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Lactation

GOLD Learning Day: Managing Weight Gain in the Breastfed Infant

Infant weight gain is a critical marker of feeding progress, and any professionals working with chest/breastfeeding families need to know how to monitor, assess, and intervene for positive outcomes when necessary. We have gathered expert speakers Prashant Gangal, Shel Banks, and Mary Ryngaert to discuss the latest evidence on why and how we use infant weight charts, what they can tell us and what they can't, and how to intervene when weight gain is inadequate.

Advance your understanding of why and how we track infant growth and the consequences when infant growth falters. Learn more about how to implement an effective care plan when working with a baby with poor weight gain and consolidate your knowledge by working through clinical case studies.

$50.00 USD
Total CE Hours: 3.00   Access Time: 6 Weeks  
Lectures in this bundle (3):
Duration: 60 mins
Mary Ryngaert, MSN APRN IBCLC
Case Studies of Poor Weight Gain in Breastfed Infants
United States Mary Ryngaert, MSN APRN IBCLC

Mary Ryngaert is a Pediatric Nurse Practitioner since 1987 and an International Board-Certified Lactation Consultant since 2000. She received her MSN in the Primary Care of Children at Catholic University in Washington, DC. In her clinic at the University of Florida, she sees families for breastfeeding issues for the duration of the breastfeeding journey and provides education for pediatric residents. She is active in the local breastfeeding coalition and serves as a consultant/coordinator for the hospital Baby Friendly program. She has a special interest in supporting the development of peer counselors, especially women of color, to provide breastfeeding support within the community. She served as the Chair for the National Association of Pediatric Nurse Practitioners (NAPNAP) Breastfeeding Special Interest Group for six years and is a delegate to the US Breastfeeding Committee for NAPNAP . She was a co-author for the 2018 update to the NAPNAP Position Statement on Breastfeeding.

1. List three reasons and causes for poor weight gain in breastfeeding infants.

2. Describe two activities that will assist breastfeeding families to provide adequate and ideal nutrition to their infants for each of three scenarios discussed in the presentation.

3. List three resources available to families who are experiencing low milk supply.

United States Mary Ryngaert, MSN APRN IBCLC
Abstract:

When an infant does not gain weight or loses weight there are many factors to consider. Lactation professionals, working in tandem with anxious families and health care providers can help to problem-solve to determine what the issues are and how best to address these so that infant health is promoted and the family’s plan to breastfeed is supported. This presentation will offer three clinical scenarios that Lactation professionals may encounter—the newborn who does not gain well initially, the four-week-old infant who begins losing weight after normal gain in the first weeks, and the infant who does not gain well despite interventions. For each infant, there will be discussion regarding the possible reasons for poor gain, suggested clinical interventions, and communication strategies with the family and providers.

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Duration: 60 mins
Care Plan Development for Weight Concerns in the Breastfed Infant: A Family Centred Approach
  • Bio
  • Abstract
  • Credits
  • Learning Objectives

Shel works part time for the NHS in northwest England, and has four adolescents.

In addition to this, she runs a small private IBCLC practice specialising in the unsettled baby, those with faltering weight and those who are formula fed, and also holds a variety of consultant and trustee roles in various national and international organisations for advocacy and education around infant feeding; these include being Clinical Director for the breastfeeding support app AnyaHealth, being co-chair of Nursing Matters, an advocacy organisation for the breastfed infant, and being vice-chair of the UK Association for Milk Banking.

Shel has been on the development committee for 3 NICE guidelines including one on Faltering Growth, has co-authored 3 Cochrane systematic reviews, and written a book “Why Infant Formula Feeding Matters” (2022). In 2021 Shel began work towards a PhD in further understanding how best to support families with unsettled babies in universal services, which she conducts part time alongside her other commitments.

She teaches in person and online, both in her NHS role and in the consultant roles, and thoroughly enjoys sharing the knowledge she has acquired to improve the experience of families everywhere.

1. Identify the evidence base around faltering growth

2. Name 3 elements of a collaborative care plan created with the family

3. Describe 3 critical times for following up with family regarding baby's progress and the care plan

4. Identify how to calculate a baby's supplementation needs using data procured during the consultation

Abstract:

When families are breastfeeding, all too often any concerns about weight gain quickly result in suggestions of formula supplementation; in this session we will look at ways to keep babies exclusively breastfed whilst protecting their health and their growth, promoting empowerment and satisfaction of the parents, and how to delicately and supportively advocate for the baby when exclusive breastfeeding may actually not be possible.

Understanding how to develop effective and supportive evidence-based care plans for babies whose weight and/or growth is faltering, is absolutely key to the toolkit of those who are working with breastfeeding babies. Find out more in this presentation.

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Duration: 60 mins
Prashant Gangal, MD, DCH, IBCLC
Healthy Babies: What We Can Learn from Infant Growth Charts
  • Bio
  • Abstract
  • Credits
  • Learning Objectives
India Prashant Gangal, MD, DCH, IBCLC

Dr. Gangal is a Pediatrician, Breastfeeding Trainer & Advocate in Mumbai for 30 years. He has been Mother Support-Training Coordinator of BPNI Maharashtra (1995), Co-Coordinator of Mother Support Working Group of WABA (2003) & Lactation Consultant (2009). He was chairman of Global Collaboration Committee of ILCA (2018).

He was trained by Dr. Felicity Savage. He established the first Mother Support Group in India (1995) and played a key role in training 500 Traditional Massage Women, Breast crawl rejuvenation, training Government Health Workers in 7 Indian States with an innovative module with UNICEF and organizing IBLCE exam for the first time in India (2009). He contributed to LLLI publication ‘Hirkani’s Daughters’, facilitated Lactation Counselling in 85 Maternity Facilities, organizing 8 batches of Lactation Education to facilitate about 100 Lactation Consultants, the creation of the Android app ‘Shishuposhan,’ and played a major role in launching the website www.bpnimaharashtra.org.

Dr. Gangal has multiple publications & was a speaker at LLLI conferences in San Francisco and Chicago. He was honored with Dr. N. B. Kumta Award by BPNI Maharashtra, Lifetime Achievement Award by Mumbai Breastfeeding Promotion Committee & WABA Secretariat award. He spoke on Breast Crawl & WHO Growth Charts (2016) at GOLD Conferences.

1. Describe the importance of monitoring Infant growth

2. Describe the impact of Nutrition-Health-Nurturing on growth charts

3. Explain how to distinguish between concepts of moderate & severe underweight, stunting & wasting by plotting on Growth Charts.

4. Explain the statistical basis of growth charts & how WHO Growth Charts were prepared.

5. Explain how the growth monitoring of Premature infants is different from term infants

India Prashant Gangal, MD, DCH, IBCLC
Abstract:

Infancy is a period of rapid growth & development. Any adversity has a profound impact on physical, mental & psychological outcomes for entire life. Growth Charts are the meter of infant’s Nutrition-Health-Nurturing & reflect any adversity. Hence, tracking infant growth is important.

The World Health Organization (WHO) released new international growth standards in 2006 to monitor growth of children 0-59 months of age. All Health Care Providers should use these charts to complement Infant & Young Child Nutrition (IYCN) Counselling. Every growth chart has a story to tell. I found WHO growth charts to be accurate and extremely useful for knowing past events and use the information to promote optimal growth and development in future. Every contact with the child in general & especially immunization is an opportunity to discuss nutrition & development. The concepts of Severe Acute Malnutrition and Mild Acute Malnutrition (SAM-MAM) need to be understood.

The Infant feeding professionals should also understand science behind WHO Growth Charts and how to use this information for ideal IYCN Counselling. Prematurely born infants need different charts for monitoring growth during infancy & experts need to be aware about the current concepts & opinions of monitoring growth of Premature & Low Birth Weight infants. Impact of individual components of breastmilk on growth is the new science frontier.

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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 3 L-CERPs.

Dietetic CPEUs - Continuing Professional Education Units
Applicable to Dieticians & Nutritionists, this program is approved for 3 Dietetic CPEUs by the Commission on Dietetic Registration - the credentialing agency for the Academy of Nutrition and Dietetics.

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.

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

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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: 6 Weeks

Tags / Categories

(IBCLC) Clinical Skills, (IBCLC) Development and Nutrition, (IBCLC) Education and Communication, (IBCLC) Infant, (IBCLC) Techniques, Bodywork to Support Breastfeeding, Breastfeeding Complications, Breastfeeding Support, Family & Social Support, Infant Development & Growth, Lactation & Breastfeeding, Neonatology, Slow Weight Gain

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