Speaker Type: Infant Suck (Structure, Function & Tongue-tie) Lecture Pack 2015, Alumni 2016, Webinars, Managing Challenges at the Breast Lecture Pack 2017, Tongue-Tie Symposium 2018, Tools of the Lactation Trade Lecture Pack, Tongue-Tie Symposium 2020, GOLD Learning Day 2020 - Level Up
Country: USA
Biography:
Catherine Watson Genna BS, IBCLC is in private practice in New York City since 1992. She is particularly interested in dyads with medical challenges to breastfeeding. In addition to mentoring lactation interns, she uses her clinical photos and videos in presentations to healthcare professionals on assisting breastfeeding babies with anatomical, genetic or neurological problems around the world. Catherine participates in a research collaborative with Columbia University and Tel Aviv University Departments of Biomedical Engineering, investigating biomechanics of the lactating nipple and 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 Publishers 2008, 2013, 2017), professional journal articles, and chapters in the Core Curriculum 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 and continues to serve on the Editorial Review Board.
Recent biomechanical analysis of tongue movements during breastfeeding has illuminated how healthy infants use their tongues to produce subatmospheric (negative) pressures and move milk in the mouth for swallowing. This talk reviews normal tongue kinematics during breastfeeding and extends this objective analysis to tongue-tied infants before and after frenotomy and briefly discusses the clinical implications of the changes seen in infants with ankyloglossia.
There are generally more than one way to solve a particular breastfeeding problem. Lactation consultants use clinical reasoning to choose between different tools and techniques for individual dyads. A series of case studies of dyads with breastfeeding problems will allow participants to utilize their knowledge of lactation management to choose between multiple strategies for resolution of bf difficulties.
Those baby hands are always in the way! Or are they? Infants use their hands in predictable and helpful ways during breast searching and breastfeeding. This presentation explores these behaviors and ways to work with rather than against them, including ways to protect sore nipples without frustrating the infant.
Infants with biologically based sucking problems can often breastfeed with specific lactation management and supportive techniques. This presentation provides an overview of some common medical problems that cause feeding difficulty and strategies that can help an infant with suboptimal sucking skills to feed more normally.
Tongue tied infants may have difficulties with breastfeeding that impact maternal comfort and milk transfer. This presentation focuses on strategies to support breastfeeding whether or not frenotomy is elected or available.
This presentation reviews available commercial and clinician-assembled supplementer devices and their use during breastfeeding in a problem solving context. It includes special considerations for infants with oral clefts and cardiorespiratory conditions.
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.
Cervical Auscultation (listening with a stethoscope over the baby’s neck or chin during feeding) is a useful tool for lactation consultants in assessing suck:swallow:breathe rhythms and coordination. This presentation uses recorded sound files of cervical auscultation of breastfeeding infants to illustrate some uses of this technique for breastfeeding assessment, clinical problem solving, and identifying dyads who require referrals for speech/feeding therapy or medical care.
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