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Lactation

More Support In A Coffee Shop Than In The Hospital: Experiences Of Breastfeeding Children With Medical Complexity

Breastfeeding may be natural, but it isn’t easy. Initiating and maintaining breastfeeding, and overcoming barriers can be hard for anyone, but breastfeeding a child with illness or medical complexity in the paediatric setting is uniquely challenging and presents different obstacles than those commonly experienced by parents feeding healthy term newborns or preterm neonates.

Current policies, BFHI standards, and training are weighted towards the initiation of breastfeeding or the establishment of effective pumping for a preterm infant. The needs and challenges of children beyond the neonatal period are largely unresearched. My systematic review in 2021 found seven key themes that provided some explanation as to why breastfeeding a child with medical complexity in paediatrics is different and more challenging to achieve.

My qualitative study in 2022 has provided novel insight and new data into the specific challenges encountered by parents of children with acute, chronic, complex and life-threatening illness in the paediatric ward or paediatric intensive care unit and provides tentative explanations and suggestions for how to approach this unique population to optimise their feeding experience.

In this presentation, learners will understand how to view the paediatric population as distinct from the maternity and neonatal population and appreciate some of the unique difficulties that these families face. Learners will also develop understanding of the need to merge clinical and lactation skills in a collaborative approach to care. Finally, new insights and awareness of the importance of expanding current training to meet the needs of this population will be shared.

This lecture was originally offered as part of the GOLD Lactation Conference 2023.

$18.00 USD
Total CE Hours: 1.00   Access Time: 2 Weeks  
Lectures in this bundle (1):
Duration: 60 mins
Lyndsey Hookway, BSc, RNC, HV, IBCLC
More Support in a Coffee Shop Than in the Hospital: Experiences of Breastfeeding Children With Medical Complexity
United Kingdom Lyndsey Hookway, BSc, RNC, HV, IBCLC

Lyndsey is an experienced paediatric nurse, children’s public health nurse, International Board Certified Lactation Consultant, Holistic Sleep Coach, researcher and responsive parenting advocate. She has worked in hospitals, clinics, the community and within clients’ homes for 20 years, serving within the UK NHS, in private practice and voluntarily.
The co-founder and clinical director of the Holistic Sleep Coaching program, Lyndsey regularly teaches internationally, as well as providing mentorship for newer sleep coaches. She is passionate about responsive feeding, gentle parenting and promoting parental confidence and well-being.
With Professor Amy Brown, she is the co-founder of Thought Rebellion – an education and publishing company seeking to inspire, challenge and equip professionals and writers in the parenting, lactation and perinatal space with an evidence based revolution.
Lyndsey is currently a PhD researcher at Swansea University, exploring the needs and challenges of medically complex breastfed infants and children. In 2019 she set up the Breastfeeding the Brave project to raise awareness of the unique breastfeeding needs of chronically, critically, and terminally ill children in the paediatric setting. The mother of a childhood cancer survivor, she often talks about the impact of chronic serious illness on families, and seeks to support other families living through a serious childhood illness.
Lyndsey is a respected international speaker and teacher, and regularly speaks out against the dominant sleep training culture, as well as advocating for the rights of families to receive high-quality, compassionate and expert support. She is the author of Holistic Sleep Coaching (2018), Let’s talk about your new family’s sleep (2020), Still Awake (2021), Breastfeeding the Brave (2022) and co-author of The Writing Book (2022).

1.Explain 2 ways the paediatric population is distinct from maternity and neonatal clients in terms of management, structures and policy.
2.List 5 unique clinical lactation challenges experienced by children in the paediatric setting.
3.Describe 2 impacts of continuing to breastfeed or provide breastmilk for lactating parents.
4.Explain why targeted and specific paediatric breastfeeding training is appropriate in order to achieve the best outcomes.

United Kingdom Lyndsey Hookway, BSc, RNC, HV, IBCLC
Abstract:

Breastfeeding may be natural, but it isn’t easy. Initiating and maintaining breastfeeding, and overcoming barriers can be hard for anyone, but breastfeeding a child with illness or medical complexity in the paediatric setting is uniquely challenging and presents different obstacles than those commonly experienced by parents feeding healthy term newborns or preterm neonates.

Current policies, BFHI standards, and training are weighted towards the initiation of breastfeeding or the establishment of effective pumping for a preterm infant. The needs and challenges of children beyond the neonatal period are largely unresearched. My systematic review in 2021 found seven key themes that provided some explanation as to why breastfeeding a child with medical complexity in paediatrics is different and more challenging to achieve.

My qualitative study in 2022 has provided novel insight and new data into the specific challenges encountered by parents of children with acute, chronic, complex and life-threatening illness in the paediatric ward or paediatric intensive care unit and provides tentative explanations and suggestions for how to approach this unique population to optimise their feeding experience.

In this presentation, learners will understand how to view the paediatric population as distinct from the maternity and neonatal population and appreciate some of the unique difficulties that these families face. Learners will also develop understanding of the need to merge clinical and lactation skills in a collaborative approach to care. Finally, new insights and awareness of the importance of expanding current training to meet the needs of this population will be shared.

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Accreditation


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 IBLCE--Approval #CLT114-07. This program is approved for 1 L-CERP.

Dietetic CPEUs - Continuing Professional Education Units
Applicable to Dieticians & Nutritionists, this program is approved for 1 Dietetic CPEU by the Commission on Dietetic Registration - the credentialing agency for the Academy of Nutrition and Dietetics.

Midwifery CEUs - MEAC / NARM Contact Hours
This program is accredited through the Midwifery Education & Accreditation Council (MEAC) for 1 Contact Hour (0.1 MEAC CEU). It is also recognized by the North American Registry of Midwives (NARM) for 1 CEU/Contact Hour. Please note that 0.1 MEAC CEU is equivalent to 1.0 NARM CEU/Contact Hour.

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 1 Nursing Contact Hour.

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

If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please email [email protected] if you have any questions.

Additional Details

Viewing Time: 2 Weeks

Tags / Categories

(IBCLC) Clinical Skills, Breastfeeding Complications

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