Physical Therapy Techniques in Lactation

Breast and nipple pain, engorgement, and recurrent plugs leading to mastitis are common reasons why mothers stop breastfeeding earlier than recommended.  Despite the prevalence, these remain challenging conditions to treat. In the past, patients with deep, chronic breast pain in breastfeeding were often treated for yeast infections, though no scientific evidence exists to support this diagnosis.  More current literature has established subacute mastitis, persistent hyperlactation (“oversupply”), and dermatitis as causes of breast pain. Once these conditions have been treated or ruled out, patients nevertheless may experience persistent pain, plugging, and/or engorgement. 

Recent reports describe the efficacy of pharmacologic interventions, such as antihistamines and beta blockers, in functional breast pain.  Before starting medication, breast physical therapy interventions can be utilized. In addition to treatment of pain, these techniques can employed for relief of engorgement, plugging, and inflammation.

Credit: 1 L CERP and 1 Contact Hour

Source: ILCA Webinar 12 June 2020

Presented by: Katrina B. Mitchell, MD, IBCLC
 

Upon completion, the learner will be able to:

1. Describe the lack of evidence to support candida as an agent of nipple and breast pain

2. Demonstrate technique of lymphatic massage and dangers of deep tissue massage in the lactating breast

3. Distinguish benefits of therapeutic ultrasound in plugging and mastitis

Learning Level: Beginner, Intermediate, Advanced

Disclosures: ILCA accepts no commercial support for continuing education activities. The activity planners have no conflicts of interest to declare. The presenter has no significant financial interest or other relationship with the manufacturer(s) of any product(s) or provider(s) of any services relating to the subject matter of this presentation unless otherwise stated below.

CERPs: ILCA is an approved provider of Continuing Education Recognition Points (CERPs) with the International Board of Lactation Consultant Examiners (IBLCE). (CLT-108-7).

ANCC: ILCA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (ILCA-P0286). Accepted for BRN credit by the Board of Registered Nursing.

CDR: The CDR accepts hours without prior CDR approval and recognizes approval by the ANCC. When recording hours on the CDR Activity Log, indicate the provider as "ILCA (ANCC)."

ILCA webinars are provided as a service to our members for continuing education, knowledge, and awareness. We believe in fostering an inclusive environment that supports diversity and removes barriers. The views and opinions expressed in this webinar, including the choice of vocabulary and expressions, belong to the webinar presenter.  ILCA is steadfast in our commitment to present, learn, and discuss any information in a safe, respectful, and supportive environment - we believe that we are better together.

COVID-19 & Lactation: Translating Knowledge in a Pandemic

The COVID-19 pandemic has presented an enormous challenge for the entire world, and unique challenges for lactation professionals as they face challenges supporting breastfeeding and the use of human milk in the face of rapidly evolving scientific knowledge, severe public health and governmental measures to attempt to control the epidemic, and additional threats to health systems that struggle to limit infection and supply protections to health care workers. This presentation brings together knowledge from public health and the social sciences to help address some of the most pressing concerns lactation professionals face right now in the field.

Credit: 1.50 L CERP and 1.50 Contact Hours

Source: ILCA Webinar 15 April 2020

Presented by: Cecilia Tomori, PhD, MA 

Upon completion, the learner will be able to:

1.  Describe key public health evidence about COVID-19
2.  Describe core tenets of WHO guidance on COVID-19 in relation to lactation
3. Identify underlying cultural assumptions that are reflected in diversity of COVID-19 guidance in different settings
4. Locate relevant emerging evidence and guidance for COVID-19 in relation to lactation
5. Translate this knowledge into action in supporting lactating families in their practice

Learning Level: Intermediate, Advanced

Disclosures: ILCA accepts no commercial support for continuing education activities. The activity planners have no conflicts of interest to declare. The presenter has no significant financial interest or other relationship with the manufacturer(s) of any product(s) or provider(s) of any services relating to the subject matter of this presentation unless otherwise stated below.

CERPs: ILCA is an approved provider of Continuing Education Recognition Points (CERPs) with the International Board of Lactation Consultant Examiners (IBLCE). (CLT-108-7).

ANCC: ILCA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (ILCA-P0286). Accepted for BRN credit by the Board of Registered Nursing.

CDR: The CDR accepts hours without prior CDR approval and recognizes approval by the ANCC. When recording hours on the CDR Activity Log, indicate the provider as "ILCA (ANCC)."

ILCA webinars are provided as a service to our members for continuing education, knowledge, and awareness. We believe in fostering an inclusive environment that supports diversity and removes barriers. The views and opinions expressed in this webinar, including the choice of vocabulary and expressions, belong to the webinar presenter.  ILCA is steadfast in our commitment to present, learn, and discuss any information in a safe, respectful, and supportive environment - we believe that we are better together.

COVID-19 & Lactation Transcript

Baby Led Weaning and the Role of the IBCLC

Baby Led Weaning as an approach to introducing solids has been growing in popularity over the past 15 years. However, despite the growing demand from parents, there remains a lack of guidance from health care professionals. Additionally, there are some misconceptions around baby led weaning including safety. This presentation looks to provide further understanding of what baby led weaning is and how the lactation professional can provide guidance to parent

Credit: 1 L CERP and 1 Contact Hour

Source: ILCA Webinar 1 April 2020

Presented by: Meghan McMillan, RD, CSP, IBCLC
 

Upon completion, the learner will be able to:

1. Define Baby Led Weaning

2. Identify the reasons parents choose Baby Led Weaning approach

3. List the safety concerns of Baby Led Weaning

4. Describe the implementation of Baby Led Weaning

Learning Level: Intermediate

Disclosures: ILCA accepts no commercial support for continuing education activities. The activity planners have no conflicts of interest to declare. The presenter has no significant financial interest or other relationship with the manufacturer(s) of any product(s) or provider(s) of any services relating to the subject matter of this presentation unless otherwise stated below.

CERPs: ILCA is an approved provider of Continuing Education Recognition Points (CERPs) with the International Board of Lactation Consultant Examiners (IBLCE). (CLT-108-7).

ANCC: ILCA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (ILCA-P0286). Accepted for BRN credit by the Board of Registered Nursing.

CDR: The CDR accepts hours without prior CDR approval and recognizes approval by the ANCC. When recording hours on the CDR Activity Log, indicate the provider as "ILCA (ANCC)."

ILCA webinars are provided as a service to our members for continuing education, knowledge, and awareness. We believe in fostering an inclusive environment that supports diversity and removes barriers. The views and opinions expressed in this webinar, including the choice of vocabulary and expressions, belong to the webinar presenter.  ILCA is steadfast in our commitment to present, learn, and discuss any information in a safe, respectful, and supportive environment - we believe that we are better together.

Breastfeeding Strategies Used by Women with Physical Disabilities

Women with physical disabilities have a desire to breastfeed. However, women with physical disabilities also experience unique barriers that may interfere with their feeding goals. Improved support from healthcare professionals, including lactation consultants is necessary to overcome these challenges. This presentation will outline how healthcare professionals can incorporate the breastfeeding techniques identified in our study when caring for and supporting women with physical disabilities who wish to breastfeed.

Credit: 1 L CERP and 1 Contact Hour

Source: ILCA Webinar 13 February 2020

Presented by: Tiahna Warkentin, University of Toronto, MD Candidate 2020

Upon completion, the learner will be able to:

1.  Outline effective breastfeeding/chestfeeding strategies used by lactating parents with physical disabilities.
2.  Describe the challenges parents with physical disabilities experience when breastfeeding/chestfeeding.

Learning Level: Intermediate

Disclosures: ILCA accepts no commercial support for continuing education activities. The activity planners have no conflicts of interest to declare. The presenter has no significant financial interest or other relationship with the manufacturer(s) of any product(s) or provider(s) of any services relating to the subject matter of this presentation unless otherwise stated below.

CERPs: ILCA is an approved provider of Continuing Education Recognition Points (CERPs) with the International Board of Lactation Consultant Examiners (IBLCE). (CLT-108-7).

ANCC: ILCA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (ILCA-P0286). Accepted for BRN credit by the Board of Registered Nursing.

CDR: The CDR accepts hours without prior CDR approval and recognizes approval by the ANCC. When recording hours on the CDR Activity Log, indicate the provider as "ILCA (ANCC)."

ILCA webinars are provided as a service to our members for continuing education, knowledge, and awareness. We believe in fostering an inclusive environment that supports diversity and removes barriers. The views and opinions expressed in this webinar, including the choice of vocabulary and expressions, belong to the webinar presenter.  ILCA is steadfast in our commitment to present, learn, and discuss any information in a safe, respectful, and supportive environment - we believe that we are better together.

Care of the Same Sex Family

Disparities exist in the health care system in regards to the quantity and quality of care received by LGBTQ individuals and same sex families as compared to heterosexual individuals and families. Nurses and health care providers require increased knowledge about this population and strategies to effectively communicate and care for individuals and families in this community. Many nurses and health care providers lack knowledge about the LGBTQ population and same sex families; they have not been educated in strategies to deliver culturally appropriate care.

Credit: 1 L CERP and 1 Contact Hour

Source: ILCA Webinar 10 October 2019 

Presented by: Diane DiTomasso, PhD, RN

Upon completion, the learner will be able to:

• Participants will be able to describe several social and political changes that have impacted the care of same sex families.
• Participants will be able to describe at least two unique challenges faced by same sex families.
• Participants will be able to identify strategies that can be used in their practice to improve the quality of care for same sex individuals and families.

Learning Level: All

Disclosures: ILCA accepts no commercial support for continuing education activities. The activity planners have no conflicts of interest to declare. The presenter has no significant financial interest or other relationship with the manufacturer(s) of any product(s) or provider(s) of any services relating to the subject matter of this presentation unless otherwise stated below.

CERPs: ILCA is an approved provider of Continuing Education Recognition Points (CERPs) with the International Board of Lactation Consultant Examiners (IBLCE). (CLT-108-7).

ANCC: ILCA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (ILCA-P0286). Accepted for BRN credit by the Board of Registered Nursing.

CDR: The CDR accepts hours without prior CDR approval and recognizes approval by the ANCC. When recording hours on the CDR Activity Log, indicate the provider as "ILCA (ANCC)."

ILCA webinars are provided as a service to our members for continuing education, knowledge, and awareness. We believe in fostering an inclusive environment that supports diversity and removes barriers. The views and opinions expressed in this webinar, including the choice of vocabulary and expressions, belong to the webinar presenter.  ILCA is steadfast in our commitment to present, learn, and discuss any information in a safe, respectful, and supportive environment… we believe that we are better together.

Overcoming Adversity: A Pediatrician Perspective on Supplemental Nursing System (SNS)

Understanding lactation physiology, allows the lactation consultant to better assess and support a family’s expectation to adequately breastfeed or feed at the chest, while developing or reestablishing supply; in order to sustain healthy growth and development of a child. Through home made nursing supplemental systems (SNS), we have been able to surpass breastfeeding difficulties; such as refusal to go to the breast, abscessed mastitis and poor weight gain derived from it, development of an adoptive lactation; therefore allowing us to accompany breastfeeding families, with safe and effective pro-lactation oriented solutions, to progressively establish or re-establish supply, while stimulating mothers physiology or treating her pathology and preserving, baby’s suction biomechanics; all at the same time. Generally pediatricians (which are a crucial factor in deciding, what type of nutrition will baby receive), don't know or are not proficient enough; at managing, supplemental nursing systems, and due to that; they don’t consider it as a feasible approach. Unfailingly, this can have a major impact, in growth and development, as well as in the quality of the nutritional offer. Human Lactation has been proven to be the nutritional, neurobiological and immunological gold standard for babies, exclusively during the first six months of life and accompanied by solid foods, beyond two years of age. Because of this, pediatricians should be able to incorporate this simple but effective device, in to their therapeutic approaches, for families seeking to sustain a full or partial initiation or restoration of their breastfeeding capabilities. The SNS stands as a great pro-Lactation solution, to overcome breastfeeding difficulties, which can jeopardize a healthy and fulfilling Breastfeeding history.

Credit: 1.5 L CERPs and 1.5 Contact Hours

Source: ILCA Webinar 25 September 2019 

Presented by: Patricia Diaz L. MD, Pediatrician, IBCLC, Doula

Upon completion, the learner will be able to:

• Identify the factors that make imperative; developing techniques and methodologies like the SNS, to achieve feeding at the breast.
• Identify key situations in which a SNS, could be considered as a part of the lactation strategy.
• Learn about the advantages of the SNS, as a prolactation solution, to establish or reestablish mother’s milk supply.
• Learn how to build a SNS, in areas where the commercial presentation is not available.

Learning Level: Intermediate/Advanced

Disclosures: ILCA accepts no commercial support for continuing education activities. The activity planners have no conflicts of interest to declare. The presenter has no significant financial interest or other relationship with the manufacturer(s) of any product(s) or provider(s) of any services relating to the subject matter of this presentation unless otherwise stated below.

CERPs: ILCA is an approved provider of Continuing Education Recognition Points (CERPs) with the International Board of Lactation Consultant Examiners (IBLCE). (CLT-108-7).

ANCC: ILCA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (ILCA-P0286). Accepted for BRN credit by the Board of Registered Nursing.

CDR: The CDR accepts hours without prior CDR approval and recognizes approval by the ANCC. When recording hours on the CDR Activity Log, indicate the provider as "ILCA (ANCC)."

The Role of Lactation Consultants in the Code

In this session, Laurence Grummer-Strawn, MPA, MA, PhD presents on how the promotion of breast-milk substitutes, particularly through the health care system, is a significant barrier to optimal infant and young child feeding.  The International Code of Marketing of Breast-milk Substitutes lays out responsibilities for health workers and health systems in protecting breastfeeding. The 2016 WHA resolution 69.9 extended these responsibilities further, focusing on avoiding conflicts of interest in relationships with manufacturers and distributers of breast-milk substitutes. As health professionals focusing on breastfeeding, lactation consultants have a special role to play in advocating for the Code and educating their health care partners on their responsibilities under the Code. Lactation consultants are in a unique position to identify Code violations through their interactions with mothers and in observing health care institutions. WHO and UNICEF have developed a toolkit on Code monitoring that can assist countries in working with lactation consultants in enforcing national laws on the marketing of breast-milk substitutes.

Credit: 1 L CERP and 1 Contact Hour

Source: ILCA Conference July, 2019 - Atlanta, Georgia, US

Presented by: Laurence Grummer-Strawn, MPA, MA, PhD

Upon completion, the learner will be able to:

List at least three responsibilities of health care providers in limiting the promotion of breast-milk substitutes.

Identify tools available for educating health care providers about the Code.

Describe potential mechanisms for monitoring implementation of the Code.

Learning Level: Beginner/Intermediate/Advanced

Disclosures: ILCA accepts no commercial support for continuing education activities. The activity planners have no conflicts of interest to declare. The presenter has no significant financial interest or other relationship with the manufacturer(s) of any product(s) or provider(s) of any services relating to the subject matter of this presentation unless otherwise stated below.

CERPs: ILCA is an approved provider of Continuing Education Recognition Points (CERPs) with the International Board of Lactation Consultant Examiners (IBLCE). (CLT-108-7).

ANCC: ILCA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (ILCA-P0286). Accepted for BRN credit by the Board of Registered Nursing.

CDR: The CDR accepts hours without prior CDR approval and recognizes approval by the ANCC. When recording hours on the CDR Activity Log, indicate the provider as "ILCA (ANCC)."

Tongue or the Breast? Teasing Out the Etiology of Breastfeeding Problems

In this session, Catherine Watson Genna, BS, IBCLC presents on how breastfeeding difficulties can be rooted in maternal and/or infant pathology or management. This presentation reviews maternal conditions and suboptimal early breastfeeding management associated with low milk production and infant structural issues that interfere with breastfeeding initiation.

Credit: 1 L CERP and 1 Contact Hour

Source: ILCA Conference July, 2019 - Atlanta, Georgia, US

Presented by: Catherine Watson Genna, BS, IBCLC

Upon completion, the learner will be able to:

List four maternal issues that might negatively impact breastfeeding initiation.

Describe three conditions that impact infant tongue mobility, strength or respiratory reserve.

Learning Level: Beginner/Intermediate/Advanced

Disclosures: ILCA accepts no commercial support for continuing education activities. The activity planners have no conflicts of interest to declare. The presenter has no significant financial interest or other relationship with the manufacturer(s) of any product(s) or provider(s) of any services relating to the subject matter of this presentation unless otherwise stated below.

CERPs: ILCA is an approved provider of Continuing Education Recognition Points (CERPs) with the International Board of Lactation Consultant Examiners (IBLCE). (CLT-108-7).

ANCC: ILCA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (ILCA-P0286). Accepted for BRN credit by the Board of Registered Nursing.

CDR: The CDR accepts hours without prior CDR approval and recognizes approval by the ANCC. When recording hours on the CDR Activity Log, indicate the provider as "ILCA (ANCC)."

Integrating Lactation Support into Early Intervention Services for Infants with Special Needs

In this session, Jada Wright Nichols, MS, OTR/L, IBCLC presents on early childhood intervention as a support and educational system for very young children (aged birth to three in America, or to six, in some other countries) who have been victims of, or who are at high risk or have developmental delays or disabilities. Some states and regions have chosen to focus these services on children with developmental disabilities or delays, but Early Childhood Intervention is not limited to children with these disabilities.   The mission of early childhood intervention is to assure that families who have at-risk children in this age range receive resources and supports that assist them in maximizing their child's physical, cognitive, and social/emotional development while respecting the diversity of families and communities. Typically, the services are state/ regionally funded, and include physiotherapy, occupational therapy, speech-language pathology, nutrition, social work, and, psychological, and education services.   These interdisciplinary services are produced in the child’s natural environment, and the service providers may be from the public or private sector.   Weaving lactation evaluation and consultation services into what’s already being provided is an ideal way to help normalize breastfeeding, and increase access to breastfeeding support to some of the most vulnerable families, thereby improving breastfeeding rates and helping to decrease comorbidities and other threats to public health.   Strategies for incorporating lactation support, as well as for working with other allied health professionals will be addressed.

Credit: 1 L CERP and 1 Contact Hour

Source: ILCA Conference July, 2019 - Atlanta, Georgia, US

Presented by: Jada Wright Nichols, MS, OTR/L, IBCLC

Upon completion, the learner will be able to:

Describe strategies for infusing lactation support into early intervention practices.

Identify local service providers with whom to collaborate for service provision.

Learning Level: Beginner/Intermediate

Disclosures: ILCA accepts no commercial support for continuing education activities. The activity planners have no conflicts of interest to declare. The presenter has no significant financial interest or other relationship with the manufacturer(s) of any product(s) or provider(s) of any services relating to the subject matter of this presentation unless otherwise stated below.

CERPs: ILCA is an approved provider of Continuing Education Recognition Points (CERPs) with the International Board of Lactation Consultant Examiners (IBLCE). (CLT-108-7).

ANCC: ILCA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (ILCA-P0286). Accepted for BRN credit by the Board of Registered Nursing.

CDR: The CDR accepts hours without prior CDR approval and recognizes approval by the ANCC. When recording hours on the CDR Activity Log, indicate the provider as "ILCA (ANCC)."

Breastfeeding Without Nursing: Reducing the Prejudice Against Exclusive Pumping

In this session, Fiona Jardine, MA (Cantab.), LLM, MLS, ALC presents on how exclusive pumping (EPing) can—and successfully does—provide the solution to many breastfeeding problems while still providing the benefits of feeding human milk. However, research on EPing is scant and often limited to secondary analysis of existing data, content analysis of expressed milk, or pumping in the context of the neonatal intensive care unit. Despite the increasing rates of EPing, little is known about the reasons for EPing initiation and cessation, the support needs and information behaviors of exclusive pumpers (EPers), or EPers’ lived experiences. My research collected data from current and past EPers through a one-time initial survey and longitudinally through a series of follow-up surveys. While the surveys covered a wide range of topics, this workshop focuses on the reactions respondents experienced when others found out they were EPing, as well as the information and support they received from a variety of different sources.  While many reported positive reactions to and support of EPing, an alarming number reported the opposite, especially from healthcare and lactation care providers. Together with poor advice, this lack of appropriate support of EPing often contributes to EPers feeling frustrated and unsupported, threatening both the initiation and duration of their breastfeeding journey. This workshop will examine the reasons EPers initiate and cease EPing in the context of these undesirable experiences and what caregivers/parents, healthcare and lactation care providers, educators, policy makers, researchers, and activists can do to improve the lived experiences of EPers.

Credit: 1 L CERP and 1 Contact Hour

Source: ILCA Conference July, 2019 - Atlanta, Georgia, US

Presented by: Fiona Jardine, MA (Cantab.), LLM, MLS, ALC

Upon completion, the learner will be able to:

Identify why some parents exclusively pump rather than feed directly at the breast/chest.

Discuss the range of feelings exclusive pumpers have in relation to others’ opinions of this feeding method.

Advocate and implement strategies for the inclusion of and support for exclusive pumping.

Learning Level: Beginner/Intermediate

Disclosures: ILCA accepts no commercial support for continuing education activities. The activity planners have no conflicts of interest to declare. The presenter has no significant financial interest or other relationship with the manufacturer(s) of any product(s) or provider(s) of any services relating to the subject matter of this presentation unless otherwise stated below.

CERPs: ILCA is an approved provider of Continuing Education Recognition Points (CERPs) with the International Board of Lactation Consultant Examiners (IBLCE). (CLT-108-7).

ANCC: ILCA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (ILCA-P0286). Accepted for BRN credit by the Board of Registered Nursing.

CDR: The CDR accepts hours without prior CDR approval and recognizes approval by the ANCC. When recording hours on the CDR Activity Log, indicate the provider as "ILCA (ANCC)."