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Building Bridges: Early IBCLC Recognition and Triage of Common and Life-Threatening Newborn and Maternal Pathology

by Anya Kleinman, MD, IBCLC
  • Duration: 60 Mins
  • Credits: 1 CERP, 1 L-CERP, 0.1 Midwifery CEU, 1 Dietetic CEU
  • Handout: Yes
Abstract:

IBCLCs, often with limited education in newborn medicine and obstetrics, care for the infant-parent dyad within the context of a complex healthcare system staffed by providers with variant training in breastfeeding medicine. This is an interaction filled with knowledge gaps and fraught with the possibility for misunderstanding and dangerously missed diagnoses. I plan to combine my training in general pediatrics and my clinical experience as a pediatric ER physician with my IBCLC training. I will teach conference participants about medical emergencies when caring for the breastfeeding newborn and the post-partum parent so that they can recognize clinical scenarios presenting to their care that require immediate medical assessment. The presentation will focus on high-yield topics in newborn medicine and postpartum obstetrics to deepen the IBCLCs recognition and ensure appropriate ongoing care for common and life-threatening complaints. It will include a discussion of neonatal jaundice, neonatal fever, severe weight loss, pyloric stenosis, congenital birth defects and genetic disorders; the lecture will also address postpartum depression, post-operative infections, and postpartum preeclampsia. Armed with this understanding of clinical red flags, IBCLCs will be empowered to better care for their breastfeeding patients, while also understanding when immediate medical assessment is imperative.

Learning Objectives:

1. Describe both common and dangerous pathology in the newborn and postpartum period.

2. List red flags in the history and the physical exam of the infant-mother dyad that require immediate medical assessment.

3. Describe clinical questions to be used when evaluating patients for evolving postpartum complications.

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