GOLD Learning Speakers
Jarold “Tom” Johnston Jr., CNM, IBCLC
- Speaker Type: GOLD Lactation 2017, GOLD Perinatal 2017, Optimizing Milk Production Lecture Pack 2018, TC 2021, GOLD Lactation 2021
- Country: USA
Biography:
Tom Johnston is unique as a midwife and lactation consultant and the father of eight breastfed children. Recently retired after 27 years in the US Army, he is now an Assistant Professor of Nursing at Methodist University where he teaches, among other things, Maternal-Child Nursing and Nutrition. You may have heard him at a number of conferences at the national level, to include the Association of Woman’s Health and Neonatal Nurses (AWHONN), the International Lactation Consultant’s Association (ILCA), or perhaps at dozens of other conferences across the country. In his written work he routinely addresses fatherhood and the role of the father in the breastfeeding relationship and has authored a chapter on the role of the father in breastfeeding for “Breastfeeding in Combat Boots: A survival guide to breastfeeding in the military”.
CE Library Presentation(s) Available Online:
The Maternal-Child Microbiome or: The “Oro-boobular axis”
Did you know that a mother who breastfeeds her child is more likely to “match” as an organ donor than a mother who does not breastfeed her child? How does that happen? The answer may lie in the Maternal-Newborn Microbiome, AKA “The Oro-boobular” axis. The scientific world is exploding with excitement over the discovery of the microbiome. While it appears clear that a suckling infant’s intestinal microbiome communicates with the mother’s lactocyte and perhaps beyond, little is known about the effects of this communication in practical terms. This presentation will review what is known and attempt to explain what it means, both now and in the future.
Presentations:
28 | Hours / CE Credits: 26.5
| Viewing Time: 8 Weeks
Presentations:
1 | Hours / CE Credits: 1
| Viewing Time: 2 Weeks
Hours / CE Credits: 1 (details) | Categories:
(IBCLC) Maternal, (IBCLC) Physiology and Endocrinology, The Newborn Microbiome
The Maternal-Child Microbiome or: The “Oro-boobular axis”
Did you know that a mother who breastfeeds her child is more likely to “match” as an organ donor than a mother who does not breastfeed her child? How does that happen? The answer may lie in the Maternal-Newborn Microbiome, AKA “The Oro-boobular” axis. The scientific world is exploding with excitement over the discovery of the microbiome. While it appears clear that a suckling infant’s intestinal microbiome communicates with the mother’s lactocyte and perhaps beyond, little is known about the effects of this communication in practical terms. This presentation will review what is known and attempt to explain what it means, both now and in the future.
Hours / CE Credits: 1 (details) | Categories:
(IBCLC) Maternal, (IBCLC) Physiology and Endocrinology, The Newborn Microbiome
This Presentation is Currently Offline
The Perinatal Microbiome
There is much to learn about the perinatal microbiome, What is it? What can it do? What do we do about it? How do our practices in the birth arena affect the long term health of women and their children? This presentation will scratch the surface of this exciting new area of research.
Hours / CE Credits: 1.25 (details) | Categories:
(IBCLC) Clinical Skills, (IBCLC) Psychology, Sociology, and Anthropology, Birth Practices & the Microbiome, The Newborn Microbiome
Human Milk Synthesis: Just When You Thought You Knew
"I didn't make enough milk!" We hear it on a regular basis from heartbroken new mothers. In fact, this is the number one factor contributing to breastfeeding failure after two weeks of age is a perception of inadequate milk production. This phenomenon of sudden onset lactation failure is widely accepted as a common occurrence among breastfeeding mothers. This topic has been the subject of a number of quality studies that have yielded a conflicting mix of responses from primary health care providers and lactation consultants alike. This discussion will attempt to shed light on the very different concepts of "Milk Production" vs. "Milk Synthesis" and will demonstrate how confusion between those two concepts have clouded the study of milk production, promote the fallacy of "insufficient milk production syndrome", and contribute to the failure of breastfeeding. This presentation will also attempt to provide a preliminary course of action to begin anew in milk production research and perhaps even provide a framework for helping the new mothers facing the milk supply challenge.
Presentations:
6 | Hours / CE Credits: 6
| Viewing Time: 4 Weeks
Hours / CE Credits: 1 (details) | Categories:
(IBCLC) Maternal, (IBCLC) Maternal, (IBCLC) Physiology and Endocrinology, Managing Milk Supply
This Presentation is Currently Offline
A Father’s Role in Breastfeeding
Fathers are an undervalued resource in breastfeeding, often ignored or treated with indifference. This presentation highlights the unique role of fathers as both the Co-Parent of the child and the mother’s primary care giver upon discharge from the hospital. We will discuss the literature regarding the impact that fathers have on breastfeeding and how they can be used more effectively to support breastfeeding. The presenter will also provide an insight into the male mind and how to effectively communicate with fathers. It also covers effective teaching strategies to bring fathers into the breastfeeding relationship. Newly updated for 2020.
Hours / CE Credits: 1.5 (details) | Categories:
Family & Social Support
This Presentation is Currently Offline
Still Swimming Upstream: Breastfeeding in a Formula Feeding World
In 1995 Chris Mulford published a timely article on the difficulties faced by breastfeeding mothers in a formula feeding culture. That article was as accurate then as it is today. This discussion will focus the history of breastfeeding in America and on age-old difficulties faced by breastfeeding mothers in a medical society that has been decidedly focused on the formula feeding for more than 100 years. We will discuss the concept of “culture” and how it impacts breastfeeding, discuss the routine actions in the hospital that contribute to the formula feeding culture, and identify the prejudices of both society in general and the average American mother-baby unit against breastfeeding.
Hours / CE Credits: 1 (details) | Categories:
(IBCLC) Education and Communication, (IBCLC) Psychology, Sociology, and Anthropology, (IBCLC) Public Health and Advocacy, Breastfeeding Advocacy
This Presentation is Currently Offline
The Making of Human Milk: A Clinical Update
How often to we hear mothers say “I just didn’t make enough”. Everyone seems to blame the mother for everything, it seems that every time it rains the mother and the pediatrician think it is raining because mother didn’t make enough milk, usually with no evidence. This talk will discuss the scientific evidence behind low milk supply, and several methods used to measure it. We will clarify some of the confusing and often misleading terms used to discuss breastfeeding, milk production, milk synthesis, milk supply, and how they are used to mean the same thing, when they actually are very different. The speaker will attempt to clarify this confusion by introducing three new terms, Milk Delivery, Milk Production, and Milk Transfer, as well as introducing a new model for assessing and diagnosing potential issues with milk supply.
Hours / CE Credits: 1.5 (details) | Categories:
(IBCLC) Maternal, (IBCLC) Pharmacology and Toxicology, Breastmilk / Human Milk
This Presentation is Currently Offline
New Insights Into the Maternal Child Microbiome
It has been 10 years since the Microbiome burst on the scene. In that time there has been a huge interest in the microbial world of the maternal-infant dyad. There appears to be a symbiotic microbial interplay between the two that has been playfully dubbed “The Oro-boobular-axis”. There is now solid evidence that the mother passes her microbiome to the infant as it passes through the birth canal and breastfeeds. There is also evidence that the baby passes their microbiome to the mother through “Retrograde inoculation”. This new understanding of human lactation is beginning to offer explanations to how some of the magic “benefits” of breastfeeding may actually be happening at a cellular and microbial level. It isn’t as well understood as some would have you believe, but it is an exciting new world to explore.
Hours / CE Credits: 1 (details) | Categories:
(IBCLC) Infant, (IBCLC) Maternal, The Newborn Microbiome
This Presentation is Currently Offline
Promoting Provider Self-Efficacy in Breastfeeding Support
40 years of public health messaging has worked tremendously. We have met the HP2020 goals of >80% breastfeeding initiation, you are to be congratulated. Unfortunately, what we have missed is providing clinical skills training to our health care providers. We now have a majority of new families initiating breastfeeding and very few people prepared to care for them when there is trouble. Research shows that 80% of new families experience clinically significant breastfeeding problems in the first two months of lactation, and physicians and nurses are woefully unprepared to help. This leaves the families without care and unprepared for what may be a difficult and painful struggle. This presentation discusses the research regarding health care provider education and reports on studies that may demonstrate an effective way to encourage provider self-efficacy in breastfeeding support.
Hours / CE Credits: 1 (details) | Categories:
(IBCLC) Education and Communication, (IBCLC) Public Health and Advocacy, Breastfeeding Advocacy
Using Evidence to Develop Clinical Lactation Skills
The field of Human Lactation is a new profession. Much of what we use comes from apprenticeship programs and hard learned lessons from a mother’s own personal experience. The lactation profession needs to investigate several of their practices and policies to discover what is evidence based and what is anecdotal evidence. This presentation explores the practices commonly employed in breastfeeding (growth monitoring, infant positioning, the use of assisted feeding devices, and counseling skills) to determine which are evidence based and which will require further study if they are to be used in clinical practice.
Presentations:
29 | Hours / CE Credits: 29.5
| Viewing Time: 8 Weeks
Presentations:
5 | Hours / CE Credits: 5
| Viewing Time: 6 Weeks
Presentations:
1 | Hours / CE Credits: 1.25
| Viewing Time: 2 Weeks
Presentations:
74 | Hours / CE Credits: 75
| Viewing Time: 52 Weeks
Hours / CE Credits: 1 (details) | Categories:
(IBCLC) Education and Communication, (IBCLC) Equipment and Technology, (IBCLC) Ethical and Legal Issues, Counseling Skills, IBCLC Using Research
