Session Details


Session

Topics

Speakers


Welcome Address

Members of the LVBC Conference Committee welcome you to the 2nd Annual Lactation Conference
Important announcements and introduction of the overarching theme

Keynote

1.5 hr

Counseling to Empower

Leila Nassar, IBCLC, MA

Breastfeeding is natural and normal but, like any new skill, it is not always easy. Access to effective support is critical to maintaining a mutually beneficial breastfeeding relationship. Research says that helping to empower women during counseling sessions is correlated to longer breastfeeding. This presentation will include:
- Reasons why a mother would need counseling
- Stats on mother breastfeeding rates
- Relevant research on breastfeeding
- Exploring breastfeeding and self-efficacy
- Factors that positively influence longer breastfeeding
- How to counsel through empowerment

XX

1 hr

Cryptic Sabotage:
Exposing Linguistic Subtleties that Undermine Breastfeeding

Christine Roca, BS, IBCLC

Language is complicated. Individual words have different meanings and connotations; groups of words have both simple literal translations and complex interpretations. The current culture surrounding breastfeeding is equally complicated. As a result, it’s easy to overlook the true implications of seemingly-innocuous messages like “breast is best.”

This presentation will dissect today’s most common phrases to understand:

- origins of the phrases

- superficial meanings

- underlying messages

- repercussions of those messages

It will also:

- explain how careful language choice supports the IBLCE Code of Professional Conduct

- reveal clinical practices that obfuscate messages, often unintentionally

- offer alternative verbiage to increase clarity and support breastfeeding


XX

1 hr

Medications & Breastfeeding

Jennifer Abdul-Rahman,
BSN, RN, IBCLC

“Most importantly, it is seldom required that a breastfeeding mother discontinue breastfeeding just to take a medication. It is simply not acceptable for the clinician to stop lactation merely because of heightened anxiety or ignorance on their part. The risks of formula feeding are significant and should not be trivialized. Few drugs have documented side effects in breastfed infants, and we know most of these.” (Hale and Rowe, 2017) This presentation will include:
- Classification System for Medication Safety,
- Lactational Pharmacology,
- Gold Standard Resources,
- Reasons drugs may transfer in human milk,
- Mode of transmission for drugs into milk,
- Evaluation of the infant,
- Suggestions for the clinician,
- Marijuana and Breastfeeding,
- Hormonal Contraception and Breastfeeding

XX

1 hr

Breastfeeding & Contraceptives

Samina Anthony, RN, BS

Access to effective contraception is both a healthcare issue and an economic issue. This presentation will include:
- Different options of available birth control

- Mechanisms by which they work

- How each method impacts breastfeeding

- Acknowledge why some might seem "ideal" from the hospital's point of view

- Common problems encountered in local populations

- How to discuss birth control options with moms in a way that gives them truly informed consent and honors their breastfeeding goals (role playing exercise)
- Implications of patients not having all of the information regarding birth control

- Rate birth control in order of breastfeeding compatibility

XX

1 hr

A Team Approach to Treatment of Tethered Oral Tissues

Mandula Seneviratne, MS, CCC-SLP
Caitlin McGowan, MS, CCC-SLP/L
Alyssa Mierta, CLC

Everyone has “ties” - frenula are the membranes that help hold the lips, tongue, and cheeks in place. These are normal and, to some extent, necessary. However, they can be problematic if they restrict the movement of oral tissues. In a breastfeeding dyad, both mother and baby can experience difficulties which may lead to a premature end to breastfeeding. Assessment and treatment of tethered oral tissues is best accomplished by a team approach including medical (ENT, pediatric dentist), lactation consultant, oral motor therapist (speech therapist or occupational therapist) and bodywork professionals (chiropractor, infant massage, or craniosacral therapy). This presentation will discuss the impact of tethered oral tissues (lip tie, tongue tie, and cheek tie) on oral function and feeding in infants, and a team-based approach to frenectomy management by discussing the roles of oral function professionals, release providers, and bodywork professionals. It will also cover the topics of signs and symptoms of tethered oral tissues, functional restrictions, assessment, and active wound management. Participants will:
- Understand the roles of oral function professionals, release providers, and bodywork professionals in the management of tethered oral tissues

- Identify signs and symptoms of tethered oral tissues with a functional impact on infant feeding

- Demonstrate knowledge of the course of treatment for tethered oral tissues, including identification, assessment, release procedures, and development of oral motor skills post-release.

XX

1 hr

Assessment and Surgical Treatment of Tethered Oral Tissues

Sri Kiran Chennupati,
MD, FAAP

Assessment of tethered oral tissues is too complex to be done via photographs. A trained professional must get hands on to determine the extent of restriction and the optimal methods of treatment.

Participants will be able to:

- Classify various types of ankyloglossia.

- Analyze the evidence of repairing ankyloglossia.

- Classify various types of tethered upper labial frenula.

- Analyze the evidence of repairing tethered upper labial frenula.

- Use evidence-based medicine to help patients with ankyloglossia and tethered upper labial frenula.



XX

1 hr

In-Patient IBCLCs

Beth Kushner-Giovenco,
RN, BSN, IBCLC

Lactation professionals in the inpatient hospital setting are important in increasing and maintaining the high rates of breastfeeding initiation as called for in Healthy People 2020 and the Baby-Friendly Hospital Initiative. This presentation will discuss:
- What is an IBCLC?
- Staffing guidelines: USLCA and Mannel
- Defining acuity based on
    - Mannel assessment of Maternal & Infant Characteristics,
    - Chart evaluations,
    - Breastfeeding assessments
- Patient rounds
- Responsibility of ancillary staff and bedside RN
- Charting and follow up
- Other responsibilities
- The challenges of inpatient lactation support


XX

1 hr

Donor Human Milk in the NICU

Vivian Foulke,

RN, BSN, IBCLC

Unexpectedly having a baby that requires intensive care can drastically change the trajectory of the breastfeeding experience. From the small and very fragile infants to  near-term infants, each child has a unique path. Optimizing human milk feeds (including donor milk where applicable) offers many benefits especially for fragile infants. This presentation will:
- Describe the benefits of using donor milk for preterm or ill infants
- Identify the infant who would benefit from the use of donor milk
- Discuss with parents how donor milk is used in the NICU and the process for becoming a donor
- Describe the process for obtaining donor milk from a HMBANA milk bank


XX

1 hr

NICU and Special Needs
Exclusive Breastfeeding

Jana Walker, LSW

Having a new baby can be hard and all parents benefit from a strong support system. This is especially true when the child has special medical needs. This session will consider the experience of a NICU exclusively breastfeeding mother with an emphasis on clinical staff’s impact on the continuation of providing nutrition. Special emphasis will be given to the impact of trauma (special needs and terminal diagnosis).

XX

1 hr

Perinatal Mental Health and Postpartum Support Preferences in New Parents of Multiples

Susan Wenze, PhD

Rates of twin and higher-order gestation births rose dramatically in recent decades in the United States and other Western countries. Although the obstetrical and neonatal risks of multiple gestation pregnancies are well-documented, much less is known regarding the mental health impact on parents of multiples during the perinatal and early parenthood periods. Further, despite the expanding literature on empirically-supported strategies for treating perinatal mental health concerns in new parents (and new mothers in particular), no published reports have examined tailored support interventions for parents of twins or higher-order multiples. Compared with their singleton-parent peers, parents of multiples face greater functional demands, different emotional experiences, and a range of unique stressors. One might therefore expect this population to be at risk for heightened distress and to report different treatment needs and barriers to care. This presentation will review published data on mental health outcomes in parents of multiples in the antenatal, postpartum, and early parenthood periods. The session will also review the speaker’s work examining the unique postpartum experiences of new mothers of multiples, including qualitative data on breastfeeding challenges and lack of lactation support as sources of stress. Finally, the presentation will review qualitative and quantitative data on new parents’ interest in both traditional and eHealth approaches to mental health support, as well as aspects of treatment that are viewed to be most helpful.


XX

1 hr

Wrap Up, What’s Next

LVBC Conference Committee

Review of important concepts presented in sessions and how they relate to the overarching theme.
This session will involve small group discussion of how to apply learned concepts and strategies to improve practice followed by sharing of  ideas & conclusions with a larger audience.

Participants will create action plans for collaboration with colleagues.

Acknowledgements, Presentation of Certificates

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