Topics & Abstracts

Breast/chest feeding is a biological, emotional, and social process. There is an undeniable link between human milk and behaviors associated with feeding. Breast or chest feeding provide the perfect environment for babies’ development, such as bonding, attachment, mutual regulation, security, etc. But what happens when parents can’t access effective, culturally competent, compassionate lactation services? What happens when over generations lactation support has been lacking?

Every parent deserves the chance to meet their feeding goals and enjoy the short and long term benefits of human milk feeding. Social inequities augment the effects of not experiencing those benefits making it even harder for parents and babies to have their physical, emotional and social needs met. Outcomes of lactation impact the dyad, the family, the community beyond the nutritional needs of the infant.

Advocacy efforts at local, regional and national levels create meaningful opportunities for health equity, so those with no power or resources can reach optimal health. Lactation consultants are in a unique position to advocate and partner with others to support policies and programs that focus on equity as a systems approach to benefit marginalized communities and impact their physical and mental health in the long-term.

Objectives:

a) Define health equity, diversity, inclusion, disparities, and system levels interventions;

b) Describe the role of lactation health and social development for the family;

c) Identify potential partnerships and opportunities for equity advancements in the lactation field.

Live Presentation Schedule Apr 23, 2018

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23-04-2018 21:00 23-04-2018 22:00 35 Breastfeeding Advocacy through a Health Equity Lens Breast/chest feeding is a biological, emotional, and social process. There is an undeniable link between human milk and behaviors associated with feeding. Breast or chest feeding provide the perfect environment for babies’ development, such as bonding, attachment, mutual regulation, security, etc. But what happens when parents can’t access effective, culturally competent, compassionate lactation services? What happens when over generations lactation support has been lacking? Every parent deserves the chance to meet their feeding goals and enjoy the short and long term benefits of human milk feeding. Social inequities augment the effects of not experiencing those benefits making it even harder for parents and babies to have their physical, emotional and social needs met. Outcomes of lactation impact the dyad, the family, the community beyond the nutritional needs of the infant. Advocacy efforts at local, regional and national levels create meaningful opportunities for health equity, so those with no power or resources can reach optimal health. Lactation consultants are in a unique position to advocate and partner with others to support policies and programs that focus on equity as a systems approach to benefit marginalized communities and impact their physical and mental health in the long-term. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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The term “breastfeeding self-efficacy” gets thrown around a lot, but what does it really mean? How do we define it, why is it important and what can we be doing as lactation support providers to empower parents and have a positive impact on breastfeeding self-efficacy? Is there anything that we’re doing in our approach to breastfeeding support that is unintentionally having a negative impact? Does breastfeeding self-efficacy look the same for everyone, and how do we target marginalized communities? These are some of the questions that our experts will be tackling during the discussion with a goal of leaving listeners with concrete changes that they can immediately make to their own practice.

Objectives:

a) Delegates will be able to define what breastfeeding self-efficacy is;

b) Delegates will be able to clearly describe why breastfeeding self-efficacy is important and the consequences of low breastfeeding self-efficacy;

c) Delegates will be able to identify at least 3 examples of changes they can make to their own practice to help improve their clients’ breastfeeding self-efficacy

Live Presentation Schedule May 9, 2018

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09-05-2018 17:00 09-05-2018 18:00 35 Breastfeeding Self-Efficacy - What is it, why is it important and how do we improve it? The term “breastfeeding self-efficacy” gets thrown around a lot, but what does it really mean? How do we define it, why is it important and what can we be doing as lactation support providers to empower parents and have a positive impact on breastfeeding self-efficacy? Is there anything that we’re doing in our approach to breastfeeding support that is unintentionally having a negative impact? Does breastfeeding self-efficacy look the same for everyone, and how do we target marginalized communities? These are some of the questions that our experts will be tackling during the discussion with a goal of leaving listeners with concrete changes that they can immediately make to their own practice. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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We deepen understanding of false conceptual assumptions that define racial equity by critiquing standards of organizational operations. Strengthening awareness to lactation providers by defining and determining key terms which identifies structural racism and reduces superficial outcomes. By alternating racial equity from a “hot topic” to systemic revolution to deconstruct barriers by challenging these assumptions by concepts. Identifying standards that ensure transformation and shift gears from idealist views on racial equity to strategies to promote impactful solutions. Reevaluating promises to actions which Increases understanding of racial equity through policies, practices and procedures. Empowering audience to determine their baseline and understanding of racial equity to build compacity to their ability to morph from ally to accomplice. Giving guidelines, theories and concepts to build an organizational framework to develop and implement plans to incorporate into practices. Despite a growing interest to being sympathetic to racial equity efforts, this learning environment will improve understanding of systems of racism which impact health outcomes. Giving the learners the ability to examining concrete approaches to advancing racial equity.

Objectives:

a) Identify a core terms and concepts that contribute to systemic racism;

b) Define at least three barriers that impact disparities in breastfeeding;

c) Provide two examples of advancing racial equity;

d) Participants will personally reflect on how implicit bias impacts their actions;

e) Describe concrete one approach that can advance racial equity.

Live Presentation Schedule Apr 23, 2018

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23-04-2018 23:00 24-04-2018 00:00 35 Check your “Blind” Spot, The Crisis We Are Not Talking About: Transforming Color Blindness to Racial Equity We deepen understanding of false conceptual assumptions that define racial equity by critiquing standards of organizational operations. Strengthening awareness to lactation providers by defining and determining key terms which identifies structural racism and reduces superficial outcomes. By alternating racial equity from a “hot topic” to systemic revolution to deconstruct barriers by challenging these assumptions by concepts. Identifying standards that ensure transformation and shift gears from idealist views on racial equity to strategies to promote impactful solutions. Reevaluating promises to actions which Increases understanding of racial equity through policies, practices and procedures. Empowering audience to determine their baseline and understanding of racial equity to build compacity to their ability to morph from ally to accomplice. Giving guidelines, theories and concepts to build an organizational framework to develop and implement plans to incorporate into practices. Despite a growing interest to being sympathetic to racial equity efforts, this learning environment will improve understanding of systems of racism which impact health outcomes. Giving the learners the ability to examining concrete approaches to advancing racial equity. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Reading let alone critically analyzing a research article can be quite intimidating to a non-researcher lactation consultant. How many lactation consultants find a research only to read the abstract, introduction, and conclusion to skip over the parts of the article they do not understand? Lactation consultants must provide evidence-based, ethical care to mothers, their baby, and their family. Lactation consultants can be instrumental and part of a multi-disciplinary research team. This presentation will help demystify research articles by providing ten practical tips for the non-researcher IBCLC. Not only will the lactation consultant feel more confident about reading the research article but the presentation will offer a great review of research concepts that are included in the IBLCE exam blueprint and prepare exam candidates for the IBLCE exam.

Objectives:

a) Compare and contrast a qualitative research study and quantitative research study;

b) Identify key components of a research study;

c) Examine ethical considerations of a research study.

Live Presentation Schedule Apr 10, 2018

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10-04-2018 19:00 10-04-2018 20:00 35 Demystifying research articles: Ten Tips for the Non-Researcher IBCLC Reading let alone critically analyzing a research article can be quite intimidating to a non-researcher lactation consultant. How many lactation consultants find a research only to read the abstract, introduction, and conclusion to skip over the parts of the article they do not understand? Lactation consultants must provide evidence-based, ethical care to mothers, their baby, and their family. Lactation consultants can be instrumental and part of a multi-disciplinary research team. This presentation will help demystify research articles by providing ten practical tips for the non-researcher IBCLC. Not only will the lactation consultant feel more confident about reading the research article but the presentation will offer a great review of research concepts that are included in the IBLCE exam blueprint and prepare exam candidates for the IBLCE exam. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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The commonest reason of interrupted exclusive breastfeeding is assumption of insufficient breastmilk. Fenugreek has been traditionally used by Egyptian women to increase milk supplementation. However, this practice has not been scientifically evaluated yet. We elucidated fenugreek-tea effect on expressed breast milk quantity by a Comparative study on 2 groups of healthy mothers according to fenugreek consumption whom baby was admitted to Ain shams University NICU for more than 2 weeks and expressed breastmilk using manual breast pump divided into. Results showed earlier increase in mean breastmilk-volume in fenugreek group. Significant difference of pumped breastmilk quantity between groups at day 3 & 8 where fenugreek group showed higher volume yet at day 15 the net daily volume showed no significant difference between both groups. We concluded that fenugreek consumption may affect earlier stages of lactogenesis so can be used for satisfaction and reassurance in those stages.

Objectives:

a) Discuss what are the herbal galactagogues;

b) Discuss traditional usage of fenugreek;

c) Discuss the effect of fenugreek on milk supply.

Live Presentation Schedule Apr 17, 2018

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17-04-2018 15:00 17-04-2018 15:30 35 Effect of Fenugreek Supplementation on Breast Milk The commonest reason of interrupted exclusive breastfeeding is assumption of insufficient breastmilk. Fenugreek has been traditionally used by Egyptian women to increase milk supplementation. However, this practice has not been scientifically evaluated yet. We elucidated fenugreek-tea effect on expressed breast milk quantity by a Comparative study on 2 groups of healthy mothers according to fenugreek consumption whom baby was admitted to Ain shams University NICU for more than 2 weeks and expressed breastmilk using manual breast pump divided into. Results showed earlier increase in mean breastmilk-volume in fenugreek group. Significant difference of pumped breastmilk quantity between groups at day 3 & 8 where fenugreek group showed higher volume yet at day 15 the net daily volume showed no significant difference between both groups. We concluded that fenugreek consumption may affect earlier stages of lactogenesis so can be used for satisfaction and reassurance in those stages. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Feeding is the most complex task of infancy, even in term babies with no complications. There are many diagnoses, conditions, syndromes, and co-morbidities that can impact feeding in neonates and infants. This talk will briefly highlight many of those, but we will focus on three specific populations of interest –Neonatal Abstinence Syndrome, Infants of Diabetic Mothers, and Downs Syndrome. We will discuss the specific implications these conditions can have on feeding, why these infants may have difficulty, and the classic symptoms one could expect to see. The differences between delayed and disordered feeding will also be addressed. Strategies and adaptions for breast feeding will be discussed. Positioning and external strategies will be explained. Case studies will be shared at the end of the presentation.

Objectives:

a) The participant will identify at least three populations at risk for feeding difficulty;

b) The participant will be able to explain at least two commonly seen characteristics in each of these populations that may adversely impact feeding;

c) The participant will be able to list at least two strategies for each of the populations to enhance feeding success at the breast.

Live Presentation Schedule Apr 16, 2018

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16-04-2018 19:00 16-04-2018 20:00 35 Feeding Difficulties: A Look at High Risk Populations Feeding is the most complex task of infancy, even in term babies with no complications. There are many diagnoses, conditions, syndromes, and co-morbidities that can impact feeding in neonates and infants. This talk will briefly highlight many of those, but we will focus on three specific populations of interest –Neonatal Abstinence Syndrome, Infants of Diabetic Mothers, and Downs Syndrome. We will discuss the specific implications these conditions can have on feeding, why these infants may have difficulty, and the classic symptoms one could expect to see. The differences between delayed and disordered feeding will also be addressed. Strategies and adaptions for breast feeding will be discussed. Positioning and external strategies will be explained. Case studies will be shared at the end of the presentation. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Too often when discussing barriers to breastfeeding there tends to be a focus on education, poverty, and familial support. However, when we truly look at the causes of health disparities and inequities it is racism and discrimination that are at fault. For many of us, this can be a difficult realization and conversation to have. In this session, Ms. Goldhammer will discuss how Communities of Color are impacted by intergenerational trauma specifically when it comes to attachment and bonding as well as the role that racism and white privilege play in today’s modern day field of lactation. She will conclude with ways in which we can create meaningful impact and further advance racial equity in our field and most importantly in the communities we serve.

Objectives:

a) Students will be able to define historical trauma and identify how it impacts attachment and bonding;

b) Students will be able to list 3 health conditions that disproportionally affect Communities of Color as a result of low breastfeeding rates;

c) Students will be able to assess how implicit bias impacts the way we serve families, particularly Families of Color.

Live Presentation Schedule Apr 17, 2018

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17-04-2018 19:00 17-04-2018 20:00 35 Historical Trauma, Racism and White Privilege: The Barriers to Breastfeeding Success Too often when discussing barriers to breastfeeding there tends to be a focus on education, poverty, and familial support. However, when we truly look at the causes of health disparities and inequities it is racism and discrimination that are at fault. For many of us, this can be a difficult realization and conversation to have. In this session, Ms. Goldhammer will discuss how Communities of Color are impacted by intergenerational trauma specifically when it comes to attachment and bonding as well as the role that racism and white privilege play in today’s modern day field of lactation. She will conclude with ways in which we can create meaningful impact and further advance racial equity in our field and most importantly in the communities we serve. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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When antibiotics were first broadly introduced in the 1930s, they were considered the most important advancement in modern medicine. Deaths attributed to communicable diseases were drastically reduced leading to the belief that infectious diseases were conquerable. Bacteria, however, counter antibiotic chemotherapy with resistance mechanisms that result in the emergence of infections untreatable by the current artillery of therapeutics. Efforts to develop new antimicrobial agents with unique structural motifs and novel modes of action to fight multi-drug resistant pathogens are ongoing. During this seminar, I will discuss our groups ongoing efforts to develop human milk oligosaccharides as novel antimicrobial agents.

Objectives:

a) Understand the infection process;

b) Understand how children are protected via breast milk;

c) Understand what pathogens are currently priorities to defeat.

Live Presentation Schedule Apr 9, 2018

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09-04-2018 21:00 09-04-2018 22:00 35 Human Milk: Defense Against Pathogens When antibiotics were first broadly introduced in the 1930s, they were considered the most important advancement in modern medicine. Deaths attributed to communicable diseases were drastically reduced leading to the belief that infectious diseases were conquerable. Bacteria, however, counter antibiotic chemotherapy with resistance mechanisms that result in the emergence of infections untreatable by the current artillery of therapeutics. Efforts to develop new antimicrobial agents with unique structural motifs and novel modes of action to fight multi-drug resistant pathogens are ongoing. During this seminar, I will discuss our groups ongoing efforts to develop human milk oligosaccharides as novel antimicrobial agents. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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IBCLCs and other healthcare providers know that best practices use a parent-centered model: crafting a care plan individualized to the family’s needs. The plan may involve medically-indicated use of formula; there may be supplementation that involves the use of a bottle-and-teat. Can a health worker even offer this teaching, while respecting the International Code of Marketing of Breast-milk Substitutes, and professional practice-guiding documents? What if her colleagues (loudly) accuse her of not following the International Code requirements? When does “teaching” cross the line, and become “marketing” of products that fall within the scope of the International Code? Who said this teaching has to be done one-on-one ... and what happens if it occurs on-line? This session is an analysis of the ethical and legal framework when healthcare providers offer suggestions to breastfeeding or bottle-using families about the use of bottles, teats and infant formula.

Objectives:

a) Identify which sections of IBCLC practice-guiding documents cover discussion of bottles, teats and formula/supplements;

b) Describe sections of public health documents that cover discussion of bottles, teats and formula/supplement use;

c) Compare and contrast examples of product descriptions, versus product marketing.

Live Presentation Schedule Apr 23, 2018

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23-04-2018 19:00 23-04-2018 20:00 35 Is Teaching the Same as Marketing? Ethics and International Code Considerations When Discussing Bottle/Teat Use IBCLCs and other healthcare providers know that best practices use a parent-centered model: crafting a care plan individualized to the family’s needs. The plan may involve medically-indicated use of formula; there may be supplementation that involves the use of a bottle-and-teat. Can a health worker even offer this teaching, while respecting the International Code of Marketing of Breast-milk Substitutes, and professional practice-guiding documents? What if her colleagues (loudly) accuse her of not following the International Code requirements? When does “teaching” cross the line, and become “marketing” of products that fall within the scope of the International Code? Who said this teaching has to be done one-on-one ... and what happens if it occurs on-line? This session is an analysis of the ethical and legal framework when healthcare providers offer suggestions to breastfeeding or bottle-using families about the use of bottles, teats and infant formula. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Millennial parents live and learn on social media. Yet, much of the information available online, even through lactation “support” groups, is outdated, inaccurate, and counterproductive. Millennial parents, particularly mothers, also place pressure on themselves to get parenting “right,” which leads to a complex and dangerous blend of anxiety, guilt, and fear surrounding all of their parenting decisions. Facebook closed groups can be an effective platform for creating a virtual breastfeeding support group, but just as in real life, the groups must be properly facilitated. This presentation offers step by step guidance to creating, setting up, and maintaining a Facebook breastfeeding support group. We’ll deconstruct common controversies that occur within social media, and analyze conflict management strategies to create safe spaces online.

Objectives:

a) Identify common language and terminology used in Facebook groups;

b) Understand the difference between harmful conflict and safe conflict;

c) Grasp how to leverage social media to connect with, educate, and support today’s parents where they are.

Live Presentation Schedule Apr 10, 2018

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10-04-2018 13:00 10-04-2018 14:00 35 Lies and Lactation Cookies: Raising the Bar for Breastfeeding Support Groups Online Millennial parents live and learn on social media. Yet, much of the information available online, even through lactation “support” groups, is outdated, inaccurate, and counterproductive. Millennial parents, particularly mothers, also place pressure on themselves to get parenting “right,” which leads to a complex and dangerous blend of anxiety, guilt, and fear surrounding all of their parenting decisions. Facebook closed groups can be an effective platform for creating a virtual breastfeeding support group, but just as in real life, the groups must be properly facilitated. This presentation offers step by step guidance to creating, setting up, and maintaining a Facebook breastfeeding support group. We’ll deconstruct common controversies that occur within social media, and analyze conflict management strategies to create safe spaces online. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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As lactation professionals and supporters, we will encounter LGBTQIA+ and gender non-conforming families in health care settings, private visits and support groups. Deepen your knowledge of the unique needs of queer, trans and gender-non conforming parents during lactation. This session allows participants to explore our awareness, ask questions in a safe space and develop the tools to meet all families where they are.

Objectives:

a) Develop familiarity with the unique makeup of LGBTQIA and gender non-conforming families, challenges faced by this community accessing health care, and the impact on lactation outcomes;

b) Identify and discuss concerns with providing accurate, equitable breastfeeding and chestfeeding care to LGBTQIA and gender non-conforming families;

c) Review research on outcomes for children raised in LGBTQIA families;

d) Define terminology used to describe gender identity, gender expression, biological sex, and sexual preference and develop approaches for using accurate terminology while providing breastfeeding care.

Live Presentation Schedule Apr 17, 2018

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17-04-2018 21:00 17-04-2018 22:00 35 Love Makes A Family: Supporting LGBTQIA+ and Gender Non-Conforming Families As lactation professionals and supporters, we will encounter LGBTQIA+ and gender non-conforming families in health care settings, private visits and support groups. Deepen your knowledge of the unique needs of queer, trans and gender-non conforming parents during lactation. This session allows participants to explore our awareness, ask questions in a safe space and develop the tools to meet all families where they are. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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When a breastfeeding mother consults because of chronic, deep breast pain, we feel weak at the knees. Often these mothers have been to several specialists and nothing has worked for them. Is it mastitis? Thrush? Referred pain from an inadequate latch? Emotional issues? Or is it all of the above, and even more? In this presentation we will learn to do an in-depth clinical history and to use an holistic model for a systematic management of chronic breast pain, so we can offer these mothers more efficient solutions – and better counselling.

Objectives:

a) Participants will be able to describe a detailed history and assesment of the mother´s pain, to rule out different causes;

b) Participants will be able to describe various new approaches to chronic breast pain and the evidence behind them;

c) Participants will be able to discuss an holistic point of view on management of breastfeeding pain.

Live Presentation Schedule Apr 9, 2018

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09-04-2018 13:00 09-04-2018 14:00 35 Management of Chronic Breast Pain: Holistic Approach When a breastfeeding mother consults because of chronic, deep breast pain, we feel weak at the knees. Often these mothers have been to several specialists and nothing has worked for them. Is it mastitis? Thrush? Referred pain from an inadequate latch? Emotional issues? Or is it all of the above, and even more? In this presentation we will learn to do an in-depth clinical history and to use an holistic model for a systematic management of chronic breast pain, so we can offer these mothers more efficient solutions – and better counselling. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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It is well known that breastfeeding is beneficial to both mother and baby. What happens if breastfeeding is not well established? Researchers are looking closer to postpartum mood disorders and what influence breastfeeding may have in a new mother's psychological well being.

Postpartum depression has been linked to low breastfeeding rates, as well as lower duration rates. Postpartum depression falls under the diagnosis of "major depressive disorder with peripartum onset during pregnancy or in the weeks following delivery" (Bascom & Napolitano, 2015). It has been estimated that postpartum mood disorders, strike an estimated 10-20% of new mothers (Bascom & Napolitano, 2015). However, it has been argued that this number reflects only those women who have sought help for their symptoms. The probability that more women are affected by postpartum mood disorders is high.

Postpartum mood disorders adversely affect not only the health of the mother, but also the relationship with her partner, interaction with her newborn and infant growth (Yusuff, Tang, Binns, Lee, 2015). There are several predictors that can help determine if a woman is at risk for postpartum mood disorders, including mental health history, social status, and labor and delivery. Researchers have found that when more medical interventions were used during labor, the higher the depressive symptoms for the mother. This presentation will aid personnel working with new families to be aware of the signs and syptoms of postpartum mood disorders and how to preserve the breastfeeding relationship.

Objectives:

a) Learners will be able to identify 3 risk factors associated with postpartum mood disorders;

b) Learners will be able to identify ways to support the mother/baby dyad breastfeeding with the risk of postpartum depression;

c) Learners will be able to analyze evidence-based information regarding postpartum mood disorders and the implications for breastfeeding.

Live Presentation Schedule Apr 9, 2018

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09-04-2018 17:00 09-04-2018 18:00 35 Out of the Blue: Post-Partum Mood Disorders and Breastfeeding It is well known that breastfeeding is beneficial to both mother and baby. What happens if breastfeeding is not well established? Researchers are looking closer to postpartum mood disorders and what influence breastfeeding may have in a new mother's psychological well being. Postpartum depression has been linked to low breastfeeding rates, as well as lower duration rates. Postpartum depression falls under the diagnosis of "major depressive disorder with peripartum onset during pregnancy or in the weeks following delivery" (Bascom & Napolitano, 2015). It has been estimated that postpartum mood disorders, strike an estimated 10-20% of new mothers (Bascom & Napolitano, 2015). However, it has been argued that this number reflects only those women who have sought help for their symptoms. The probability that more women are affected by postpartum mood disorders is high. Postpartum mood disorders adversely affect not only the health of the mother, but also the relationship with her partner, interaction with her newborn and infant growth (Yusuff, Tang, Binns, Lee, 2015). There are several predictors that can help determine if a woman is at risk for postpartum mood disorders, including mental health history, social status, and labor and delivery. Researchers have found that when more medical interventions were used during labor, the higher the depressive symptoms for the mother. This presentation will aid personnel working with new families to be aware of the signs and syptoms of postpartum mood disorders and how to preserve the breastfeeding relationship. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Hospital visits from a Peer Counselor just after delivery can have a tremendous impact on breastfeeding for mom and baby. Evidence-based research shows that Peer Counselors can share an important role in the success of breastfeeding for families. Peer Counselors making an early connection and reminding families that there is someone here to help them with their breastfeeding journey, now and after mom and baby discharge from the hospital, can be very comforting for those nervous new parents. Often, a short visit from a Peer Counselor to reassure a new mother that she is right on track with breastfeeding is just what mom needs to encourage her for the learning period she is going through. Learn about the success stories of a Peer Counselor Program from the implementation of hospital visitation through years of success in hospital visits and the difference it has made in their Peer Counselor Program participation and breastfeeding numbers.

There are challenges to getting Peer Counselor hospital visits started. It may not be as easy to get your foot in the door as you would think. We will discuss some of the red tape situations you may encounter as you start trying to set up hospital visits. Adding hospital visits to your Peer Counselor activities can have a positive impact on your Peer Counselor Program and increase breastfeeding rates for your area.

Objectives:

a) Describe how Peer Counselor hospital visitation with newly delivered patients can help breastfeeding duration, breastfeed rates in your Peer Counselor Program and enhance your Peer Counselor Program in general;

b) Explain how to start a hospital visitation program for your Peer Counselor Program at your local hospital;

c) Discuss how to overcome obstacles encountered when setting up visitation for Peer Counselors at your local hospital

Live Presentation Schedule Apr 16, 2018

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16-04-2018 21:00 16-04-2018 22:00 35 Peer Counselors In The Hospital; Taking Your Peer Counselor Program To The Next Level Hospital visits from a Peer Counselor just after delivery can have a tremendous impact on breastfeeding for mom and baby. Evidence-based research shows that Peer Counselors can share an important role in the success of breastfeeding for families. Peer Counselors making an early connection and reminding families that there is someone here to help them with their breastfeeding journey, now and after mom and baby discharge from the hospital, can be very comforting for those nervous new parents. Often, a short visit from a Peer Counselor to reassure a new mother that she is right on track with breastfeeding is just what mom needs to encourage her for the learning period she is going through. Learn about the success stories of a Peer Counselor Program from the implementation of hospital visitation through years of success in hospital visits and the difference it has made in their Peer Counselor Program participation and breastfeeding numbers. There are challenges to getting Peer Counselor hospital visits started. It may not be as easy to get your foot in the door as you would think. We will discuss some of the red tape situations you may encounter as you start trying to set up hospital visits. Adding hospital visits to your Peer Counselor activities can have a positive impact on your Peer Counselor Program and increase breastfeeding rates for your area. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Breast feeding can be challenging in some special situations, phenylketonuria is one of these conditions that requires a lot of knowledge and support.

PKU is an inherited metabolic disorder that needs a special protein free diet to be followed lifelong, to grow normally, to avoid the irreversible and severe intellectual impairment and developmental abnormality. Years ago PKU was an absolute contraindication for breastfeeding, but with more research on the disease and the breast milk components, it is now strongly suggested to breastfeed a PKU baby along with his or her special phenylalanine free formula under close supervision from a dietitian and experienced breastfeeding supportive pediatrician. It is a difficult but achievable task, a prime example is my 3 PKU children who I managed to breastfeed for almost 2 years. Along with their PKU formula and special low protein diets they are enjoying healthy, normal mental and physical development.

Objectives:

a) Describe PKU history, clinical manifestation, and neonatal screening;

b) Recognize the guidelines for PKU management and new areas of research;

c) Define maternal PKU, and its management;

d) Describe why breastfeeding is a choice for PKU baby feeding, and explain the feeding strategies, the challenges, and define the role of the lactation consultant in the management of this condition;

e) Outline a real-life case study of a successful experience

Live Presentation Schedule Apr 9, 2018

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09-04-2018 15:00 09-04-2018 16:00 35 Phenylketonuria and Breastfeeding: Facts, Challenges and Reality Breast feeding can be challenging in some special situations, phenylketonuria is one of these conditions that requires a lot of knowledge and support. PKU is an inherited metabolic disorder that needs a special protein free diet to be followed lifelong, to grow normally, to avoid the irreversible and severe intellectual impairment and developmental abnormality. Years ago PKU was an absolute contraindication for breastfeeding, but with more research on the disease and the breast milk components, it is now strongly suggested to breastfeed a PKU baby along with his or her special phenylalanine free formula under close supervision from a dietitian and experienced breastfeeding supportive pediatrician. It is a difficult but achievable task, a prime example is my 3 PKU children who I managed to breastfeed for almost 2 years. Along with their PKU formula and special low protein diets they are enjoying healthy, normal mental and physical development. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Collaboration is the foundation of the work of lactation professionals. As allied health providers, the team approach is at the centre of our professional relationships. Differences in professional practice and standards of care are aggravated by health care systems that are fragmented and operate in silos, while the high emotion and urgency of infant feeding concerns interfere with reasoned collaborative decision-making. Where adequate training, workplace policies and management oversight fail, conflicts within the team may escalate to incivility, lateral violence and bullying. IBCLC must be able to name and act when conflict crosses these boundaries.
At a policy level, the problems facing breastfeeding are among the most "wicked" of public health's "wicked problems".

In perpetually resource- limited settings, the challenges of policy-making, good governance and innovative programs require effective collaboration and co-operation within and across organizations.
Limited time and energy is available for the enormous work required to provide excellent care to families and create societies that fully support them to breastfeed their children for as long as they wish to. Moreover, because of the intensity of the "wicked" problems we face and the urgency of resolving them both in individual cases and at the policy level, conflict and erosion of trust often occur. Because we cannot only work with those we would like to work with to accomplish our goals, we must learn "stretch collaboration", explored using Adam Kahane's model of working in absence of friendliness, agreement or trust.

Objectives:

a) Describe the difference between intra- and inter-professional collaboration;

b) Explain how collaboration failure impacts lactation outcomes and provide an example from their own practice or the case studies presented;

c) Describe the organizational impacts of unproductive conflict;

d) Define "stretch collaboration"

Live Presentation Schedule Apr 10, 2018

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10-04-2018 21:00 10-04-2018 22:00 35 Playing Well with Others: Collaborating in High Conflict/Low Trust Settings Collaboration is the foundation of the work of lactation professionals. As allied health providers, the team approach is at the centre of our professional relationships. Differences in professional practice and standards of care are aggravated by health care systems that are fragmented and operate in silos, while the high emotion and urgency of infant feeding concerns interfere with reasoned collaborative decision-making. Where adequate training, workplace policies and management oversight fail, conflicts within the team may escalate to incivility, lateral violence and bullying. IBCLC must be able to name and act when conflict crosses these boundaries.
At a policy level, the problems facing breastfeeding are among the most "wicked" of public health's "wicked problems".In perpetually resource- limited settings, the challenges of policy-making, good governance and innovative programs require effective collaboration and co-operation within and across organizations.
Limited time and energy is available for the enormous work required to provide excellent care to families and create societies that fully support them to breastfeed their children for as long as they wish to. Moreover, because of the intensity of the "wicked" problems we face and the urgency of resolving them both in individual cases and at the policy level, conflict and erosion of trust often occur. Because we cannot only work with those we would like to work with to accomplish our goals, we must learn "stretch collaboration", explored using Adam Kahane's model of working in absence of friendliness, agreement or trust. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Breastmilk has long been understood to be a pathway towards long-term health for both mother and child. The specific mechanisms for how this communication works has long been studied and today many researchers believe that messenger RNAs and stem cells contribute in many ways to appropriate developmental pathways for the baby and cause gene activation that promotes health for life. mRNA in breastmilk can also be influenced by the time of day and even the timing of the babies delivery, becoming adaptive for the baby’s unique needs. Not only do these messenger RNA communicate important genetic information to the baby via breastmilk, changes in the mothers body via mRNA occur during lactation responding to a new “mothering” focus during the period of lactation. This may impact the mother’s postpartum mental states, adaptation to stress, and changes in fatty acids. This presentation highlights some of the fascinating studies that demonstrate the myriad of ways that stem cells and mRNA during lactation become the ultimate communicators, affecting change for years to come.

Objectives:

a) Identify at least two properties in breastmilk that act as communication tools within the body;

b) List one way in which mRNA in breastmilk has a protective effect on the baby;

c) List at least one way mRNA shifts occur in the mother during lactation.

Live Presentation Schedule Apr 3, 2018

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03-04-2018 16:00 03-04-2018 17:15 35 Talk To Me: How Breastmilk Acts as a Communication and Gene Expression Tool Between Mother and Child Breastmilk has long been understood to be a pathway towards long-term health for both mother and child. The specific mechanisms for how this communication works has long been studied and today many researchers believe that messenger RNAs and stem cells contribute in many ways to appropriate developmental pathways for the baby and cause gene activation that promotes health for life. mRNA in breastmilk can also be influenced by the time of day and even the timing of the babies delivery, becoming adaptive for the baby’s unique needs. Not only do these messenger RNA communicate important genetic information to the baby via breastmilk, changes in the mothers body via mRNA occur during lactation responding to a new “mothering” focus during the period of lactation. This may impact the mother’s postpartum mental states, adaptation to stress, and changes in fatty acids. This presentation highlights some of the fascinating studies that demonstrate the myriad of ways that stem cells and mRNA during lactation become the ultimate communicators, affecting change for years to come. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Background: The effects of cold cabbage leaves and cold gel packs on breast engorgement management have been inconclusive. No studies have compared the effects of these methods on breast engorgement using a rigorous design.

Objectives: To examine the effectiveness of cold cabbage leaves and cold gel packs application on pain, hardness, and temperature due to breast engorgement, the duration of breastfeeding and satisfaction.

Design: A randomised controlled three-group pre-test and repeated post-test study.

Setting: A private maternal and children’s hospital in Singapore.

Participants: Mothers (n =227) with breast engorgement within 14 days after delivery.

Methods: The mothers were randomly assigned into either cold cabbage leaves, cold gel packs, or the control group. Pain, hardness of breasts, and body temperature were measured before treatment. Two sets of post-test assessments were conducted at 30 min, 1 h, and 2 h after the first and second application. The duration of breastfeeding was measured up to 6 months. IBM SPSS 23.0 was used to analyse the data. Results: Mothers in the cabbage leaves and gel packs groups had significant reductions in pain at all post-intervention time points compared to the control group, starting from 30 min after the first application of cabbage leaves (mean difference=−0.38, p=0.016) or gel packs (mean difference=−0.39, p=0.013). When compared to the control group, mothers in the cabbage leaves group had significant reductions in the hardness of breasts at all postintervention time points, and mothers in the gel packs group had significant reductions in the hardness of breasts at two time points (1 h and 2 h after the first and second application, respectively). Mothers in the cabbage leaves group had significant reductions in pain (mean difference=−0.53, p=0.005) and hardness of breasts (mean difference=−0.35, p=0.003) at 2 h after the second application compared to those in the gel packs group. Both interventions had no impact on body temperature. There was no significant difference in the durations of breastfeeding for mothers among the three groups at 3-month and 6-month follow-up. More mothers were very satisfied/satisfied with the breast engorgement care provided in the cabbage leaves group compared to the other groups.

Conclusion: While cold cabbage leaves and cold gel packs can relieve pain and hardness in breast engorgement, the former had better effect, which can be recommended to postnatal mothers to manage breast engorgement.

Objectives:

a) Nurse clinicians and lactation consultants will have a clearer understanding of condition;

b) Maternity hospitals will able to implement the treatment for mothers with breast engorgement effectively;

c) Participants will leave with a cheap, easy, and effective management tool to help to lengthen the duration of breastfeeding increase the Universal rate in duration of breastfeeding.

Live Presentation Schedule Apr 24, 2018

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24-04-2018 01:00 24-04-2018 01:30 35 The Effects of Cold Cabbage Leaves and Cold Gel Packs on the Management of Breast Engorgement Background: The effects of cold cabbage leaves and cold gel packs on breast engorgement management have been inconclusive. No studies have compared the effects of these methods on breast engorgement using a rigorous design. Objectives: To examine the effectiveness of cold cabbage leaves and cold gel packs application on pain, hardness, and temperature due to breast engorgement, the duration of breastfeeding and satisfaction. Design: A randomised controlled three-group pre-test and repeated post-test study. Setting: A private maternal and children’s hospital in Singapore. Participants: Mothers (n =227) with breast engorgement within 14 days after delivery. Methods: The mothers were randomly assigned into either cold cabbage leaves, cold gel packs, or the control group. Pain, hardness of breasts, and body temperature were measured before treatment. Two sets of post-test assessments were conducted at 30 min, 1 h, and 2 h after the first and second application. The duration of breastfeeding was measured up to 6 months. IBM SPSS 23.0 was used to analyse the data. Results: Mothers in the cabbage leaves and gel packs groups had significant reductions in pain at all post-intervention time points compared to the control group, starting from 30 min after the first application of cabbage leaves (mean difference=−0.38, p=0.016) or gel packs (mean difference=−0.39, p=0.013). When compared to the control group, mothers in the cabbage leaves group had significant reductions in the hardness of breasts at all postintervention time points, and mothers in the gel packs group had significant reductions in the hardness of breasts at two time points (1 h and 2 h after the first and second application, respectively). Mothers in the cabbage leaves group had significant reductions in pain (mean difference=−0.53, p=0.005) and hardness of breasts (mean difference=−0.35, p=0.003) at 2 h after the second application compared to those in the gel packs group. Both interventions had no impact on body temperature. There was no significant difference in the durations of breastfeeding for mothers among the three groups at 3-month and 6-month follow-up. More mothers were very satisfied/satisfied with the breast engorgement care provided in the cabbage leaves group compared to the other groups. Conclusion: While cold cabbage leaves and cold gel packs can relieve pain and hardness in breast engorgement, the former had better effect, which can be recommended to postnatal mothers to manage breast engorgement. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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It is quite apparent that in our current society, pregnant and breastfeeding women do use and ingest recreational substances (in both a wisely manner and unwisely manner) and drugs of abuse, natural and/or synthetic. Marijuana use is of special concern currently, especially considering the ethical and legal concerns of its use. The objectives of this presentation are to effectively evaluate recreational drug use during breastfeeding and pregnancy; to counsel mothers who are pregnant or breastfeeding and using recreational drugs, including marijuana; and to discuss and address ethical concerns regarding marijuana use.

Objectives:

a) Show how to effectively evaluate recreational drug use during breastfeeding and pregnancy;

b) Show how to counsel mothers who are pregnant or breastfeeding and using recreational drugs, including marijuana;

c) Evaluate ethical concerns regarding marijuana use

Live Presentation Schedule Apr 23, 2018

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23-04-2018 17:00 23-04-2018 18:00 35 The Recreational Drug-Marijuana Dilemma It is quite apparent that in our current society, pregnant and breastfeeding women do use and ingest recreational substances (in both a wisely manner and unwisely manner) and drugs of abuse, natural and/or synthetic. Marijuana use is of special concern currently, especially considering the ethical and legal concerns of its use. The objectives of this presentation are to effectively evaluate recreational drug use during breastfeeding and pregnancy; to counsel mothers who are pregnant or breastfeeding and using recreational drugs, including marijuana; and to discuss and address ethical concerns regarding marijuana use. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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The Relational Breastfeeding Framework is a process driven model for clinical breastfeeding supports that is consistent with the origins of the IBCLC profession. Little has been published that theorizes pragmatically about lactation support, bridging both the instrumental and relational aspects of this work. The introduction of this framework is an important contribution to theory development within the profession in that it unravels the complexity of reflective and dyad centered care, making clear the process for those who seek to practice in this way. This presentation makes the case that relational breastfeeding support is consistent with the underlying philosophy and history of the profession and should be the goal of all lactation consultants. However, equally relevant, another purpose to this presentation is to spark a generative debate about what we do and how we do it.


Objectives:

a) Explain the importance of theory to professional practice;

b) Outline the state of theory development within clinical lactation practice;

c) Describe the steps of the Relational Breastfeeding Framework to support clinical lactation practice.

Live Presentation Schedule Apr 17, 2018

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17-04-2018 17:00 17-04-2018 18:00 35 The Relational Breastfeeding Framework: Time to Apply Theory The Relational Breastfeeding Framework is a process driven model for clinical breastfeeding supports that is consistent with the origins of the IBCLC profession. Little has been published that theorizes pragmatically about lactation support, bridging both the instrumental and relational aspects of this work. The introduction of this framework is an important contribution to theory development within the profession in that it unravels the complexity of reflective and dyad centered care, making clear the process for those who seek to practice in this way. This presentation makes the case that relational breastfeeding support is consistent with the underlying philosophy and history of the profession and should be the goal of all lactation consultants. However, equally relevant, another purpose to this presentation is to spark a generative debate about what we do and how we do it.
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Despite the recommendations and various initiatives to promote breastfeeding, most women don’t reach the exclusive breastfeeding target in both developed and developing countries. Similar has been the case in the United Arab Emirates.

Therefore based on the decree by the ruler of the Emirate of Sharjah, UAE, a multi-sectorial, multi-directional breastfeeding campaign-the Sharjah Baby-Friendly Campaign- was launched in March 2012. It consisted of 4 initiatives namely Baby-Friendly Health Facility, Mother-Friendly Workplace, Breastfeeding-Friendly Nursery and Mother-Baby Friendly Public Place. Once an organization met the criteria for any of these initiatives it was awarded the designation or accreditation of that initiative.

The campaign initiatives worked through capacity building of healthcare workers, developed breastfeeding education content and resources, and conducted community outreach through social media.

The positive impact of the campaign on breastfeeding promotion, protection and support is evident by the tripled exclusive breastfeeding rate at 6 months over a 5 years period.

Objectives:

a) Discuss the need of multi-sectorial initiatives to increase exclusive breastfeeding rates;

b) Describe the key components of Sharjah Baby-Friendly Campaign (SBFC): from conception to implementation;

c) Discuss the challenges encountered and ways to overcome them.

Live Presentation Schedule Apr 10, 2018

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10-04-2018 17:00 10-04-2018 18:00 35 The Sharjah Baby-Friendly Campaign: A Community-Based Model for Breastfeeding Promotion, Protection and Support Despite the recommendations and various initiatives to promote breastfeeding, most women don’t reach the exclusive breastfeeding target in both developed and developing countries. Similar has been the case in the United Arab Emirates. Therefore based on the decree by the ruler of the Emirate of Sharjah, UAE, a multi-sectorial, multi-directional breastfeeding campaign-the Sharjah Baby-Friendly Campaign- was launched in March 2012. It consisted of 4 initiatives namely Baby-Friendly Health Facility, Mother-Friendly Workplace, Breastfeeding-Friendly Nursery and Mother-Baby Friendly Public Place. Once an organization met the criteria for any of these initiatives it was awarded the designation or accreditation of that initiative. The campaign initiatives worked through capacity building of healthcare workers, developed breastfeeding education content and resources, and conducted community outreach through social media. The positive impact of the campaign on breastfeeding promotion, protection and support is evident by the tripled exclusive breastfeeding rate at 6 months over a 5 years period. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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While lactation support spans the time from the prenatal period through weaning, there is less available information about the process of weaning. We know that there are a variety of reasons why families need or desire to stop lactation. We also know that there are emotions and logistics involved in ending a breastfeeding/chestfeeding relationship. Depending on the goals, timeline, and individual context of each dyad there are a variety of factors that need to be considered by the family. Unfortunately, these families often feel that the clinical information and emotional support available for weaning is lacking.

Evidence-based support presented in a compassionate manner can make a world of difference to the individual's decision-making process and overall weaning experience. For lactation supporters and professionals, being able to support families who are stopping lactation and/or ending their breastfeeding/chestfeeding relationship is a vital skill. This presentation will offer research-based information about the reasons for weaning, steps lactation supporters and professionals can take when working with families, and scripts for compassionate phrasing while offering this important information and support.

Objectives:

a) Identify at least three (3) reasons why families may need or desire to wean;

b) Describe the emotional and logistical considerations that families will need to make prior to or during the weaning process;

c) Be able to compassionately discuss at least three (3) strategies that support the weaning process.

Live Presentation Schedule Apr 16, 2018

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16-04-2018 23:00 17-04-2018 00:00 35 Weaning: Supporting Families Stopping Lactation and/or Ending Their Breastfeeding/Chestfeeding Relationship While lactation support spans the time from the prenatal period through weaning, there is less available information about the process of weaning. We know that there are a variety of reasons why families need or desire to stop lactation. We also know that there are emotions and logistics involved in ending a breastfeeding/chestfeeding relationship. Depending on the goals, timeline, and individual context of each dyad there are a variety of factors that need to be considered by the family. Unfortunately, these families often feel that the clinical information and emotional support available for weaning is lacking.Evidence-based support presented in a compassionate manner can make a world of difference to the individual's decision-making process and overall weaning experience. For lactation supporters and professionals, being able to support families who are stopping lactation and/or ending their breastfeeding/chestfeeding relationship is a vital skill. This presentation will offer research-based information about the reasons for weaning, steps lactation supporters and professionals can take when working with families, and scripts for compassionate phrasing while offering this important information and support. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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New mothers experience the milk ejection reflex, or “letdown,” in various ways. While some feel no physical symptoms, others experience a tingling sensation and some even have significant pain or sadness. Babies also have different experiences, from the overactive “drink from the firehose” to frustratingly long waiting at feeding time. This presentation explores the multitude of influences on letdown, from internal hormones and chemical signaling pathways to the research related to such external influences as diet, alcohol, stress, and the use of synthetic oxytocin.

Many moms believe that they either do not produce sufficient milk or need a quicker, more effective letdown. Suggestions to deal with these issues range from drinking beer to adding different nutritional supplements to the diet, from hypnosis to oxytocin nasal spray. We will explore the research and unravel the best practices and recommendations we can give to clients related to their concerns about the milk ejection reflex.

Objectives:

a) Conceptualize the hormonal milieu and chemical signaling pathways influencing milk letdown;

b) Describe the relationships between stress, pain perception and oxytocin in the breastfeeding experience;

c) Understand the controversy surrounding the use of synthetic oxytocin during labor and breastfeeding;

d) Discuss the clinical impact of overactive, underactive, and dysphoric letdown.

Live Presentation Schedule Apr 9, 2018

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09-04-2018 19:00 09-04-2018 20:00 35 What a Letdown: Exploring the Physiology of the Milk Ejection Reflex New mothers experience the milk ejection reflex, or “letdown,” in various ways. While some feel no physical symptoms, others experience a tingling sensation and some even have significant pain or sadness. Babies also have different experiences, from the overactive “drink from the firehose” to frustratingly long waiting at feeding time. This presentation explores the multitude of influences on letdown, from internal hormones and chemical signaling pathways to the research related to such external influences as diet, alcohol, stress, and the use of synthetic oxytocin. Many moms believe that they either do not produce sufficient milk or need a quicker, more effective letdown. Suggestions to deal with these issues range from drinking beer to adding different nutritional supplements to the diet, from hypnosis to oxytocin nasal spray. We will explore the research and unravel the best practices and recommendations we can give to clients related to their concerns about the milk ejection reflex. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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As Lactation professionals we are taught and often reminded of the “laid back breastfeeding position” or “biological nursing” and how this can best facilitate a great latch. While this can be very useful and helpful in most cases, there will be circumstances where this position does not lead to a better latch and leaves the professional, the mother and the baby continuing to struggle.

This presentation will explain other useful and practical tips on how to help facilitate a baby to get the best latch possible, why the “look” of the latch does not matter, all while empowering the mother and baby to do it themselves, without physical help from the professional. The techniques covered include self-attachment in the side-lying position, self-attachment in the koala hold and trying the flipple technique to get as much breast tissue into the baby’s mouth as possible. This can be helpful for all babies struggling with latch including babies with tongue and/or lip ties. This presentation will include video examples and practical tips.

Objectives:

a) Identify a mother/baby dyad who would benefit from an alternative to the “biological nursing” approach and have an understanding of different case studies where alternatives have been successful;

b) Facilitate and explain the flipple technique to the parent/s. Including the optimal position of both mother and baby while helping facilitate a mother/baby dyad trying different holds including the koala hold and side lying position while using the flipple technique;

c) Discuss why the “look” of the latch is irrelevant, what questions to ask the mother when helping with the latch and what information to gather to get a clear picture of what is going on for the mother and baby.

Live Presentation Schedule Apr 30, 2018

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30-04-2018 13:00 30-04-2018 14:15 35 What to Do When the Laid-back Breastfeeding Position Doesn’t Work…Self Attachment, the Flipple Technique and the Koala Hold all with a “Hands off” Approach As Lactation professionals we are taught and often reminded of the “laid back breastfeeding position” or “biological nursing” and how this can best facilitate a great latch. While this can be very useful and helpful in most cases, there will be circumstances where this position does not lead to a better latch and leaves the professional, the mother and the baby continuing to struggle. This presentation will explain other useful and practical tips on how to help facilitate a baby to get the best latch possible, why the “look” of the latch does not matter, all while empowering the mother and baby to do it themselves, without physical help from the professional. The techniques covered include self-attachment in the side-lying position, self-attachment in the koala hold and trying the flipple technique to get as much breast tissue into the baby’s mouth as possible. This can be helpful for all babies struggling with latch including babies with tongue and/or lip ties. This presentation will include video examples and practical tips. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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The benefits of breastfeeding are well known. Less known is how pervasive and long-lasting the effects of sexual abuse can be. As many as 1 in 3 women are survivors of contact sexual abuse. And, unfortunately, sexual abuse is rarely over when it's over.

Most new parents state that they want to at least “try” breastfeeding. And yet everyone knows someone for whom breastfeeding “didn’t work”. While informed care can sometimes help families stick with breastfeeding, even well-intended support can be triggering. Providers who deal with new families must have a working knowledge of sexual abuse as well as a trauma-informed approach in order to effectively support breastfeeding families. Learn how abuse can impact ability and desire to breastfeed, red flags that could indicate a history of sexual abuse and practical tools to support all families in a sensitive way.

Objectives:

a) Identify prevalence and risk factors of sexual abuse;

b) Describe how sexual abuse can impact ability and desire to breastfeed including “red flags”;

c) Define trauma-informed approach and understand how it relates to supporting new families who want to breastfeed.

Live Presentation Schedule Apr 16, 2018

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16-04-2018 17:00 16-04-2018 18:00 35 When Breast Isn't Best: Challenges and Opportunities In Breastfeeding for Sexual Abuse Survivors The benefits of breastfeeding are well known. Less known is how pervasive and long-lasting the effects of sexual abuse can be. As many as 1 in 3 women are survivors of contact sexual abuse. And, unfortunately, sexual abuse is rarely over when it's over. Most new parents state that they want to at least “try” breastfeeding. And yet everyone knows someone for whom breastfeeding “didn’t work”. While informed care can sometimes help families stick with breastfeeding, even well-intended support can be triggering. Providers who deal with new families must have a working knowledge of sexual abuse as well as a trauma-informed approach in order to effectively support breastfeeding families. Learn how abuse can impact ability and desire to breastfeed, red flags that could indicate a history of sexual abuse and practical tools to support all families in a sensitive way. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Breastfeeding is valued among BME parents in the UK for cultural/religious reasons. BME communities experience high levels of stress associated with socio-economic inequalities and other factors. Women experiencing depression and anxiety may find breastfeeding alleviates or exacerbates their symptoms, dependent on the quality of breastfeeding support received, and success or otherwise in overcoming early challenges.

Little is known however about how stress impacts on infant feeding, or how women who have faced significant stress feel about their experiences around pregnancy, birth and feeding. This study explored the experiences of mothers in a multi-ethnic, inner-city community, and the effectiveness of community breastfeeding peer support in helping overcome stress-related barriers. I also considered the experiences of the previous generation within the same community and how they compared to the current generation. I found that stress factors impacted heavily on breastfeeding outcomes. Peer support is an important factor in helping women achieve their goals, mitigating stress.

Objectives:

a) Recognise potential links between stress/anxiety and suboptimal outcomes for pregnancy/birth, and therefore infant feeding outcome;

b) Recognise the importance of positive support, especially community peer support, in enabling ‘vulnerable’ women to achieve their breastfeeding goals;

c) Describe the different stress factors for women from BME communities, depending on whether they were born in the UK, or have come to the UK from other countries;

d) Recognise that culture is fluid, and explore/challenge stereotypes of certain groups – especially Muslim women – as passive and vulnerable;

e) Discuss the numerous ways in which breastfeeding can reduce stress, and empower mothers – and conversely how formula feeding may increase stress and anxiety.

Live Presentation Schedule Apr 10, 2018

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10-04-2018 15:00 10-04-2018 16:00 35 “I just really wanted to breastfeed” - The Impact of Stress on Birth & Baby Feeding in a UK Multi-Ethnic Community Breastfeeding is valued among BME parents in the UK for cultural/religious reasons. BME communities experience high levels of stress associated with socio-economic inequalities and other factors. Women experiencing depression and anxiety may find breastfeeding alleviates or exacerbates their symptoms, dependent on the quality of breastfeeding support received, and success or otherwise in overcoming early challenges. Little is known however about how stress impacts on infant feeding, or how women who have faced significant stress feel about their experiences around pregnancy, birth and feeding. This study explored the experiences of mothers in a multi-ethnic, inner-city community, and the effectiveness of community breastfeeding peer support in helping overcome stress-related barriers. I also considered the experiences of the previous generation within the same community and how they compared to the current generation. I found that stress factors impacted heavily on breastfeeding outcomes. Peer support is an important factor in helping women achieve their goals, mitigating stress. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Romania is one of the European countries with a very low breastfeeding rate. The emergence of IBCLCs in the past 2 decades helped in improving mothers access to lactation professionals. Starting from 2013 with the first celebration of IBCLC Day, conferences and courses, the awareness of a new profession raise.

Although in Europe there are more than 200 human milk banks, Romania does not have one. The limitations in the process of implementing a human milk bank in the NICU, the gap of legislation, the support of the civic society and 2 cases are discussed in the presentation.

Objectives:

a) Discuss advocacy through the IBCLC profession;

b) Describe how to promote breastfeeding;

c) List how to implement a human milk bank.

Live Presentation Schedule Apr 24, 2018

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24-04-2018 17:00 24-04-2018 17:30 35 From Lactation Consultant to Human Milk Banking Romania is one of the European countries with a very low breastfeeding rate. The emergence of IBCLCs in the past 2 decades helped in improving mothers access to lactation professionals. Starting from 2013 with the first celebration of IBCLC Day, conferences and courses, the awareness of a new profession raise. Although in Europe there are more than 200 human milk banks, Romania does not have one. The limitations in the process of implementing a human milk bank in the NICU, the gap of legislation, the support of the civic society and 2 cases are discussed in the presentation. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Lactation professionals can provide invaluable assistance to Muslim families seeking to successfully breastfeed. However, cultural differences and a lack of understanding of Islamic culture could create barriers between professionals and the families they are trying to support. It is crucial that professionals and health care providers are aware of and acknowledge the unique role that culture and religion can play in this dynamic, both to prevent obstacles to breastfeeding and to encourage breastfeeding through culturally specific methods and arguments.

This presentation will show how to adapt your approach, language and content to ensure effective and sensitive care that will be more readily accepted by the mother and her family. It explores what the Qur’an says about breastfeeding and delves into traditional and cultural Islamic attitudes and practices surrounding breastfeeding. Moreover, it will explore the father’s role in Muslim culture and offer religious justification to encourage him to support breastfeeding, as well as issues of wet-nursing, milk sharing and adoption (as it relates to breastfeeding) within the Islamic context. As a participant, you will be encouraged to challenge your own assumptions about Islamic traditional and cultural practices and to use new knowledge gained to empower others to reflect on the benefits of being a culturally sensitive and responsive lactation professional and health care provider.

Objectives:

a) Describe at least 2 ways a Muslim father can support his breastfeeding wife within the Islamic context;

b) List at least 1 thing the Qur’an says about breastfeeding;

c) Recall at least 3 new things you learned about the religion of Islam or Islamic cultural or traditional practices.

Live Presentation Schedule Apr 24, 2018

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24-04-2018 15:00 24-04-2018 15:30 35 Providing Culturally Sensitive Support for Breastfeeding Muslim Families Lactation professionals can provide invaluable assistance to Muslim families seeking to successfully breastfeed. However, cultural differences and a lack of understanding of Islamic culture could create barriers between professionals and the families they are trying to support. It is crucial that professionals and health care providers are aware of and acknowledge the unique role that culture and religion can play in this dynamic, both to prevent obstacles to breastfeeding and to encourage breastfeeding through culturally specific methods and arguments. This presentation will show how to adapt your approach, language and content to ensure effective and sensitive care that will be more readily accepted by the mother and her family. It explores what the Qur’an says about breastfeeding and delves into traditional and cultural Islamic attitudes and practices surrounding breastfeeding. Moreover, it will explore the father’s role in Muslim culture and offer religious justification to encourage him to support breastfeeding, as well as issues of wet-nursing, milk sharing and adoption (as it relates to breastfeeding) within the Islamic context. As a participant, you will be encouraged to challenge your own assumptions about Islamic traditional and cultural practices and to use new knowledge gained to empower others to reflect on the benefits of being a culturally sensitive and responsive lactation professional and health care provider. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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The roles of peer counselors (PC) in breastfeeding support is important to reach mothers and families in community as they would bridge the gaps within the warm chain of breastfeeding support. However, challenges has overcome in many forms, especially their reliability in providing breastfeeding support skills and knowledge. Malaysian Breastfeeding Peer Counselors (MBfPC) program has started in 2010 to enhance breastfeeding support for Malaysian community. Its training syllabus were adapted and modulated to be culturally acceptable. More than 500 PCs were trained.

The original syllabus was continuously being revised prior to each training since Malaysia is multicultural with great diversity, with few adaptations of new tools to enhance the understanding among the trainees whom majority are not health personnel. MBfPC Association (MBfPCA) is responsible to reliability queries by other parties, thus overseen the needs for MBfPC training reform. Three training levels were introduced in 2016; entrance, advanced, and train-of-trainers; to increase reliability of certified PC, even though the sustainability of the network is yet to be observed. The mechanisms used to select, train and certify the PCs had strengthened the roles and functional relevancy of MBfPCA existence in Malaysian scenario. This presentation will share the challenges and framework of capacity building among PCs to function as breastfeeding peer supporters in Malaysian context.

Objectives:

a) Acknowledge the challenges, social expectation and changing trends in breastfeeding support works among volunteers for the past years based on Malaysian experience;

b) Learn the importance of upgrading breastfeeding peer counselors’ skills to ensure reliability and sustainability for local breastfeeding support in peer counseling context;

c) Learn the mechanism used to plan for training upgrade to meet local expectations either from health professionals and the public in order to bridge the gaps and remain relevant;

d) Learn the importance of selecting PC candidates to uphold the principles of breastfeeding support works and noble intention by non-health personnel.

Live Presentation Schedule Apr 24, 2018

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24-04-2018 13:00 24-04-2018 13:30 35 Scaling Up Skills and Reliability of Breastfeeding Peer Counselors - 7 Years of Malaysian Experience The roles of peer counselors (PC) in breastfeeding support is important to reach mothers and families in community as they would bridge the gaps within the warm chain of breastfeeding support. However, challenges has overcome in many forms, especially their reliability in providing breastfeeding support skills and knowledge. Malaysian Breastfeeding Peer Counselors (MBfPC) program has started in 2010 to enhance breastfeeding support for Malaysian community. Its training syllabus were adapted and modulated to be culturally acceptable. More than 500 PCs were trained. The original syllabus was continuously being revised prior to each training since Malaysia is multicultural with great diversity, with few adaptations of new tools to enhance the understanding among the trainees whom majority are not health personnel. MBfPC Association (MBfPCA) is responsible to reliability queries by other parties, thus overseen the needs for MBfPC training reform. Three training levels were introduced in 2016; entrance, advanced, and train-of-trainers; to increase reliability of certified PC, even though the sustainability of the network is yet to be observed. The mechanisms used to select, train and certify the PCs had strengthened the roles and functional relevancy of MBfPCA existence in Malaysian scenario. This presentation will share the challenges and framework of capacity building among PCs to function as breastfeeding peer supporters in Malaysian context. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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Background: According to the World Health Organization, suboptimal breastfeeding contributes to 1.45 million deaths in developing countries. Haiti, the first black Republic has had various initiatives to promote breastfeeding. While 97% of Haitian-born neonates are ever breastfed (Ministry of Public Health, 2013), initiation within the first hour of birth is only slightly more than half (46.7% in 2008-2012, MIH). Exclusive breastfeeding for 6 months was 39.7% (2008-2012 data in MIH).Various initiatives have been implemented to promote breastfeeding in Haiti.

Objectives: The purpose of this presentation is to analyze and evaluate the implementation of baby tents and baby friendly hospitals in Haiti through a literature review.

Findings: The literature has a limited scope of methodical research for these initiatives. Baby tents increased exclusive breastfeeding through psychosocial support, breastfeeding counseling, and nutrition training of health professionals. Baby Friendly hospitals have increased breastfeeding initiation but have limited recertification status. The literature indicates a sustainability and supportive infrastructure which is feasible through global partnerships, culturally appropriate trainings for health professionals, and fostering peer-to-peer support.

Objectives:

a) Evaluate breastfeeding rates in Haiti;

b) Discuss the contributions of baby tents in breastfeeding promotion during natural disasters in Haiti;

c) List the strengths and limitations of the Baby Friendly Hospital Initiative in Haiti;

d) Discuss opportunities for culturally appropriate sustainable breastfeeding initiatives.

Live Presentation Schedule Apr 24, 2018

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24-04-2018 19:00 24-04-2018 19:30 35 Successes and Opportunities for Growth in Baby Friendly Hospital & Baby Tent Initiatives in Haiti: A Literature Review Background: According to the World Health Organization, suboptimal breastfeeding contributes to 1.45 million deaths in developing countries. Haiti, the first black Republic has had various initiatives to promote breastfeeding. While 97% of Haitian-born neonates are ever breastfed (Ministry of Public Health, 2013), initiation within the first hour of birth is only slightly more than half (46.7% in 2008-2012, MIH). Exclusive breastfeeding for 6 months was 39.7% (2008-2012 data in MIH).Various initiatives have been implemented to promote breastfeeding in Haiti. Objectives: The purpose of this presentation is to analyze and evaluate the implementation of baby tents and baby friendly hospitals in Haiti through a literature review. Findings: The literature has a limited scope of methodical research for these initiatives. Baby tents increased exclusive breastfeeding through psychosocial support, breastfeeding counseling, and nutrition training of health professionals. Baby Friendly hospitals have increased breastfeeding initiation but have limited recertification status. The literature indicates a sustainability and supportive infrastructure which is feasible through global partnerships, culturally appropriate trainings for health professionals, and fostering peer-to-peer support. www.goldlactation.com GOLD Lactation Online Conference false DD/MM/YYYY

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