning in the Department of Obstetrics and Gynecology at UNC-Chapel Hill, and Assistant Director of the Fellowship in Family Planning. She completed the Fellowship in Family Planning at UNC-Chapel Hill, and a Master’s of Science in Clinical Research at the UNC Gillings School of Global Public Health in 2011. She works as a generalist OB/GYN with a specialty in Family Planning. Her research interests include the provision of long-acting, reversible contraception in the postpartum period, and equitable access to evidence-based abortion information and care. After experiencing a stark decrease in her breastmilk supply in her second pregnancy, she developed an interest in the effects of family planning on breastfeeding. She became part of a working group at UNC evaluating the impacts of hormonal contraception on breastmilk. She also evaluates the ethical and practical intersections of family planning and lactation counseling.

Objective 1: Importance of birth spacing
Objective 2: Medical eligibility criteria for contraceptive use in postpartum period
Objective 3: Overview of evidence evaluating contraceptive use for postpartum women

USA Amy G. Bryant, MD, MSCR

In published studies, hormonal contraception (HC) has not been found to affect breastfeeding outcomes. However, early introduction of exogenous progestins may inhibit or prevent adequate breastfeeding in some women. We sought to estimate the proportion of women who perceive breastmilk production to be affected by hormonal contraception by conducting an anonymous, Internet-based survey of adult postpartum women regarding their experiences with postpartum events, including initiating contraception, resuming intercourse, and breastfeeding. The survey was introduced via social media, listservs, and websites. From January to May 2016, 2920 women completed the survey and met inclusion criteria. Milk supply concerns occurred in 1044 (37.6%) of participants in the first 12 weeks postpartum and were more common among HC users than non-users (42.5 vs 35.5%, p<0.01. Understanding the complex relationship between hormonal contraception, breastfeeding, and other events in the postpartum period is essential to providing care for lactating women.

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Durations: 15 mins
Reducing Intensive Care Admissions for Asymptomatic Hypoglycemia

Sherry LeBlanc has been a Neonatal Nurse Practitioner in the Newborn Critical Care Center at UNC Children’s Hospital, a 58 bed, level IV unit, since 2008. She earned her Bachelors of Science in Nursing at the University of North Carolina Chapel Hill, and Neonatal Nurse Practitioner, Masters of Science in Nursing at Duke University. Sherry is the Morbidity Coordinator for the Newborn Critical Care Center, and her interest in hypoglycemia grew from an M&M topic. She created and is currently the Chair of the Hypoglycemia Taskforce, an interdisciplinary team that provides guidelines for newborns at risk for hypoglycemia at UNC Hospitals. Sherry also developed and serves as Co-Chair of the Prenatal Diabetes Education Committee, which strives to educate mothers with diabetes, and empowers them to help their newborn. Currently, she is the PI of Eliminating Asymptomatic Hypoglycemia NCCC Admissions and in planning phase for a multicenter RCT regarding hypoglycemia.

Objective 1: Frequent formula and bottle use in NICU
Objective 2: Lack of prophylactic measures to prevent hypoglycemia
Objective 3: Improvement in process measures of skin-to-skin and early feeding


Neonatal hypoglycemia often requires intensive care, resulting in mother infant separation, decreased breastfeeding and associated consequences. Frequent hypoglycemia admissions to the Newborn Critical Care Center at the University of North Carolina Children's Hospital often did not require IV dextrose, and therefore unnecessarily separated the mother/infant dyad.

A hypoglycemia bundle that placed greater emphasis on early feeding and universal skin to skin care for infants at risk for hypoglycemia was implemented as these measures may prevent hypoglycemia. The bundle also included protocol revision. The aim was to decrease intensive care admission for asymptomatic hypoglycemia.

NICU admissions for asymptomatic hypoglycemia decreased by 10%, process measures of skin to skin care and early breastfeeding improved. Infants admitted to intensive care that did not receive IV dextrose decreased from 10 infants to 1 between the control group and post-intervention groups. There were no negative outcomes.

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CERPs - Continuing Education Recognition Points
GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07
This program is approved for 0.75 CERPs ( 0.75 L CERPs)

Tags / Categories

Breastfeeding and Lactation

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