Topics & Abstracts

Oral motor coordination and sensory development are two of the most meaningful and critical developmental milestones of the infant. Sucking dysfunction is complicated and may be one of the first signs of abnormal neuro-motor development or other health comorbidities. Too frequently, without a complete assessment, if there are any challenges while feeding at the breast/chest, simple fixes are recommended or bottle feeding is implemented. left untreated these challenges disrupt breastfeeding, leading to weaning. Events during fetal development and birth may be contributing factors to faulty or dysfunctional Infant feeding. It is important to be able to identify one or more of those factors and develop a feeding plan. This may include seeking the insight and intervention of another allied health professional trained in infant feeding. Andrea Herron RN, MN, CPNP, IBCLC, and Lori Cromer OTR/L, SCFES. have developed a team approach to feeding problems and have worked together for over 15 years. Together they have assessed and treated patients often identifying infants needing ongoing oral motor and developmental interventions. Through power point lecture and case studies they will describe their team approach, emphasizing historical and physical findings that indicate the need for specialized assessment and treatment. Several cases studied will be presented including interviews with the mothers.

Objectives:

1. List historical factors and physical findings that may alert the health professional to assess the infant for potential faulty oral motor patterns.
2. Describe normal versus abnormal oral motor patterns and sensory development.
3. Define how the role of an Pediatric occupational therapist differs from that of an IBCLC.
4. List ways that developing a joint feeding treatment plan between an IBCLC and an occupational therapist improves patient outcomes.

Live Presentation Schedule Apr 14, 2023

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14-04-2023 19:00 14-04-2023 20:00 35 Addressing Abnormal Sucking Patterns Through Teamwork and Collaboration Oral motor coordination and sensory development are two of the most meaningful and critical developmental milestones of the infant. Sucking dysfunction is complicated and may be one of the first signs of abnormal neuro-motor development or other health comorbidities. Too frequently, without a complete assessment, if there are any challenges while feeding at the breast/chest, simple fixes are recommended or bottle feeding is implemented. left untreated these challenges disrupt breastfeeding, leading to weaning. Events during fetal development and birth may be contributing factors to faulty or dysfunctional Infant feeding. It is important to be able to identify one or more of those factors and develop a feeding plan. This may include seeking the insight and intervention of another allied health professional trained in infant feeding. Andrea Herron RN, MN, CPNP, IBCLC, and Lori Cromer OTR/L, SCFES. have developed a team approach to feeding problems and have worked together for over 15 years. Together they have assessed and treated patients often identifying infants needing ongoing oral motor and developmental interventions. Through power point lecture and case studies they will describe their team approach, emphasizing historical and physical findings that indicate the need for specialized assessment and treatment. Several cases studied will be presented including interviews with the mothers. GOLD Lactation Online Conference false DD/MM/YYYY

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Although pain is not a normal part of nursing, many mothers experience this difficulty at some point in their breastfeeding journey. It is one of the main reasons for breastfeeding consultations, and an important cause of early, undesired weaning, especially if the infant is not thriving. Assessment of pain during lactation differs significantly from other types because it is a system we must explore – not a single patient but the interaction between the mother and her infant (that is, the dyad). In this talk, an ecosystemic overview of the evaluation and management of breast and nipple pain is offered, based on current research and clinical practice. With appropriate support, the vast majority of dyads are able to breastfeed comfortably and effectively.

Objectives:

1. Explain the importance of an ecosystemic approach to the dyad for adequate evaluation and management of breast and nipple pain
2. Describe 3 clinical causes of breast and nipple pain
3. Name 2 strategies for managing the main causes of breast and nipple pain, including which patients/clients will require referral to other healthcare providers

Live Presentation Schedule May 1, 2023

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01-05-2023 14:00 01-05-2023 15:15 35 An Ecosystemic Approach to the Clinical Management of Breast and Nipple Pain Although pain is not a normal part of nursing, many mothers experience this difficulty at some point in their breastfeeding journey. It is one of the main reasons for breastfeeding consultations, and an important cause of early, undesired weaning, especially if the infant is not thriving. Assessment of pain during lactation differs significantly from other types because it is a system we must explore – not a single patient but the interaction between the mother and her infant (that is, the dyad). In this talk, an ecosystemic overview of the evaluation and management of breast and nipple pain is offered, based on current research and clinical practice. With appropriate support, the vast majority of dyads are able to breastfeed comfortably and effectively. GOLD Lactation Online Conference false DD/MM/YYYY

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Primitive reflexes play an instrumental role in the birth process and lactation, motor, regulatory, and social emotional skill development. Reflexes not only serve to help us develop a sense of self, but they also assist to promote meaningful interactions with other people and the world around us. In this presentation, we explore how the integration of sensory processing and primitive reflexes support parents and infants in lactation. We will also look at how the function of these reflexes can impact learning, mental health and regulation skills in infants, children, and adults. Experiential activities will be used to enhance participants understanding of each reflex and experiment with supportive strategies to use with families.

Objectives:

1. List the primitive reflexes that play a foundational role in lactation
2. Describe the function, developmental continuum, and non-integration patterns for each primitive reflex reviewed
3. Define 2 basic strategies to support reflex development in lactation for parents and infants

Live Presentation Schedule Apr 12, 2023

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12-04-2023 19:00 12-04-2023 20:00 35 Beyond the Rooting Reflex: The Role of Primitive Reflexes in Lactation Primitive reflexes play an instrumental role in the birth process and lactation, motor, regulatory, and social emotional skill development. Reflexes not only serve to help us develop a sense of self, but they also assist to promote meaningful interactions with other people and the world around us. In this presentation, we explore how the integration of sensory processing and primitive reflexes support parents and infants in lactation. We will also look at how the function of these reflexes can impact learning, mental health and regulation skills in infants, children, and adults. Experiential activities will be used to enhance participants understanding of each reflex and experiment with supportive strategies to use with families. GOLD Lactation Online Conference false DD/MM/YYYY

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There is mounting research evidence that lactation is associated with both short- and long-term benefits for maternal cardiovascular health. Observational studies have found that lactation can lower maternal blood pressure, risk of metabolic syndrome, and other markers of cardiovascular risk (Rameez et al, 2019; Qu et al, 2018), and a recent meta-analysis involving more than 1 million individuals concluded that breast/chest-feeding is associated with a 10% lower risk of fatal and non-fatal cardiovascular disease or stroke in later life (Tschiderer et al, 2022). Potential explanations for the cardioprotective impacts of lactation include the role of lactation in postpartum lipid metabolism (Countouris et al, 2020), beneficial effects of oxytocin on the cardiovascular system (Jankowski, 2020), and the role of oxytocin in the stress response (Brunton et al, 2008). However, the relationship between lactation and cardiovascular outcomes is complex and may be mediated by such factors as obesity and metabolic syndrome (Stuebe, 2015). This presentation will review the latest research evidence related to the association between lactation and cardiovascular outcomes, and provide guidance on how to promote breast/chest-feeding for maternal cardiometabolic health.

Objectives:

1. Name 3 peer-reviewed research articles related to the short- and long-term impacts of lactation on maternal cardiovascular outcomes
2. List 2 of the roles of oxytocin on the cardiovascular system
3. Explain 2 evidence-based associations between lactation, metabolic syndrome and cardiovascular outcomes
4. Define high-risk groups for targeted promotion of breast/chest-feeding to optimize cardiometabolic health

Live Presentation Schedule Apr 12, 2023

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12-04-2023 17:00 12-04-2023 18:00 35 Breastfeeding for Maternal Cardiovascular Health: A Review of the Evidence There is mounting research evidence that lactation is associated with both short- and long-term benefits for maternal cardiovascular health. Observational studies have found that lactation can lower maternal blood pressure, risk of metabolic syndrome, and other markers of cardiovascular risk (Rameez et al, 2019; Qu et al, 2018), and a recent meta-analysis involving more than 1 million individuals concluded that breast/chest-feeding is associated with a 10% lower risk of fatal and non-fatal cardiovascular disease or stroke in later life (Tschiderer et al, 2022). Potential explanations for the cardioprotective impacts of lactation include the role of lactation in postpartum lipid metabolism (Countouris et al, 2020), beneficial effects of oxytocin on the cardiovascular system (Jankowski, 2020), and the role of oxytocin in the stress response (Brunton et al, 2008). However, the relationship between lactation and cardiovascular outcomes is complex and may be mediated by such factors as obesity and metabolic syndrome (Stuebe, 2015). This presentation will review the latest research evidence related to the association between lactation and cardiovascular outcomes, and provide guidance on how to promote breast/chest-feeding for maternal cardiometabolic health. GOLD Lactation Online Conference false DD/MM/YYYY

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Every interaction in lactation care with clients must set the foundation for creating an oxytocic environment. Improving client self-efficacy must be a priority for every lactation professional who works with the dyad. This presentation will dive deeper into the various factors that include not just latching and positioning but also brings attention to regulating the nervous system of the parent and baby. The presence of a lactation support professional needs to invite a neurophysiological encounter of safety in the parent and infant. This allows them to feel relaxed, unfurled, and present in the process of feeding and beyond. We will review clinical case studies, videos, photos and curious compassion for better client outcomes. Lactation professionals will be able to incorporate the ideas from this presentation into their clinical practice. They will be able to encourage client self-reliance that lasts beyond the consultation. This presentation can be used as a guide for providing a neurophysiologically inclusive feeding plan and bridging the gap between initiation and duration of breastfeeding.

Objectives:

Objective 1: Describe various positions and latching techniques for lactating parents.
Objective 2: Explain 3 challenges that can interfere with optimal latching and positioning.
Objective 3: Describe 3 ways to promote parental self-efficacy and improve infant feeding outcomes.

Live Presentation Schedule Apr 3, 2023

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03-04-2023 16:00 03-04-2023 17:15 35 Calm & Regulated: Rethinking Our Approach to Latch and Positioning Every interaction in lactation care with clients must set the foundation for creating an oxytocic environment. Improving client self-efficacy must be a priority for every lactation professional who works with the dyad. This presentation will dive deeper into the various factors that include not just latching and positioning but also brings attention to regulating the nervous system of the parent and baby. The presence of a lactation support professional needs to invite a neurophysiological encounter of safety in the parent and infant. This allows them to feel relaxed, unfurled, and present in the process of feeding and beyond. We will review clinical case studies, videos, photos and curious compassion for better client outcomes. Lactation professionals will be able to incorporate the ideas from this presentation into their clinical practice. They will be able to encourage client self-reliance that lasts beyond the consultation. This presentation can be used as a guide for providing a neurophysiologically inclusive feeding plan and bridging the gap between initiation and duration of breastfeeding. GOLD Lactation Online Conference false DD/MM/YYYY

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Cannabis is the most consumed psychoactive drug, with global estimated use approaching 200,000 million people. Legalization in different countries, together with apparent safety perception, has led to increased cannabis use by up to 5% of pregnant and breastfeeding women. This presents significant challenges for health professionals who promote breastfeeding. As central nervous system drugs need to be sufficiently lipophilic to pass the blood brain barrier, there will be extensive cannabis passage into lipophilic breast milk. Pre- and post-natal exposure is likely to impact not only on the mother but may also induce neurobiological alterations in the infant that persist beyond the first 1000 days of life. This presentation will take an evidence-based approach to outline the pharmacology, potential benefits, and risks of the main cannabinoids (THC and CBD) used in their various dose forms (ingested oils, topical gels or inhalation of buds by pipe or vaporizer). It will focus on the available evidence, potential consequences, and considerations when cannabis is used in lactation. Regardless of personal opinion, it is imperative that women feel comfortable to ask questions of their primary health care professionals about cannabis use or misuse while breastfeeding, to promote harm minimization.

Objectives:

Objective 1: Describe the pharmacology, ways cannabis is used therapeutically and as a recreational drug by breastfeeding mothers and its transfer into breast milk
Objective 2: Explain safety and practical considerations for cannabis use in breastfeeding
Objective 3: Describe realistic goals and strategies around harm minimisation.

Live Presentation Schedule Apr 18, 2023

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18-04-2023 21:00 18-04-2023 22:00 35 Cannabis Use During Lactation: Evidence-Based and Parent Centred Care Cannabis is the most consumed psychoactive drug, with global estimated use approaching 200,000 million people. Legalization in different countries, together with apparent safety perception, has led to increased cannabis use by up to 5% of pregnant and breastfeeding women. This presents significant challenges for health professionals who promote breastfeeding. As central nervous system drugs need to be sufficiently lipophilic to pass the blood brain barrier, there will be extensive cannabis passage into lipophilic breast milk. Pre- and post-natal exposure is likely to impact not only on the mother but may also induce neurobiological alterations in the infant that persist beyond the first 1000 days of life. This presentation will take an evidence-based approach to outline the pharmacology, potential benefits, and risks of the main cannabinoids (THC and CBD) used in their various dose forms (ingested oils, topical gels or inhalation of buds by pipe or vaporizer). It will focus on the available evidence, potential consequences, and considerations when cannabis is used in lactation. Regardless of personal opinion, it is imperative that women feel comfortable to ask questions of their primary health care professionals about cannabis use or misuse while breastfeeding, to promote harm minimization. GOLD Lactation Online Conference false DD/MM/YYYY

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Creating a more connected, coordinated and collaborative healthcare experience closes gaps and promotes comprehensive parent centered care. This panel will explore the benefits, challenges and practicalities of working within a collaborative model of health care for lactation professionals We will explore topics such as how to establish relationships with other professionals, different models of collaborative care, potential barriers and what to do when there’s no one to refer to, scope of practice and liability and how to keep the parent as the director of their care.

Objectives:

1. List 3 ways that collaborative care benefits parents seeking care for lactation challenges
2. Describe 3 situations where breastfeeding challenges may require care that is outside the scope of practice for an IBCLC
3. List 3 potential barriers to collaborative care and potential solutions

Live Presentation Schedule Apr 26, 2023

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26-04-2023 17:00 26-04-2023 18:00 35 Connected, Collaborative and Coordinated Lactation Care Creating a more connected, coordinated and collaborative healthcare experience closes gaps and promotes comprehensive parent centered care. This panel will explore the benefits, challenges and practicalities of working within a collaborative model of health care for lactation professionals We will explore topics such as how to establish relationships with other professionals, different models of collaborative care, potential barriers and what to do when there’s no one to refer to, scope of practice and liability and how to keep the parent as the director of their care. GOLD Lactation Online Conference false DD/MM/YYYY

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Breastfeeding parents will encounter the SARS-CoV-2 virus and may contract COVID-19. The availability of new vaccines against COVID-19 created a need for guidance about vaccination during lactation. We aim to get an insight into the effects of COVID-19 vaccines during the lactation period. This entails the safety of vaccination during lactation, the immune response in lactating women and the excretion of immunological factors in breastmilk. Not a lot is known about the transfer of immunoglobulin A (IgA) and the mechanisms by which these antibodies provide protection to the neonate via breast milk. This presentation contributes to the knowledge of SARS-COV-2 infections and the use of different vaccine-platforms during breastfeeding and will benefit the population with respect to public health. As vaccination during lactation could result in clinically relevant sIgA-titers in breastmilk and protecting the child in early life, it is of importance that women have this information to decide whether to take the vaccine.

Objectives:

1. Describe 2 differences and working mechanisms of different vaccine platforms currently in use
2. Explain 2 effects of COVID-19 vaccination during breastfeeding for both the lactating parent and infant
3. List 3 elements of safety of COVID-19 vaccination which should be explained to lactating parents

Live Presentation Schedule Apr 18, 2023

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18-04-2023 17:00 18-04-2023 18:00 35 COvid-19 VACcination during LACtation: The COVALAC-study Breastfeeding parents will encounter the SARS-CoV-2 virus and may contract COVID-19. The availability of new vaccines against COVID-19 created a need for guidance about vaccination during lactation. We aim to get an insight into the effects of COVID-19 vaccines during the lactation period. This entails the safety of vaccination during lactation, the immune response in lactating women and the excretion of immunological factors in breastmilk. Not a lot is known about the transfer of immunoglobulin A (IgA) and the mechanisms by which these antibodies provide protection to the neonate via breast milk. This presentation contributes to the knowledge of SARS-COV-2 infections and the use of different vaccine-platforms during breastfeeding and will benefit the population with respect to public health. As vaccination during lactation could result in clinically relevant sIgA-titers in breastmilk and protecting the child in early life, it is of importance that women have this information to decide whether to take the vaccine. GOLD Lactation Online Conference false DD/MM/YYYY

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The medical community spends a lot of time and energy discussing weight as it relates to health. This message becomes a focus particularly in the postpartum period when people begin to think about “dropping the baby weight”. A frequently shared statement about breastfeeding is that it may cause weight loss. This information can be the driver for some to decide to breastfeed.

Weight stigma is a topic that surrounds our tiny clients as early as in the womb when we talk about delivering a “big baby” or as we focus on growth charts and weight gain for babies which can be a big trigger for the parent who may have a past history of disordered eating. Comments about a baby being “too big” or having reached a certain weight and now needs solid foods sooner are often discussed.

What do our intake forms ask as it relates to weight or past history of eating disorders? How does our office furniture function to seat people comfortably with all body types? How do we communicate to clients about food intake and the impact of lactation, appropriate weight gain for a baby, or the benefits of breastfeeding?

As healthcare professionals, we have to acknowledge our own biases around weight stigma and actively work to change the way we practice to be weight inclusive for the dyad.

Objectives:

1. Define 3 elements of the concept of diet culture and its impact on early postpartum
2. List 3 myths surrounding weight and lactation
3. Recite 2 of the 5 principles of the “Health At Every Size” concept

Live Presentation Schedule Apr 17, 2023

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17-04-2023 17:00 17-04-2023 18:00 35 Diet Culture and Fat-Phobia: Supportive Counseling Around Weight, Health & Lactation The medical community spends a lot of time and energy discussing weight as it relates to health. This message becomes a focus particularly in the postpartum period when people begin to think about “dropping the baby weight”. A frequently shared statement about breastfeeding is that it may cause weight loss. This information can be the driver for some to decide to breastfeed. Weight stigma is a topic that surrounds our tiny clients as early as in the womb when we talk about delivering a “big baby” or as we focus on growth charts and weight gain for babies which can be a big trigger for the parent who may have a past history of disordered eating. Comments about a baby being “too big” or having reached a certain weight and now needs solid foods sooner are often discussed. What do our intake forms ask as it relates to weight or past history of eating disorders? How does our office furniture function to seat people comfortably with all body types? How do we communicate to clients about food intake and the impact of lactation, appropriate weight gain for a baby, or the benefits of breastfeeding? As healthcare professionals, we have to acknowledge our own biases around weight stigma and actively work to change the way we practice to be weight inclusive for the dyad. GOLD Lactation Online Conference false DD/MM/YYYY

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Late preterm and early term birth is a barrier to establishing breastfeeding. These babies are often well enough to stay with their mothers and treated like a full term baby. Yet they are often sleepy, uncoordinated and inefficient at the breast leading to a higher chance of unstable blood sugar, weight issues, jaundice and low milk supply. This leads to a high rate of supplementation. Skilled breastfeeding support is the key to helping these babies breastfeeding effectively. This presentation will discuss anticipatory guidance in relation to an early birth, how to protect breastfeeding during the first few days and weeks, and how to move towards exclusive breastfeeding should supplementation be necessary.

Objectives:

1. Name 3 reasons babies born late preterm may struggle to establish breastfeeding
2. List 3 ways to recognize signs of progress on the breastfeeding journey and when intervention might be needed
3. Describe 2 ways to protect the breastfeeding relationship and provide encouragement to the lactating parent when breastfeeding is improving more slowly than expected

Live Presentation Schedule Apr 18, 2023

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18-04-2023 15:00 18-04-2023 16:00 35 Don't Let Us Fool You: Breastfeeding in Late Preterm and Early Term Babies Late preterm and early term birth is a barrier to establishing breastfeeding. These babies are often well enough to stay with their mothers and treated like a full term baby. Yet they are often sleepy, uncoordinated and inefficient at the breast leading to a higher chance of unstable blood sugar, weight issues, jaundice and low milk supply. This leads to a high rate of supplementation. Skilled breastfeeding support is the key to helping these babies breastfeeding effectively. This presentation will discuss anticipatory guidance in relation to an early birth, how to protect breastfeeding during the first few days and weeks, and how to move towards exclusive breastfeeding should supplementation be necessary. GOLD Lactation Online Conference false DD/MM/YYYY

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"Lactational breast abscess is a common problem during breastfeeding. Surgical treatment of breast abscess involves maternal child separation and discontinuation of breast feeding. Surgical intervention with its inherent anxiety and probable unwanted side effects can deprive the lactating parent and baby of innumerable benefits. Non-surgical therapeutic modalities can potentially circumvent these problems. Dynamic taping with the help of a physiotherapist is a potential non-surgical intervention. This presentation presents the results of an observational, cohort study which was conducted in 20 consenting mothers with breast abscess attending an out-patient services tertiary maternal and neonatal unit. The mothers were administered two layers of dynamic tape as a single long segment on the breast avoiding the areola in an outward radiating direction to optimize lymphatic flow. Treatment was considered successful if there was resolution of the breast abscess with or without natural oozing."

Objectives:

1. Describe early intervention in preventing breast abscess during lactation by successfully treating pathological engorgement and blocked ducts.
2. Explain the biomechanical principles behind dynamic taping as a treatment method
3. Explain the Dynamic Taping of Breast for non-surgical management of lactational breast abscess

Live Presentation Schedule Apr 13, 2023

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13-04-2023 19:00 13-04-2023 20:00 35 Dynamic Taping of the Breast for Lactational Breast Abscess "Lactational breast abscess is a common problem during breastfeeding. Surgical treatment of breast abscess involves maternal child separation and discontinuation of breast feeding. Surgical intervention with its inherent anxiety and probable unwanted side effects can deprive the lactating parent and baby of innumerable benefits. Non-surgical therapeutic modalities can potentially circumvent these problems. Dynamic taping with the help of a physiotherapist is a potential non-surgical intervention. This presentation presents the results of an observational, cohort study which was conducted in 20 consenting mothers with breast abscess attending an out-patient services tertiary maternal and neonatal unit. The mothers were administered two layers of dynamic tape as a single long segment on the breast avoiding the areola in an outward radiating direction to optimize lymphatic flow. Treatment was considered successful if there was resolution of the breast abscess with or without natural oozing." GOLD Lactation Online Conference false DD/MM/YYYY

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Though the overall risk of the development of food allergies in infants remains very low, prevalence has been increasing. With that increase, we are also seeing more concerns for food allergies in the exclusively breast/chest fed infant. This presentation aims to educate on the different types of food allergies (IgE mediated vs non- IgE mediated) and their symptoms commonly seen in a breast/chest fed infant. We’ll review the current feeding recommendations for an infant that presents with food allergies including maternal elimination diets. This presentation will also explore the role of the lactation consultant in managing food allergies and supporting our families that face this challenging situation.

Objectives:

1. The participant will be able to describe 2 different types of food allergies.
2. The participant will be able to explain lactation's role in allergy risk and prevention.
3. The participant will be able to list 3 common allergy symptoms that may present in a breast milk fed baby.
4. The participant will be able to list 3 feeding issues that may mimic allergy symptoms.
5. The participant will be able to describe the care plans and referrals necessary for families with a baby with food allergies.

Live Presentation Schedule Apr 18, 2023

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18-04-2023 19:00 18-04-2023 20:00 35 How Breastfeeding and Food Allergies Intersect: What We Know and How We Can Help Though the overall risk of the development of food allergies in infants remains very low, prevalence has been increasing. With that increase, we are also seeing more concerns for food allergies in the exclusively breast/chest fed infant. This presentation aims to educate on the different types of food allergies (IgE mediated vs non- IgE mediated) and their symptoms commonly seen in a breast/chest fed infant. We’ll review the current feeding recommendations for an infant that presents with food allergies including maternal elimination diets. This presentation will also explore the role of the lactation consultant in managing food allergies and supporting our families that face this challenging situation. GOLD Lactation Online Conference false DD/MM/YYYY

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Lactation support in US prisons and jails continues to be limited in access and scope. Up to the COVID pandemic, the rate of women incarcerated in the US rose by 800% since the 1980s. Approximately 60-80% of these women are the parent of a minor, many the primary caregiver of their child/children. Every year, approximately 10% of women entering custody are pregnant. Native American, Black/African American and women of lower educational attainment and socioeconomic standing are also overrepresented in American prisons, perpetuating cycles of intergenerational trauma and health disparities.

Enabling mothers/lactating parents to breast-feed or express milk for their infants while in custody has the potential to reduce the harm associated with infant-parent separation. Mothers have expressed positive mental health impacts from the act of milk expression and knowing their milk was reaching their infants. The availability of lactation support can help mothers manage breast health throughout the postpartum period. Infants maintain connection with their parent, while receiving all the benefits human milk brings.

Milk Banks can play a unique role in their ability to support infants, parents-in-custody and caregivers through their expertise in human milk handling, transportation and storage. Our presentation will highlight the Expressions of Care program of the Northwest Mothers Milk Bank: to provide a potential model of how organizations might further expand infant access to human milk within this important and often-overlooked population.

Objectives:

Following this session, participants will be able to:
Objective 1. Identify 3 barriers families face when providing breastmilk to an infant while the lactating parent is incarcerated
Objective 2. Describe benefits associated with maintaining lactation and access to breastmilk for both the parent and infant when separated due to incarceration
Objective 3. Identify 3 ways organizations can provide lactation and/or breast health support to mothers, infants, caregivers and carceral facilities.

Live Presentation Schedule Apr 17, 2023

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17-04-2023 19:00 17-04-2023 20:00 35 Increasing Access to Parental Breast Milk During Incarceration: The Role of the Human Milk Bank Lactation support in US prisons and jails continues to be limited in access and scope. Up to the COVID pandemic, the rate of women incarcerated in the US rose by 800% since the 1980s. Approximately 60-80% of these women are the parent of a minor, many the primary caregiver of their child/children. Every year, approximately 10% of women entering custody are pregnant. Native American, Black/African American and women of lower educational attainment and socioeconomic standing are also overrepresented in American prisons, perpetuating cycles of intergenerational trauma and health disparities. Enabling mothers/lactating parents to breast-feed or express milk for their infants while in custody has the potential to reduce the harm associated with infant-parent separation. Mothers have expressed positive mental health impacts from the act of milk expression and knowing their milk was reaching their infants. The availability of lactation support can help mothers manage breast health throughout the postpartum period. Infants maintain connection with their parent, while receiving all the benefits human milk brings. Milk Banks can play a unique role in their ability to support infants, parents-in-custody and caregivers through their expertise in human milk handling, transportation and storage. Our presentation will highlight the Expressions of Care program of the Northwest Mothers Milk Bank: to provide a potential model of how organizations might further expand infant access to human milk within this important and often-overlooked population. GOLD Lactation Online Conference false DD/MM/YYYY

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Humans have been sharing their breastmilk for the benefit of other babies for thousands of years. In this presentation, we will be looking at how a baby might have access to human milk if their parent cannot provide it themselves. The history and current practices of milk banking, both for profit and non-profit, will be covered as well as milk sharing.

Objectives:

1. List three biomedical ethical principles and explain how they apply to the use of human milk.
2. Describe the difference between milk sharing, for-profit human milk banking, and non-profit human milk banking.
3. Explain the process of donating to and obtaining human milk from a HMBANA human milk bank.
4. List three reasons why human milk in critical for pre-term human babies.

Live Presentation Schedule Apr 24, 2023

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24-04-2023 17:00 24-04-2023 18:00 35 Milk Sharing and Milk Banking: Building Knowledge for Better Outcomes Humans have been sharing their breastmilk for the benefit of other babies for thousands of years. In this presentation, we will be looking at how a baby might have access to human milk if their parent cannot provide it themselves. The history and current practices of milk banking, both for profit and non-profit, will be covered as well as milk sharing. GOLD Lactation Online Conference false DD/MM/YYYY

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The nutritional composition of breast milk is impacted by maternal diet. With vegan breastfeeding mothers, a common concern is that their dietary restrictions could affect their milk supply or limit the milk constituents. Research however shows that vegan mothers are capable of producing nutritionally valuable milk for their infants, as long as the appropriate supplementation of the mother's nutritional requirements is provided. This presentation will review existing knowledge on the variability of specific nutrients in breastmilk of mothers adhering to a plant-based diet and how to create a plan that takes into account both the mother's and infant's nutritional requirements.

Objectives:

1. Define 2 ways in which a vegan diet affects the lactating person, their milk supply and their baby
2. Explain 3 ways a vegan lactating person can create a plan for meeting their own lactation goals
3. Describe 3 common misconceptions regarding breastfeeding and lactating while vegan

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Breastfeeding may be natural, but it isn’t easy. Initiating and maintaining breastfeeding, and overcoming barriers can be hard for anyone, but breastfeeding a child with illness or medical complexity in the paediatric setting is uniquely challenging and presents different obstacles than those commonly experienced by parents feeding healthy term newborns or preterm neonates.

Current policies, BFHI standards, and training are weighted towards the initiation of breastfeeding or the establishment of effective pumping for a preterm infant. The needs and challenges of children beyond the neonatal period are largely unresearched. My systematic review in 2021 found seven key themes that provided some explanation as to why breastfeeding a child with medical complexity in paediatrics is different and more challenging to achieve.

My qualitative study in 2022 has provided novel insight and new data into the specific challenges encountered by parents of children with acute, chronic, complex and life-threatening illness in the paediatric ward or paediatric intensive care unit and provides tentative explanations and suggestions for how to approach this unique population to optimise their feeding experience.

In this presentation, learners will understand how to view the paediatric population as distinct from the maternity and neonatal population and appreciate some of the unique difficulties that these families face. Learners will also develop understanding of the need to merge clinical and lactation skills in a collaborative approach to care. Finally, new insights and awareness of the importance of expanding current training to meet the needs of this population will be shared.

Objectives:

1.Explain 2 ways the paediatric population is distinct from maternity and neonatal clients in terms of management, structures and policy.
2.List 5 unique clinical lactation challenges experienced by children in the paediatric setting.
3.Describe 2 impacts of continuing to breastfeed or provide breastmilk for lactating parents.
4.Explain why targeted and specific paediatric breastfeeding training is appropriate in order to achieve the best outcomes.

Live Presentation Schedule Apr 17, 2023

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17-04-2023 15:00 17-04-2023 16:00 35 More Support in a Coffee Shop Than in the Hospital: Experiences of Breastfeeding Children With Medical Complexity Breastfeeding may be natural, but it isn’t easy. Initiating and maintaining breastfeeding, and overcoming barriers can be hard for anyone, but breastfeeding a child with illness or medical complexity in the paediatric setting is uniquely challenging and presents different obstacles than those commonly experienced by parents feeding healthy term newborns or preterm neonates. Current policies, BFHI standards, and training are weighted towards the initiation of breastfeeding or the establishment of effective pumping for a preterm infant. The needs and challenges of children beyond the neonatal period are largely unresearched. My systematic review in 2021 found seven key themes that provided some explanation as to why breastfeeding a child with medical complexity in paediatrics is different and more challenging to achieve. My qualitative study in 2022 has provided novel insight and new data into the specific challenges encountered by parents of children with acute, chronic, complex and life-threatening illness in the paediatric ward or paediatric intensive care unit and provides tentative explanations and suggestions for how to approach this unique population to optimise their feeding experience. In this presentation, learners will understand how to view the paediatric population as distinct from the maternity and neonatal population and appreciate some of the unique difficulties that these families face. Learners will also develop understanding of the need to merge clinical and lactation skills in a collaborative approach to care. Finally, new insights and awareness of the importance of expanding current training to meet the needs of this population will be shared. GOLD Lactation Online Conference false DD/MM/YYYY

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In 2020, only 25.6% of dyads in the US were exclusively breastfeeding at six months. One contributing factor to low exclusivity rates is the absence of a specialized physician who provides dyad care. Consequently, pediatricians and obstetricians provide lactation education and support in the primary care setting. Little is published about perceptions of and roles related to lactation practices in primary care settings, and no survey instrument exists to investigate these topics. A 58-question survey was developed, validated, and subsequently distributed to primary care providers (PCPs) in the field of maternal and child health to help define current perceptions and practices related to lactation care and referrals. In this pilot study, responses were received from 40 PCPs in the Southeastern United States and included in the analysis. Results highlight areas of strengths and areas for improvement in current practices of PCPs with regards to lactation services. These data can be utilized as a framework for developing interventions and/or programs that will improve lactation care in primary care settings.

Objectives:

1. List the steps associated with survey content and face validation
2. List the top three reasons primary care providers refer their clients to lactation support
3. Describe the barriers primary care providers report for access to lactation support

Live Presentation Schedule Apr 11, 2023

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11-04-2023 17:00 11-04-2023 18:00 35 Provider Perceptions of IBCLCs in Primary Care Settings: A Pilot Study In 2020, only 25.6% of dyads in the US were exclusively breastfeeding at six months. One contributing factor to low exclusivity rates is the absence of a specialized physician who provides dyad care. Consequently, pediatricians and obstetricians provide lactation education and support in the primary care setting. Little is published about perceptions of and roles related to lactation practices in primary care settings, and no survey instrument exists to investigate these topics. A 58-question survey was developed, validated, and subsequently distributed to primary care providers (PCPs) in the field of maternal and child health to help define current perceptions and practices related to lactation care and referrals. In this pilot study, responses were received from 40 PCPs in the Southeastern United States and included in the analysis. Results highlight areas of strengths and areas for improvement in current practices of PCPs with regards to lactation services. These data can be utilized as a framework for developing interventions and/or programs that will improve lactation care in primary care settings. GOLD Lactation Online Conference false DD/MM/YYYY

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Despite the many benefits of breastfeeding to both mothers and infants, the majority of women are unable to reach the recommendations of the World Health Organization of exclusive breastfeeding for the first 6 months of life and continued breastfeeding for two years or longer. It's important for health care professionals to stay up to date with the latest research to always ensure that the care they're providing is in line with current best evidence.

This presentation will present the results of a research review on the effectiveness of interventions to improve breastfeeding outcomes. A database search including PubMed, Cochrane, and CINAH were conducted to identify systematic review and meta-analysis studies in English that focused on breastfeeding interventions that addressed breastfeeding outcomes in full-term healthy newborns from 2012 to 2022. Learn more about the which breastfeeding interventions are backed by strong evidence, quality issues in certain studies, and the implications for further research.

Objectives:

1. List 3 barriers to breastfeeding
2. Describe 3 interventions that effectively improved breastfeeding outcomes
3. Explain the implication of the current review to clinical practice and future research.

Live Presentation Schedule Apr 25, 2023

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25-04-2023 19:00 25-04-2023 20:00 35 Research Review: What the Evidence Tells Us About Improving Breastfeeding Outcomes Despite the many benefits of breastfeeding to both mothers and infants, the majority of women are unable to reach the recommendations of the World Health Organization of exclusive breastfeeding for the first 6 months of life and continued breastfeeding for two years or longer. It's important for health care professionals to stay up to date with the latest research to always ensure that the care they're providing is in line with current best evidence. This presentation will present the results of a research review on the effectiveness of interventions to improve breastfeeding outcomes. A database search including PubMed, Cochrane, and CINAH were conducted to identify systematic review and meta-analysis studies in English that focused on breastfeeding interventions that addressed breastfeeding outcomes in full-term healthy newborns from 2012 to 2022. Learn more about the which breastfeeding interventions are backed by strong evidence, quality issues in certain studies, and the implications for further research. GOLD Lactation Online Conference false DD/MM/YYYY

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Too much supplementation means baby is getting less of the parent’s own milk, and eventually, there is less milk production for the parent. Too little supplementation means baby is not fed enough. So how do we find that juuuuust right amount? Or determine whether supplementation is really necessary? When it is necessary, how do we supplement in a way that preserves long-term breastfeeding outcomes? This presentation can serve a guide for if, when, how and how much to supplement direct breastfeeding with additional human milk or infant formula.

Objectives:

1. List 2 circumstances which can result in long-term lactation insufficiency
2. Describe 2 ways to determine whether baby is getting enough milk
3.Create a plan to supplement a baby’s intake, including volume calculation and supplementation device selection

Live Presentation Schedule Apr 11, 2023

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11-04-2023 21:00 11-04-2023 22:00 35 Supplementation: A Goldilocks Dilemma Too much supplementation means baby is getting less of the parent’s own milk, and eventually, there is less milk production for the parent. Too little supplementation means baby is not fed enough. So how do we find that juuuuust right amount? Or determine whether supplementation is really necessary? When it is necessary, how do we supplement in a way that preserves long-term breastfeeding outcomes? This presentation can serve a guide for if, when, how and how much to supplement direct breastfeeding with additional human milk or infant formula. GOLD Lactation Online Conference false DD/MM/YYYY

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Breast milk can appear in many different colors. Most of the time these colour variations are normal, but sometimes they are an indicator of disease and it's important for care providers to know the difference. The presence of an unusual milk color, especially with colostrum, may also be a barrier to exclusive breastfeeding as it can be worrying for parents. This presentation will examine some of the various colours of breastmilk such as blood-stained, blue, and bluish-green, pink and brownish. Case studies will help identify the causes of these colour variations and when to consider underlying disease.

Objectives:

1. List 3 potential causes of unusual milk colors
2. Describe 2 potential causes of pinkish breastmilk
3. Describe 2 potential causes of brownish breastmilk
4. Compare management of clinical cases with unusual milk colors

Live Presentation Schedule Apr 11, 2023

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11-04-2023 13:00 11-04-2023 14:00 35 The Many Colours of Breastmilk: What Does It All Mean? Breast milk can appear in many different colors. Most of the time these colour variations are normal, but sometimes they are an indicator of disease and it's important for care providers to know the difference. The presence of an unusual milk color, especially with colostrum, may also be a barrier to exclusive breastfeeding as it can be worrying for parents. This presentation will examine some of the various colours of breastmilk such as blood-stained, blue, and bluish-green, pink and brownish. Case studies will help identify the causes of these colour variations and when to consider underlying disease. GOLD Lactation Online Conference false DD/MM/YYYY

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This panel of seasoned lactation care providers will describe some of the ways in which they have adapted their initial ideals of lactation work to the realities of what families need as well as their own strengths and capabilities. This exploration of the panelists’ own trajectories through acquiring learning and credentialing in maternal child health is designed to offer the aspiring or new lactation care provider a wealth of ideas and resources for problem-solving and decision-making as they set off on their career in lactation care.

Objectives:

1. List 3 potential barriers lactation care providers face in setting up their lactation practice
2. Explain 3 ways lactation care providers can protect their own mental health while building a thriving lactation practice
3. Describe 3 important factors lactation care providers should consider when planning for their own professional development

Live Presentation Schedule Apr 19, 2023

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19-04-2023 17:00 19-04-2023 18:00 35 Tips and Tricks From IBCLCs: Things I Wish I Had Known This panel of seasoned lactation care providers will describe some of the ways in which they have adapted their initial ideals of lactation work to the realities of what families need as well as their own strengths and capabilities. This exploration of the panelists’ own trajectories through acquiring learning and credentialing in maternal child health is designed to offer the aspiring or new lactation care provider a wealth of ideas and resources for problem-solving and decision-making as they set off on their career in lactation care. GOLD Lactation Online Conference false DD/MM/YYYY

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The overwhelming amount of breast pumps on the market and lack of evidence-based pumping research make it difficult for both parents and professionals to know how to choose and use breast pumps effectively. After conducting pilot testing on over 50 breast pumps with a custom designed Breast Pump Vacuum Monitoring System, we will use the graphs and data gathered to better understand the differences between pumps and which are most effective for specific pumping scenarios. We will dive into the science of breast pumps, the practical use of different types of pumps, and clinical aspects of counseling pumping parents.

Objectives:

Overall Objective: Participants will be able to identify important features of a breast pump to effectively help mothers choose and use a pump appropriately for sufficient and practical milk removal.
1. Explain terms and types of breast pumps
2. Describe qualities that affect breast pump performance as well as the practical implications of different pumps
3. Evaluate strategies for appropriate breast pump selection and use

Live Presentation Schedule Apr 24, 2023

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24-04-2023 19:00 24-04-2023 20:00 35 Understanding Breast Pumps: The Science vs the Practical The overwhelming amount of breast pumps on the market and lack of evidence-based pumping research make it difficult for both parents and professionals to know how to choose and use breast pumps effectively. After conducting pilot testing on over 50 breast pumps with a custom designed Breast Pump Vacuum Monitoring System, we will use the graphs and data gathered to better understand the differences between pumps and which are most effective for specific pumping scenarios. We will dive into the science of breast pumps, the practical use of different types of pumps, and clinical aspects of counseling pumping parents. GOLD Lactation Online Conference false DD/MM/YYYY

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The impact of breastfeeding on fertility has been neglected by research in recent years. There can be significant variation in when the menstrual cycle returns for parents, which can impact their plans for family expansion. Some who conceived easily before breastfeeding, can find it much more difficult to conceive while breastfeeding. Some who struggle with recurrent miscarriage can wonder if breastfeeding is impacting their ability to carry to term. Many are left wondering whether to wean their nursling in order to conceive again, which can be a very difficult decision to make, when that conception is uncertain. This presentation will review the research on how breastfeeding affects the menstrual cycle, how fertility is initially suppressed and how it returns, the ongoing effect that breastfeeding can have on fertility, how to use breastfeeding as a contraceptive method (if desired), how to maximise chances of conception (if desired) and whether it may affect a pregnancy after conception has occurred.

Objectives:

1. Describe 2 ways in which lactation affects the menstrual cycle
2. Assess the efficacy of breastfeeding as a contraceptive / the impact on family expansion
3. Define 3 ways pregnancy affects lactation, and/or how lactation may affect pregnancy

Live Presentation Schedule Apr 17, 2023

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17-04-2023 13:00 17-04-2023 14:00 35 What Does Breastfeeding Mean for Fertility? The impact of breastfeeding on fertility has been neglected by research in recent years. There can be significant variation in when the menstrual cycle returns for parents, which can impact their plans for family expansion. Some who conceived easily before breastfeeding, can find it much more difficult to conceive while breastfeeding. Some who struggle with recurrent miscarriage can wonder if breastfeeding is impacting their ability to carry to term. Many are left wondering whether to wean their nursling in order to conceive again, which can be a very difficult decision to make, when that conception is uncertain. This presentation will review the research on how breastfeeding affects the menstrual cycle, how fertility is initially suppressed and how it returns, the ongoing effect that breastfeeding can have on fertility, how to use breastfeeding as a contraceptive method (if desired), how to maximise chances of conception (if desired) and whether it may affect a pregnancy after conception has occurred. GOLD Lactation Online Conference false DD/MM/YYYY

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Breast or bottle refusal can be distressing for parents and present a significant challenge for professionals. There are many underlying reasons why infants may display feeding aversion. These are often multi-layered and typically include emotional as well as anatomical or physical difficulties. During this presentation we will consider the causes of both breast and bottle refusal, looking at how these may present under different circumstances. We will explore how refusal impacts the parent – infant relationship and maternal self-efficacy. Once we have a clear, holistic picture regarding the complexities of feeding aversion, we will look at ways to support the dyad to overcome their difficulties including through working with other professionals. For those parents who find they cannot overcome the challenges they face, we will look at ways to help them reframe the experience and shift feelings away from failure and towards success.

Objectives:

1. Name 3 potential causes of breast and bottle refusal
2. Explain 2 facets of the psychological impact of feeding aversion on the dyad
3. Describe 3 techniques to support the dyad with overcoming feeding difficulties

Live Presentation Schedule Apr 11, 2023

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11-04-2023 15:00 11-04-2023 16:00 35 When Baby Says No: Assessment and Management of Breast and Bottle Refusal Breast or bottle refusal can be distressing for parents and present a significant challenge for professionals. There are many underlying reasons why infants may display feeding aversion. These are often multi-layered and typically include emotional as well as anatomical or physical difficulties. During this presentation we will consider the causes of both breast and bottle refusal, looking at how these may present under different circumstances. We will explore how refusal impacts the parent – infant relationship and maternal self-efficacy. Once we have a clear, holistic picture regarding the complexities of feeding aversion, we will look at ways to support the dyad to overcome their difficulties including through working with other professionals. For those parents who find they cannot overcome the challenges they face, we will look at ways to help them reframe the experience and shift feelings away from failure and towards success. GOLD Lactation Online Conference false DD/MM/YYYY

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The human body is intricate and fascinating. Anatomy (what it looks like) determines physiology (what it does). Sometimes anatomy, because of its variable nature, can cause changes in anticipated physiology which results in clinical symptoms. This presentation focuses on how symptoms give us clues about anatomy and physiology of the breast through the lens of several clinical case studies.

Objectives:

1 Describe the variety of anatomical differences that can be present in the breast
2 Explain how anatomy impacts the physiology of lactogenesis
3 Describe common symptoms lactating parents may face and how that relates to anatomy and physiology to determine the most appropriate treatment strategies.

Live Presentation Schedule Apr 25, 2023

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25-04-2023 21:00 25-04-2023 22:00 35 Clinical Case Studies: Things That Make You Go Hmmm? The human body is intricate and fascinating. Anatomy (what it looks like) determines physiology (what it does). Sometimes anatomy, because of its variable nature, can cause changes in anticipated physiology which results in clinical symptoms. This presentation focuses on how symptoms give us clues about anatomy and physiology of the breast through the lens of several clinical case studies. GOLD Lactation Online Conference false DD/MM/YYYY

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This presentation will address the North American formula crisis that was triggered by investigations into the deaths and illness of several infants from contaminated commercial milk formula (CMF), leading to an extended shut down of a major plant and acute shortages of CMF. Infant feeding decisions are shaped by powerful, inequitable systems and this presentation will identify the corporate practices entailed in perpetuating harmful practices in this crisis and provide policy solutions for how to establish a more equitable and just system of infant feeding in a time of multiple, accelerating infant feeding emergencies due to climate change.

The second part of this 2 hour workshop will address key lessons from the 2023 Lancet Breastfeeding Series. Specifically, the presentation will review Series insights into the extensive influence of the commercial milk formula industry and outline the elements of the corporate playbook employed to increase sales and undermine breastfeeding. Additionally, the presentation will highlight sources from the extensive evidence brought together in the Series to demonstrate industry tactics ranging from scientific claims that lack evidential basis to the misconstruing of infant behavior, influencing health professionals and national as well as global regulations and policies. We will also discuss recommendations of the Lancet Breastfeeding Series workgroup to end exploitative marketing and improve support at all levels for breastfeeding and engage in discussion around opportunities to implement recommendations. This will be an interactive session with ample opportunities for questions and discussion.

Objectives:

1. Describe 3 elements of the structural and historical roots of the contemporary North American formula crisis
2. List 3 key industry tactics that have been employed to cover up misconduct and harmful practices and shift responsibility for infant feeding decisions from commercial milk formula corporations to individuals
3. Define 3 inequitable health impacts of the corporate practices identified above
4. Create a plan with concrete strategies to enact policies for addressing infant and young child feeding in emergencies that are accelerated with the impacts of climate change

Live Presentation Schedule Apr 25, 2023

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25-04-2023 13:00 25-04-2023 15:30 35 Examining the Roots of the Formula Crisis and Insights on Ending Exploitative Marketing from the 2023 Lancet Breastfeeding Series This presentation will address the North American formula crisis that was triggered by investigations into the deaths and illness of several infants from contaminated commercial milk formula (CMF), leading to an extended shut down of a major plant and acute shortages of CMF. Infant feeding decisions are shaped by powerful, inequitable systems and this presentation will identify the corporate practices entailed in perpetuating harmful practices in this crisis and provide policy solutions for how to establish a more equitable and just system of infant feeding in a time of multiple, accelerating infant feeding emergencies due to climate change. The second part of this 2 hour workshop will address key lessons from the 2023 Lancet Breastfeeding Series. Specifically, the presentation will review Series insights into the extensive influence of the commercial milk formula industry and outline the elements of the corporate playbook employed to increase sales and undermine breastfeeding. Additionally, the presentation will highlight sources from the extensive evidence brought together in the Series to demonstrate industry tactics ranging from scientific claims that lack evidential basis to the misconstruing of infant behavior, influencing health professionals and national as well as global regulations and policies. We will also discuss recommendations of the Lancet Breastfeeding Series workgroup to end exploitative marketing and improve support at all levels for breastfeeding and engage in discussion around opportunities to implement recommendations. This will be an interactive session with ample opportunities for questions and discussion. GOLD Lactation Online Conference false DD/MM/YYYY

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It can be tricky when as health professionals, we want to build trust and support our client, and at the same time, presenting evidence-based information on infant feeding can be uncomfortable.

The purpose of this presentation is to enhance awareness, augment skills and comfort in having informed decision making (IDM) conversations, so participants can more confidently engage with their clients.

In this presentation we will review scenarios where IDM conversations are needed, explore language to begin, and discuss tips on engaging your client. We will also refresh knowledge of the risks of not breastfeeding/chestfeeding, as well as differences between direct breastfeeding versus feeding expressed breast milk. Further, we will discuss communication strategies using practical examples and provide participants with supporting resources including sample videos so that participants may confidently have conversations with clients about infant feeding that generate informed decision making.

Objectives:

1: Describe 3 scenarios where informed decision-making conversations are needed
2: Define 2 relatable conversation starters for an informed decision-making conversation
3: List 3 key components of an informed decision-making conversation

Live Presentation Schedule Apr 25, 2023

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25-04-2023 15:00 25-04-2023 16:00 35 Informed Decision Making: Gaining Skills & Confidence with Tricky Conversations It can be tricky when as health professionals, we want to build trust and support our client, and at the same time, presenting evidence-based information on infant feeding can be uncomfortable. The purpose of this presentation is to enhance awareness, augment skills and comfort in having informed decision making (IDM) conversations, so participants can more confidently engage with their clients. In this presentation we will review scenarios where IDM conversations are needed, explore language to begin, and discuss tips on engaging your client. We will also refresh knowledge of the risks of not breastfeeding/chestfeeding, as well as differences between direct breastfeeding versus feeding expressed breast milk. Further, we will discuss communication strategies using practical examples and provide participants with supporting resources including sample videos so that participants may confidently have conversations with clients about infant feeding that generate informed decision making. GOLD Lactation Online Conference false DD/MM/YYYY

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Home visits play an integral role in the practice of many Lactation Consultants around the world. There are undoubtedly many benefits to meeting our clients in their own space, and one of these is that we can immediately garner a wealth of valuable information within a very short period of time. Along with learning a variety of quick and easy ways to stealthily, respectfully gather vital information about important feeding practicalities, this presentation will explore mental health, cultural humility and personal safety. We will explore the array of clues and red flags that may unknowingly surround you with regard to the clients' mental health and their overall safety. Additionally, as someone who works with clientele from over 75 different countries, Johanna shares what she has learned regarding the variations and commonalities between cultures when it comes to performing home visits, and which behaviours we can adopt to ensure continued humility and respect.

Objectives:

1. Describe 2 ways to apply cultural humility when working in the homes of families from a wide array of backgrounds
2. Name 3 signs to spot during a home visit that can signal the need for more in-depth mental health support for clients and their families
3. Recite 3 practical tips to implement at particular stages of the home visit that will ensure efficient information gathering, personal safety and time management

Live Presentation Schedule Apr 25, 2023

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25-04-2023 17:00 25-04-2023 18:00 35 Seeing the Bigger Picture: Finding Clues in Our Breastfeeding Clients' Surroundings Home visits play an integral role in the practice of many Lactation Consultants around the world. There are undoubtedly many benefits to meeting our clients in their own space, and one of these is that we can immediately garner a wealth of valuable information within a very short period of time. Along with learning a variety of quick and easy ways to stealthily, respectfully gather vital information about important feeding practicalities, this presentation will explore mental health, cultural humility and personal safety. We will explore the array of clues and red flags that may unknowingly surround you with regard to the clients' mental health and their overall safety. Additionally, as someone who works with clientele from over 75 different countries, Johanna shares what she has learned regarding the variations and commonalities between cultures when it comes to performing home visits, and which behaviours we can adopt to ensure continued humility and respect. GOLD Lactation Online Conference false DD/MM/YYYY

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