Breastmilk Fat Profile: Implications for Clinical Practice
This session will help you understand the challenges of a multiple pregnancy and birth. Discover preparations that can help ease stress and increase success in lactation. Learn how to support families experiencing premature birth. You will understand the best way to help parents establish breastfeeding their multiples, even with late preterm/early term birth. This session will help attendees gain and understanding of how to navigate the challenges of breastfeeding multiples and how to support families effectively during the different stages of their breastfeeding journeys.
This lecture was originally offered as part of the GOLD Lactation Conference 2021.
Divya Sinha Parikh MD, IBCLC, FAAP is a board certified pediatrician practicing in Columbus, OH. She received her medical training at The University of Pittsburgh School of Medicine and completed her residency in general pediatrics at Rainbow Babies and Children’s Hospital at Case Western Reserve University. During residency, she created a breastfeeding medicine clinical rotation.
Within her practice, she has extensive experience managing lactation concerns and has taken a special interest in mentoring current and aspiring breastfeeding providers. She has presented her work at local and national meetings.
Rachel Walker received her master’s degree in exercise science and wellness from Old Dominion University and a PhD in nutritional sciences from Penn State University. Her PhD work focused on lipid metabolism and insulin resistance. She has over 3 years of experience teaching both nutrition and exercise science courses.
In 2020, she was selected for a research fellowship from the United States Department of Agriculture for her study, ‘The Role of Metabolic Health and Lipid Metabolism in Human Lactation and Milk Composition’. Her current research is focused on the effects of insulin resistance during pregnancy and lactation, especially with the goal of developing therapies to improve lactation.
She has presented her research at numerous national meetings. Rachel’s proudest achievement is becoming Mommy to her 3 children, Clark, Lee, and Nora.
Objective 1: Discuss what factors affect low or high milk fat.
Objective 2: Discuss what factors affect fatty acid concentrations.
Objective 3: Apply knowledge of milk fat to clinical practice concerns in infant nutrition and donor milk use.
The fat content of breastmilk is remarkably important for infant health outcomes. Therefore, it is important to understand what factors affect breastmilk fat profile. Total fat is the main determinant of energy in breastmilk, and varies with time of day, length of lactation, and duration of the feed. Maternal factors also influence milk fat, including BMI, parity, and diabetes. Long-chain polyunsaturated fatty acids, like docosahexaenoic acid and arachidonic acid, are vital to the structure and development of the infant brain, and attaining the correct balance is important for optimal development. Breastmilk fatty acid concentration, especially the polyunsaturated fatty acids docosahexaenoic acid and arachidonic acid, are vital to infant brain development. Fatty acid concentrations primarily depend on diet and vary significantly between populations, but other maternal factors can also affect the fatty acid content of breastmilk.
Breastmilk fat content has significant implications for clinical practice. First, it is necessary to optimize clinical methods for human milk fat measurement, such as bedside human milk analyzers. Second, understanding milk fat variation will help optimize breastmilk fortification for infants in neonatal intensive care units. Finally, variability in donor milk also makes estimation of fat and energy in milk banks difficult, with important clinical implications for preterm infants who cannot receive mother’s own milk.
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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