Edith Kernerman is an International Board Certified Lactation Consultant and clinician in Toronto, seeing over 2000 breastfeeding families each year. She is co-founder and President of the International Breastfeeding Centre (IBC), co-founder and Clinic Director of the Newman Breastfeeding Clinic, (NBC), senior faculty at IBC’s Centre for Breastfeeding Studies, and an IBLCE mentor. She is the creator and founder of the International Meeting of the Minds, co-creator of Dr. Jack Newman’s Visual Guide to Breastfeeding, the L-Eat Latch and Transfer Tool; author of GamePlan for Protecting and Supporting Breastfeeding in the First 24 hours of Life and Beyond, and creator of the Pain Algorithm for Sore Nipples and Breasts. Her recent focus has been 1] not yet latching baby, 2] identifying and treating tongue and lip tie, 3] Mammary Constriction Syndrome. Kernerman is also co-founder and President of the Ontario Lactation Consultants Association. Edith Kernerman has 3 wonderful breastfed children.
The International Breastfeeding Centre has been in need of a validated TT assessment tool that works for newborn and babies of any age, is very quick and easy to administer by a practitioner who has not been trained on the tool, has as few criteria as necessary, captures both anterior and posterior, as well as submucosal ties, is applicable to both breastfeeding and non-breastfeeding babies. Because of this need, IBC created such a tool and proceeded to have it validated. To this end IBC's goal was to achieve: 1. Criterion-related validity (compared to HATLFF); 2. Criterion-related validity (compared to physician's assessment); 3. Face validity (>4 Experts); and 4. Inter-rator reliability.
This talk discusses the applications of the IBC TT Assessment Tool, whether or not validation was achieved and the process to achieving it, and how the tool has been put into practice.
This talk differentiates between the baby who cannot latch and the baby who refuses to latch. Through an informal chart review done at our clinic we examined the various approaches we have to these two different kinds of non-latchers and our success with latching them. I present here a rationale for why these babies might either not be able to latch or why they might refuse, and my approaches to getting them latched. On the surface these approaches may seem fairly typical; however there are nuances and subtleties that set them apart from others I am aware of. These differences involve understanding any “pavlovian-type” responses that have formed, knowing how and when to push the “refresh” button or knowing when to resort to “resetting”. In the past 2 years I have made many new observations and revisions to my approach, which was developed over the last 10 years.
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