Topics & Abstracts

Healthcare professionals, particularly those in the lactation field, are known for providing care that is emotionally, physically, and mentally taxing. Providing care as lactation professionals during a pandemic has driven many to experience compassion fatigue. This phenomenon impacts one’s personal health in a myriad of ways and also has a significant impact on how one provides empathetic care to families. The current communication model for providing empathetic care in latation is steeped in the patriarchal model, which actually suppresses empathy. This presentation will help health care providers identify signs of compassion fatigue and provide tools for self assessment. Additionally attendees will learn how to apply a natural empathetic model to their lactation/ IBCLC practice to protect their personal health and promote a more supportive way to engage with their families.

Objectives:

Objective 1: List signs of compassion fatigue in healthcare/lactation professionals.

Objective 2: Describe the limitations of a patriarchal model in empathic lactation education and clinical care.

Objective 3: Apply empathy in practice in an exhausted post 2020 psychosocial state.

Live Presentation Schedule Mar 29, 2021

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29-03-2021 16:00 29-03-2021 17:15 35 Approaching Care When You’re Barely There: Reimagining Empathy When You’ve Got Nothing Left to Give Healthcare professionals, particularly those in the lactation field, are known for providing care that is emotionally, physically, and mentally taxing. Providing care as lactation professionals during a pandemic has driven many to experience compassion fatigue. This phenomenon impacts one’s personal health in a myriad of ways and also has a significant impact on how one provides empathetic care to families. The current communication model for providing empathetic care in latation is steeped in the patriarchal model, which actually suppresses empathy. This presentation will help health care providers identify signs of compassion fatigue and provide tools for self assessment. Additionally attendees will learn how to apply a natural empathetic model to their lactation/ IBCLC practice to protect their personal health and promote a more supportive way to engage with their families. GOLD Lactation Online Conference false DD/MM/YYYY

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Using an at-breast supplementer is often thought to be annoying, complicated and unsustainable -- but it doesn't have to be! While many lactation consultants are aware of the benefits of supplementing directly at the breast, many admit to feeling overwhelmed, and few actually use it with their clients. With this presentation, you will learn the specific benefits and barriers to this form of supplementation, view demonstrations of a variety of these devices, and learn some tips and tricks to make this at-breast supplementation feasible and sustainable for families. We all need to feel comfortable recommending and teaching the use of these tools, enabling us to foster the best overall health for the families we support.

Objectives:

Objective 1: List the benefits and barriers of at-breast supplementation.

Objective 2: Describe when it is appropriate and inappropriate to be suggesting at-breast supplementation.

Objective 3: Discuss how to use the variety of at-breast supplementation tools.

Live Presentation Schedule Apr 13, 2021

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13-04-2021 15:00 13-04-2021 16:00 35 At-Breast Supplementation: Practical Tips for Using a Variety of Supplemental Feeding Tube Devices Using an at-breast supplementer is often thought to be annoying, complicated and unsustainable -- but it doesn't have to be! While many lactation consultants are aware of the benefits of supplementing directly at the breast, many admit to feeling overwhelmed, and few actually use it with their clients. With this presentation, you will learn the specific benefits and barriers to this form of supplementation, view demonstrations of a variety of these devices, and learn some tips and tricks to make this at-breast supplementation feasible and sustainable for families. We all need to feel comfortable recommending and teaching the use of these tools, enabling us to foster the best overall health for the families we support. GOLD Lactation Online Conference false DD/MM/YYYY

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We propose a talk that outlines the anatomy and physiology of normal infant feeding. Our talk will cover the basic functions of infant muscle groups recruited for latching, sucking, swallowing, and drinking human or artificial milk. We believe that if lactation professionals understand normal physiology as it pertains to muscle groups, they will better be able to educate and help the families our profession serves. At the end of this talk, the lactation professional will be able to establish a baseline for normal muscle function when evaluating the breastfed infant. We will use multiple learning modalities to outline and explain the essentials of muscle function in the breastfed infant.

Objectives:

Objective 1: Describe difficulties to other providers.

Objective 2: Explain in simple terminology to parents what’s going on.

Objective 3: Discuss what strategies will improve muscular movement, tone, and strength

Live Presentation Schedule Apr 19, 2021

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19-04-2021 17:00 19-04-2021 18:00 35 Back to Baseline: Normal Anatomy & Physiology of Infant Feeding We propose a talk that outlines the anatomy and physiology of normal infant feeding. Our talk will cover the basic functions of infant muscle groups recruited for latching, sucking, swallowing, and drinking human or artificial milk. We believe that if lactation professionals understand normal physiology as it pertains to muscle groups, they will better be able to educate and help the families our profession serves. At the end of this talk, the lactation professional will be able to establish a baseline for normal muscle function when evaluating the breastfed infant. We will use multiple learning modalities to outline and explain the essentials of muscle function in the breastfed infant. GOLD Lactation Online Conference false DD/MM/YYYY

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The prevention and early treatment of diseases is part of a Speech and Language Therapist's working field. The question is, at what point can SL Therapy have a preventative influence, what are the advantages of early consultations and treatments and what significance does a nursing and lactation consultation have in this context. Asha and Fletcher (2005, S.1) called a SL Therapist and a Lactation Consultant a "Baby's feeding dream team", so the combination of these two professions might be a good way to facilitate difficult breastfeeding relationships and reduce SL disorders over the years.

Breastfeeding is the physiological way to feed a baby. It supports the Mother-Child-Bond and sets the foundation for the undisturbed organic, sensorial, motoric, cognitive, oral and social development. If there is a problem with the ingestion of food (oromotor dysfunction or dysphagia), the topic of breastfeeding tends to move to the background. But what if breastfeeding can be used as part of the therapy? Promoting early SLT and by supporting the breastfeeding and preventing the use of artificial teats, which can have a negative influence especially on the oromotor and muscle development, the outcome might improve.

Objectives:

Objective 1: Describe what ""Prevention“ is in a medical context.

Objective 2: Discuss the Influences of Breastfeeding an the physiological organic, sensory, motor, cognitive, oral and social development.

Objective 3: Describe how breastfeeding acts as a prevention factor for Speech and Language Disorders.

Live Presentation Schedule Apr 19, 2021

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19-04-2021 13:00 19-04-2021 14:00 35 Breastfeeding as a Prevention Strategy for Speech Language Disorders The prevention and early treatment of diseases is part of a Speech and Language Therapist's working field. The question is, at what point can SL Therapy have a preventative influence, what are the advantages of early consultations and treatments and what significance does a nursing and lactation consultation have in this context. Asha and Fletcher (2005, S.1) called a SL Therapist and a Lactation Consultant a "Baby's feeding dream team", so the combination of these two professions might be a good way to facilitate difficult breastfeeding relationships and reduce SL disorders over the years. Breastfeeding is the physiological way to feed a baby. It supports the Mother-Child-Bond and sets the foundation for the undisturbed organic, sensorial, motoric, cognitive, oral and social development. If there is a problem with the ingestion of food (oromotor dysfunction or dysphagia), the topic of breastfeeding tends to move to the background. But what if breastfeeding can be used as part of the therapy? Promoting early SLT and by supporting the breastfeeding and preventing the use of artificial teats, which can have a negative influence especially on the oromotor and muscle development, the outcome might improve. GOLD Lactation Online Conference false DD/MM/YYYY

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The fat content of breastmilk is remarkably important for infant health outcomes. Therefore, it is important to understand what factors affect breastmilk fat profile. Total fat is the main determinant of energy in breastmilk, and varies with time of day, length of lactation, and duration of the feed. Maternal factors also influence milk fat, including BMI, parity, and diabetes. Long-chain polyunsaturated fatty acids, like docosahexaenoic acid and arachidonic acid, are vital to the structure and development of the infant brain, and attaining the correct balance is important for optimal development. Breastmilk fatty acid concentration, especially the polyunsaturated fatty acids docosahexaenoic acid and arachidonic acid, are vital to infant brain development. Fatty acid concentrations primarily depend on diet and vary significantly between populations, but other maternal factors can also affect the fatty acid content of breastmilk.

Breastmilk fat content has significant implications for clinical practice. First, it is necessary to optimize clinical methods for human milk fat measurement, such as bedside human milk analyzers. Second, understanding milk fat variation will help optimize breastmilk fortification for infants in neonatal intensive care units. Finally, variability in donor milk also makes estimation of fat and energy in milk banks difficult, with important clinical implications for preterm infants who cannot receive mother’s own milk.

Objectives:

Objective 1: Discuss what factors affect low or high milk fat.

Objective 2: Discuss what factors affect fatty acid concentrations.

Objective 3: Apply knowledge of milk fat to clinical practice concerns in infant nutrition and donor milk use.

Live Presentation Schedule Apr 20, 2021

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20-04-2021 15:00 20-04-2021 16:00 35 Breastmilk Fat Profile: Implications for Clinical Practice The fat content of breastmilk is remarkably important for infant health outcomes. Therefore, it is important to understand what factors affect breastmilk fat profile. Total fat is the main determinant of energy in breastmilk, and varies with time of day, length of lactation, and duration of the feed. Maternal factors also influence milk fat, including BMI, parity, and diabetes. Long-chain polyunsaturated fatty acids, like docosahexaenoic acid and arachidonic acid, are vital to the structure and development of the infant brain, and attaining the correct balance is important for optimal development. Breastmilk fatty acid concentration, especially the polyunsaturated fatty acids docosahexaenoic acid and arachidonic acid, are vital to infant brain development. Fatty acid concentrations primarily depend on diet and vary significantly between populations, but other maternal factors can also affect the fatty acid content of breastmilk. Breastmilk fat content has significant implications for clinical practice. First, it is necessary to optimize clinical methods for human milk fat measurement, such as bedside human milk analyzers. Second, understanding milk fat variation will help optimize breastmilk fortification for infants in neonatal intensive care units. Finally, variability in donor milk also makes estimation of fat and energy in milk banks difficult, with important clinical implications for preterm infants who cannot receive mother’s own milk. GOLD Lactation Online Conference false DD/MM/YYYY

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The COVID-19 pandemic has impacted the care of pregnant, birthing, and post-partum women and their infants all over the world.

Where women are suspected or confirmed as having COVID-19, hospital practices have ranged from isolating infants from their mothers and proscribing the provision of expressed breastmilk to supporting mothers to have skin-to-skin with their infants, early initiation of breastfeeding, direct breastfeeding, and rooming in day and night.

This presentation will briefly summarize the evidence base for breastfeeding and close mother-infant contact in the COVID-19 pandemic. It will also describe the variance in government and professional development guidance around the world, anomalies in guidance, which guidance documents have had the most influence internationally, and provide examples of good and poor practice in guidance development. Finally, this presentation will discuss the importance of emergency planning for infant and young child feeding and the need to learn from the mistakes of the COVID-19 pandemic.

Objectives:

Objective 1: Describe how COVID-19 guidance concerning maternal and newborn care varies around the world

Objective 2: Discuss the role played by influential organisations in the development of COVID-19 guidance

Objective 3: Discuss the importance of ensuring appropriate emergency planning for infants and young children is developed

Live Presentation Schedule Apr 12, 2021

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12-04-2021 21:00 12-04-2021 22:00 35 COVID-19 Guidance for Maternal and Newborn Care: Who’s Doing What and Why The COVID-19 pandemic has impacted the care of pregnant, birthing, and post-partum women and their infants all over the world. Where women are suspected or confirmed as having COVID-19, hospital practices have ranged from isolating infants from their mothers and proscribing the provision of expressed breastmilk to supporting mothers to have skin-to-skin with their infants, early initiation of breastfeeding, direct breastfeeding, and rooming in day and night. This presentation will briefly summarize the evidence base for breastfeeding and close mother-infant contact in the COVID-19 pandemic. It will also describe the variance in government and professional development guidance around the world, anomalies in guidance, which guidance documents have had the most influence internationally, and provide examples of good and poor practice in guidance development. Finally, this presentation will discuss the importance of emergency planning for infant and young child feeding and the need to learn from the mistakes of the COVID-19 pandemic. GOLD Lactation Online Conference false DD/MM/YYYY

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Human milk is the first food that the newborn receives and provides all the nutrients necessary for its growth. In order to feed children with breastfeeding problems, Human Milk Banks (BLH) were implemented, which conserve this food through pasteurization and freezing processes. Because human milk is very perishable, this work will present some results obtained on spray drying, high hydrostatic pressures, and UV radiation in human milk, in order to preserve and avoid loss of nutrients in this food, as well as offer a new alternative to the BLH for its conservation.

Objectives:

Objective 1: Describe alternative methods for the conservation of human milk.

Objective 2: Discuss relevant information on the spray drying technology to transform the milk stored in the Human Milk Banks into powder.

Objective 3: List researchers in the field who are interested in the future collaborations.

Live Presentation Schedule Apr 7, 2021

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07-04-2021 17:00 07-04-2021 18:00 35 Effect of the Spray Drying Process, High Pressures, and Radiation on the Nutritional Quality of Human Milk Human milk is the first food that the newborn receives and provides all the nutrients necessary for its growth. In order to feed children with breastfeeding problems, Human Milk Banks (BLH) were implemented, which conserve this food through pasteurization and freezing processes. Because human milk is very perishable, this work will present some results obtained on spray drying, high hydrostatic pressures, and UV radiation in human milk, in order to preserve and avoid loss of nutrients in this food, as well as offer a new alternative to the BLH for its conservation. GOLD Lactation Online Conference false DD/MM/YYYY

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The past decade has seen a marked increase in telehealth. Lactation support in a virtual format had been slowly increasing virtual access to care prior to COVID-19. As the pandemic started, in a matter of weeks, it became necessary to embark on virtual care for the majority of lactation support and care providers were forced to adapt to a new method of care. This sudden change has highlighted both the benefits and drawbacks of virtual lactation support. The learning curve continues and this panel has been designed to explore the lessons, the triumphs, the challenges, and the future needs for virtual lactation care.

Objectives:

Objective 1: Discuss the ways in which the shift to virtual care has impacted the lactation profession.

Objective 2: Describe ways that virtual support and telehealth visits have both reduced and increased access to rural and poorly resourced communities.

Objective 3: Discuss the potential future of virtual support in the lactation field.

Live Presentation Schedule Apr 21, 2021

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21-04-2021 21:00 21-04-2021 22:00 35 Emerging Trends in Virtual Lactation Support The past decade has seen a marked increase in telehealth. Lactation support in a virtual format had been slowly increasing virtual access to care prior to COVID-19. As the pandemic started, in a matter of weeks, it became necessary to embark on virtual care for the majority of lactation support and care providers were forced to adapt to a new method of care. This sudden change has highlighted both the benefits and drawbacks of virtual lactation support. The learning curve continues and this panel has been designed to explore the lessons, the triumphs, the challenges, and the future needs for virtual lactation care. GOLD Lactation Online Conference false DD/MM/YYYY

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This presentation will summarize the findings of recent studies on neonatal weight changes that occur in the early weeks of life among full-term, breastfed newborns.

Data Sources: Using the keywords breastfeeding, newborn, infant, weight, weight loss, and growth, we searched PubMed, Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, and MEDLINE for primary studies and secondary analyses. We also reviewed the reference lists of retrieved articles. Study Selection: Quantitative studies published in the English language from 2015 through 2019 that focused on newborn weight changes. From a total of 827 records initially screened, we included 11 studies in this analysis.

Data Extraction: Two authors independently reviewed the selected articles with the use of the Johns Hopkins Nursing Evidence-Based Practice Synthesis and Recommendations Tool. To determine evidence levels and quality ratings, we evaluated the consistency and generalizability of study results, sample sizes, study designs, adequacy of controls, and definitive nature of the conclusions. This presentation will discuss the finding of this study related to expected weight changes after birth for full-term, breastfed newborns.

Objectives:

Objective 1: List 3 problems with data collection in research studies focused on newborn weight.

Objective 2: Discuss expected patterns of weight loss and weight gain in the early weeks of life for full term breastfed neonates.

Objective 3: Explain how increased neonatal weight loss affects exclusive breastfeeding rates.

Live Presentation Schedule Apr 12, 2021

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12-04-2021 17:00 12-04-2021 18:00 35 Expected Weight Changes After Birth for Full-Term, Breastfed Newborns This presentation will summarize the findings of recent studies on neonatal weight changes that occur in the early weeks of life among full-term, breastfed newborns. Data Sources: Using the keywords breastfeeding, newborn, infant, weight, weight loss, and growth, we searched PubMed, Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, and MEDLINE for primary studies and secondary analyses. We also reviewed the reference lists of retrieved articles. Study Selection: Quantitative studies published in the English language from 2015 through 2019 that focused on newborn weight changes. From a total of 827 records initially screened, we included 11 studies in this analysis. Data Extraction: Two authors independently reviewed the selected articles with the use of the Johns Hopkins Nursing Evidence-Based Practice Synthesis and Recommendations Tool. To determine evidence levels and quality ratings, we evaluated the consistency and generalizability of study results, sample sizes, study designs, adequacy of controls, and definitive nature of the conclusions. This presentation will discuss the finding of this study related to expected weight changes after birth for full-term, breastfed newborns. GOLD Lactation Online Conference false DD/MM/YYYY

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Global trends in breastfeeding rates only show modest increases between 2000 and 2015. Currently, about 40% of babies below 6 months are exclusively breastfed and several barriers on the structural, setting, and individual levels exist. Continuous support for mothers across the 1000 days from conception has been shown to be effective in increasing the duration and exclusivity of breastfeeding. WABA’s Warm Chain campaign places the mother-baby dyad at the core and strives to link different actors by coordinating efforts at all levels to provide a continuum of care during the first 1000 days. The warm chain needs to be protected, promoted, and supported. Protection includes implementation and monitoring of the International Code of Marketing of Breastmilk Substitutes as well as coordination to ensure that all the linkages in the chain are working well. Promotion entails providing information about the roles and responsibilities of each actor along the timeline. Support includes increasing knowledge, skills, and competencies of multi-professional teams in order to provide optimal support for breastfeeding. Achieving a warm chain of support for breastfeeding will help increase breastfeeding rates, thus ensuring improved survival, health, and well being. The short and long-term positive effects impact individuals, societies, and the planet.

Objectives:

Objective 1: Describe the objectives and components of the warm chain approach

Objective 2: List barriers and enablers for the warm chain

Objective 3: Apply the warm chain in their own setting and context

Live Presentation Schedule Apr 13, 2021

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13-04-2021 13:00 13-04-2021 14:00 35 Global Perspectives on the Warm Chain of Support for Breastfeeding Global trends in breastfeeding rates only show modest increases between 2000 and 2015. Currently, about 40% of babies below 6 months are exclusively breastfed and several barriers on the structural, setting, and individual levels exist. Continuous support for mothers across the 1000 days from conception has been shown to be effective in increasing the duration and exclusivity of breastfeeding. WABA’s Warm Chain campaign places the mother-baby dyad at the core and strives to link different actors by coordinating efforts at all levels to provide a continuum of care during the first 1000 days. The warm chain needs to be protected, promoted, and supported. Protection includes implementation and monitoring of the International Code of Marketing of Breastmilk Substitutes as well as coordination to ensure that all the linkages in the chain are working well. Promotion entails providing information about the roles and responsibilities of each actor along the timeline. Support includes increasing knowledge, skills, and competencies of multi-professional teams in order to provide optimal support for breastfeeding. Achieving a warm chain of support for breastfeeding will help increase breastfeeding rates, thus ensuring improved survival, health, and well being. The short and long-term positive effects impact individuals, societies, and the planet. GOLD Lactation Online Conference false DD/MM/YYYY

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Human milk provides multiple layers of immune protection to the newborn by providing bioactive components that protect the infant from pathogenic infection, facilitate immune development and establish a healthy gut microbiome. This presentation will review the cellular and humoral components of human milk that help provide this protection. Additionally, the nutritional components of human milk that also contribute to its immune impact will be briefly explored. The long-term protective effect of breast milk on adult illnesses and disease and its presumed role will be discussed. Lastly the impact milk storage, milk banking practices and use of donor milk as mechanisms to provide immune support to the newborn will be considered. An interactive power point presentation will be used to deliver this important topic.

Objectives:

Objective 1: Explain general immunological benefits of breastfeeding to the health of the infant.

Objective 2: List 4 immunologic components of human milk and their roles.

Objective 3: Discuss the contribution by human milk to the infant's gut microbiome.

Live Presentation Schedule Apr 6, 2021

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06-04-2021 19:00 06-04-2021 20:00 35 Immunology of Human Milk - the Magic Ingredient Human milk provides multiple layers of immune protection to the newborn by providing bioactive components that protect the infant from pathogenic infection, facilitate immune development and establish a healthy gut microbiome. This presentation will review the cellular and humoral components of human milk that help provide this protection. Additionally, the nutritional components of human milk that also contribute to its immune impact will be briefly explored. The long-term protective effect of breast milk on adult illnesses and disease and its presumed role will be discussed. Lastly the impact milk storage, milk banking practices and use of donor milk as mechanisms to provide immune support to the newborn will be considered. An interactive power point presentation will be used to deliver this important topic. GOLD Lactation Online Conference false DD/MM/YYYY

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Peer counselling has a positive impact on duration of breastfeeding and is quite different to care provided in a health facility. The Australian Breastfeeding Association is a volunteer organisation that provides peer counselling, support and information to mothers and their families face to face but has always provided support via the telephone (National Breastfeeding Helpline), and also an online platform (LiveChat).

During COVID-19 isolation period in Australia, ABA volunteers reported anecdotal evidence of increased calls and a noticeable difference in the number of mothers calling for support to relactate or increase their supply, ABA decided to commence an in-house voluntary survey based on volunteer’s interactions with mothers on the topic of COVID-19.

This presentation will discuss discuss the features of peer counselling and how it works so well with breastfeeding support and the results of this in-house survey. The results provide insight into the impact on mothers, their main concerns, and insight around their impact on desire to breastfeed. The results also evaluate the experiences of peer support counsellors and their feelings about their volunteer role during this time.

Objectives:

Objective 1: List the features of peer counselling

Objective 2: Discuss the effect of the COVID-19 pandemic on Australian breastfeeding dyads.

Objective 3: Describe the issues faced by new families who called the helpline during the lockdown period

Live Presentation Schedule Apr 7, 2021

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07-04-2021 21:00 07-04-2021 22:00 35 Importance of Peer Counselling and the Impact of the Pandemic on Breastfeeding Dyads in Australia Peer counselling has a positive impact on duration of breastfeeding and is quite different to care provided in a health facility. The Australian Breastfeeding Association is a volunteer organisation that provides peer counselling, support and information to mothers and their families face to face but has always provided support via the telephone (National Breastfeeding Helpline), and also an online platform (LiveChat). During COVID-19 isolation period in Australia, ABA volunteers reported anecdotal evidence of increased calls and a noticeable difference in the number of mothers calling for support to relactate or increase their supply, ABA decided to commence an in-house voluntary survey based on volunteer’s interactions with mothers on the topic of COVID-19. This presentation will discuss discuss the features of peer counselling and how it works so well with breastfeeding support and the results of this in-house survey. The results provide insight into the impact on mothers, their main concerns, and insight around their impact on desire to breastfeed. The results also evaluate the experiences of peer support counsellors and their feelings about their volunteer role during this time. GOLD Lactation Online Conference false DD/MM/YYYY

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American culture values self-sufficiency and celebrates self-sacrifice in the name of success. The idea of community and communal living is fast becoming a thing of the past. Children graduate, go off to college, start careers and families seldom looking back. Moving back home or moving back to one’s old neighborhood is now unheard of. The result has been the rise of the nuclear family and the fall of the generational knowledge that supported breastfeeding and identified new moms at risk of perinatal mood and anxiety disorders.

This talk will explore the importance of restoring and improving community and peer breastfeeding support and identifying barriers to success. Lactation providers will learn how to identify importance and the role extended family and how to include them without violating our patients privacy. Attendees will gain insight on health disparities and the historical significance of breastfeeding in communities of colors. Last but not least, the talk will highlight the importance of providing culturally sensitive and appropriate care.

Objectives:

Objective 1: Discuss how some cultures have embraced and integrated extended family in supporting lactation success.

Objective 2: Describe the role of lactation providers in including extended family in lactation support and identifying alternative support for transplant families.

Objective 3: Discuss the painful generational history that has resulted in lower lactation rates in communities of color and how to help new parents counteract negative extended family influence.

Live Presentation Schedule Apr 12, 2021

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12-04-2021 19:00 12-04-2021 20:00 35 It Takes a Village: Understanding the Role of and Integrating Extended Family in the 4th Trimester. American culture values self-sufficiency and celebrates self-sacrifice in the name of success. The idea of community and communal living is fast becoming a thing of the past. Children graduate, go off to college, start careers and families seldom looking back. Moving back home or moving back to one’s old neighborhood is now unheard of. The result has been the rise of the nuclear family and the fall of the generational knowledge that supported breastfeeding and identified new moms at risk of perinatal mood and anxiety disorders.This talk will explore the importance of restoring and improving community and peer breastfeeding support and identifying barriers to success. Lactation providers will learn how to identify importance and the role extended family and how to include them without violating our patients privacy. Attendees will gain insight on health disparities and the historical significance of breastfeeding in communities of colors. Last but not least, the talk will highlight the importance of providing culturally sensitive and appropriate care. GOLD Lactation Online Conference false DD/MM/YYYY

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Anorexia nervosa (AN) is a clinical condition characterized by restriction of energy intake, fear of gaining weight or becoming fat, and body dysmorphia. As pregnancy and subsequent lactation are associated with changes in weight and body shape, it is important to consider the implications of a pre-existing or current diagnosis of AN during the postpartum period. The research examining the impact of body changes during pregnancy on individuals with a history of AN has mixed results; some show AN symptoms regress during pregnancy, while other results show a resurgence of AN symptoms. While there is limited evidence of the impact of AN on milk production, milk composition, and breastfeeding experiences of the parent, the evidence that we do have can help guide lactation consultants when providing care for the dyad during the fourth trimester. In this presentation, participants will learn about the diagnostic criteria and screening tools for AN, the impact of energy restriction and AN on milk supply and composition, and will participate in a exploration of the implications AN may have on dyad care.

Objectives:

Objective 1: Define diagnostic criteria for anorexia nervosa (AN).

Objective 2: Apply screening tools for AN and know who to refer to for further care.

Objective 3: List the impacts that underweight can have on lactation, including milk production and composition, experiences for the lactating parent, and potential implications for infant growth and development.

Live Presentation Schedule Apr 19, 2021

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19-04-2021 15:00 19-04-2021 16:00 35 Lactation Support for Parents with Anorexia Nervosa Anorexia nervosa (AN) is a clinical condition characterized by restriction of energy intake, fear of gaining weight or becoming fat, and body dysmorphia. As pregnancy and subsequent lactation are associated with changes in weight and body shape, it is important to consider the implications of a pre-existing or current diagnosis of AN during the postpartum period. The research examining the impact of body changes during pregnancy on individuals with a history of AN has mixed results; some show AN symptoms regress during pregnancy, while other results show a resurgence of AN symptoms. While there is limited evidence of the impact of AN on milk production, milk composition, and breastfeeding experiences of the parent, the evidence that we do have can help guide lactation consultants when providing care for the dyad during the fourth trimester. In this presentation, participants will learn about the diagnostic criteria and screening tools for AN, the impact of energy restriction and AN on milk supply and composition, and will participate in a exploration of the implications AN may have on dyad care. GOLD Lactation Online Conference false DD/MM/YYYY

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If you have worked with mothers for more than a few weeks, you have encountered a mother with mental illness. You may not have recognized the symptoms while talking with your patient. Or, you may wonder if a certain psychiatric medication is “safe” during lactation.

Perinatal mood and anxiety disorders (PMAD) include a spectrum of common mental health disorders: depression, panic disorder, obsessive-compulsive disorder, posttraumatic stress disorder, bipolar disorder, and postpartum psychosis.

These disorders often ruin enjoyment of the postpartum experience and bonding with the baby. Perinatal bipolar disorder and postpartum psychosis are particularly dangerous due to severe depression and reckless or bizarre behavior that can endanger mother and baby.

Medicating the lactating mother is a careful balancing act between the health and safety of the mother and the health and safety of the baby. But failing to medicate a mother with PMAD can lead to misery, dysfunction, poor infant outcomes and in the worst situations, injury and death.

This presentation will give an overview of the different classes of antidepressants, antianxiety medications, antipsychotics, and mood stabilizers commonly used in breastfeeding mothers. Electroconvulsive therapy and transcranial magnetic stimulation will also be discussed as non-pharmacologic treatments.

Objectives:

Objective 1: List three categories of medications used in psychiatry during the prenatal period and discuss their mechanisms of action.

Objective 2: Report the clinical applications, side effects and potential harm of drugs used in perinatal psychiatry

Objective 3: Access reputable resources in psychopharmacology to help the patient and prescriber assess the risks and benefits of medications and risks and benefits of non-treatment

Live Presentation Schedule Apr 6, 2021

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06-04-2021 15:00 06-04-2021 16:00 35 Medications and Mothers' Minds: Psychopharmacology for Lactating Mothers If you have worked with mothers for more than a few weeks, you have encountered a mother with mental illness. You may not have recognized the symptoms while talking with your patient. Or, you may wonder if a certain psychiatric medication is “safe” during lactation. Perinatal mood and anxiety disorders (PMAD) include a spectrum of common mental health disorders: depression, panic disorder, obsessive-compulsive disorder, posttraumatic stress disorder, bipolar disorder, and postpartum psychosis. These disorders often ruin enjoyment of the postpartum experience and bonding with the baby. Perinatal bipolar disorder and postpartum psychosis are particularly dangerous due to severe depression and reckless or bizarre behavior that can endanger mother and baby. Medicating the lactating mother is a careful balancing act between the health and safety of the mother and the health and safety of the baby. But failing to medicate a mother with PMAD can lead to misery, dysfunction, poor infant outcomes and in the worst situations, injury and death. This presentation will give an overview of the different classes of antidepressants, antianxiety medications, antipsychotics, and mood stabilizers commonly used in breastfeeding mothers. Electroconvulsive therapy and transcranial magnetic stimulation will also be discussed as non-pharmacologic treatments. GOLD Lactation Online Conference false DD/MM/YYYY

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The need to provide virtual support for breast/chestfeeding families may have been ignited by the pandemic, but telehealth is here to stay. The convenience and flexibility of meeting with families virtually removes barriers, such as location, childcare, and transportation. It also comes with its own set of challenges, such as difficulties reading body language, making connections with our clients, and assessing oral anatomy/milk transfer. Yet, with some intentional preparation, crafty detective skills, open-ended questions, and protocols for complicated situations, you may find that virtual consultations can truly meet the needs of your clients/patients.

This presentation will help attendees think through those important preparations to optimize virtual support.

Objectives:

Objective 1: Design a pre-consult checklist for virtual consultations.

Objective 2: Assess for and identify tethered oral tissue during a virtual consultation.

Objective 3: List 3 uses for recordings/videos prior/during/after digital consultations

Live Presentation Schedule Apr 20, 2021

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20-04-2021 17:00 20-04-2021 18:00 35 Overcoming Challenges When Providing Virtual Support to Breast/Chestfeeding Families The need to provide virtual support for breast/chestfeeding families may have been ignited by the pandemic, but telehealth is here to stay. The convenience and flexibility of meeting with families virtually removes barriers, such as location, childcare, and transportation. It also comes with its own set of challenges, such as difficulties reading body language, making connections with our clients, and assessing oral anatomy/milk transfer. Yet, with some intentional preparation, crafty detective skills, open-ended questions, and protocols for complicated situations, you may find that virtual consultations can truly meet the needs of your clients/patients. This presentation will help attendees think through those important preparations to optimize virtual support. GOLD Lactation Online Conference false DD/MM/YYYY

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Newborn babies are hardwired for breastfeeding: their newborn instincts direct them to latching at the breast/chest. But what about older babies who are currently exclusively bottle-feeding – can they learn to nurse too? A birthing parent may wish to initiate or resume breastfeeding after choosing not to breastfeed or discontinuing breastfeeding. An adoptive or foster parent may be placed with an older baby or toddler whom they wish to nurse. With patience, persistence, support, and some tools and tricks, it can be possible. This presentation discusses how to know if baby is ready to breastfeed, setting the stage for success, and the process of gentle transitioning from bottle to breast/chest.

Objectives:

Objective 1: The learner will be able to describe the circumstances when a parent might be transitioning from bottle to breast/chest

Objective 2: The learner will be able to identify challenges transitioning from bottle to breast/chest.

Objective 3: The learner will be able to discussing successful nursing.

Objective 4: The learner will be able to use the Building Blocks to Nursing.

Live Presentation Schedule Apr 6, 2021

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06-04-2021 17:00 06-04-2021 18:00 35 ReLATCHtation: Transitioning the Exclusively Bottle-fed Baby to Nursing Newborn babies are hardwired for breastfeeding: their newborn instincts direct them to latching at the breast/chest. But what about older babies who are currently exclusively bottle-feeding – can they learn to nurse too? A birthing parent may wish to initiate or resume breastfeeding after choosing not to breastfeed or discontinuing breastfeeding. An adoptive or foster parent may be placed with an older baby or toddler whom they wish to nurse. With patience, persistence, support, and some tools and tricks, it can be possible. This presentation discusses how to know if baby is ready to breastfeed, setting the stage for success, and the process of gentle transitioning from bottle to breast/chest. GOLD Lactation Online Conference false DD/MM/YYYY

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The breastfeeding journey for a woman and her baby is very special. Mothers who may be larger-breasted and lactating often have special breastfeeding needs and issues. This online session empowers clinicians with supportive tools to help these women successfully breastfeed. This session will enable clinicians to utilize simple, practical techniques, tips, explore the challenges of larger breasts during lactation. Attendees will develop their advanced breastfeeding counseling skills to manage individual situations and provide the unique support necessary. The research shows that if mothers with above average weight are provided with the appropriate breastfeeding management and support early, their breastfeeding experience will be enhanced and sustained. This sensitive session is designed to aid clinicians in developing their own practical breastfeeding support kit, as well as honing specific skills for a positive outcome when supporting larger breasted women to breastfeed their babies.

Objectives:

Objective 1: Learning Objectives: Learners will Identify the individual needs of the larger breasted client/mother.

Objective 2: Identify support strategies for the mother to successfully breastfeed.

Objective 3: Outline some practical skills and tools to assist a larger breasted mother to successfully breastfeed in the early days and long term.

Live Presentation Schedule Apr 12, 2021

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12-04-2021 23:00 13-04-2021 00:00 35 Size Does Matter: Large Lactating Breasts Are Important! The breastfeeding journey for a woman and her baby is very special. Mothers who may be larger-breasted and lactating often have special breastfeeding needs and issues. This online session empowers clinicians with supportive tools to help these women successfully breastfeed. This session will enable clinicians to utilize simple, practical techniques, tips, explore the challenges of larger breasts during lactation. Attendees will develop their advanced breastfeeding counseling skills to manage individual situations and provide the unique support necessary. The research shows that if mothers with above average weight are provided with the appropriate breastfeeding management and support early, their breastfeeding experience will be enhanced and sustained. This sensitive session is designed to aid clinicians in developing their own practical breastfeeding support kit, as well as honing specific skills for a positive outcome when supporting larger breasted women to breastfeed their babies. GOLD Lactation Online Conference false DD/MM/YYYY

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We have protocols and optimal models of care for lactation specific challenges. Does this mean we cannot provide optimum support in resource limited settings or less than ideal settings?

Skilled lactation support can mean different things in different settings. To serve a community, its crucial to understand the particular needs of the community and to be able to cater to them in a culturally acceptable and feasible way without compromising on the quality of lactation care, more so in resource limited settings. India has a huge population of families in need of lactation support and we also have scarcity of skilled and trained lactation support people. We are such a diverse country that our customs, language, socioeconomic milieu (and thus the challenges) change every few Kilometres.

This presentation talks about the various means with which we were able to improve the availability Skilled Lactation Support in the community, especially utilising our most plentiful resource, our community, with online and onsite mentoring....i.e. skilled lactation support to the community by their own community.

Objectives:

Objective 1: Discuss the need to involve and train the local community / team in a resource limited setting.

Objective 2: List at least 2 ways in which they can support a family in a less than ideal environment.

Objective 3: Describe how lactation support can look different in different settings.

Live Presentation Schedule Apr 6, 2021

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06-04-2021 13:00 06-04-2021 14:00 35 Skilled Lactation Support in Suboptimal and Low Resource Settings: Onsite Mentoring as a Game Changer We have protocols and optimal models of care for lactation specific challenges. Does this mean we cannot provide optimum support in resource limited settings or less than ideal settings? Skilled lactation support can mean different things in different settings. To serve a community, its crucial to understand the particular needs of the community and to be able to cater to them in a culturally acceptable and feasible way without compromising on the quality of lactation care, more so in resource limited settings. India has a huge population of families in need of lactation support and we also have scarcity of skilled and trained lactation support people. We are such a diverse country that our customs, language, socioeconomic milieu (and thus the challenges) change every few Kilometres. This presentation talks about the various means with which we were able to improve the availability Skilled Lactation Support in the community, especially utilising our most plentiful resource, our community, with online and onsite mentoring....i.e. skilled lactation support to the community by their own community. GOLD Lactation Online Conference false DD/MM/YYYY

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This is a presentation on how explaining things to babies of all ages, including newborns, can help solve difficult moments during lactation in the parent-baby relationship and lead to healthy parenting. Communication blocks happen frequently due to changes, events, and anxiety, and sometimes they can interfere with breastfeeding/chestfeeding. At least some of these blocks can be solved by communicating with the baby in an open, compassionate, and respectful way.

Lactation and healthcare professionals will learn how to approach such situations, what questions to ask and what suggestions to make to parents so they and their babies can overcome the situation. Lactation and healthcare professionals will also learn about different cases that I have encountered, how the method was applied and what were the results.

I deeply believe that the way we talk to babies, communicate with them and how we teach parents to do that is an essential part of our work. On the long term, it can make an important difference to how those babies are treated, respected, parented, educated, and raised and what kind of adults they will become.

Objectives:

Objective 1: Describe the importance of communicating with babies.

Objective 2: Discuss how to make the connection with a baby.

Objective 3: Describe ways that lactation and healthcare profesisonals can teach parents to connect with their babies

Live Presentation Schedule Apr 20, 2021

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20-04-2021 13:00 20-04-2021 14:00 35 Talking to Babies: Basic Communication Skills for Lactating Parents and Healthcare Specialists This is a presentation on how explaining things to babies of all ages, including newborns, can help solve difficult moments during lactation in the parent-baby relationship and lead to healthy parenting. Communication blocks happen frequently due to changes, events, and anxiety, and sometimes they can interfere with breastfeeding/chestfeeding. At least some of these blocks can be solved by communicating with the baby in an open, compassionate, and respectful way. Lactation and healthcare professionals will learn how to approach such situations, what questions to ask and what suggestions to make to parents so they and their babies can overcome the situation. Lactation and healthcare professionals will also learn about different cases that I have encountered, how the method was applied and what were the results. I deeply believe that the way we talk to babies, communicate with them and how we teach parents to do that is an essential part of our work. On the long term, it can make an important difference to how those babies are treated, respected, parented, educated, and raised and what kind of adults they will become. GOLD Lactation Online Conference false DD/MM/YYYY

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The mammary gland is a unique tissue, common to all mammals, that undergoes the majority of development postnatally, particularly during puberty and pregnancy. During pregnancy, the mammary gland acquires the ability to make and secrete copious amounts of milk to provide essential nutrients and immunological protection to the newborn. The biological mechanisms that lead to milk synthesis and secretion are finely orchestrated as the composition, abundance and timing must meet the unique and specific needs of each mother-baby pair during this critical phase of infant development. This lecture will encompass the developmental mechanisms that enable the mammary gland to undergo lactation, the composition and secretion of breast milk, and a comparative analysis of the mammary gland between human and other mammalian species to better appreciate the remarkable functions of this unique tissue.

Objectives:

Objective 1: List the developmental changes that occur in the mammary during puberty and pregnancy.

Objective 2: Discuss the biological mechanisms that lead to milk synthesis and secretion.

Objective 3: Discuss the biological differences in the mammary gland between human and other mammalian species.

Live Presentation Schedule Apr 7, 2021

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07-04-2021 23:00 08-04-2021 00:00 35 The Biology of the Mammary Gland in Lactation The mammary gland is a unique tissue, common to all mammals, that undergoes the majority of development postnatally, particularly during puberty and pregnancy. During pregnancy, the mammary gland acquires the ability to make and secrete copious amounts of milk to provide essential nutrients and immunological protection to the newborn. The biological mechanisms that lead to milk synthesis and secretion are finely orchestrated as the composition, abundance and timing must meet the unique and specific needs of each mother-baby pair during this critical phase of infant development. This lecture will encompass the developmental mechanisms that enable the mammary gland to undergo lactation, the composition and secretion of breast milk, and a comparative analysis of the mammary gland between human and other mammalian species to better appreciate the remarkable functions of this unique tissue. GOLD Lactation Online Conference false DD/MM/YYYY

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Milk removal drives milk production and feeds the baby. The ability of a baby or pump to remove milk from the breast depends strongly on the milk ejection/letdown reflex. While normally robust, a number of factors can influence this reflex, some more obvious than others. When milk flow suddenly becomes an issue, the rush is on to determine why and what to do about it. This session will take a deeper look at how this reflex works, factors that can affect it positively or negatively, and potential strategies to help.

Objectives:

Objective 1: Describe the impact of duct diameter and length on the milk ejection reflex.

Objective 2: List 5 inhibitors of the milk ejection reflex.

Objective 3: List one physical, one psychological, one pharmacological and one complementary strategy for an impaired letdown reflex and describe when each might be appropriate.

Live Presentation Schedule May 10, 2021

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10-05-2021 16:00 10-05-2021 17:15 35 The Mysterious Milk Ejection Reflex Milk removal drives milk production and feeds the baby. The ability of a baby or pump to remove milk from the breast depends strongly on the milk ejection/letdown reflex. While normally robust, a number of factors can influence this reflex, some more obvious than others. When milk flow suddenly becomes an issue, the rush is on to determine why and what to do about it. This session will take a deeper look at how this reflex works, factors that can affect it positively or negatively, and potential strategies to help. GOLD Lactation Online Conference false DD/MM/YYYY

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The field of Human Lactation is a new profession. Much of what we use comes from apprenticeship programs and hard learned lessons from a mother’s own personal experience. The lactation profession needs to investigate several of their practices and policies to discover what is evidence based and what is anecdotal evidence. This presentation explores the practices commonly employed in breastfeeding (growth monitoring, infant positioning, the use of assisted feeding devices, and counseling skills) to determine which are evidence based and which will require further study if they are to be used in clinical practice.

Objectives:

Objective 1: List basic assessment skills in lactation.

Objective 2: Discuss the evidence in support of common breastfeeding skills.

Objective 3: Identify counseling skills required for the breastfeeding family

Live Presentation Schedule Apr 13, 2021

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13-04-2021 17:00 13-04-2021 18:00 35 Using Evidence to Develop Clinical Lactation Skills The field of Human Lactation is a new profession. Much of what we use comes from apprenticeship programs and hard learned lessons from a mother’s own personal experience. The lactation profession needs to investigate several of their practices and policies to discover what is evidence based and what is anecdotal evidence. This presentation explores the practices commonly employed in breastfeeding (growth monitoring, infant positioning, the use of assisted feeding devices, and counseling skills) to determine which are evidence based and which will require further study if they are to be used in clinical practice. GOLD Lactation Online Conference false DD/MM/YYYY

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Male breastfeeding support is evidenced to influence breastfeeding behaviors. Fathers play a vital role in determining women's choice to breastfeed. Many studies regarding fathers' breastfeeding influence included participants from a variety of ethnic backgrounds. Only a few studies examined African American men's breastfeeding attitudes. Within the U.S. disparity context, Black African immigrant breastfeeding experiences have not been measured.

The social and cultural breastfeeding experiences of Congolese Immigrants compared to those of African Americans were explored, analyzed, and contrasted. In the immigrant study, the breastfeeding cultural practice's visibility enables the breastfeeding perceptions of Congolese fathers. They identify their Congolese origin as a warrant for breastfeeding decisions and practice. Breastfeeding is a natural process that does not require prior deliberations between expectant couples. Breastmilk is valued for its God-given virtues rather than its medical benefits.

In the cultural context of African American, family, and friends enable breastfeeding support perceptions. Personal experiences and knowledge of breastfeeding benefits are predictors of breastfeeding decisions. However, there is not a cultural, existential framework supporting breastfeeding. This study's findings and recommendations guided the development of a dynamic African American men breastfeeding support toolkit designed to utilize existing public health structures.

Objectives:

Objective 1: Discuss how male breastfeeding support intervention may reduce some of the adverse effects of psychosocial factors in African American communities.

Objective 2: Describe how African American and Black immigrant men experience breastfeeding in the U.S. within the context of the African American minority group.

Objective 3: Discuss Black fathers’ cultural expectations and relationship toward breastfeeding behaviors, identifying what is distinct and common about Black immigrants and African American.

Live Presentation Schedule Apr 7, 2021

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07-04-2021 19:00 07-04-2021 20:00 35 What Role Do Fathers’ Cultural Experiences Play in the Decision to Support Breastfeeding? Male breastfeeding support is evidenced to influence breastfeeding behaviors. Fathers play a vital role in determining women's choice to breastfeed. Many studies regarding fathers' breastfeeding influence included participants from a variety of ethnic backgrounds. Only a few studies examined African American men's breastfeeding attitudes. Within the U.S. disparity context, Black African immigrant breastfeeding experiences have not been measured. The social and cultural breastfeeding experiences of Congolese Immigrants compared to those of African Americans were explored, analyzed, and contrasted. In the immigrant study, the breastfeeding cultural practice's visibility enables the breastfeeding perceptions of Congolese fathers. They identify their Congolese origin as a warrant for breastfeeding decisions and practice. Breastfeeding is a natural process that does not require prior deliberations between expectant couples. Breastmilk is valued for its God-given virtues rather than its medical benefits. In the cultural context of African American, family, and friends enable breastfeeding support perceptions. Personal experiences and knowledge of breastfeeding benefits are predictors of breastfeeding decisions. However, there is not a cultural, existential framework supporting breastfeeding. This study's findings and recommendations guided the development of a dynamic African American men breastfeeding support toolkit designed to utilize existing public health structures. GOLD Lactation Online Conference false DD/MM/YYYY

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Weaning is an inevitable component of breast/chestfeeding. Many families have expressed feeling unprepared for the experience and the challenges they face in that journey. This presentation will explore the current research and lived experiences of weaning among different families and cultures. We will discuss strategies that were both effective and ineffective in the weaning process, time period in which families began the weaning process as well as tips and tricks from the parent perspective that lead to successfully weaning their child. Weaning will be discussed in the context of the impact on both the parent and the child.

Objectives:

Objective 1: List strategies that are both effective and ineffective in the weaning process.

Objective 2: Discuss the challenges faced by families in the weaning process.

Objective 3: Explain reasons why families may decide to wean

Live Presentation Schedule Apr 13, 2021

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13-04-2021 19:00 13-04-2021 20:00 35 When It's Time to Let Go... Stories of Weaning Weaning is an inevitable component of breast/chestfeeding. Many families have expressed feeling unprepared for the experience and the challenges they face in that journey. This presentation will explore the current research and lived experiences of weaning among different families and cultures. We will discuss strategies that were both effective and ineffective in the weaning process, time period in which families began the weaning process as well as tips and tricks from the parent perspective that lead to successfully weaning their child. Weaning will be discussed in the context of the impact on both the parent and the child. GOLD Lactation Online Conference false DD/MM/YYYY

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This session will help you understand the challenges of a multiple pregnancy and birth. Discover preparations that can help ease stress and increase success in lactation. Learn how to support families experiencing premature birth. You will understand the best way to help parents establish breastfeeding their multiples, even with late preterm/early term birth. This session will help attendees gain and understanding of how to navigate the challenges of breastfeeding multiples and how to support families effectively during the different stages of their breastfeeding journeys.

Objectives:

Objective 1: List key ways to help families prepare for premature birth, including establishing breastfeeding multiples.

Objective 2: Describe components of unique care specific to the Late Preterm and Early Term birth in establishing breastfeeding multiples.

Objective 3: Discuss how lactation support professionals to support multiple birth families during the different stages of their breastfeeding journey

Live Presentation Schedule May 3, 2021

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03-05-2021 15:00 03-05-2021 16:00 35 Breastfeeding Twins and Triplets: Supporting Families During Their Breastfeeding Journey This session will help you understand the challenges of a multiple pregnancy and birth. Discover preparations that can help ease stress and increase success in lactation. Learn how to support families experiencing premature birth. You will understand the best way to help parents establish breastfeeding their multiples, even with late preterm/early term birth. This session will help attendees gain and understanding of how to navigate the challenges of breastfeeding multiples and how to support families effectively during the different stages of their breastfeeding journeys. GOLD Lactation Online Conference false DD/MM/YYYY

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Evaluating feeding and observing babies at the breast is a big part of what lactation professionals do. The privilege to observe babies at the breast in private practice at a much slower pace has provided a unique observation opportunity. Each baby and parent dyad is unique and so are the challenges that come with it. The focus of this interactive workshop is to help participants become astute observers of the infant’s movements and posture before and during feeding. It will further enhance their clinical skills by looking at the big picture of how the infant's innate behaviors ensure harmonious breastfeeding ecology. This presentation will take a deeper dive into how the infant’s use of their senses, and nine steps of the breast crawl not only lead to self-attachment but it also lays down the foundation for self-efficacy and self-regulation in babies.

Objectives:

Objective 1: Define the key factors that influence feeding behaviors.

Objective 2: Apply the skills and techniques they learn during this presentation in their clinical practice.

Objective 3: Demonstrate lactation support using current research and evidence-based practices.

Live Presentation Schedule May 3, 2021

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03-05-2021 17:00 03-05-2021 18:00 35 A Comprehensive Look at Breastfeeding Ecology: Infants' Innate Behaviors Evaluating feeding and observing babies at the breast is a big part of what lactation professionals do. The privilege to observe babies at the breast in private practice at a much slower pace has provided a unique observation opportunity. Each baby and parent dyad is unique and so are the challenges that come with it. The focus of this interactive workshop is to help participants become astute observers of the infant’s movements and posture before and during feeding. It will further enhance their clinical skills by looking at the big picture of how the infant's innate behaviors ensure harmonious breastfeeding ecology. This presentation will take a deeper dive into how the infant’s use of their senses, and nine steps of the breast crawl not only lead to self-attachment but it also lays down the foundation for self-efficacy and self-regulation in babies. GOLD Lactation Online Conference false DD/MM/YYYY

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Lactation support may be time-limited when caring for multiple families with varying degrees of complexity and needs. Prioritizing between parents and within the individual cases, employing critical thinking skills, and identifying the chest/breastfeeding family’s needs is essential to efficient workflow. Competing priorities can be stressful and draining. Mindfulness empowers those providing care the clarity to prioritize needs and increase satisfaction for both family and lactation support team.

The presentation will consist of actual lactation scenarios varying in complexity and diverse work environments. Participants will interact via the chat box to triage cases, rank interventions and create a collaborative discipline list. We will end with a brief mindful activity.

Objectives:

Objective 1: List 3 significant factors that impart the need for priority evaluation/assessment.

Objective 2: Use critical thinking skills to triage the Che’s/breastfeeding family’s needs.

Objective 3: List additional key health care providers to collaborate with and assist in managing the case.

Live Presentation Schedule Apr 26, 2021

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26-04-2021 19:00 26-04-2021 20:00 35 Interactive Case Review: Prioritization of Care Lactation support may be time-limited when caring for multiple families with varying degrees of complexity and needs. Prioritizing between parents and within the individual cases, employing critical thinking skills, and identifying the chest/breastfeeding family’s needs is essential to efficient workflow. Competing priorities can be stressful and draining. Mindfulness empowers those providing care the clarity to prioritize needs and increase satisfaction for both family and lactation support team. The presentation will consist of actual lactation scenarios varying in complexity and diverse work environments. Participants will interact via the chat box to triage cases, rank interventions and create a collaborative discipline list. We will end with a brief mindful activity. GOLD Lactation Online Conference false DD/MM/YYYY

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We all understand, generally, that lactation support providers – from licensed primary healthcare providers (HCP) to volunteer peer counselors – owe a “duty of care” to the parents they work with, defined by laws and ethics codes. But many are concerned that they do not know what is really expected of them, in the moment of clinical care, when decisions about how to do things “the right way” must be made. This session will cover the basic of ethics and legal duty as a lactation support provider. Examples from the International Board Certified Lactation Consultant (IBCLC) literature will be used. A few topics that are the most common "hot spots" for practitioners (the ones that make us sweat) will be explored with a few slides, and a lot of free-flow Q&A with session attendees, as we ponder realistic tactics to protect ourselves as practitioners with cool heads and clinical excellence.

Objectives:

Objective 1: Define the difference between an ethics obligation, and a legal obligation, in clinical practice

Objective 2: Explain how gifts and samples from commercial entities, to health care providers, can change professional clinical behavior

Objective 3: Describe why de-identification of a patient/client, before discussing their case with colleagues, does not meet ethical standards for privacy and confidentiality.

Live Presentation Schedule Apr 26, 2021

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26-04-2021 17:00 26-04-2021 18:00 35 Using a Cool Head When You’re on the Hot Seat: Ethical and Legal Topics That Make Us Sweat, and How to Avoid Getting Burned We all understand, generally, that lactation support providers – from licensed primary healthcare providers (HCP) to volunteer peer counselors – owe a “duty of care” to the parents they work with, defined by laws and ethics codes. But many are concerned that they do not know what is really expected of them, in the moment of clinical care, when decisions about how to do things “the right way” must be made. This session will cover the basic of ethics and legal duty as a lactation support provider. Examples from the International Board Certified Lactation Consultant (IBCLC) literature will be used. A few topics that are the most common "hot spots" for practitioners (the ones that make us sweat) will be explored with a few slides, and a lot of free-flow Q&A with session attendees, as we ponder realistic tactics to protect ourselves as practitioners with cool heads and clinical excellence. GOLD Lactation Online Conference false DD/MM/YYYY

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Breastfeeding is a human act, typical of our species and as biopsychosocial beings, it is surrounded by obstacles inherent to the experience and determined by our environment.

Breastfeeding in western societies is challenging under normal circumstances; when everything goes as expected. However, in cases where complications such as abscessed mastitis arise, which seem to be the maximum expression of everything that can go wrong in a breastfeeding history: pain, frustration, surgical interventions, use of antibiotics, slow weight gain, etc ; It is where the medical indication to do without breastfeeding frequently arises, as if it were just a practice that could be easily replaced by another feeding method.

In this presentation you will learn the expanded perspective, the challenges and fears of a family that breastfed, through complicated mastitis and managed to restore their Lactation history, through the informed accompaniment of a pro-lactation team of obstetrician and IBCLC pediatrician.

Objectives:

Objective 1: Identify key risk factors for Inflammatory and Infectious mastitis, within a Breastfeeding history.

Objective 2: Understand the importance of time sensitive and lactation preserving approaches, to accurate diagnose infectious mastitis.

Objective 3: Learn lactation preserving interventions, for the treatment of Infectious mastitis and complicated mastitis.

Objective 4: Recognize the importance of a multidisciplinary team or timely referral, to efficiently diagnose and treat complicated mastitis, and preserve or recuperate a breastfeeding history.

Live Presentation Schedule Mar 29, 2021

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29-03-2021 08:00 29-03-2021 09:00 35 Breastfeeding Beyond All Obstacles: Breastfeeding Families and Complicated Mastitis Breastfeeding is a human act, typical of our species and as biopsychosocial beings, it is surrounded by obstacles inherent to the experience and determined by our environment. Breastfeeding in western societies is challenging under normal circumstances; when everything goes as expected. However, in cases where complications such as abscessed mastitis arise, which seem to be the maximum expression of everything that can go wrong in a breastfeeding history: pain, frustration, surgical interventions, use of antibiotics, slow weight gain, etc ; It is where the medical indication to do without breastfeeding frequently arises, as if it were just a practice that could be easily replaced by another feeding method. In this presentation you will learn the expanded perspective, the challenges and fears of a family that breastfed, through complicated mastitis and managed to restore their Lactation history, through the informed accompaniment of a pro-lactation team of obstetrician and IBCLC pediatrician. GOLD Lactation Online Conference false DD/MM/YYYY

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Developing a step-by-step care plan is arguably the most important part of patient care. Without it, necessary treatments may be neglected. As lactation providers, it is our role to set proper expectations for our clients, as well as measure clinical improvement and patient outcomes. When working with infants that struggle with sucking or other oral function issues, there is a process and a timeline we can put together that will guide the care we are giving. In this presentation you will learn how to provide guidance to your clients as you help them work through their infant’s oral function challenges.

Objectives:

Objective 1:You will discover what type of plan to create and implement based on the age and current sucking issues of the infant.

Objective 2: You will learn how to know if the care plan you’ve created is working, as well as how to make adjustments when it isn’t working.

Objective 3: You will learn how to facilitate a partnership with your clients to implement the plan and follow-up with you throughout the course of treatment.

Live Presentation Schedule Mar 29, 2021

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29-03-2021 08:00 29-03-2021 09:00 35 Care Plan Design for Treating Infant Oral Dysfunction Developing a step-by-step care plan is arguably the most important part of patient care. Without it, necessary treatments may be neglected. As lactation providers, it is our role to set proper expectations for our clients, as well as measure clinical improvement and patient outcomes. When working with infants that struggle with sucking or other oral function issues, there is a process and a timeline we can put together that will guide the care we are giving. In this presentation you will learn how to provide guidance to your clients as you help them work through their infant’s oral function challenges. GOLD Lactation Online Conference false DD/MM/YYYY

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This session will focus on common concerns regarding infant digestive health and useful support strategies that care providers can incorporate into their work with families. We will discuss what's normal and what's not in regard to stooling, spit up/reflux, colic/fussiness, food sensitivities, and more. Many parents are coping with babies that are uncomfortable and unhappy due to digestive health concerns. Dealing with a fussy, uncomfortable baby is emotionally and physically draining. Having a basic understanding of infant gut health and care strategies can be useful tools for any type of practitioner working with infants.

Objectives:

Objective 1: Describe how the GI tract develops.

Objective 2: Identify infant stooling patterns and concerns.

Objective 3: Identify care plan ideas for infants coping with digestive issues

Live Presentation Schedule Mar 29, 2021

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29-03-2021 08:00 29-03-2021 09:00 35 Common Infant Digestive Health Concerns and Useful Support Strategies This session will focus on common concerns regarding infant digestive health and useful support strategies that care providers can incorporate into their work with families. We will discuss what's normal and what's not in regard to stooling, spit up/reflux, colic/fussiness, food sensitivities, and more. Many parents are coping with babies that are uncomfortable and unhappy due to digestive health concerns. Dealing with a fussy, uncomfortable baby is emotionally and physically draining. Having a basic understanding of infant gut health and care strategies can be useful tools for any type of practitioner working with infants. GOLD Lactation Online Conference false DD/MM/YYYY

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Pumping can be a choice or a necessity and the role of Lactation Professionals is to meet the parents where they are at. There are endless reasons for parents to use a breast pump, including prematurity, maternal-infant separation, low milk supply, return to work. Pumping can also be a choice for parents that do not wish to directly latch their baby, called Exclusive Pumping. Pumping parents deserve the same kind of evidence-based care as their exclusively breastfeeding counterparts but are often marginalized. During this workshop, you will learn how to best support a pumping parent: the importance of proper flange sizing, pumping schedules, exclusive pumping, the emotional toll of triple feeding, and how to help parents set realistic goals based on their own values.

Objectives:

Objective 1: Examine different reasons for pumping breast-milk and how to determine the best approach to care for the pumping parent.

Objective 2: Identify the importance of an inclusive approach and respecting parent's own goals and values.

Objective 3: Determine correct flange size depending on nipple size and elasticity.

Objective 4: Evaluate the emotional toll of triple feeding and how that affects long-term breastfeeding outcomes.

Objective 5: Develop skills for supporting parents who choose to Exclusively Pump.

Live Presentation Schedule Mar 29, 2021

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29-03-2021 08:00 29-03-2021 09:00 35 Putting a Plan in Place for Pumping Pumping can be a choice or a necessity and the role of Lactation Professionals is to meet the parents where they are at. There are endless reasons for parents to use a breast pump, including prematurity, maternal-infant separation, low milk supply, return to work. Pumping can also be a choice for parents that do not wish to directly latch their baby, called Exclusive Pumping. Pumping parents deserve the same kind of evidence-based care as their exclusively breastfeeding counterparts but are often marginalized. During this workshop, you will learn how to best support a pumping parent: the importance of proper flange sizing, pumping schedules, exclusive pumping, the emotional toll of triple feeding, and how to help parents set realistic goals based on their own values. GOLD Lactation Online Conference false DD/MM/YYYY

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Helping families determine if an infant is gaining weight appropriately in the first months after birth is an important part of a lactation consultants work. Being able to assess for the signs of a healthy, well-fed infant is critical to this work. If an infant is not gaining appropriately, calculating how much extra food the infant needs to grow properly, what this infant will be fed, identifying why this is happening, and providing possible solutions allows families to work on preserving breastfeeding while improving the breastfeeding relationship.

Objectives:

Objective 1: The participant will be able to identify 5 ways of confirming good milk transfer.

Objective 2: The participant will be able to calculate how much supplement is appropriate if the infant does need calories.

Objective 3: The participant will be able to assess if lack of weight gain is caused by the infant, the parent or a combination of both and help the family create a plan that will help move them toward their breastfeeding goals while making sure the infant is well fed.

Live Presentation Schedule Mar 29, 2021

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29-03-2021 08:00 29-03-2021 09:00 35 The Baby's Not Gaining Weight! Now What? Helping families determine if an infant is gaining weight appropriately in the first months after birth is an important part of a lactation consultants work. Being able to assess for the signs of a healthy, well-fed infant is critical to this work. If an infant is not gaining appropriately, calculating how much extra food the infant needs to grow properly, what this infant will be fed, identifying why this is happening, and providing possible solutions allows families to work on preserving breastfeeding while improving the breastfeeding relationship. GOLD Lactation Online Conference false DD/MM/YYYY

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To graduate from the Neonatal Intensive Care Unit (NICU) infants are required to be adequate feeders. Feeding is a learned skill for NICU babies that is expected to “be there in waiting” after a long medical and or surgical admission. Effective feeding and subsequent weight gain in the NICU are the measures and skill to which a discharge ticket home is granted. Feeding can sometimes be overlooked in regards to its role in infant well being and parental confidence. Infants are admitted to surgical level 3 NICUs for many reasons, including prematurity, necrotising enterocolitis, intestinal perforations, gastroschisis, duodenal atresia, omphaloceles, therapeutic hypothermia, seizures, and oesophageal atresia /fistulas including genetic or metabolic abnormalities. Many of these illnesses have a very long course toward healing and recovery before oral feeding is introduced.

Lactation Consultants in the NICU are well positioned to ensure support of the family and medical team along the way, to optimize successful oral feeding upon discharge home.

This talk will look at some of the ways that parental presence and mom’s milk is therapeutic in the NICU, and how the progression of breastfeeding can be the ticket to going home.

Objectives:

Objective 1: Identify key moments in the Neonatal Intensive Care Unit when feeding goals are examined.

Objective 2: Identify ways to support parents during feeding progression with breast and/or bottle feeding.

Objective 3: Describe ways to support infants during feeding progression with breast and/or bottle feeding.

Objective 4: Discuss the steps towards full oral feeding.

Live Presentation Schedule Mar 29, 2021

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29-03-2021 08:00 29-03-2021 09:00 35 Walking with NICU Families Through Their Infant Feeding Journey To graduate from the Neonatal Intensive Care Unit (NICU) infants are required to be adequate feeders. Feeding is a learned skill for NICU babies that is expected to “be there in waiting” after a long medical and or surgical admission. Effective feeding and subsequent weight gain in the NICU are the measures and skill to which a discharge ticket home is granted. Feeding can sometimes be overlooked in regards to its role in infant well being and parental confidence. Infants are admitted to surgical level 3 NICUs for many reasons, including prematurity, necrotising enterocolitis, intestinal perforations, gastroschisis, duodenal atresia, omphaloceles, therapeutic hypothermia, seizures, and oesophageal atresia /fistulas including genetic or metabolic abnormalities. Many of these illnesses have a very long course toward healing and recovery before oral feeding is introduced. Lactation Consultants in the NICU are well positioned to ensure support of the family and medical team along the way, to optimize successful oral feeding upon discharge home. This talk will look at some of the ways that parental presence and mom’s milk is therapeutic in the NICU, and how the progression of breastfeeding can be the ticket to going home. GOLD Lactation Online Conference false DD/MM/YYYY

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The CALM Communication workshop is designed to nourish practitioner skills that can support the nervous system co-regulation of the breast/chestfeeding parent/baby dyad, thereby enhancing the efficacy of information exchange at a vulnerable time.

When a parent is experiencing breast or chestfeeding difficulties, it can be emotionally distressing. This distress can be exacerbated by a history of trauma, a challenging birth/NICU experience, or a perinatal mood or anxiety disorder. Babies and their parent/s are learning contingent communication with each other, often in spite of uncomfortable challenges.

In the time lactation professionals spend with a new family, they have the opportunity to provide a stabilizing presence that may create reparative experiences for some of the stress-based breaches in the vital attachment mechanisms babies need to develop with their parent/s for optimal, life long health.

The art of information sharing is not only about the skilled assessments professionals make and the work done with infant feeding challenges, but also about how to create safe space for a client’s/patient’s truth to unfold in a supportive way.

Objectives:

Objective 1) Explain the CALM approach to communication.

Objective 2) Describe attunement.

Objective 3) Explain the meaning of "languaging" within the CALM approach.

Live Presentation Schedule Mar 29, 2021

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29-03-2021 08:00 29-03-2021 09:00 35 CALM Communication The CALM Communication workshop is designed to nourish practitioner skills that can support the nervous system co-regulation of the breast/chestfeeding parent/baby dyad, thereby enhancing the efficacy of information exchange at a vulnerable time. When a parent is experiencing breast or chestfeeding difficulties, it can be emotionally distressing. This distress can be exacerbated by a history of trauma, a challenging birth/NICU experience, or a perinatal mood or anxiety disorder. Babies and their parent/s are learning contingent communication with each other, often in spite of uncomfortable challenges. In the time lactation professionals spend with a new family, they have the opportunity to provide a stabilizing presence that may create reparative experiences for some of the stress-based breaches in the vital attachment mechanisms babies need to develop with their parent/s for optimal, life long health. The art of information sharing is not only about the skilled assessments professionals make and the work done with infant feeding challenges, but also about how to create safe space for a client’s/patient’s truth to unfold in a supportive way. GOLD Lactation Online Conference false DD/MM/YYYY

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Effective communication in support of breastfeeding families requires a multi-faceted approach and must circle back to evaluate its impact on the mother, her infant, and her definition of family. All healthcare providers in this loop must recognize the importance of delivering compassionate, culturally appropriate communication which includes active listening, timely and sensitive non-verbal and verbal cueing. Written communication should be in a format that is appropriately accessible to the mother and significant others.

Objectives:

Objective 1: Model appropriate listening: non-verbal approaches and timely verbal cueing.

Objective 2: Provide culturally sensitive and compassionate communication.

Objective 3: Provide appropriately accessible written communication.

Objective 4: Demonstrate behaviors that communicate caring.

Live Presentation Schedule Mar 29, 2021

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29-03-2021 08:00 29-03-2021 09:00 35 Communication 360 Effective communication in support of breastfeeding families requires a multi-faceted approach and must circle back to evaluate its impact on the mother, her infant, and her definition of family. All healthcare providers in this loop must recognize the importance of delivering compassionate, culturally appropriate communication which includes active listening, timely and sensitive non-verbal and verbal cueing. Written communication should be in a format that is appropriately accessible to the mother and significant others. GOLD Lactation Online Conference false DD/MM/YYYY

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Communication is the lifeblood of relationships but much more challenging than most people realise, especially during the perinatal period. The closer the relationship, the more challenging effective communication can be. Things just seem to get in the way. Feelings are hard to talk about. Effective, meaningful communication is much more than just the exchange of information. What’s your intention? What is the impact of the words you choose? What do the other person’s words, intention and impact mean for you and your relationship with them?

Communication is both an art and a science. It starts with connection. Connection facilitates communication: connection with yourself gives you the awareness, skills and confidence to say what you want to say, how you want to say it. Connection also helps you to deal with what your words evoke inside the person you’re talking with.

In this presentation you’ll discover why connected communication is so important, the barriers to achieving it, and the benefits, for yourself and others, of communication as a pathway to strengthening and deepening relationships, creating stability through change, and finding meaning and direction in the sometimes overwhelming and confusing landscape of new parenthood.

Objectives:

Objective 1: Participants will be able to name three benefits of connected communication.

Objective 2:Participants can distinguish a reaction from a response.

Objective 3: Participants will be able to list three elements of connected communication.

Live Presentation Schedule Mar 29, 2021

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29-03-2021 08:00 29-03-2021 09:00 35 Communication and Conflict - How Connection Supports Both Communication is the lifeblood of relationships but much more challenging than most people realise, especially during the perinatal period. The closer the relationship, the more challenging effective communication can be. Things just seem to get in the way. Feelings are hard to talk about. Effective, meaningful communication is much more than just the exchange of information. What’s your intention? What is the impact of the words you choose? What do the other person’s words, intention and impact mean for you and your relationship with them? Communication is both an art and a science. It starts with connection. Connection facilitates communication: connection with yourself gives you the awareness, skills and confidence to say what you want to say, how you want to say it. Connection also helps you to deal with what your words evoke inside the person you’re talking with. In this presentation you’ll discover why connected communication is so important, the barriers to achieving it, and the benefits, for yourself and others, of communication as a pathway to strengthening and deepening relationships, creating stability through change, and finding meaning and direction in the sometimes overwhelming and confusing landscape of new parenthood. GOLD Lactation Online Conference false DD/MM/YYYY

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One of the biggest differences between Eastern culture and Western culture the tight connection of family. In Eastern culture, there is a traditional culture for postpartum practice called “doing the month (DTM) ”. Including dietary taboos, lifestyle restriction, such as No hair washing, no bathing, and also parental self-regulation. This kind of confinement is very difficult for the young generation, and it causes a lot of conflicts within family. Based on affection exchange theory(AFE), by using active listening skills to accept the expressions of both parties. To praise ANY behavior whichever is nicer to the other. To facilitate the mutual experiences on positive feelings in the same living target, connecting and caring all people’s needs on-site. Acting is considered as a connector, to emphasize and to enlarge the two parties' commonality. Hence, the consensus building and the making the feasible strategies for a change are necessary.

Objectives:

Objective 1) Recognize the influence of family bonding and traditional Asia culture on breastfeeding.

Objective 2) Describe the common conflicts of parenting between the extended family and the nuclear family.

Objective 3) List the sources of breastfeeding support for the extended family.

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29-03-2021 08:00 29-03-2021 09:00 35 Communications/Connection and Conflict Resolution Within the Extended Family One of the biggest differences between Eastern culture and Western culture the tight connection of family. In Eastern culture, there is a traditional culture for postpartum practice called “doing the month (DTM) ”. Including dietary taboos, lifestyle restriction, such as No hair washing, no bathing, and also parental self-regulation. This kind of confinement is very difficult for the young generation, and it causes a lot of conflicts within family. Based on affection exchange theory(AFE), by using active listening skills to accept the expressions of both parties. To praise ANY behavior whichever is nicer to the other. To facilitate the mutual experiences on positive feelings in the same living target, connecting and caring all people’s needs on-site. Acting is considered as a connector, to emphasize and to enlarge the two parties' commonality. Hence, the consensus building and the making the feasible strategies for a change are necessary. GOLD Lactation Online Conference false DD/MM/YYYY

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On the best of days, providing quality lactation care to families in the perinatal time period is a challenging endeavor. IBCLCs, for example, are mandated to effectively utilize history taking and assessment skills, a broad collection of skills to assist the dyad, general problem-solving skills, skills related to techniques and devices, and skills needed to develop, implement and evaluate an individualized feeding plan in consultation with the client. Communication skills are the bedrock of everything a lactation supporter must do. Our training in this area logically tends to focus on understanding and responding to the human context of the dyad. However, there are two sides to communication in a lactation-related encounter: the client and the care provider. And, care providers are also human. In spite of our compassion and good intentions, we are impacted by the stresses, losses, and traumas of life, which can then impact our ability to work well with our clients. This presentation addresses common challenges in the lactation supporter’s own context (such as cognitive load, burnout, and traumatic triggers), their impact on communication, and strategies that can help us improve our ability to communicate effectively with our clients.

Objectives:

Objective 1: List 3 kinds of life challenges lactation supporters commonly face that can impact both them and their ability to communicate effectively with clients;

Objective 2: Describe 3 impacts that a care provider’s own life challenges can have on their ability to communicate effectively with clients;

Objective 3: Describe 3 strategies that care providers can use to lessen the impact of their own life challenges on their ability to communicate effectively with clients.

Live Presentation Schedule Mar 29, 2021

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29-03-2021 08:00 29-03-2021 09:00 35 We’re Human, Too: Hidden Dynamics in Our Communication with Clients On the best of days, providing quality lactation care to families in the perinatal time period is a challenging endeavor. IBCLCs, for example, are mandated to effectively utilize history taking and assessment skills, a broad collection of skills to assist the dyad, general problem-solving skills, skills related to techniques and devices, and skills needed to develop, implement and evaluate an individualized feeding plan in consultation with the client. Communication skills are the bedrock of everything a lactation supporter must do. Our training in this area logically tends to focus on understanding and responding to the human context of the dyad. However, there are two sides to communication in a lactation-related encounter: the client and the care provider. And, care providers are also human. In spite of our compassion and good intentions, we are impacted by the stresses, losses, and traumas of life, which can then impact our ability to work well with our clients. This presentation addresses common challenges in the lactation supporter’s own context (such as cognitive load, burnout, and traumatic triggers), their impact on communication, and strategies that can help us improve our ability to communicate effectively with our clients. GOLD Lactation Online Conference false DD/MM/YYYY

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Breastfeeding can trigger particular negative emotions and intrusive thoughts, these can include experiencing the phenomenon of breastfeeding/nursing aversion and agitation, or having the medical condition of Dysphoric Milk Ejection Reflex, as well as those who struggle with breastfeeding challenges with post-natal depression or post-natal mood disorders.

Understanding the nuances and variations in all these experiences can lead to better referral, intervention and treatment for those struggling with negative emotions associated with breastfeeding. Being prescribed anti-depressants when you have D-MER or Aversion will not always alleviate the symptoms or help the situation.

We cover the literature about when breastfeeding can make someone feel bad, sad or mad, and what we know can help alleviate these negative emotions so as a lactation specialist or health care professional you will become well adept at assessing, referring, signposting, supporting and treating those who struggle. The information and skills you will gain will particularly help in complex cases or cases where there seems to be a missing link.

Objectives:

Objective 1: What the self-reported symptoms of aversion mothers have and the spectrum of emotions and severity of aversion that is experienced, alongside the symptoms of dysphoric milk ejection reflex. They will also learn the risk factors of experiencing aversion.

Objective 2: The similarities and differences of aversion to the medical conditions of postnatal depression, postpartum mood disorders, and of Dysphoric –Milk Ejection Reflex, as well as Sad Nipple Syndrome as part of a differential diagnosis.

Objective 3: The steps to take to alleviate the negative emotions and intrusive thoughts that can be experienced when breastfeeding.

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29-03-2021 08:00 29-03-2021 09:00 35 "Help! Breastfeeding Makes Me Feel Bad, Sad or Mad": Helping Breastfeeding Mothers Struggling With Negative Emotions Breastfeeding can trigger particular negative emotions and intrusive thoughts, these can include experiencing the phenomenon of breastfeeding/nursing aversion and agitation, or having the medical condition of Dysphoric Milk Ejection Reflex, as well as those who struggle with breastfeeding challenges with post-natal depression or post-natal mood disorders. Understanding the nuances and variations in all these experiences can lead to better referral, intervention and treatment for those struggling with negative emotions associated with breastfeeding. Being prescribed anti-depressants when you have D-MER or Aversion will not always alleviate the symptoms or help the situation. We cover the literature about when breastfeeding can make someone feel bad, sad or mad, and what we know can help alleviate these negative emotions so as a lactation specialist or health care professional you will become well adept at assessing, referring, signposting, supporting and treating those who struggle. The information and skills you will gain will particularly help in complex cases or cases where there seems to be a missing link. GOLD Lactation Online Conference false DD/MM/YYYY

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This presentation will describe the 5-year journey to the creation and implementation of the 10 Steps to a Breastfeeding Friendly Shelter, starting with a key person, the prime mover, wondering, as she struggled in her resource-rich home with breastfeeding, "what do mothers experiencing homelessness do when they have trouble breastfeeding?" This question led to the formation of a committee, with the eventual outcome of a published policy paper and the Office of Homeless Services changing its provider contract to include accommodations for breastfeeding.

Objectives:

Objective 1: Identify resources and strengths in their own communities.

Objective 2: State barriers to breastfeeding in shelters.

Objective 3: Describe how to implement the 10 Steps to a Breastfeeding Friendly in their own community.

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29-03-2021 08:00 29-03-2021 09:00 35 10 Steps to a Breastfeeding Friendly Shelter: Building a Policy This presentation will describe the 5-year journey to the creation and implementation of the 10 Steps to a Breastfeeding Friendly Shelter, starting with a key person, the prime mover, wondering, as she struggled in her resource-rich home with breastfeeding, "what do mothers experiencing homelessness do when they have trouble breastfeeding?" This question led to the formation of a committee, with the eventual outcome of a published policy paper and the Office of Homeless Services changing its provider contract to include accommodations for breastfeeding. GOLD Lactation Online Conference false DD/MM/YYYY

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In this presentation you will learn about palliative care, hospice, and anticipated death in the early newborn period and why breastfeeding is still important. We will explore the benefits both nutritionally and psychologically for the family experiencing this difficult situation. Using the story of the family who inspired the presenter to explore the options and choices, participants will gain a better understanding of ways to look outside their usual practice to be a support for families. In times of anticipated death and bereavement, it is sometimes difficult to know what to do or say but being open to learning from others and challenging ourselves to be support in different situations, we have an opportunity to help families heal.

Objectives:

Objective 1: Identify the differences between hospice and palliative care.

Objective 2: Describe how breast/chest feeding or human milk feeding can be nutritionally superior and supportive to the family experiencing this situation.

Objective 3: Describe wording to be supportive of families experiencing grief.

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29-03-2021 08:00 29-03-2021 09:00 35 Palliative Care: Why and How to Provide Lactation Support During Serious Illness or Before an Anticipated Death In this presentation you will learn about palliative care, hospice, and anticipated death in the early newborn period and why breastfeeding is still important. We will explore the benefits both nutritionally and psychologically for the family experiencing this difficult situation. Using the story of the family who inspired the presenter to explore the options and choices, participants will gain a better understanding of ways to look outside their usual practice to be a support for families. In times of anticipated death and bereavement, it is sometimes difficult to know what to do or say but being open to learning from others and challenging ourselves to be support in different situations, we have an opportunity to help families heal. GOLD Lactation Online Conference false DD/MM/YYYY

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In this session, I will explore how trauma held in the body interferes with the breast/chestfeeding experience on a physiological level, including how experiences of trauma, stress, and conflict contribute to stress hormones, as well as on an emotional level, preventing the bonding between parent and child that facilitates a fulfilling breast/chestfeeding relationship. I will share techniques for supporting parents with past trauma using interdisciplinary approaches that promote self-care and healing of trauma that include talk therapy, bodywork, use of herbs and other holistic and traditional approaches such as acupuncture, potential Western medicine/pharmaceutical support, peer support, lactation professional support, and family support, and how to integrate trauma-informed care into their lactation practice. We will discuss the role of gender dysphoria during breast/chestfeeding for trans and gender non-conforming parents and delve into the available research on techniques that queer, trans and gender non-conforming parents use to combat gender dysphoria, including hormone therapy, gender-affirming surgery, and chest binding, and the compatibility of those techniques with lactation.

Objectives:

Objective 1: Define ""trauma-informed"" and identify how past trauma can interfere with meeting breast/chestfeeding goals.

Objective 2: Discuss ways to integrate trauma-informed care into your lactation practice when supporting parents healing from trauma and how to approach past trauma with sensitivity and competence.

Objective 3: Define gender dysphoria and identify how it can present challenges to the breast/chestfeeding relationship.

Live Presentation Schedule Mar 29, 2021

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29-03-2021 08:00 29-03-2021 09:00 35 Supporting Dyads Facing Past Trauma and Gender Dysphoria In this session, I will explore how trauma held in the body interferes with the breast/chestfeeding experience on a physiological level, including how experiences of trauma, stress, and conflict contribute to stress hormones, as well as on an emotional level, preventing the bonding between parent and child that facilitates a fulfilling breast/chestfeeding relationship. I will share techniques for supporting parents with past trauma using interdisciplinary approaches that promote self-care and healing of trauma that include talk therapy, bodywork, use of herbs and other holistic and traditional approaches such as acupuncture, potential Western medicine/pharmaceutical support, peer support, lactation professional support, and family support, and how to integrate trauma-informed care into their lactation practice. We will discuss the role of gender dysphoria during breast/chestfeeding for trans and gender non-conforming parents and delve into the available research on techniques that queer, trans and gender non-conforming parents use to combat gender dysphoria, including hormone therapy, gender-affirming surgery, and chest binding, and the compatibility of those techniques with lactation. GOLD Lactation Online Conference false DD/MM/YYYY

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One in four girls in the United States report having been sexually abused before their eighteenth birthday. This session will explore how this experience impacts breastfeeding and how lactation supporters can play a positive role in both healing and feeding. A small amount of time will be dedicated to understanding the scope of child sexual abuse in the US. Participants will benefit from hearing lessons gleaned from contemporary peer-reviewed literature that explores the relationship between the surviving child sexual abuse and breastfeeding. The majority of time will be spent hearing from the experts themselves: mothers talking about how their experiences of child sexual abuse impacts their experiences with breastfeeding. Participants will gain insight to the vulnerability and resilience that exists within this large group. The session will end with recommendations for how to provide lactation support that respects and enhances parents’ opportunities to gain power, self-possession, softness and inter-generational healing.

Objectives:

Objective 1: Define the scope of child sexual abuse in the US.

Objective 2: Summarize 2+ lessons gleaned from contemporary literature, centering parents’ voices, that explores the relationship between the surviving child sexual abuse and breastfeeding.

Objective 3: Identify 2+ ways to improve current lactation support practices that will enhance parents’ opportunities to gain power, self-possession, softness and inter-generational healing.

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29-03-2021 08:00 29-03-2021 09:00 35 Survivor Mothers' Speak: Child Sexual Abuse Impacts Breastfeeding Experiences One in four girls in the United States report having been sexually abused before their eighteenth birthday. This session will explore how this experience impacts breastfeeding and how lactation supporters can play a positive role in both healing and feeding. A small amount of time will be dedicated to understanding the scope of child sexual abuse in the US. Participants will benefit from hearing lessons gleaned from contemporary peer-reviewed literature that explores the relationship between the surviving child sexual abuse and breastfeeding. The majority of time will be spent hearing from the experts themselves: mothers talking about how their experiences of child sexual abuse impacts their experiences with breastfeeding. Participants will gain insight to the vulnerability and resilience that exists within this large group. The session will end with recommendations for how to provide lactation support that respects and enhances parents’ opportunities to gain power, self-possession, softness and inter-generational healing. GOLD Lactation Online Conference false DD/MM/YYYY

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Native people are natural story tellers. This method of knowledge exchange has been around for thousands of years. Story telling is a fundamental tool that has been used to pass down information, share ideas and a teaching opportunity within Indigenous communities. It allows understanding of lived experiences and consequences to sustain and restore balance for many generations. An important component of lactation counseling is we can learn from an Indigenous lens from listening to one’s story when addressing breastfeeding families.

Objectives:

Objective 1: Discuss the importance of addressing personal trauma through story telling as a lactation support provider.

Objective 2: Describe ways to create safety for parents to share during lactation support as a tool for addressing lactation challenges.

Objective 3: Describe how the affirmation of the mother’s story helps parents breastfeed with less difficulty.

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29-03-2021 08:00 29-03-2021 09:00 35 The Power of Story Telling: A Tool for Addressing Historical Trauma and Breastfeeding Native people are natural story tellers. This method of knowledge exchange has been around for thousands of years. Story telling is a fundamental tool that has been used to pass down information, share ideas and a teaching opportunity within Indigenous communities. It allows understanding of lived experiences and consequences to sustain and restore balance for many generations. An important component of lactation counseling is we can learn from an Indigenous lens from listening to one’s story when addressing breastfeeding families. GOLD Lactation Online Conference false DD/MM/YYYY

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