Marsha is a registered nurse and international board certified lactation consultant. She has been assisting breastfeeding families in hospital, clinic, and home settings since 1976. Marsha is the executive director of the National Alliance for Breastfeeding Advocacy: Research, Education, and Legal Branch (NABA REAL). As such, she advocates for breastfeeding at the state and federal levels. She served as a vice president of the International Lactation Consultant Association (ILCA) from 1990-1994 and in 1999 as president of ILCA. She is a board member of the Massachusetts Breastfeeding Coalition, the US Lactation Consultant Association, and Baby Friendly USA, USLCA’s representative to the USDA’s Breastfeeding Promotion Consortium, and NABA REAL’s representative to the US Breastfeeding Committee. Marsha is an international speaker, and an author of numerous publications including ones on the hazards of infant formula use, Code issues in the US, and Breastfeeding Management for the Clinician: Using the Evidence.
Medical ethics is a foundation of clinical practice. While we all strive to practice in an ethical manner, there are a number of situations and issues that arise which may challenge our ethical principles. This presentation explores the application of medical ethics to clinical lactation practice.
Sore nipples are the bane of breastfeeding mothers. Nipple pain and/or damage is one of the top reasons for the early abandonment of breastfeeding. There are a large number of suggested remedies, many of which have little or no high quality evidence to recommend their use. This presentation will explore the structure of the nipple, potential screening tools for sore nipples, contributors to sore nipples, antenatal interventions, flat and inverted nipples, colonization and infection of the nipples, biofilms, small colony variants of Staphylococci aureus, and a plethora of pharmaceutical and non-pharmaceutical treatments to relieve pain and hasten healing.
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