Dr. Maya Bunik is an Associate Professor at University of Colorado Denver School of Medicine and medical director of primary care at Children’s Hospital Colorado. She has been helping mother-baby pairs with breastfeeding for almost 20 years. In terms of research, Dr. Bunik has published studies focusing on breastfeeding support in low-income Latinas. Her work on combination feeding in Latinas ‘los dos’ was cited in the Surgeon General’s Call to Action on Breastfeeding, January 2011. Her book, Breastfeeding Telephone Triage and Advice, published by the American Academy of Pediatrics, is now in its second edition and is a helpful resource for anyone providing advice for breastfeeding and was distributed to 100 US hospitals as part of the WHO Baby Friendly Health Initiative. Her latest project is developing and evaluating a Mothers’ Milk Messaging texting and online support program for new mothers. She is thrilled to be sharing her multidisciplinary team’s ’Trifecta Approach’ for supporting breastfeeding for this GOLD lactation conference.
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.
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