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Lactation, GOLD Learning Symposium Series

GOLD Learning Tongue-tie Online Symposium 2020 - Day 1 Fundamental Skills

Welcome to the GOLD Learning Tongue-tie Symposium 2020! Our 5 expert speakers present a comprehensive overview of the fundamentals of providing care to infants with oral restrictions and their families. Learn more about how tongue-tie impacts the mechanics of breastfeeding, the importance of referral and collaboration, critical assessment skills and how to distinguish tongue-tie from other restrictions, understanding the complexities of tongue-tie and management of breastfeeding when frenotomy is not possible.

We're excited to have you join us for the amazing presentations that will leave you feeling more confident and armed with clinical skills that you can put into practice right away to help the families in your care.

$95.00 USD
Total CE Hours: 5.00   Access Time: 8 Weeks  
Lectures in this bundle (5):
Duration: 60 mins
Jacqueline Kincer, IBCLC, CSOM
Tongue Tied Untied: Creating Functional Breastfeeding Outcomes
USA Jacqueline Kincer, IBCLC, CSOM

Jacqueline Kincer is the founder of Holistic Lactation where she runs a busy practice, manufacturers herbal supplements for lactation, and supports breastfeeding families worldwide. She's also the host of the podcast Breastfeeding Talk: Milk. Mindset. Motherhood. and creator of the online breastfeeding community, The Nurture Collective. Jacqueline's passion has been to create functional breastfeeding outcomes and expand access to lactation knowledge across the globe.

1. Explain how tongue tie creates breastfeeding dysfunction through compensations of the orofacial complex
2. Describe when to use oral exercises to correct oral dysfunction, and what things should be addressed with bodywork (and frenectomy)
3. Describe the process it takes to change brain-based feeding habits and create new motor learning post-frenectomy

USA Jacqueline Kincer, IBCLC, CSOM

In this presentation, Jacqueline demonstrates how tongue tie affects proper breastfeeding, specifically the mechanics of breastfeeding such as oral grasp, tongue extension, pressure generation, and more. You'll learn how to know which problems are issues that can be corrected with targeted oral exercises, or if bodywork is needed instead. We will also cover the timeline of habilitation in the weeks following frenectomy.

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Duration: 60 mins
Gina Weissman, DMD, RN, IBCLC, FABM
Understanding the Complexities of Tongue Tie: 2020 Updates
Israel Gina Weissman, DMD, RN, IBCLC, FABM

Dr. Gina Weissman began her career as a dentist, receiving her training at The Hebrew University Hadassah Medical School, Jerusalem. She is also a RN nurse and has been working as an IBCLC, Certified Lactation Consultant, since 1999. She teaches courses in human lactation for both medical professionals and future lactation consultants, mentoring them in preparation for the international exam of the IBCLC. Dr. Weissman councils mothers and releases tongue ties at her private breastfeeding clinic, HalavM. She is an expert in teaching mothers Instinctive Breastfeeding and the author of Mother's Milk, a Video Guide to Breastfeeding (Hebrew/Arabic/English).Dr. Weissman is an international lecturer and the president of the Israeli Association of Certified Lactation Consultants.She lives in Israel with her husband Amir and four sons.

1. Distinguish between anterior and posterior tongue tie based on the updated literature.
2. Describe physical and functional characteristics that lactation specialists must assess when considering whether to refer an infant for evaluation and possible treatment of posterior tongue tie.
3. List components that must be included in a lactation management plan whenever a lactation specialist is concerned that an infant may have a posterior tongue tie.

Israel Gina Weissman, DMD, RN, IBCLC, FABM

Background As far as anterior tongue tie is concerned, there is a growing, vast body of knowledge that has been validated. As for posterior tongue tie, the scientific evidence is lacking, and the assessment tools are not uniform among practitioners. Medical diagnoses are not part of the scope of practice of Lactation Consultants. Hence, there is a lot of confusion among professionals (both Drs and Lactation Consultants), resulting in over diagnosis and over treatment on the one hand, and under treatment on the other.
• To present a unique perspective of an experienced Lactation Consultant who is also a dentist, experienced in diagnosing and treating various types of tongue ties
• To share a conservative clinical thinking process
• To examine the effects of frenotomy on breastfeeding and nipple pain
• To compare the effect of frenotomy on anterior verses posterior tongue ties.

The discussion will focus on the clinical dilemmas regarding releasing posterior tongue ties and their implications for breastfeeding. Clinical cases of babies with posterior tongue ties will be shown to demonstrate how exclusive breastfeeding can be achieved in clinical cases with posterior tongue ties that were not released. Cases of anterior and posterior tongue ties that had been released although breastfeeding was going well will also be shown.
Frenotomy is a predictable procedure for anterior tongue tie. However with posterior tongue ties, the outcome of nipple pain and breastfeeding latch are influenced also by different factors.

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Duration: 60 mins
Breastfeeding With A Tongue Tie. How Can We Help When A Tie Revision Is Not Possible?

Meg is the mother of three breastfed boys and lives with her husband and children in QLD, Australia. She is an International Board Certified Lactation Consultant (IBCLC) in private practice and works with parents to help them reach their breastfeeding goals. She has a degree in psychology and her prior work was is in counselling and sexual health. She was a La Leche League Leader (breastfeeding counsellor) for seven years before becoming an IBCLC. Meg is the author of two books including, "Boobin' All Day...Boobin' All Night. A Gentle Approach To Sleep For Breastfeeding Families". She has published articles in numerous parenting magazines and websites. She was also filmed for a short documentary, "Lactaboobiephobia", based on one of her blog posts which was released in 2016.

1. List the positions that tend to work best for babies who are having trouble latching
2. Explain how planning with the family helps leads to better outcomes.
3. Discuss possible challenges that might arise and how to best support families through them if.


Breastfeeding a child with a tongue can be very straightforward with no challenges for mother or baby, or can bring numerous challenges and problems. There are circumstances when a tongue tie procedure is not possible or the parents choose to avoid having the procedure, yet want to continue to breastfeed if possible. There are ways that we can help! This presentation involves practical tips and suggestions for health care professionals on how to best support families in this situation including how to best cover different possible outcomes, forming plans and working through challenges.

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Duration: 60 mins
Critical Assessment of Apparent Tongue-Tie

Catherine Watson Genna BS, IBCLC is an International Board Certified Lactation Consultant in private practice in New York City. Certified in 1992, Catherine is particularly interested in helping moms and babies breastfeed when they have medical challenges and is an active clinical mentor. She speaks to healthcare professionals around the world on assisting breastfeeding babies with anatomical, genetic or neurological problems. Her presentations and her writing are enriched by her clinical photographs and videos. Catherine collaborates with Columbia University and Tel Aviv University Departments of Biomedical Engineering on research projects investigating the biomechanics of the lactating nipple and various aspects of sucking and swallowing in breastfeeding infants. She is the author of Selecting and Using Breastfeeding Tools: Improving Care and Outcomes (Praeclarus Press 2009) and Supporting Sucking Skills in Breastfeeding Infants (Jones and Bartlett Learning 2008, 2013, 2017) as well as professional journal articles and chapters in the Core Curriculum for Lactation Consultant Practice and Breastfeeding and Human Lactation. Catherine served as Associate Editor of the United States Lactation Consultant Association’s official journal Clinical Lactation for its first seven years.

1. Describe the kinematics (organization of tongue movements in space and time) of normal breastfeeding.
2. List validated assessment tools to identify ankyloglossia.
3. List 4 conditions that can be confused with tongue-tie.


Tongue tie is one potential cause of breastfeeding difficulties, but most authorities fear that frenotomy is overused. This presentation explores research on the role of the tongue during normal breastfeeding; briefly reviews validated assessment tools, and proposes other management, structural and medical issues that impact tongue mobility and feeding.

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Duration: 60 mins
First Do No Harm: The Importance of Assessment, Referral, and Collaborative of Ankyloglossia

Jenn Bio - International Board Certified Lactation Consultant and Birth Doula, Founder and Owner of Feed the Babes, LLC offers in-home and clinic-based, skilled breastfeeding support and birth doula services Jennifer also serves as a Michigan Breastfeeding Network (MIBFN) Project Manager and as Co-Founder of the Southeast Michigan IBCLC's of Color. The married mother of two happy, healthy, breastfed children has made it her life mission to disrupt the broken system that plagues the families that are impacted by systemic racism. She's committed to showing up in the community, daily, and, by mentoring aspiring Black IBCLC’s, supporting equipping and empowering future trailblazers to change the world. She is a dual Canadian and American citizen, leader, public speaker, consultant, clinician, advocate, and educator. Collectively as a family, she, her husband and two children enjoy growing their own food, photography, videography and serving their community. They reside in Metro-Detroit, Michigan.

1. Explain the importance of early assessment in the clinical management of breastfeeding.

2. Identify equitable referral strategies for timely diagnoses of ankyloglossia.

3. Discuss solutions to effectively refer and collaborate across care teams.


During this presentation, we will discuss how best practices in early referral of skilled lactation support can improve feeding outcomes. Centering Black and Indigenous families by collaboratively working together with early assessment, community referrals and continuum of care across care teams can prevent improper diagnoses of ankyloglossia which can be harmful for families seeking to reach their individual feeding goals.

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CERPs - Continuing Education Recognition Points
GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07. This program is approved for 5 CERPs (5 L-CERPs).

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.

Tags / Categories

(IBCLC) Infant, (IBCLC) Maternal, (IBCLC) Public Health and Advocacy, Breastfeeding the Tongue Tied Infant, Tongue & Lip Tie Assessment

How much time do I have to view the presentations?

  • The viewing time will be specified for each product. When you purchase multiple items in your cart, the viewing time becomes CUMULATIVE. Ex. Lecture 1= 2 weeks and Lecture Pack 2 = 4 Weeks, you will have a total of 6 weeks viewing time for ALL the presentations made in that purchase.
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  • YES! Each lecture comes with a PDF handout provided by the Speaker.

Some lectures include a Q&A, what does that mean?

  • During our online conferences, presentations that occur live are also followed by a short 15 minute Question & Answer Session. The Speaker addresses questions that were posted by Delegates during the presentation. We include the recording of these Q&A Sessions as a bonus for you.

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