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More than just a Good Latch: Trifecta Approach for Breastfeeding Support

by Maya Bunik, MD, MSPH
  • Duration: 1439 Mins
  • Credits: 1.25 CERP, 1.25 L-CERP
  • Learning Format: Webinar
  • Handout: No
  • Origin:

The “Trifecta Approach” is an optimal and comprehensive approach to caring for breastfeeding babies and the challenges faced by their families. Our multidisciplinary team of three includes a pediatrician, lactation consultant, and psychologist specializing in infant mental health and development. Our team meets the unique and diverse needs of families by comprehensively addressing the baby’s medical care, the family’s breastfeeding challenges, and the developing mother-infant relationship. Common presenting problems include prematurity, latch refusal, breast and nipple pain, milk supply issues, poor weight gain and fussiness. Excessive crying often coincides with the establishment of the breastfeeding relationship, creating a complicated constellation of symptoms that are difficult for providers to treat. In addition to medical and lactation support, this clinical model integrates screening and evaluation of concurrent postpartum mood disorders and caregiver self-efficacy. Cases presented will illustrate issues such as: screening for postpartum mood disorders in the context of pediatric care; family dynamics; cultural expectations of breastfeeding; breastfeeding being “blamed” for gassiness or reflux; and maternal medications.

Learning Objectives:

Objective 1: To describe the development of the Trifecta Approach including population served, clinical issues addressed, logistics of the consultation as well as funding and sustainability.
Objective 2: To understand common misconceptions about how breastfeeding and fussiness relate (e.g. food, allergies, medications, maternal/paternal depression and the mother-infant relationship.
Objective 3: To recognize the importance of screening for postpartum depression and other maternal mental health issues as part of the breastfeeding evaluation

Presentations: 26  |  Hours / CE Credits: 24.5  |  Viewing Time: 8 Weeks