Lactation Support for Parents with Anorexia Nervosa
Anorexia nervosa (AN) is a clinical condition characterized by restriction of energy intake, fear of gaining weight or becoming fat, and body dysmorphia. As pregnancy and subsequent lactation are associated with changes in weight and body shape, it is important to consider the implications of a pre-existing or current diagnosis of AN during the postpartum period. The research examining the impact of body changes during pregnancy on individuals with a history of AN has mixed results; some show AN symptoms regress during pregnancy, while other results show a resurgence of AN symptoms. While there is limited evidence of the impact of AN on milk production, milk composition, and breastfeeding experiences of the parent, the evidence that we do have can help guide lactation consultants when providing care for the dyad during the fourth trimester. In this presentation, participants will learn about the diagnostic criteria and screening tools for AN, the impact of energy restriction and AN on milk supply and composition, and will participate in a exploration of the implications AN may have on dyad care.
This lecture was originally offered as part of the GOLD Lactation Conference 2021.
Hope has always been the type of person to dive head-first into the deep end (literally - she learned to swim before she was 2!). Hope became an International Board Certified Lactation Consultant (IBCLC) in 2017, completed her PhD in nutritional biochemistry in 2018 at NC State University, and became a Registered Dietitian Nutritionist (RDN) in 2020.
In addition to owning and operating Hope Feeds Babies in Rock Hill, SC, Hope is employed full time at Winthrop University in the Department of Human Nutrition overseeing the Certificate in Medical Lactation and running a research lab that focuses on helping mothers to reach their infant feeding goals, improving access to human milk, and analyzing the nutritional content of human milk. As an IBCLC, Hope has a passion for connecting with mothers to help them to reach their individual feeding goals and advocacy for maternal health. As an RDN, Hope loves to support parents in feeding their children, whether that is traditional solids, baby-led weaning, or blenderized tube feeds.
Karin always knew that helping people would guide the course of her career. Karin’s professional path demonstrates this passion as she pursued a BA in psychology from Villanova University, a Master’s in Nutrition Education from Immaculata University, and is currently in the latter stages of her dissertation work towards a PhD in Health Education and Promotion from Walden University. In the past 20 years, Karin has sought opportunities that allow her to gather experience in various settings. While earning her Masters in Nutrition Education, she worked as a counselor and nutrition therapist at the world renown Renfrew Center in Philadelphia, PA. It was here that Karin adopted her view that an individual’s relationship with food and body are critical to change and sustain physical and mental health.
Sharing this approach with future health-minded individuals prompted Karin to begin teaching at Winthrop University, where she has taught for the past seven years courses related to health and nutrition. During this time, Karin continues her own education through the pursuit of Doctorate in Health Education and Promotion from Walden University. Her dissertation focuses on online faculty perceptions of college student mental health concerns and if these perceptions predict the likelihood of a mental health service referral.
Objective 1: Define diagnostic criteria for anorexia nervosa (AN).
Objective 2: Apply screening tools for AN and know who to refer to for further care.
Objective 3: List the impacts that underweight can have on lactation, including milk production and composition, experiences for the lactating parent, and potential implications for infant growth and development.
Anorexia nervosa (AN) is a clinical condition characterized by restriction of energy intake, fear of gaining weight or becoming fat, and body dysmorphia. As pregnancy and subsequent lactation are associated with changes in weight and body shape, it is important to consider the implications of a pre-existing or current diagnosis of AN during the postpartum period. The research examining the impact of body changes during pregnancy on individuals with a history of AN has mixed results; some show AN symptoms regress during pregnancy, while other results show a resurgence of AN symptoms. While there is limited evidence of the impact of AN on milk production, milk composition, and breastfeeding experiences of the parent, the evidence that we do have can help guide lactation consultants when providing care for the dyad during the fourth trimester. In this presentation, participants will learn about the diagnostic criteria and screening tools for AN, the impact of energy restriction and AN on milk supply and composition, and will participate in a exploration of the implications AN may have on dyad care.
Accreditation
CERPs - Continuing Education Recognition Points:
Applicable to International Board Certified Lactation Consultants (IBCLCs), Certified Lactation Counsellors (CLCs), Certified Lactation Educators (CLEs), Childbirth Educators (CBEs) and doulas. This presentation has been approved for 1 L-CERP. GOLD Learning is designated as a Long Term Provider of CERPs by the International Board of Lactation Consultant Examiners (IBLCE) -Approval #CLT114-07.
Midwifery CEUs (MEAC Schools):
Applicable to NARM Certified Professional Midwives and those who require MEAC Certified Education. This presentation has been approved for 1 Hour, the equivalent to 0.1 MEAC CEU by the Midwifery Education Accreditation Council. Please note that 0.1 MEAC CEU is equivalent to 1 NARM CEU.
If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please send us an email to [email protected] if you have any questions.
Additional Details
Viewing Time: 2 Weeks
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