GOLD Lactation Online Conference 2024
Welcome to the 18th Annual GOLD Lactation Online Conference! We're eager to continue our work of exploring the latest research, honing clinical skills, and examining trends, new ideas and hot topics in the world of human lactation. This is an exciting time of new research and shifts in thinking and understanding within the field. Adding to the excitement are many exciting features such as interactive sessions to help develop critical thinking skills and shift our attendees from passive listener to active participant, new ways to engage with our speakers and with one another in our virtual environment during networking sessions. Join us for an amazing program of thought-provoking topics and speakers who will expand your knowledge and skills, combined with community and connection!
Join friends and colleagues at GOLD Lactation 2024 to gain new insights into solving latching problems, the nuances of clinical sucking skills, adapting care for neurodivergent parents, lab work for low milk production, the physiology of exercise and lactation, clinical case studies, the latest research and how to apply it to your practice and so much more! With expert speakers such as Jacqueline Kincer, Janiya Mitnaul Williams, Laurel Wilson, Megan Dunn, Dianne Cassidy, Mercedes Thomas, Nikki Lee, and Miranda buck to name just a few, this event is not to be missed!
Janiya Mitnaul Williams, MA, IBCLC,CLC, is an accomplished lactation consultant, advocate, and trailblazer in the field of perinatal health equity. With over 15 years of experience, Janiya has dedicated her career to supporting nursing families and driving positive change in lactation practices.
Janiya's educational background includes degrees in Speech-Language Pathology and Audiology, as well as Health & Wellness with a concentration in Human Lactation. This diverse knowledge base equips her with a holistic approach to lactation support, recognizing the unique needs of each individual and their family.
In March of 2020, Janiya made history by creating and establishing the groundbreaking Pathway 2 Human Lactation Program at North Carolina Agricultural and Technical State University (NC), becoming the first public Historically Black College and University (HBCU) to offer a lactation program. As the Director of this pioneering program, she has set new standards in lactation education and operates an Outpatient Community-Based Lactation Clinic, providing essential support to nursing families in the local community.
Janiya's visionary leadership extends beyond the university setting. As the Co-Chair of the Perinatal Health Equity Collective for North Carolina since 2022, she leads strategic initiatives to address disparities and promote equitable access to quality perinatal services. Her passion for social justice and commitment to advancing equity in perinatal care have made a profound impact on the field.
Additionally, Janiya serves as the Co-Coordinator for Doula Services at the Women's and Children's Center at Cone Health. In this role, she works tirelessly to ensure birthing individuals and their families receive compassionate care and invaluable resources throughout their journey.
Recognizing the need for representation and cultural inclusivity within the lactation field, Janiya founded the Mahogany Milk Support Group in 2015. This empowering initiative aims to promote, encourage, and normalize nursing for Black and Brown families. Her trailblazing efforts include being the first person of color and Non-Registered Nurse to be hired as a Lactation Consultant within Cone Health's hospital system.
Driven by a passion for diversity, equity, and inclusion in lactation, Janiya strives to promote better health outcomes for Black, Brown, marginalized, and underprivileged families, who often face significant lactation barriers. Her visionary leadership, dedication to lactation equity, and unwavering commitment to empowering nursing families have earned her recognition and respect within the industry. Through her pioneering work and advocacy, Janiya is making a lasting impact on the field of perinatal health equity, creating a more inclusive and supportive environment for all nursing families.
Topic: Breaking the Silos: Understanding the Connections Between Labor Interventions and Lactation - [View Abstract]
1. Define and explain the core tenets of equitable lactation support, identifying the socio-cultural factors that influence breastfeeding/chestfeeding experiences.
2. Apply up-to-date research and guidelines to enhance breastfeeding/chestfeeding success, providing individuals with accurate and effective strategies for managing challenges and optimizing feeding experiences.
3. Describe the significance of active listening, empathetic responses, and clear information dissemination in establishing trust and effective two-way communication.
Placing patient-centered care at the forefront of lactation is not just important; it is pivotal. This endeavor seamlessly weaves together the intricacies of equity and evidence-based information, all while focusing intently on tailoring support to the unique needs of lactating individuals and fostering ideal communication.
For breastfeeding/chestfeeding, patient-centered care infused with equity recognizes diverse socio-cultural factors, bridging gaps in support and enriching maternal and infant health outcomes. Integrating evidence-based information bolsters lactation guidance, refining the nursing person’s experience.
However, at its core, lactation-focused care revolves around meeting individuals where they are with just moments to grasp their preferences and establish trust and empathy. Effective communication acts as the cornerstone, facilitating clear dissemination of their concerns/issues while applying shared decision-making. This empowers lactating individuals and their families by aligning feeding choices and plans with their personal objectives.
In order to revolutionize lactation support we must practice patient-centered care, while weaving in equity and evidence-based practices.This means combining fairness and using proven methods. This approach values families' experiences and encourages teamwork, making parents, infants and children healthier and happier.
Dr. Shela Hirani is an Associate Professor at the University of Regina, Faculty of Nursing, Canada. She is a breastfeeding advocate, neonatal and child health nursing professional, leader for the health of women and young children, academician, researcher, mentor, and an International Board-Certified Lactation Consultant (IBCLC). Dr. Hirani has an established program of research "Breastfeeding Advocacy Research: Program, Policies and Practices (BARPPP) that aims to promote, protect and support breastfeeding practices of women in diverse community-based settings, including hospitals, disaster relief camps, mothers' workplace setting, child daycare center, and post-secondary institutions of low-income, middle-income and high-income countries.
Dr Hirani received Queen Elizabeth II Platinum Jubilee Medal from the Government of Saskatchewan, Canada. She is recognized by World Health Organization as one of 100 outstanding women nurses in 2020. In 2022, she received "Multicultural Leadership Award" and "The YWCA Nutrien Women of Distinction Award". She is also the recipient of Sigma Theta Tau International Honor Society of Nursing's Emerging Nurse Researcher award 2020, the Vanier Canada Graduate Scholarship Award and the Honorary Izaak Walton Killam Memorial Scholarship Award for her outstanding academic excellence, community services, leadership and contribution for knowledge development in nursing. Recently, she was inducted into the prestigious Marquis Who's is Who biographical registry.
1: Describe the effects of humanitarian aid on breastfeeding practices of displaced mothers affected by natural disaster.
2: Explain the pitfalls/challenges surrounding humanitarian aid targeting breastfeeding mothers in the setting of disaster relief camps.
3: List at least 3 recommendations surrounding humanitarian aid targeting breastfeeding mothers residing in disaster relief camps.
During disaster and displacement, the affected families often receive humanitarian aid from a variety of governmental/non-governmental organizations and donor agencies. Very limited information is available on the effects of humanitarian aid on the breastfeeding practices of mothers affected by disaster and displacement. Recent research has shown that although humanitarian aid facilitated survival, health, and well-being of the displaced mothers and their family members, there are various pitfalls surrounding humanitarian aid that increase the vulnerability and negatively affected breastfeeding practices of displaced mothers. Learn more about the 3 major themes that were identified by the latest research and recommendations surrounding humanitarian aid targeting breastfeeding mothers residing in disaster relief camps.
Mercedes Thomas is an advanced practice nurse, lactation consultant, writer, and health consultant. She is also the author of the best-selling book What in the Baby?!?: The Modern Mama's Guide to Confidently Caring for Your Baby and Surviving the Postpartum Period, written to help expectant mothers and new parents transition into the new normal of parenthood.
She has been in the nursing field for over a decade. Mercedes completed her undergraduate nursing studies at Emory University in Atlanta, GA, and went on to earn her Pediatric Primary Care Nurse Practitioner degree from the University of South Alabama.
In 2020, Mercedes was named the Washington Parent Pick in the category of breastfeeding support. She has also been recognized by the founders of Black Breastfeeding Week as a "brave innovator" in her pursuits to support lactation care and education in her community. Her health articles have also been featured in outlets like Medical News Today, Verywell Health, and GoodRx.
As an extension of her immense passion for supporting parents, Mercedes also created the My Global Family app to connect parents to health and education service providers, reliable resources, and other families worldwide.
In Mercedes' downtime, you can find her globetrotting with her family, and advocating for families to have access to equitable, quality healthcare and breastfeeding services.
1. Describe the leading causes of maternal and infant mortality in the United States.
2. Describe the breastfeeding disparities that exist for marginalized populations.
3. Explain how digital health content and engagement tools can potentially lead to improved maternal and infant health outcomes.
There is no secret that compared to other industrialized nations that the breastfeeding and infant mortality rates in the United States are shameful. This is true in other parts of the world as well and often, part of the problem is poor access to quality information about breastfeeding. Not to mention the aftermath of the COVID-19 pandemic left even more birthing parents to fend for themselves and to lean on social media for support and "Dr. Google" to find the answers to the parenting challenges that plagued them.
What if lactation professionals and healthcare providers could help turn the negatives into positives? What if part of the solution to the dismal maternal mortality statistics and breastfeeding rates for Black and other marginalized parents was the dissemination of quality digital health content?
This presentation will explore the use of content creation as a means to engage, educate and advocate for marginalized families. It will also take a deeper dive into the health disparities that exist and the high stakes involved for families who lack resources and lactation support.
Nikki started as an LPN in 1971, got her RN and BSN, and a graduate degree. She is an author, a teacher, a holistic lactation consultant, a craniosacral therapy practitioner, and a baby body worker (teaching Infant Massage and TummyTime! She is mother to 2 wonderful (breastfed for a long time) daughters, wife to 3 interesting men, only one of whom was the right one for the past 37 years, Rafe!
Her publications include the books, Complementary and Alternative Medicine in Breastfeeding Therapy and A Breastfeeding Owner’s Manual; the monographs, “Benefits of Breastfeeding and Their Economic Impact” and “Sexuality and Breastfeeding” and the educational pamphlet “How to help yourself through labor”. She has been the reviews editor for the journal Clinical Lactation, and has worked as the lactation consultant for the division of Maternal, Child, and Family Health at the Philadelphia Department of Public Health since 2006.
Topic: Breastfeeding Counselling Concepts from Disciplines Outside the Maternity Ward - [View Abstract]
Topic: Tips and Tricks for Writing Breastfeeding Policy - [View Abstract]
Topic: Words That Work - [View Abstract]
1. Describe three similarities in clients receiving breastfeeding support care, fitness coaching, and hostage negotiation.
2. List three types of advice giving and the one thing they have in common.
3. Recite three coaching questions that lead to empowerment, clarity, and action.
4. Describe the physiology behind the impact of labeling a feeling.
5. List three elements of communication.
Many healthcare disciplines, including breastfeeding counseling and lactation consultation, use negotiation and therapeutic conversation to give practical advice, encouragement and suggestions to their clients. What can we learn about counseling from disciplines that are outside the healthcare arena? This presentation will describe different counseling principles that come from fitness coaching and from hostage negotiation and how they can be used to help improve outcomes for breastfeeding families.
Tiara Caldwell, LPN IBCLC, has been a maternal and infant health advancement champion for over ten years, starting with her work as a community doula and mental health professional. She became certified as an International Board Certified Lactation Consultant in 2015 and, shortly after, began work as a private practice practitioner and working part-time in the hospital setting.
Tiara
owns Crowned & Cradled LLC, a company in the DC Metro area that provides doula support and lactation services. Tiara is known as a compassionate caregiver and savvy businesswoman in her community and field.
Her areas of expertise range from prenatal education, support for families of multiples, and ways for business owners to find their unique voices and craft marketing efforts to mirror them. Tiara has presented at various conferences and received raving reviews and additional business growth opportunities.
The heart of Tiara's work is providing families with the keys they need to have successful feeding experiences in a judgment-free space. Being a mother of four children and navigating multiple unique family structures herself, Tiara can offer a culturally appropriate, sensitive, and respectful approach to care to encourage families to reach their goals. She does this by continuing to collaborate and contribute to community organizations with support groups and classes and co-hosting a podcast called Birth. Ish.
Caoimhe Whelan qualified as an IBCLC in 2016 after completing the IBLCE pathway 1 route to certification for voluntary breastfeeding supporters. She currently works in private practice in Dublin, Ireland and does some lecturing in breastfeeding and lactation topics at third-level institutions. Caoimhe has a particular interest in low milk supply, antenatal education, qualitative breastfeeding research and the experience of transitioning to motherhood in the digital age. In 2022 Caoimhe graduated from University College Dublin with an MSc. in research. Her study explored the lived experiences of women breastfeeding with primary low milk supply.
1. List three examples of unique family structures and their unique characteristics and needs.
2: Explain 2 ways to implement active listening, motivational interviewing, and critical thinking to assess information while providing care to these families.
3. Describe 3 important factors in providing culturally respectful care to these communities and collaborating with them for goal setting to reach feeding success.
As the number of families headed by one-parent and more diverse family structures drastically increases, it is critical for lactation professionals to consider the clinical implications of providing care to these families. This population is increasing globally. More individuals choose to have unique family structures, whether choosing to wait until an older age to become a parent independent of a partner, multi-generational families with grandparents or other elders cohabiting with the family, or same-sex couples who start a family. These unique family structures can also be, but are not always, established due to loss, trauma, or financial strain. These families need special care and consideration when approaching their lactation and infant feeding care. As a result, they may receive care plans and information which does not fit their real life situation and leaves them with misguided advice, a lack of confidence, and isolation. Learners will take away the skills to identify these populations' unique needs and consider factors contributing to their feeding success or failure. We will review active listening, motivational interviewing, and critical thinking skills. We will also discuss ways to deal with existing biases and work as a team to achieve feeding success. Lastly, learners will take away skills to assist these families in managing expectations, establishing and maintaining boundaries, and achievable goal setting.
Miranda is a neonatal nurse, lactation consultant and researcher originally from the UK and now living and working in Melbourne, Australia. She has worked with breastfeeding families for nearly 30 years, initially in a surgical neonatal unit caring for babies with NEC, where the impact of human milk was impressed upon her. Miranda's PhD focused on breastfeeding problems and how women feel about the journey of early motherhood. She is currently working as a hospital lactation consultant and very much enjoys supporting the diverse families in her local community.
Topic: Moving beyond bottles: alternative strategies for supplementary feeding newborns - [View Abstract]
1: Describe the specific challenges faced by neurodivergent families when it comes to breastfeeding.
2: List 3 practical strategies and approaches for providing inclusive and sensitive breastfeeding support to neurodivergent families.
3: Describe the holistic benefits of breastfeeding within neurodivergent families, both for infants and parents.
Recognizing the vital role of breastfeeding in maternal and infant health, this talk addresses the importance of tailored support that accommodates the diverse needs of neurodiverse families. I will explore the intersections between ADHD, ASD, and breastfeeding experiences, discussing the emerging science and how sensory sensitivities, executive functioning differences, and emotional regulation challenges can impact the breastfeeding journey.
Through case studies and evidence-based practices, this presentation offers practical tools for healthcare professionals, lactation consultants, and support networks to provide comprehensive, empathetic, and accessible care to neurodiverse mothers and their remarkable babies. By empowering these mothers with the knowledge and strategies they need to succeed in breastfeeding, we aim to promote their mental and physical health, strengthen maternal-infant bonding, and ultimately contribute to healthier, happier families.
Dianne is an IBCLC, podcaster, author, lactation education manager and has been working with families since 2008. In 2010, Dianne completed her Advanced Lactation Certification and BS In Maternal Child Health/Lactation. In 2013, she completed her MA in Health and Wellness/Lactation. Dianne has worked with thousands of families throughout the years in all areas of their breast/chest feeding journey. Dianne’s skillset has been informed by her broad experiences in WIC, in a hospital setting, in a busy pediatric office, a primary care office, telehealth, and private practice. From the prenatal period through weaning (whenever that may be), she has been a valued source of support and knowledge for families worldwide. Dianne teaches using her real-life experiences and case studies, which sets her apart in the lactation field providing a personalized and realistic experience for her audiences. Dianne’s evolution began as a clinical, patient-centered lactation consultant to a public speaker and educator, where she really shines. Her energy is contagious, and is felt by families, lactation consultants and birth workers alike.
Topic: Epidural Anesthesia and its Impact on Breastfeeding Initiation and Duration - [View Abstract]
Topic: Out of the Blue: Post-Partum Mood Disorders and Breastfeeding - [View Abstract]
Topic: Paying it Forward, Support for the Breastfeeding Mother and Baby - [View Abstract]
Topic: Traumic Life Experiences and how they Affect the Breastfeeding Mother - [View Abstract]
Topic: Unlocking the Power of Proper Latching: Overcoming Challenges and Maximizing Breastfeeding Success - [View Abstract]
1. List 3 risks associated with cesarean deliveries
2. Explain 2 ways in which the infant microbiome is impacted by cesarean deliveries
3. Name 3 ways to support families breastfeeding after cesarean deliveries
Around the world, in highly resourced areas, the rate of cesarean delivery continues to rise. In the United States alone, cesarean deliveries have increased from 20% to 32% over the last 25 years (Antoine and Young 2020). European, Asian, and Australian countries have seen nearly a doubling of their cesarean delivery rates within just a 10-year span (Bhatia et al, 2020). Parents who have experienced a cesarean delivery can have lower breastfeeding rates and are more likely to initiate formula supplementation. Cesarean delivery can delay the start of breastfeeding and shorten the overall duration of breastfeeding. The birth parent who has undergone a cesarean delivery is also more likely to experience increased pain with incision and breast edema, making position and latch more difficult. Cesarean birth is associated with the development of an imbalance of the infant gut microbiome, leading the infant to increased risks of asthma, allergies, and eczema. Lactation professionals, medical providers and birth workers who are assisting new families after delivery need to not only be aware of the increased risks, but also must have tangible skills and knowledge of the latest data to share with families. The learner will have a better understanding of why cesarean birth may lead to lower breastfeeding rates, and how to support breastfeeding after cesarean.
Megan Dunn is an experienced Lactation Consultant, infant feeding specialist, and Health Educator with nearly two decades of experience providing comprehensive lactation education and clinical care. With a Bachelor of Science in Anthropology and Sociology and a minor in Communication, Megan offers holistic, evidence-based care and develops innovative care plans in a Trauma-Informed environment. Megan is an award-winning breastfeeding advocate, currently serving as the President of the Oregon Washington Lactation Association, and has successfully implemented and developed clinical lactation services and Medicaid billing for Public Health lactation care.
Topic: Navigating PCOS During Lactation: Solution Focused Strategies and Equity in Care - [View Abstract]
1. Identify at least 3 symptoms and common findings of Polycystic Ovarian Syndrome (PCOS).
2. Name 3 ways lactation and milk production are potentially affected inpatients with PCOS, including the connection to metabolic function, and identify at least 2 safe and effective interventions to support milk production.
3. Explain 3 elements of a comprehensive, individualized prenatal and postpartum lactation care plan for a patients with PCOS, taking into consideration the impact of personal biases and addressing risk factors associated with the condition.
This presentation focuses on Polycystic Ovary Syndrome (PCOS), a leading cause of infertility that affects up to 20% of birthing parents. The symptoms of PCOS, such as insulin resistance, raised levels of androgens, and irregular menses, can also impact lactation outcomes. The presentation will delve into the four types of PCOS and their connection to metabolic function and lactation, as well as provide guidance on interpreting lab results, safe and effective interventions to support milk production, and addressing personal biases that may negatively impact obese parents. The presentation will also examine the impact of ethnicity and socioeconomic status on PCOS risk and explore systemic changes that can improve lactation outcomes for all families, taking into consideration international recommendations and the elimination of explicit and implicit biases.
Rocío Zunini has a Ph.D. in Neuroscience from the University of Ottawa, and over ten
years of experience as an academic researcher. Currently, she dedicates her time to supporting families and professionals by translating the science of the parental brain and applying it to real life.
She is the founder of Newborn Parents, which was born out of the fusion of her two passions: the brain and the relationship between parents and their infants. Newborn Parents is a movement that informs and empowers families and professionals to take advantage of the profound brain changes that accompany mastrescence and patrescence so that they can create a lifelong nurturing relationship with their babies.
1. Explain biobehavioral synchrony, why is important.
2. Describe how to support the development of biobehavioral synchrony in parents and how lactation can help foster it.
3. Describe how nervous system regulation is essential to biobehavioral synchrony and how breastfeeding may play a role in this.
In the realm of parenting and infant development, the concept of biobehavioral synchrony has emerged as a pivotal factor influencing early interactions and long-term outcomes. This presentation delves into the intricate web of biobehavioral synchrony, its significance, and the essential role of nervous system regulation.
Biobehavioral synchrony is how parents’ mature nervous system regulates the infant’s immature nervous system. In this presentation, we will explore how the parental brain experiences synchrony in the context of caregiving, emphasizing its profound impact on parent-infant relationships.
In addition, we delve into the nuanced connection between oxytocin, sensitive periods, and modes of synchrony. Furthermore, we examine the potential contribution of lactation to fostering biobehavioral synchrony.
Finally, emotion regulation is essential to biobehavioral synchrony. We explore the neural underpinnings of emotion regulation in the parental brain as well as discuss the risk factors that can hinder the development of synchrony and offer insights into fine-tuning the nervous system to create an environment conducive to synchrony.
This presentation bridges the gap between cutting-edge research and practical application, equipping professionals with a deeper understanding of biobehavioral synchrony, its facilitators, and its implications for early childhood development. By bringing biobehavioral synchrony to the forefront, care providers working with breastfeeding families can help to cultivate optimal parent-infant interactions and lay the foundation for healthy developmental trajectories.
Caoimhe qualified as an IBCLC in 2016 after completing the IBLCE pathway 1 route to certification for voluntary breastfeeding supporters. She currently works in private practice in Dublin, Ireland and does some lecturing in breastfeeding and lactation topics at third-level institutions. Caoimhe has a particular interest in low milk supply, antenatal education, qualitative breastfeeding research and the experience of transitioning to motherhood in the digital age. In 2022 Caoimhe graduated from University College Dublin with an MSc. in research. Her study explored the lived experiences of women breastfeeding with primary low milk supply.
1. Explain the effect 'triple feeding' can have on the well-being and mental health on a mother with Primary Low Milk Supply.
2. Describe the potential impact that being unable to exclusively breastfeed can have on a mother whose wish it was to do so.
3. Explain the importance of skilled, sensitive, individualized and on-going support for breastfeeding mothers who have Primary Low Milk Supply.
Most cis-women can exclusively breastfeed. However, a small cohort are unable to produce enough milk to exclusively breastfeed due to primary low milk supply (PLMS). This presentation will explore the findings of a qualitative study that employed Interpretative Phenomenological Analysis (IPA) to investigate the lived experiences of nine first-time breastfeeding mothers with PLMS. Four superordinate themes were identified. 'Being in the Whirlwind' captured the emotional and practical challenges faced by participants in the early months postpartum. ‘Being-with-Others' provided insights into participants’ experiences of engaging with healthcare professionals (HCPs), IBCLCs, and others. ‘Motherhood in the shadow of PLMS’ explored the participants accounts of being and becoming a mother who is unable to exclusively breastfeed and a fourth theme explored embodied aspects of having PLMS. Participants experienced the early months postpartum as a chaotic and emotionally traumatic whirlwind, in which efforts to increase milk supply were all-consuming. They had to find a way to journey out of this whirlwind, transcend the challenges of being a mother with PLMS and make peace with their experience. The findings highlight the importance of skilled and individualized breastfeeding support for parents with PLMS and illuminate specific areas for improving the support provided to women with PLMS.
Carina Krasnoff is an MD specialist in Pediatrics and Public Health, holding a degree from the University of Buenos Aires, where she graduated in 1994. Her professional journey includes completing the Residency and serving as Chief of Pediatric Residents at the Hospital General de Agudos Dr. Teodoro Álvarez from 1995 to 2000.
Carina is recognized as an International Certified Lactation Consultant (IBCLC) and has earned a Diploma in Childcare and Breastfeeding from the University of Aconcagua. Additionally, she is an Instructor in Infant Massage accredited by the International Association of Infant Massage.
Having recently obtained specialization in Public Health from the University of Buenos Aires, Carina is actively involved in education. She imparts knowledge on Human Breastfeeding, Childcare, and Nurturing Touch Care at national universities, hospitals, and various private institutions in Argentina and Latin America.
As a committed professional, Carina is a member of the National Breastfeeding Committee of the Argentine Society of Pediatrics and serves as a Reviewer for scientific articles related to breastfeeding in the "Archivos Argentinos de Pediatría," the Scientific Journal of the Argentine Society of Pediatrics. She holds the position of Founder member (secretary) at ACLAMA (Association of Breastfeeding Consultants of Argentina).
Carina Krasnoff also assumes the role of Director for the "Infant Massage Course for Professionals in the Perinatal and Pediatric Area" at Criar Salud, an educational-assistance space for families and professionals. Her approach to assistance is rooted in providing families with comprehensive, holistic, and respectful care during their breastfeeding and parenting processes.
Driven by a mission to raise awareness among health agents working with the perinatal and pediatric population, Carina focuses on emphasizing the fundamental nature of contact in primary processes. Her dedication extends to promoting breastfeeding education from a health prevention perspective through her teaching endeavors.
1. Explain the importance of skin to skin contact in relation to breastfeeding.
2. Describe the relation between skin to skin contact, the autonomic nervous system and the release of oxytocin.
3. List 3 strategies to offer families to improve closeness when due to various circumstances mom and baby must remain separated.
We sense the world as threatening or pleasant through our skin. Sensations such as warmth, heat, cold, intense or dim light, gentle or aggressive touch can both stimulate and inhibit our autonomic nervous system and oxytocinergic system. When the baby is in skin-to-skin contact with his mother, he moves his little hands to "massage" his mother's chest, thus generating oxytocin pulses (Uvnas-Moberg 2003). The moderate pressure contact exerted by the baby's body on the mother's body generates a tactile stimulus that triggers a strong associated vagal response of calm and wellness.
More and more research is being added in relation to the power of touch in the release of oxytocin and the stimulation of the vagal system. This presentation will look at how touch, the mother of senses, provides mother and baby the input to the oxytocinergic system playing an integral role in the biological-behavioral regulation of lactation. As care providers, learning how to nuture these encouters between parent and baby and teach about why it is so important will help to improve breastfeeding duration and create families attentive to the needs of their children.
Laurel Wilson, BS, IBCLC, CCCE, CLE, CLD, CPPFE, CPPI owns MotherJourney in Morrison, Colorado. She has her degree in Maternal and Child Health – Lactation Consulting. With twenty-five years of experience working with Parents in the childbearing year and perinatal professionals, Laurel takes a creative approach to working with the pregnant family. She is a co-author of best-selling books, The Greatest Pregnancy Ever: The Keys to the MotherBaby Bond and The Attachment Pregnancy: The Ultimate Guide to Bonding with Your Baby. She currently spends a great deal of her time working with hospitals seeking BabyFriendly Status as a consultant and educator. She strives to provide the latest techniques, research and programs to her clients. Laurel is a board certified as a lactation consultant, childbirth educator, labor doula, lactation educator, Prenatal ParentingTM Instructor, and Pre and Postpartum fitness educator. She served as the CAPPA Executive Director of Lactation Programs for 16 years and trained Childbirth Educators and Lactation Educators for CAPPA certification. She is on the Board of Directors for the United States Breastfeeding Committee, a Senior Advisor for CAPPA, and also on the Advisory Board for InJoy Health. Laurel has been joyfully married to her husband for more than 25 years and has two amazing sons, whose difficult births led her on a path towards helping emerging families create positive experiences. She believes that the journey towards and into parenthood is a life changing rite of passage that should be deeply honored and celebrated.
Topic: Epigenetics and Breastfeeding: The Potential Longterm Impact of Breastmilk - [View Abstract]
Topic: Hold the Phone! Diet Does Matter During Breastfeeding: Implication of Diet on Fatty Acid Composition and Other Nutrients - [View Abstract]
Topic: Inside Out: Unraveling the Dance of NeoHormones, the Estrobolome, and the Microbiome - [View Abstract]
Topic: Postpartum Mood Disorders, Breastfeeding and the Epigenetic Links from Past Into Future - [View Abstract]
Topic: Talk To Me: How Breastmilk Acts as a Communication and Gene Expression Tool Between Mother and Child - [View Abstract]
Topic: The Milk Sharing Conundrum - The Grey Area Between Scope and Need - [View Abstract]
Topic: The Placenta and Breastmilk-Unraveling the Mysterious World of the Intelligent Organs that Protect our Babies - [View Abstract]
Topic: Understanding Zika and Lyme and Breastfeeding - [View Abstract]
Topic: Unraveling the Mysteries of Human Milk: The Fascinating Role of Neohormones, Epigenetics, the Microbiome and More! - [View Abstract]
1. Define the term neohormones as it relates to lactation.
2. Describe one way the estrobolome can negatively impact lactation.
3. Explain one way to test estrogen levels during lactation.
The remarkable process by which mammals produce and provide nourishment to their young through milk, is regulated by a complex interplay of hormones and intricate biological mechanisms. Recently, emerging research has shed light on the significant role of neohormones in the evolution of mammalian reproduction and lactation. Neohormones and their interaction with the estrobolome—a collection of gut bacteria involved in the metabolism of estrogen compounds, are yet another important component that can potentially impact successful lactation. This abstract aims to explore the fascinating relationship between lactation, neo-hormones, and the estrobolome. We will delve into pivotal neohormones, oxytocin, relaxin and estrogen and their potential impact on lactation. We explore the estrobolome, a dynamic consortium of gut bacteria involved in the metabolism of estrogen compounds. Recent studies have revealed the estrobolome's intricate relationship with overall health, particularly in modulating estrogen levels and influencing hormonal balance. We examine the possible connection between the estrobolome and lactation, investigating whether the composition and activity of gut bacteria may impact lactation outcomes. Lastly, we consider the how the exposome (environmental influences) shapes lactation, neo-hormones, and the estrobolome. Understanding the interplay between these elements can inform strategies to optimize lactation outcomes, enhance maternal/parental-infant health, and provide valuable insights into therapeutic interventions for lactation-related challenges. In conclusion, this abstract underscores the significance of exploring the relationship between lactation, neo-hormones, and the estrobolome. By unraveling the complex mechanisms at play, we can deepen our understanding of lactation processes, shed light on the effects of neo-hormones, and illuminate the potential role of the estrobolome in modulating lactation outcomes. Ultimately, this knowledge may contribute to improved health and well-being for lactating individuals and their offspring.
Dr. Dyah Febriyanti, MD, IBCLC, FABM is a medical doctor and lactation consultant/ breastfeeding counselor, and a mother living in Jakarta, Indonesia. She has been working in hospitals since she graduated in 2012. She was facing many struggles to succeed breastfeeding her daughter for two years. She has been an IBCLC since 2017. She works with breastfeeding dyads in a lactation team consisting of all lady doctors in outpatient and inpatient care units. Concerning breastfeeding and nutrition in early life, she has published a semi-cookbook about complementary foods for breastfed babies and cooking videos to educate and help mothers feed their babies. She also has been working on scientific writing. She is a member of International Lactation Consultant Association, and a trainer of the Indonesian Society of Perinatology. She also is a Fellow of the Academy of Breastfeeding Medicine (FABM).
Topic: Pitfalls in Infant Feeding Practices After Starting Solids - [View Abstract]
Topic: When Sadness Is Not the Symptom: Clinical Approaches for Breastfeeding Mothers with Postpartum Depression - [View Abstract]
1. Describe recent updates in research about postpartum depression
2. Explain the tools available for screening for postpartum depression in the breastfeeding mother
3. Describe how to support breastfeeding dyads who are experiencing, or at risk for, postpartum depression
During the postpartum period, mothers experience a neuroendocrine and behavioural transition considered to be complicated. Any disruptions that occur during this transition may lead to postpartum disorder. This condition impairs maternal sensitivity, which may have additional effects on the development of the infant's emotional regulation and attachment and is associated with earlier cessation of breastfeeding.
Many people mistake depression for simple sadness. Postpartum depression goes far beyond this common perception. In its correct context, it can appear as an entirely different set of complex behavioural patterns and clinical complaints, such as manic or hypomanic episodes or even a trace of psychosis. Many mothers may not share their feelings with their doctors and instead choose to ignore or deny the onset of symptoms. It is crucial to recognise these symptoms promptly and precisely while providing practical support for breastfeeding families. When assessing perinatal mental health challenges, health care providers must consider both the condition itself and its potential effects on breastfeeding. In order to support breastfeeding dyads and their families, thoughtful clinical consideration is essential.
Lindsey Reeves is a Registered Dietitian, International Board Certified Lactation Consultant, and owner of private practice, Angel Food Lactation & Nutrition, LLC. She developed a passion for wellness almost 20 years ago and knew her career had to focus on empowering others with tools necessary to find their perfect balance of health and happiness. She completed her undergraduate degree in exercise science at the University of North Carolina at Wilmington and worked in a corporate wellness center as a fitness trainer and health coach for a large company. Upon completion, she pursued a dual program combining her Master of Science in Nutrition and Dietetics at Meredith College. Here, she found her ultimate calling in supporting families in perinatal and pediatric nutrition and lactation. She established her private practice providing nutrition and wellness support while completing her lactation training through the Mary Rose Tully Training Initiative at UNC-Chapel Hill. As she dove deeper into the field of lactation, she found the rich and impactful world of birth support. For a short season, she became a DONA Certified Birth Doula and childbirth educator to expand her understanding and improve her level of care for families during this huge transition in life. Lindsey has been an RD, IBCLC for 10 years and her love for this work grows with each year of practice. From one-on-one consultations in her private practice to teaching professional audiences of all sizes, Lindsey couldn't imagine a more honorable career and feels so blessed to be in this field of work! In her personal life, Lindsey is mom to 3 incredible sons and a wife to the most amazing and supportive husband. She has been pregnant and/or lactating for the last 7.5 years and is currently nursing their 2 year old 'mik' monster.
1. List 3 benefits of exercise.
2. Explain how nutrition influences energy expenditure during lactation.
3. Describe how to help solve common obstacles parents face when incorporating exercise into their routine when lactating.
From lactic acid accumulation to maintaining milk supply, many questions arise when parents consider whether and how they will exercise while lactating. Exercise is considered safe and beneficial for all stages of life, even for most with a compromised health status. Yet, when it comes to lactation, many questions arise surrounding the impact of physical activity on lactation performance and milk composition. Research shows us that exercise helps to reduce inflammation, improve energy metabolism, increase blood circulation and immunity, boost the body’s ability to respond to stress, and impact the longevity and disease outcomes for individuals who make moving their bodies a long-term habit.
Each of these components of health plays a role in lactation performance and can greatly improve the outcome for lactating dyads. The importance of balanced nutrition in exercise and lactation performance is essential in maintaining an optimal environment for milk production and energy balance, especially for busy parents. In this session, we will discuss the impact of exercise and nutrition in lactation and declutter the conversation surrounding the frequency and intensity in which one should incorporate these practices into this season of life.
Kelly M. Durbin is an International Board Certified Lactation Consultant (IBCLC), childbirth educator, author, and volunteer breastfeeding counselor. She has co-authored original research on breastfeeding topics, including access to lactation care, community breastfeeding support, telelactation, and community vulnerability, published in numerous top-tier, peer-reviewed academic journals. Her new book, Protecting Your Potential for Breastfeeding, published by Praeclarus Press, became available in June 2023.
As a lactation consultant, Kelly has provided one-on-one consultations, taught numerous breastfeeding classes, and has conducted nine lactation support groups in five US states, offering evidence-based information, practical support, and compassionate care to hundreds of families since 2008. Kelly is the Curriculum Development Coordinator for Childbirth International. She lives in Phoenix, Arizona, USA, with her husband and two daughters.
1. List 3 routine labor interventions and discuss their potential impacts on lactation.
2. Name 3 strategies to mitigate these negative lactation outcomes in the early postpartum period.
3. Define 2 questions to discuss with clients to facilitate meaningful discussions with their clients to help determine if birth interventions and their downstream consequences are potentially contributing to current problems.
Routine birth interventions have a complex relationship with breastfeeding initiation and continuation. Birth interventions, while sometimes necessary, can inadvertently create challenges for breastfeeding. Through an analysis of current research and evidence, this lecture examines the various types of birth interventions, such as induction of labor, maternal IV fluids, epidural anesthesia, instrumental delivery, and cesarean delivery, and their potential impacts on lactation initiation and breastfeeding. It explores the known physiological factors that can impede the establishment of breastfeeding in the critical early postpartum period.
Furthermore, this lecture will emphasize the importance of fostering a supportive environment for breastfeeding, and the use of evidence-based strategies to improve breastfeeding initiation, including the provision of comprehensive lactation support, counseling, and education. This lecture will explore strategies that are known to mitigate the negative impact of birth interventions on breastfeeding. In addition, this lecture will provide participants with a series of questions that can help lactation consultants facilitate conversations with clients that can reveal potential negative outcomes resulting from the birth experience.
Holly Johnson is a private practice IBCLC passionate about improving access to lactation care. She has a BS in Maternal Child Health & Human Lactation. She is currently working on her Master's in Public Health: Maternal Child Health at the University of Nebraska Medical Center. Holly built and launched her first mobile lactation clinic in February 2023, bringing access to care in rural and military communities in Southern Colorado. Summer of 2023, Holly relocated to Central Missouri, where her mobile clinic continues to bring care to families. Holly is married to her husband, Heath Johnson, who is an active-duty soldier. They have 3 daughters together, raising them on our small farm in Central Missouri.
1. List 3 ways geographic location impacts access to care
2. Describe 2 potential outcomes of improving access to lactation care for geographically isolated individuals
3. Explain 3 important features to include in a mobile lactation clinic.
Access to quality lactation care is one of the biggest hurdles facing new mothers. Geographical isolation only compounds the issue further. While many programs aim to provide access in metropolitan and city centers, few address the lack of care in surrounding rural communities. A mobile lactation clinic is one potential solution to create access to care for these often forgotten demographics. While this is one of the first mobile lactation clinics, its immediate success in bringing lactation care to underserved populations can be modeled in other locations. This presentation will discuss how mobile units can improve access to lactation care and how a mobile clinic was designed cost-effectively to provide lactation care to the underserved. The goal of this presentation is to arm others in the field of lactation with the knowledge to improve access to care within their own communities by bridging the gap for those unable to receive care due to geographical location.
Andreea Ola is a Clinical Psychologist and IBCLC with over 8 years of experience working with the mother-infant pair and conducting training in various settings (academic and medical fields, formal and informal education, national and transnational NGOs, and vulnerable populations).
Andreea Ola has been working in private practice in Romania, offering in-depth assessment and individualized solutions for challenging breastfeeding situations: low milk supply, slow weight gain, oral dysfunction, relactation, oversupply, breast refusal, reflux, as well as gentle sleep solutions for babies and parents.
She also has academic teaching experience in Developmental Psychology and Counseling and an interest in Perinatal Psychology.
Andreea Ola has a Bachelor's degree in Psychology and Educational Sciences and a Master's Degree in Human Resources Development.
Andreea Ola is a mother of two children, which inspired her lactation journey. She is also active on several social media channels, delivering free education materials to a community of over 60K users.
Topic: Perinatal Depression and the Breastfeeding Dyad: Exploring Your Role and Responsibilities - [View Abstract]
1. Delegates will be able to list three characteristics of failure to thrive (growth faltering) in breastfed babies.
2. Delegates will be able to list five possible causes of failure to thrive in breastfed babies.
3. Delegates will be able to list three strategies for supplementation when medically indicated.
What happens when exclusively breastfed babies don’t reach the milestones associated with optimal growth? This presentation highlights clinical case studies of slow weight gain and growth faltering (failure to thrive) in exclusively breastfed babies, the diverse causes associated with impaired growth and the clinical management of the cases.
The presentation will help lactation consultants differentiate between optimal weight gain, slow weight gain, and growth faltering (failure to thrive) in breastfed babies. An evidence-based overview of the causes of growth faltering is presented, as are optimal growth standards, red flags related to growth patterns, interventions that support the breastfeeding dyad and communication strategies within the medical team.
Lactation consultants will learn: how to identify growth-related problems based on the use of the WHO growth standard; when and how to refer to medical care; how to assist with supplementation when medically indicated; and how to support the dyad’s breastfeeding goals.
Swati Temkar is a Mother Support Group Leader since 2002 (trained & certified by BPNI Maharashtra) & IBCLC since 2010. She is a Senior Faculty of BPNI Maharashtra participating as a Trainer in over 100 workshops for Health Care Providers at all levels in 6 states of India including Maharashtra in collaboration with UNICEF. She is also a BFHI Assessor.
Working in Private & Municipal Institutional hospitals, small private hospitals & home visits; she has helped more than 20000 mothers for successful breastfeeding & has over 25000 hours of lactation counselling experience over last 20 years. She has ample experience in video consultation, helping mothers locally, nationally & internationally. She is very passionate about helping new mothers to breastfeed successfully with new ideas.
She has participated in multiple TV - Radio programmes & written articles in newspaper. She has contributed to multiple training modules, presentations, videos for BPNI Maharashtra, UNICEF & Government of Maharashtra. She participated in Global Breastfeeding Partners Meeting (GBPM) organized by WABA at Penang, Malaysia in 2010.
Bestowed with prestigious Dr. N. B. Kumta Award during World Breastfeeding Week 2023 for achievements in the field of Breastfeeding Promotion.
1. Describe how eliminating or minimizing breastfeeding pain can improve breastfeeding outcomes.
2. Explain 4 types of pain experienced by breastfeeding parents and discuss their root causes & strategies to avoid them.
3. List 3 commonly-owned domestic/household items which can be used to prevent pain & provide relief.
Adversity during the vulnerable postpartum period can have a profound impact on physical, mental & psychological outcomes. Pain (various types) is a common adversity & hence every Lactation Care Provider should have sufficient knowledge & skills to deal with different types of breastfeeding associated pains. There are 4 different types of breastfeeding related pains experienced by mothers; namely, back pain, hand pain, perineal pain & nipple pain. It is important to understand the basis of these pains for prevention & relief. The root cause of most of these pains is related to inappropriate attachment & positioning while breastfeeding. Many accessories have been developed, such as breastfeeding pillows, to help with positioning. Not everyone can afford such accessories however, so join me to explore how to use objects that are easy to find around the home to help with positioning.
Jacqueline Kincer is the founder of Holistic Lactation where she runs a busy practice, manufacturers herbal supplements for lactation, and supports breastfeeding families worldwide. She's also the host of the podcast Breastfeeding Talk: Milk. Mindset. Motherhood. and creator of the online breastfeeding community, The Nurture Collective. Jacqueline's passion has been to create functional breastfeeding outcomes and expand access to lactation knowledge across the globe.
Topic: Diving into the Nuances of Clinical Sucking Skills: Bridging Infant Oral Function and Breast Physiology - [View Abstract]
Topic: Inside the Infant Mouth: Oral Assessment & Function - [View Abstract]
Topic: Tongue Tied Untied: Creating Functional Breastfeeding Outcomes - [View Abstract]
1. Describe 3 factors affecting the physiological basis of effective sucking, the interplay between infant mouth and breast anatomy, and the significance of proper latch in initiating successful breastfeeding.
2. Name 3 common challenges of breastfeeding caused by ineffective sucking, understand successful resolution through case studies, and apply early detection and prevention strategies.
3. Define 2 methods of developing a collaborative, multidisciplinary approach to address complex sucking challenges.
Dive into the heart of breastfeeding success with this comprehensive presentation exploring the nuanced landscape of clinical sucking skills. This talk will delve into the physiological essentials underpinning successful breastfeeding. The interaction between infant mouth mechanics and maternal breast physiology takes center stage, underscoring the pivotal role of establishing a proper latch. It is crucial to understand the obstacles to good sucking skills and learn ways to detect problems early. Knowing which interventions to use to correct problems and how to craft individualized care plans for optimal results is a skill all providers can use to support breastfeeding dyads. This talk amplifies the importance of not only the IBCLC's role as a coordinator within the healthcare team, but also ways to empower parents through practical strategies that make them active participants in optimizing their baby's sucking skills for breastfeeding success.
Avery Young is a passionate enthusiast about empowered feeding and is on a mission to help make feeding feel better.
Over the last few years, she has been observing, studying and experimenting with engaging the reflexes that infants use when feeding, to help make the latching progress work better. This work has transformed her practice and her ability to make profound changes in the families she supports.
She has a master's degree in Biology, a Master's Degree in Science Education and has been supporting feeding families for almost a decade.
Topic: Strategies for Overcoming Latching Refusal: A Parent-Centered Approach - [View Abstract]
Objective 1: Explain the reflexes infants use during the latching process.
Objective 2: Describe how to use the reflexive process to identify the origin of latching problems.
Objective 3: Describe how to use a reflexive lens to support 3 common latching problems.
Solving latching problems is one of the primary roles of a lactation consultant, and yet understanding and supporting infants with latching problems can feel challenging and frustrating, to even seasoned professionals. In this presentation, you’ll learn how to use an infant's reflexes to understand, identify and support common latching problems in struggling dyads and why this approach has benefits well beyond just the latch.
Dr. Nour El Hoda is a dedicated lactation consultant with a profound commitment to supporting breastfeeding mothers and infants. Her journey began in 2014, initially as a community volunteer, where she witnessed the challenges mothers faced on their breastfeeding journeys. Motivated to make a lasting impact, she pursued a transformative path, eventually becoming a Certified Lactation Specialist in 2015, the an International Board Certified Lactation Consultant (IBCLC).
Dr. Nour El Hoda's approach to lactation support is rooted in her belief that each breastfeeding experience is unique. Holding a PharmD degree from Saint-Joseph University in Beirut, her background in pharmacy, allows her to provide holistic guidance, blending medical expertise with compassionate care.
What sets her apart is her extensive experience across diverse settings, including hospitals, home visitation programs, and training of breastfeeding specialists. She also offered her technical support to different organizations and helped numerous families overcome challenges and reach their breastfeeding goals.
Dr. Nour El Hoda's commitment extends beyond in-person consultations, offering online resources, follow-up care, and support groups to empower families on their breastfeeding journeys. . She is passionate about spreading breastfeeding knowledge among peers and professionals as well as through her direct work with mothers.
As a continuous learner, Dr. Nour El Hoda stays updated with the latest advancements in lactation support, ensuring her clients receive top-notch care. Her speaking engagement at the esteemed conference promises a wealth of knowledge and inspiration, sharing invaluable insights into the art and science of lactation consulting.
1. List 5 non-prescription medications for pain and common cold relief that are compatible with breastfeeding.
2. Explain key points relative to lactational pharmacology.
3. List common references to check medications’ compatibility with breastfeeding.
Concerns regarding potential harm to nursing infants from maternal medication use often leads to advice suggesting discontinuation of breastfeeding. Such guidance, when inaccurate, may jeopardize the breastfeeding relationship and the infant's nutrition. While lactation consultants/counselors may not possess the authority to prescribe medications, their responsibility in this case lies in delivering competent care and advocating for lactating parents. This advocacy hinges on a comprehensive understanding of medication compatibility with lactation.
In this presentation, we will review the basics of medications’ compatibility with breastfeeding, with a specific emphasis on non-prescription drugs indicated for pain management and common cold relief. We will have an overview about common platforms to use as references, interpreting medication labels including commonly used drugs for pain relief and colds, weighing and communicating potential risks and benefit. Attendees will enhance their ability to engage in informed evidence-based dialogues with lactating families about the safe use of over-the-counter analgesics and common cold medication. By equipping ourselves with this knowledge in addition to our communication skills, we can fulfill our vital role as advocates for the lactating parent, ensuring the promotion of both maternal well-being and infant nutrition by preserving the breastfeeding relationship.
Indira has supported birthing and breastfeeding families for the past 17 years. She has been an International Board Certified Lactation Consultant for 13 years and currently works as a clinician, educator and researcher. As a clinician IBCLC, she has led the Specialist Breastfeeding Clinic (Central London Community Healthcare NHS trust) for complex breastfeeding dyads for the past 6 consecutive years. As the Director of the Centre for Breastfeeding Education and Research, she created 13 years ago the Breastfeeding London Course, a 1 year-long international in-depth training course for HCPs who want to become IBCLCs. She is currently doing Doctoral studies within the Mother, Infant and Child Health research group (MIRU) in the School of Health Sciences at Dundee University. Her PhD examines breastfeeding education for HCPs, the interplay between learning needs and motivation.
Gayle Subramaniam is a lactation consultant, educator and author. She has over 15 years experience in research where, as chair of research teams, she has written, produced, and presented research internationally. Gayle is an Associate Fellow at the Centre for Breastfeeding Education and Research (CBER), delivering lactation education internationally in preparation for the IBLCE exam and publishing peer-reviewed research. She is also an Associate Editor with the Journal of Human Lactation (JHL). Gayle has a small private practice in London, UK, and is a clinician with the UK National Health Service (NHS) providing lactation care to families. Gayle has volunteered extensively in the community with The National Childbirth Trust (NCT), a national charity for pregnancy, birth, and early parenthood in the UK and the Association of Breastfeeding Mothers (ABM), a major breastfeeding charity in the UK.
1. List one novel way of treating nipple pain or trauma.
2. Define what chrononutrition is and how it relates to the breastfeeding dyad.
3. Describe 2 ways in which to help mothers/parents who have c-section post-operative pain.
4. Explain two methods for improving pump flange size fitting.
Thousands of papers are published on lactation and breastfeeding each year. We know that research should drive our clinical practice. IBCLCs and lactation supporters should have access and be familiar with some of the latest research in order to provide culturally effective up-to-date evidence-based breastfeeding care. Yet how are busy lactation professionals expected to find the time? Also it can be difficult to decipher and make sense of often dense and complicated academic articles which are only understandable to researchers and academics. How often do you end up thinking "this is interesting, but how does this apply to my day-to-day practice supporting breastfeeding families?"?
This presentation discusses a selection of recently published papers chosen specifically because they can be applied by IBCLCs caring for breastfeeding dyads. We will discuss the latest evidence regarding a range of topics including: treatments for nipple pain and trauma, the impact of pain on breastfeeding after c-sections, chrononutrition, maternal worry about infant weight, ankyloglossia and flange sizing when pumping.
Christine Staricka, BS, IBCLC, RLC, CLSP, CE, FILCA, is the author of the book Evolving the Modern Breastfeeding Experience: Holistic Lactation Care in the First 100 Hours.
She developed the concept when she worked as a hospital-based IBCLC for 10 years.
Christine has over 22 years experience providing clinical lactation care and support both in the hospital and the community. She has been the facilitator of Baby Café Bakersfield since 2014, which was the first licensed Baby Café to open in California.
Christine is a Fellow of the International Lactation Consultant Association. She holds a Bachelor's Degree from the University of Phoenix. She has been married for 30 years, lives in California, and is the proud mother of 3 amazing daughters.
Caoimhe Whelan qualified as an IBCLC in 2016 after completing the IBLCE pathway 1 route to certification for voluntary breastfeeding supporters. She currently works in private practice in Dublin, Ireland and does some lecturing in breastfeeding and lactation topics at third-level institutions. Caoimhe has a particular interest in low milk supply, antenatal education, qualitative breastfeeding research and the experience of transitioning to motherhood in the digital age. In 2022 Caoimhe graduated from University College Dublin with an MSc. in research. Her study explored the lived experiences of women breastfeeding with primary low milk supply.
Tori Hamilton is a Registered Nurse Psychotherapist certified in perinatal mental health, Reiki master, IBCLC, Baby-Led Sleep Specialist, and mom of four. She owns Attuned Therapy + Wellness, a holistic wellness center that uses a collaborative approach to client care. She also owns The Mama Nurse, an online resource for parents that offers information, resources and access to individualized sessions for sleep and feeding.
Tori is an advocate for paid access to lactation support in her rural community in Ontario, Canada. She is a retired La Leche League Leader, offering volunteer peer lactation support in addition to her private lactation sessions. Tori now collaborates with family health teams in her area, using an Independent Contractor model to increase access to lactation support for families in her area.
Since integrating RN psychotherapy into her practice, Tori Hamilton often combines her skillset in lactation and holistic sleep with mental health when working with parents. She views mental health as a continuum, and has a special interest in nervous system regulation and generational healing. Tori sees clients Ontario-wide online as well as locally in her Attuned Therapy office. She also offers business coaching to other perinatal wellness professionals wanting to build or expand their practice.
1. Define Family Centered Care.
2. Explain the benefits of family centered lactation care.
3. Describe what family centered lactation care looks like in practice.
Family centered care is a term that is commonly heard these days, but what does it mean and what does it actually look like in practice? Join our panel of expert speakers for an exciting discussion about what family centered care really means, how to change our practices to be family centered, and what to do when a family's desire or ability isn't in line with best practice for lactation.
Indira Lopez-Bassols has supported birthing and breastfeeding families for the past 17 years. She has been an International Board Certified Lactation Consultant for 13 years and currently works as a clinician, educator and researcher. As a clinician IBCLC, she has led the Specialist Breastfeeding Clinic (Central London Community Healthcare NHS trust) for complex breastfeeding dyads for the past 6 consecutive years. As the Director of the Centre for Breastfeeding Education and Research, she created 13 years ago the Breastfeeding London Course, a 1 year-long international in-depth training course for HCPs who want to become IBCLCs. She is currently doing Doctoral studies within the Mother, Infant and Child Health research group (MIRU) in the School of Health Sciences at Dundee University. Her PhD examines breastfeeding education for HCPs, the interplay between learning needs and motivation.
Nikki Lee started as an LPN in 1971, got her RN and BSN, and a graduate degree. She is an author, a teacher, a holistic lactation consultant, a craniosacral therapy practitioner, and a baby body worker (teaching Infant Massage and TummyTime! She is mother to 2 wonderful (breastfed for a long time) daughters, wife to 3 interesting men, only one of whom was the right one for the past 37 years, Rafe!
Her publications include the books, Complementary and Alternative Medicine in Breastfeeding Therapy and A Breastfeeding Owner’s Manual; the monographs, “Benefits of Breastfeeding and Their Economic Impact” and “Sexuality and Breastfeeding” and the educational pamphlet “How to help yourself through labor”. She has been the reviews editor for the journal Clinical Lactation, and has worked as the lactation consultant for the division of Maternal, Child, and Family Health at the Philadelphia Department of Public Health since 2006.
Mercedes Thomas is an advanced practice nurse, lactation consultant, writer, and health consultant. She is also the author of the best-selling book What in the Baby?!?: The Modern Mama's Guide to Confidently Caring for Your Baby and Surviving the Postpartum Period, written to help expectant mothers and new parents transition into the new normal of parenthood.
She has been in the nursing field for over a decade. Mercedes completed her undergraduate nursing studies at Emory University in Atlanta, GA, and went on to earn her Pediatric Primary Care Nurse Practitioner degree from the University of South Alabama.
In 2020, Mercedes was named the Washington Parent Pick in the category of breastfeeding support. She has also been recognized by the founders of Black Breastfeeding Week as a "brave innovator" in her pursuits to support lactation care and education in her community. Her health articles have also been featured in outlets like Medical News Today, Verywell Health, and GoodRx.
As an extension of her immense passion for supporting parents, Mercedes also created the My Global Family app to connect parents to health and education service providers, reliable resources, and other families worldwide.
In Mercedes' downtime, you can find her globetrotting with her family, and advocating for families to have access to equitable, quality healthcare and breastfeeding services.
1. Define evidence based care and the different levels of evidence for health care research.
2. Describe how to practice evidence based care when there is a lack of research.
3. Describe how we can help to further develop the available evidence for what we do in clinical lactation practice.
Evidence based practice is considered the gold standard for lactation care, but what do we do when there's little to no evidence? As care providers working with families with infants, there is often a lack of research for interventions because research studies would be unethical or hard to manage. Join our panel of experts to talk about what is meant by evidence based care, the different levels of evidence, how to practice evidence-based care when research is lacking and how we can help to further develop the available evidence for what we do in clinical practice by noticing patterns and gathering and recording information.
Jessica has been invested in looking deeper into lasting outcomes for breastfeeding challenges for 18 years. "Medically complicated", herself, she has an appreciation for seeking answers for her favorite question: "Why?".
Her doula background added an appreciation for the importance of whole person, whole family approaches. She earned her IBCLC credential in 2009 and has a private practice in the Triangle area of North Carolina where she provides home visits and also works in a team to provide integrative care through the North Carolina Tongue Tie Center. In a culmination of her doula background and passion for supporting breastfeeding, Jessica worked with a team to develop Bridge for Breastfeeding, a program for those who wish to empower families with high quality prenatal preparation. Through these many collaborative efforts, Jessica is hopeful in seeing families more fully supported in all their postpartum needs. She also enjoys time with her husband and 4 children, ranging in age from 21 to 11, all of whom were breastfed, but none easily. In addition to being a dedicated Whovian, she also loves traveling, food adventures, and working toward equity in healthcare.
1. Analyze the milk production cycle and process of the hormones of lactation
2. Describe how thyroid hormone is produced and how it overlaps with lactation
3. Explain pituitary function and factors that affect it
4. Name 2 lab tests which could be potentially useful for people with low milk supply to obtain and how they can be interpreted specific to lactation
As a seasoned RN and IBCLC, Stacy Notestine has been blessed to work with thousands of mom & baby dyads.
She started her career in 1991 as a labor and delivery nurse, and in 2005 she became an IBCLC. She has worked in many different areas that have enhanced her experiences and knowledge to help moms and babies.
In 2011 she founded her private practice, Baby's Best Beginning. Before working private practice full time, she worked on the lactation team and as the NICU Lactation Educator in the second largest pediatric hospital in Columbus, Ohio.
In 2017 Stacy graduated from an esteemed yoga training program to teach as a registered yoga teacher. She also has training as a certified infant massage therapist, essential oils wellness advocate, reiki master and she has also completed 2 levels of craniosacral therapy. Most recently she completed a transformative nurse coaching program and plans to sit for board certification.
Her recent interests include sharing her love of yoga, meditation, and breath work, specifically with lactation professionals, to help decrease the stressors in their current world and work place in an organic way.
Stacy has 4 amazing grown children and have 2 beautiful grandchildren.
1. List the signs and symptoms of professional burnout in the workplace.
2. Describe 3 techniques to help with stress management to prevent burnout in the workplace.
3. Describe how a meditation exercise to experience parasympathetic engagement will enhance a sense of calm and grounding.
Currently, occupational stressors and burnout are at an all-time high. Lactation professionals are not immune to this phenomenon. Lactation professionals often work in very demanding and stressful environments. They are very skilled at caring for their clients. They adeptly help new mothers learn to nourish their babies; however, they often lack prioritizing self care to enhance their own health and mental wellbeing. Overtime, stressors that are not addressed, can cause unhappiness and stress related diseases in the body. This presentation was created to bring awareness to the levels and causation of stressors, find better balance in the workplace, and to create an individualized care plan to bring more harmony and wellness to ultimately avoid occupational burnout.
Boasting a 15-year tenure as a Practicing Board Certified Lactation Consultant, Amrita has dedicated her career to advancing expertise in various realms. Her specific passions include Golden Hour Feeding, Kangaroo Care, Breastfeeding Multiples, as well as Initiating, Maintaining, and Establishing Milk supply in mothers of Preterm Babies. She also excels in guiding breastfeeding journeys in unique scenarios such as Surrogacy with induced Lactation, and handling special situations like Preterm, LBW, Surgical Cases, Syndromes, Cleft Palates, and more.
Noteworthy as a faculty member for both the Indian Academy of Pediatrics and the National Neonatology Forum, Amrita has been an integral part of numerous breastfeeding and nutrition workshops. Her extensive training in Human Milk Banking under the guidance of Dr. Ben Hartmann at PREM Bank, King Edward Memorial Hospital in Perth, WA, has been pivotal. She played a key role in establishing the first Preterm Human Milk Bank named 'Yashoda' at Sahyadri Specialty Hospital, Shastrinagar, Pune. This initiative was modeled after the successful PREM Bank in WA, showcasing Amrita's commitment to advancing lactation care and support.
1. Describe 3 elements of a lactation care plan that facilitates early expression of breast milk.
2. List 2 critical steps in maintaining breast milk supply and building a personal “milk bank”
3. Explain 3 reasons to support early and continuous training of all staff associated with a breastfeeding/chestfeeding dyad.
This presentation will deal with bridging the gap found between theory explained in books and actual scenarios in reality with mother-baby dyads where lactation care providers play an important role in helping parents meet their breastfeeding goals. Case scenarios will be presented, including the following: preterm babies and the potential for their mothers to be milk donors; inducing lactation in a biological mother with a poor obstetric history who has chosen to birth through surrogacy and is keen to exclusively breastfeed; antenatal colostrum harvesting in mothers who are receiving obstetric care in advance of an expected preterm birth, leading to exclusive breast milk feeding throughout the length of NICU stay and early transition to oral and breastfeeds; maintaining mother's milk supply in a special needs situation of a term infant with a bilateral enclosed cleft palate till introduction of solids and cleft palate repair at the age of 1 year; and pasteurization of mother's own milk due to growth of Ecoli and Kleibsiella organisms and usage for enteral feeding in preterm twins.
As a Pediatrician and an IBCLC, Shacchee is attracted to ways of promoting health and well-being for families. She transitioned to lactation support 14 years ago after her first daughter was born, realising the felt need for skilled Lactation Support in her community.
She works at a tertiary care hospital in New Delhi, India, and heads a Lactation team, supporting families in their antenatal, intra-natal and postnatal periods. She also trains medical and paramedical staff in skilled lactation support.
She is the current President and Executive Team member of ALPI (Association of Lactation Professionals India). She works as a clinical instructor, helping train future lactation professionals in various aspects of Skills, Ethics, Scope of Practise and Communication.
She co-ordinates between Public and Private healthcare bodies to provide equitable lactation support across her community.
She is an advocate of teamwork in supporting dyads with special lactation challenges (oral restrictions/ NICU babies etc) and has been working to bring experts from different fields together for comprehensive lactation support.
Working with different teams locally and nationally allowed her to achieve the goal of making, "skilled lactation support a reality in India."
Married to Vipul, they have two super girls Navya (14) and Ayana(11).
Topic: Skilled Lactation Support in Suboptimal and Low Resource Settings: Onsite Mentoring as a Game Changer - [View Abstract]
1. Explain the basic tenets of bodily autonomy.
2. Explain bodily autonomy in the context of lactation support.
3. Describe how lactation professionals can help support a parents bodily autonomy for better health outcomes.
This presentation will support the learner to view lactation support through the lens of bodily autonomy. There is so much debate about a parent’s bodily autonomy vis-a-vis baby’s rights where breastfeeding and lactation is concerned. Bodily autonomy is defined as one's right to govern what happens to their body without influence or coercion. Birth and breastfeeding are two very crucial periods in a parent's life. During these time periods parents often struggle with maintaining their bodily autonomy. If lactation support and the breastfeeding experience are empowering for the parent, they can develop self-confidence in taking care of their child’s needs and are more likely to be empowered in other spheres of their lives as well.
Conversely, if lactation support is not optimal, it can leave the parent traumatized and create long term mental and physical health consequences. Understanding bodily autonomy and ways to support a family by nurturing their autonomy, in addition to providing skilled lactation support, helps with better care plans, better self-efficacy of parents, and thus better health outcomes for the entire family.
Topic: The Evolution of Lactation Aids: From Nipple Shields to Silicone Collection Cups and Beyond - [View Abstract]
1. Describe 3 Indications for Use of Lactation Aids currently and historically.
2. List 3 aspects of Lactation Aid use which should be addressed during a lactation consultation.
3. Name 2 elements of a lactation care plan for weaning from use of lactation aids.
The journey of lactation support has been remarkable, with a lineage tracing back 400 years to the use of nipple shields. Over centuries, with understandable skepticism, the transition of materials and innovation has ushered these aids from obscurity to mainstream use. Today, the repertoire has expanded to include silicone collection cups, diverse pumping systems, and specialized approaches for NICU settings. As with many accouterments in the realm of lactation, awareness regarding the appropriate indications, risks, and the plethora of styles available is crucial. These tools are multifaceted, capable of aiding parents in achieving their breastfeeding goals when used properly, yet posing challenges if misapplied. The discussion will extend to encapsulate the dynamics of hands-free solutions, offering a holistic view of the contemporary lactation toolkit.
Accreditation
AAFP CME Credits for Physicians & Nurses
The American Academy of Family Physicians has reviewed this activity and deemed it acceptable for AAFP credit. Term of approval is from 04/02/2024 to 04/02/2025. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is approved for 30.5 AAFP Elective CME credits.
Applicable to International Board Certified Lactation Consultants (IBCLCs), Certified Lactation Counselors (CLCs), Certified Lactation Educators (CLEs), Childbirth Educators (CBEs) and Doulas. GOLD Conferences has been designated as a Long Term Provider of CERPs by IBLCE--Approval #CLT114-07. This program is approved for 30.5 CERPs (27.5 L-CERPs, 2 E-CERPs & 1 R-CERP).
Dietetic CPEUs - Continuing Professional Education Units
Applicable to Dieticians & Nutritionists, this program is approved for 30.5 Dietetic CPEUs by the Commission on Dietetic Registration - the credentialing agency for the Academy of Nutrition and Dietetics.
Midwifery CEUs - MEAC / NARM Contact Hours
This program is accredited through the Midwifery Education & Accreditation Council (MEAC) for 30 Contact Hours (3.0 MEAC CEUs).
It is also recognized by the North American Registry of Midwives (NARM) for 30 CEUs/Contact Hours. Please note that 0.1 MEAC CEU is equivalent to 1.0 NARM CEU/Contact Hour.
Nurse Contact Hours
This nursing continuing professional development activity was approved by the American Nurses Association Massachusetts, an accredited approver by the American Nurses Credentialing Center's Commission (ANCC) on Accreditation for 30.5 Nursing Contact Hours.
Nurse Contact Hours are valid until 04/02/2026.
- View this presentation in its entirety, under your individual GOLD login info
- Successfully complete a post-test (3 out of 3 questions correctly answered)
- Fill out the Evaluation Survey
If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please send us an email to [email protected] if you have any questions.
Additional Details
Viewing Time: 8 Weeks
Tags / Categories
(IBCLC) Clinical Skills, (IBCLC) Development and Nutrition, (IBCLC) Education and Communication, (IBCLC) Equipment and Technology, (IBCLC) Ethical and Legal Issues, (IBCLC) Infant, (IBCLC) Maternal, (IBCLC) Pathology, (IBCLC) Pharmacology and Toxicology, (IBCLC) Physiology and Endocrinology, (IBCLC) Psychology, Sociology, and Anthropology, (IBCLC) Techniques, Birth Interventions, Birth Practices & Breastfeeding, Breastfeeding & Health, Breastfeeding Advocacy, Breastfeeding Complications, Breastfeeding Education, Breastfeeding in Emergencies, Counseling Skills, Equity & Inclusion in IBCLC Profession, Family & Social Support, Feeding Devices and Tools, IBCLC in Private Practice, IBCLC Using Research, Inequalities & Breastfeeding, Infant Development & Growth, Lactation Case Studies, Managing Milk Supply, Medications & Herbs, Mindfulness & Stress Reduction in Breastfeeding, Perinatal Mood and Anxiety Disorders, Self-care for the Lactation Consultant, Supporting Sucking Skills, The Newborn Microbiome, Trauma & Breastfeeding
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