GOLD Learning Speakers
Mariana Colmenares Castaño, MD, IBCLC
- Speaker Type: GOLD Lactation 2020 , Breastfeeding and Medically Complex Infants Lecture Pack 2020, Breastfeeding Medicine: Advancing Your Level of Care Lecture Pack, Advancing Human Milk & Breastfeeding Practices in the NICU Lecture Pack 2022, Clinical Tools for the Changing Landscape of Newborn Care Lecture Pack 2023
- Country: Mexico
Biography:
Mariana Colmenares Castano was born in Mexico City, and from an early age she was fascinated by animals and nature.She studied medicine at the National University of Mexico (UNAM), and foundher passion as a pediatrician doing her residency at the National Pediatric Institute. When her first child was born she witnessed the lack of knowledge and commitment to breastfeeding within the medical profession, and so she decided to specialize in breastfeeding medicine. She certified as a Lactation Consultant (IBCLC) in 2011.Mariana is a member of the International Lactation Consultant Association, the Academy of Breastfeeding Medicine, and a proud founding member of the National Lactation Consultant Association of Mexico (ACCLAM), where she served on the Board of Directors as Education Coordinator (2014-2019). She is part of board director for the Academy of Breastfeeding Medicine for a 3 year period (2019-2022) and recently named as secretary for the Academy of Breastfeeding Medicine. Mariana is a member of the team for Breastfeeding Country Index BFCI, a project from Yale University and Universidad Iberoamericana. She is consultant for the National Health Institute in Mexico and has collaborated with UNICEF in breastfeeding projects and part of the steering committee for the WHO. She has spoken at national and international conferences, co-published numerous articles and co-authored a chapter for the National Academy of Medicine. At the moment she is a Clinical Fellow in Community Paediatrics in London.
CE Library Presentation(s) Available Online:
Breastfeeding with Insufficient Glandular Tissue
Breastfeeding is the normative way to feed babies all over the world. We have access to a large amount of scientific evidence that supports it. Advocates of breastfeeding such as health care professionals that protect, promote and support the breast/chest feeding dyad can struggle sometimes with women or babies who cannot breastfeed as the World Health Organization suggests. Mothers with low milk supply are often supported by family, friends and health care with well meaning advice and remedies to help them do their best. Women who have insufficient glandular tissue (IGT) struggle with their milk supply, despite good breastfeeding management. It is common to see families with this issue during their second or third lactation failure without really understanding what might be going wrong. These babies can have dehydration in the neonatal period, hypernatremia or even death without anybody that could help with a correct diagnosis or help with achievable goals that can benefit both mother and baby. It is of great importance to help with accurate diagnosis that can also benefit psychologically and can help parents choose to continue breastfeeding with breast/ chest supplementation.
Presentations:
33 | Hours / CE Credits: 32.5
| Viewing Time: 8 Weeks
Presentations:
1 | Hours / CE Credits: 1
| Viewing Time: 2 Weeks
Presentations:
3 | Hours / CE Credits: 3
| Viewing Time: 4 Weeks
Presentations:
74 | Hours / CE Credits: 75
| Viewing Time: 52 Weeks
Hours / CE Credits: 1 (details) | Categories:
(IBCLC) Maternal, (IBCLC) Physiology and Endocrinology, Breastfeeding Complications, Hypoplasia/Insufficient Glandular Tissue
Breastfeeding The Baby With Congenital Heart Disease
Breastfeeding can sometimes be challenging for some families even when baby and mother are healthy. The immunological and nutritional benefits provided by breast milk must be considered when feeding any baby; it is by far the best start for babies that have any other disease where they can tend to suffer from multiple respiratory infections and other medical complications putting babies’ health, wellbeing and lives at risk. When there is a baby with a congenital cardiac disease we can face a lack of evidence and homogenous practices regarding breastfeeding. Many mothers feel helpless and many surgeons and cardiologists are not convinced that breastfeeding is better and easier for the infant with congenital heart disease. They are uncomfortable with not knowing the volume baby consumes and are not used to observing oxygen saturation and heart rate when the baby is feeding at the breast. Current challenges in treating patients with chronic conditions include the prioritization of breastfeeding, identification of the most effective nutritional interventions, and the prevention or recovery of acquired growth failure.
Children with congenital heart disease who breastfeed have better growth, shorter hospital stays, and higher oxygen saturations than children with congenital heart disease who receive formula. It is necessary to support these families with evidenced based information to promote and support breastfeeding to all mothers and babies. Create programs to meet the needs of these vulnerable babies and train surgical and pediatric staff of the neonatal surgery unit so they can support and facilitate multidisciplinary work.
Presentations:
6 | Hours / CE Credits: 6
| Viewing Time: 4 Weeks
Presentations:
74 | Hours / CE Credits: 75
| Viewing Time: 52 Weeks
Antenatal Breastmilk Expression: Setting Families Up For Success
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Antenatal breastmilk expression may be suggested to mothers, including mothers with diabetes and obesity to improve breastfeeding and maternal and infant outcomes postpartum. It can be a tool for use in these special circumstances, collecting colostrum prenatally can permit supplementation of newborns at risk for hypoglycemia at birth, reducing the use of formula. It is important also to know that teaching mothers hand expression techniques prenatally improves breastfeeding rates. Other clinical cases that can benefit from this practice are women with insufficient glandular tissue, polycystic ovaries, and mothers who have breast surgery. Learn more about the current literature on antenatal milk extraction, the complexity of labour induction and whether there is any truth to the belief that it is not possible to stimulate the nipples during pregnancy because it could start labor, and how and when to implement antenatal milk extraction in practice.
18.00 USD
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Presentations:
1 | Hours / CE Credits: 1
| Viewing Time: 2 Weeks
110.00 USD
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Presentations:
6 | Hours / CE Credits: 6
| Viewing Time: 4 Weeks
Presentations:
74 | Hours / CE Credits: 75
| Viewing Time: 52 Weeks
Oral Colostrum Care as an Immunological Intervention in the NICU
Breastmilk must be the food for every human on earth. During the last decades we have been learning much more about the immunoprotective and immunomodulating properties of human milk, specifically colostrum. With advancements in neonatal care, we also have new challenges. As health care professionals it is an ethical responsibility to protect and promote breastfeeding practices for every family. Oral colostrum care is the use of own mother's colostrum in the cheeks and mouth of the baby not for a feeding purpose. It is an opportunity to initiate an immunological intervention in small or sick babies, allowing interaction of immunological properties with the linfoid tissue, promoting and improving microbiome and immune response. The mother and the family can also benefit from this intervention improving and enhancing integral participation and prevalence of breastfeeding in the long term.
110.00 USD
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Presentations:
6 | Hours / CE Credits: 6
| Viewing Time: 4 Weeks
Presentations:
1 | Hours / CE Credits: 1
| Viewing Time: 2 Weeks
Hours / CE Credits: 1 (details) | Categories:
(IBCLC) Infant, (IBCLC) Maternal, Evidence Based Care in Nicu, Family-Centered Care, Neonatology, Probiotics & Gut Microbiome
Clinical Assessment and Management of Jaundice in the Newborn
The yellow colour on the skin and eyes in the newborn is called newborn jaundice, which is common and usually harmless. It develops often 2 days after birth and it must be ruled out during the newborn physical examination. However, in a small number of babies, being jaundiced can be due to a more serious underlying condition that needs to be assessed and urgently determined if treatment is needed as there could be a risk for brain damage. An early assessment and adequate support to the family is crucial to protect the breastfeeding dyad. Learn more about the risk factors and clinical features observed with neonatal jaundice and the current guidelines for treatment.
Presentations:
6 | Hours / CE Credits: 6
| Viewing Time: 4 Weeks
