Nikki started as an LPN in 1971, got her RN and BSN, and a graduate degree. She is an author, a teacher, a holistic lactation consultant, a craniosacral therapy practitioner, and a baby body worker (teaching Infant Massage and TummyTime! She is mother to 2 wonderful (breastfed for a long time) daughters, wife to 3 interesting men, only one of whom was the right one for the past 37 years, Rafe!
Her publications include the books, Complementary and Alternative Medicine in Breastfeeding Therapy and A Breastfeeding Owner’s Manual; the monographs, “Benefits of Breastfeeding and Their Economic Impact” and “Sexuality and Breastfeeding” and the educational pamphlet “How to help yourself through labor”. She has been the reviews editor for the journal Clinical Lactation, and has worked as the lactation consultant for the division of Maternal, Child, and Family Health at the Philadelphia Department of Public Health since 2006.
In the past, childbirth educators and breastfeeding helpers have given information that has inadvertently worked against breastfeeding exclusivity and duration. This presentation will address at least 4 common teachings and how they can reinforce perceived milk insufficiency and new mothers’ insecurity about milk supply. Strategies, evidence and scripts will be given to update breastfeeding education.
This presentation will describe the 5-year journey to the creation and implementation of the 10 Steps to a Breastfeeding Friendly Shelter, starting with a key person, the prime mover, wondering, as she struggled in her resource-rich home with breastfeeding, "what do mothers experiencing homelessness do when they have trouble breastfeeding?" This question led to the formation of a committee, with the eventual outcome of a published policy paper and the Office of Homeless Services changing its provider contract to include accommodations for breastfeeding.
Writing policy is a skillset needed throughout the lactation profession as the lactation care provider often serves as both clinician and advocate. As an author of 2 breastfeeding policies, including a promotion policy for the City of Philadelphia Department of Public Health in 1992 and 10 Steps to a Breastfeeding-friendly Shelter in 2019, Nikki will give some historical background for breastfeeding policy and offer guidance about how to formulate a policy, what is important in writing policy, and make the process easier to work through and less intimidating.
Many healthcare disciplines, including breastfeeding counseling and lactation consultation, use negotiation and therapeutic conversation to give practical advice, encouragement and suggestions to their clients. What can we learn about counseling from disciplines that are outside the healthcare arena? This presentation will describe different counseling principles that come from fitness coaching and from hostage negotiation and how they can be used to help improve outcomes for breastfeeding families.
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