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GOLD Learning Day: Got Milk? Skills & Tools for Improving Low Milk Production

Knowing how to support adequate milk production is crucial for any professionals working with breast/chestfeeding families. Our expert speakers Barbara Robertson, Tameka Jackson-Dyer and Luke Grzeskowiak bring together some of the latest research and techniques for dealing with different aspects of human milk production. Learn more about counseling and anticipatory guidance to reduce perceived insufficient milk production. Hear the latest research on benefits and risks associated with using domperidone as a galactagogue including treatment recommendations relating to treatment initiation, dosing, duration of treatment, and treatment cessation. Finally, hone your clinical skills for assessment and management of true low milk production.

This presentation package is approved for 3 L-CERPs, 3 CMEs and 3 Nurse Contact Hours.

Presentations are now online for on-demand access.
View the table of instructional hours here

Prices in USD

Individual Registration Group Registration (5+)
Country Category A $55 $50
Country Category B $30 $25
Country Category C&D $17 $15

Want to Sign Up as a Group of 5 or more? Contact us at [email protected]

$55.00 USD
Total CE Hours: 3.00   Access Time: 6 Weeks  
Lectures in this bundle (3):
Duration: 60 mins
Tameka L. Jackson-Dyer, BASc, IBCLC, CHW, CLC, CLE, CLS
Counseling and Anticipatory Guidance to Reduce Perceived Insufficient Milk Production
United States Tameka L. Jackson-Dyer, BASc, IBCLC, CHW, CLC, CLE, CLS

Tameka Jackson-Dyer is an International Board-Certified Lactation Consultant (IBCLC) and Community Health Worker whose passion is community outreach. She holds a Bachelor of Applied Science in Health Studies from Siena Heights University, several lactation certifications and has been in the field for almost 20 years- honing her counseling and clinical skills in WIC agencies, OB/Gyn offices and Baby Friendly hospitals throughout the metro Detroit area. Her work as Manager of Community Collaboration with Coffective and consulting work with the EMU Center for Health Disparities, Innovations & Studies on their CDC/REACH and NACCHO grants- allows her to provide a voice for the populations who are historically underrepresented in conversations about breastfeeding support. To ensure she reaches as many families in her community as she can, the wife and mother of three owns a private practice, Crazymilklady Lactation Support Services, LLC, serves as Chair of the Metro Detroit/ Wayne County Breastfeeding Coalition, is a co-founder of the Southeast Michigan IBCLC’s of Color and volunteers as a Sisterfriend mentor with the Detroit Birthing Project.

1. Describe common concerns about milk production that can be helped through anticipatory guidance

2. Explain how the marketing of artificial breastmilk substitutes increases the perception of insufficient milk production.

3. Name 3 risks of supplementing with artificial breastmilk substitutes for both members of the dyad.

4. List 3 motivational interviewing techniques to use during counseling.

United States Tameka L. Jackson-Dyer, BASc, IBCLC, CHW, CLC, CLE, CLS
Abstract:One of the most prevalent breastfeeding problems worldwide is perceived insufficient milk production. The perception of not having enough milk is one of the top reasons for premature weaning and/ or supplementation. Lack of prenatal breastfeeding education, misinterpretation of normal newborn behavior and the ignorance of most healthcare providers concerning lactation leaves lactating individuals confused and unsure of their ability to nourish their babies with their milk. This presentation will explore the myriad of reasons behind the perception of insufficient milk production, address the education gaps for families and healthcare providers and give lactation supporters tools to empower families to reach their breast/ chestfeeding goals.
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Duration: 60 mins
Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, ㅤㅤㅤㅤㅤㅤㅤㅤㅤ AdvPracPharm, FSHP
An Evidence-Based Guide to Using Domperidone as a Galactagogue
Australia Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, ㅤㅤㅤㅤㅤㅤㅤㅤㅤ 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.

1. Describe benefits and risks associated with using domperidone as a galactagogue.

2. Describe evidence-based recommendations relating to the commencement and cessation of domperidone.

3. Explain controversies and risk management approaches for using domperidone safely in clinical practice.

Australia Luke Grzeskowiak, PhD, BPharm(Hons), GCertClinEpid, ㅤㅤㅤㅤㅤㅤㅤㅤㅤ 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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Duration: 60 mins
Barbara Robertson, BA, MA, IBCLC, RLC
Clinical Assessment and Management of Low Milk Production
USA Barbara Robertson, BA, MA, IBCLC, RLC

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 and 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.

1. Explain two possible reasons a parent might be struggling with breastmilk supply.

2. List 3 ways to help determine if a parent’s milk supply is adequate for their baby.

3. Describe four ways that they may be able to help parents make more breastmilk.

USA Barbara Robertson, BA, MA, IBCLC, RLC
Abstract:When families are struggling with true low milk production, clinical care can be complicated. Does the problem stem from the parent? From, the baby? Or, most commonly, a combination of both? This presentation helps health care providers understand the possible causes of true low milk production and how to identify them. We will then spend most of our time reviewing what might be done to help resolve the problem. Helping families understand the possible solutions and create a plan is key for them to be able to reach their infant feeding goals.
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CERPs - Continuing Education Recognition Points
Applicable to IBCLC Lactation Consultants, Certified Lactation Consultants (CLCs), CBEs, CLE, Doulas & Birth Educators. GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07. This program is approved for 3 L-CERPs.
CERPs are valid until 08/22/2025.

Nurse Contact Hours
This nursing continuing professional development activity was approved by the American Nurses Association Massachusetts, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation for 3 Nursing Contact Hours.
Nurse Contact Hours are valid until 08/08/2024.

Upon completion of this activity, GOLD learners will be able to download an educational credit for this talk. Successful completion requires that you:
  • View this presentation in its entirety, under your individual GOLD login info
  • Successfully complete a post-test (3 out of 3 questions correctly answered)
  • Fill out the Evaluation Survey

CMEs - Continuing Medical Education Credits for Physicians & Nurses
The AAFP has reviewed GOLD Learning Day: Got Milk? Skills & Tools for Improving Low Milk Production, and deemed it acceptable for AAFP credit. Term of approval is from 8/22/2022 to 8/22/2023. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is approved for 3 AAFP Prescribed CME credits.
CME credits are valid until 8/22/2023.

Additional Details:

Viewing time: 6 Weeks

Tags / Categories

(IBCLC) Clinical Skills, (IBCLC) Education and Communication, (IBCLC) Maternal, (IBCLC) Pathology, (IBCLC) Pharmacology and Toxicology, (IBCLC) Research

How much time do I have to view the presentations?

  • The viewing time will be specified for each product. When you purchase multiple items in your cart, the viewing time becomes CUMULATIVE. Ex. Lecture 1= 2 weeks and Lecture Pack 2 = 4 Weeks, you will have a total of 6 weeks viewing time for ALL the presentations made in that purchase.
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Will there be Handouts?

  • YES! Each lecture comes with a PDF handout provided by the Speaker.

Some lectures include a Q&A, what does that mean?

  • During our online conferences, presentations that occur live are also followed by a short 15 minute Question & Answer Session. The Speaker addresses questions that were posted by Delegates during the presentation. We include the recording of these Q&A Sessions as a bonus for you.

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