Carmela is a family medicine MD, bachelor´s degree in Public Health Education, and IBCLC since 2005. She is also a BFHI Evaluator and the co founder and past president of the Spanish Lactation Consultant Association (AECCLM). She works in a private Family Wellness Clinic, Raices, as person in charge of the lactation program, which includes two IBCLCs attending breastfeeding families and an extensive offer of breastfeeding training for health care professionals and breastfeeding peer counsellors. The team has trained over three thousand doctors, midwives and nurses from both the Spanish National Health Service and the private sector in Spain. She is a frequent lecturer at national conferences, and has also lectured internationally, both on-site and online. She is the author of several scientific papers on breast pain, mastitis and tongue tie. She is also the author of a breastfeeding/parenting book, “Amar con los Brazos Abiertos” (To Love with Open Arms). She is married to Carlos and they homeschool their four children.
When a breastfeeding mother consults because of chronic, deep breast pain, we feel weak at the knees. Often these mothers have been to several specialists and nothing has worked for them. Is it mastitis? Thrush? Referred pain from an inadequate latch? Emotional issues? Or is it all of the above, and even more? In this presentation we will learn to do an in-depth clinical history and to use an holistic model for a systematic management of chronic breast pain, so we can offer these mothers more efficient solutions – and better counselling.
The most frequent cause of weaning worldwide is mother´s feeling that she does not have enough milk or that her infant is hungry despite her efforts… and frequently this perception becomes a reality. What support systems and clinical strategies can we use to protect mother´s normal capacity for milk production?
In this session, the speaker will review the latest evidence and protocols for management of acute lactational mastitis and other types of mastitis, discuss clinical symptoms, microbiological findings and therapeutic approaches, as well as delve into emerging therapies and the evidence behind them.
Although pain is not a normal part of nursing, many mothers experience this difficulty at some point in their breastfeeding journey. It is one of the main reasons for breastfeeding consultations, and an important cause of early, undesired weaning, especially if the infant is not thriving. Assessment of pain during lactation differs significantly from other types because it is a system we must explore – not a single patient but the interaction between the mother and her infant (that is, the dyad). In this talk, an ecosystemic overview of the evaluation and management of breast and nipple pain is offered, based on current research and clinical practice. With appropriate support, the vast majority of dyads are able to breastfeed comfortably and effectively.
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