• CONF 2018 Deconstructing Fake Equity: Lessons Learned From a Dominant Culture Institution

    Includes Credits Recorded On: 07/20/2018

    Background: Intersectional health inequities, racism, implicit and explicit bias, and oppression are critical issues affecting our field. Working to address these issues has often led to divisiveness and ineffective action. We recognize that individuals are in different places in their journey to understanding and addressing inequities in the field of lactation. This session will be led by an academic institution partnering with an organization that focuses on communities of color. Aims: We aim to provide a safe space for conversation around dismantling systemic oppression and fostering healing relationships in the field. Topics to be covered in this workshop will include: understanding historical trauma in the US and globally, oppressive language and actions, cultural humility and appropriateness versus cultural competence, equality versus equity, improving listening skills, what it means to be an ally, deconstructing fake equity, and trust building. Narrative: Participants will have the opportunity to voice opinions and self-reflect on their experiences in this work. The institution will share lessons learned from applying an equity lens in “First Food” work from the perspective of the dominant culture and a privileged institution. The grassroots organization will share experiences as a grassroots organization that lifts people of color and advocates for the rights of the oppressed. Conclusion: Through discourse and discussion in this workshop, we will encourage expanding ones equity lens, achieving the growth that is essential for beginning the healing process in our field. This workshop will strengthen the participants’ ability to engage with community leaders for meaningful collaboration.

  • CONF 2018 Lactation Support in Disasters and Emergencies: Integrating Life Course, Psychosocial, and Human Rights Perspectives

    Includes Credits Recorded On: 07/19/2018

    In emergencies, women and children are among the most vulnerable to multiple forms of violence and exploitation as well as illness and death. Displacement resulting from natural disasters and complex humanitarian crises has a profound impact on health during the perinatal period, with significant consequences that reverberate across the life course. The literature reveals that emergencies disproportionately affect women’s and girls’ access to medical, social, cultural, and familial support systems. Barriers to perinatal and psychosocial care are associated with increased rates of morbidity and mortality among mothers/birthing parents and infants. Poorly coordinated and inappropriate emergency response (e.g., mass formula distribution), exacerbate the negative impact of emergencies on maternal-child perinatal health. In this presentation, the significance of skilled lactation support in emergencies will be discussed in the context of the reproductive health continuum. Special emphasis will be placed on the integration of psychosocial and lactation support in complex humanitarian settings.

  • CONF 2018 The Return of Breastsleeping: Humankind’s Oldest and Most Successful Sleep and Feeding Arrangement

    Includes Credits Recorded On: 07/19/2018

    To introduce and justify a new conceptual epidemiological category, breastsleeping, that makes distinctions physiologically and behaviorally between the breastfeeding-bedsharing mother-baby dyad and the bottle or formula-fed bed-sharing dyad. We argue that breastsleeping is an evolved integrated system in which maternal sleep, infant sleep, and breastfeeding patterns can be explained. We argue that breastsleeping behavior deserves to be recognized as legitimate and acceptably safe for bedsharing when practiced (as its definition suggests) in the absence of all known hazardous factors. This argument reflects the full application of evidence based medicine, unlike the AAP's recommendation against bedsharing under any circumstances which violates the most important evidence based medicine requirement like respecting patient values, and generating hypothesis for testing epidemiological findings before moving to sweeping public health recommendations. Parental biology including hormonal profiles of mothers and fathers and characteristic reflexes of the human infant are used to explain the powerful underlying motives and emotions felt by infants and parents alike that explain why breastsleeping will not be eradicated.

  • CONF 2018 SIDS and Colic: Do They Share the Same Breathing Control System Origin?

    Includes Credits Recorded On: 07/19/2018

    We here present a new set of hypotheses proposing that inconsolable crying and sudden infant death syndrome (SIDS), seemingly remarkably different outcomes may stem from the same human biological vulnerability characteristic not identified in other species. A model stresses the development over the 2-7 month of life of shared control of breathing made possible by the gradual integration of learned, volatile control of breathing underlying vocalizations (based on higher cortex nuclei) with involuntary or tidal breathing (based on chemoreceptor or brainstem nuclei), a system of respiratory control required for language, specifically speech breathing. It is proposed that because of this adaption infants could be subject to two different neurological glitches: SIDS reflects a missed signal as when infants transition between REM and NREM sleep while dreaming. That is, during REM sleep infants willfully participate in their breathing but during transitions either into REM or out of it the signal from one to the other control system is inadequate or missed altogether. As regards to colic, it is proposed that infants can initiate a cry and the voluntary breath required to sustain it but cannot stop it as both voice and breath become locked together with both systems excitatory neurons firing at the same time. Upon realizing that it cannot stop crying, in fear, the infant does more or what it is trying to reverse, to cry.

  • CONF 2018 Preparing IBLCE Exam Candidates for Success: Lessons Learned From the First CAAHEP-Accredited Pathway 2 Program

    Includes Credits Recorded On: 07/19/2018

    The Mary Rose Tully Training Initiative (MRT-TI) of the Carolina Global Breastfeeding Institute (CGBI) at the University of North Carolina at Chapel Hill is the first CAAHEP-accredited Pathway 2 lactation training program. Since its inception in August 2009, MRT-TI has graduated an annual cohort of candidates prepared to sit for the International Board of Lactation Consultant Examiners board certification exam. We conducted an alumni survey of MRT-TI graduates to assess how prepared they were to pass this exam and enter the workforce by collecting data on their professional progress since completing the program. We disseminated an electronic survey via social media and CGBI and MRT-TI listservs to reach all alumni who have graduated from the yearlong training program. Anonymous zip codes were also collected from survey respondents to map the distribution of alumni across North Carolina. These maps can be used to identify geographic variations in the concentration of both practicing and non-practicing IBCLCs across the state and their relationship to clinical site and maternity center locations. The results from this survey will characterize the career trajectories of MRT-TI alumni and the role of the training program in supporting their professional development. Additionally, lessons learned from our survey can be used to support new Pathway 2 programs in their development to replicate and enhance this model program.

  • CONF 2017 Canada, Birthplace of a Global Milk Sharing Network: History, Impact, and Informed Decision Making

    Includes Credits Recorded On: 07/22/2017

    In this session, Sandra Wesley and Jodine Chase provide an overview of the formation of global milksharing networks, describe the various ways that donor human milk is used in the hospital setting, and discuss opportunities to support families to make informed choices with regard to milksharing given the options, risks, and benefits unique to their context.

  • CONF 2017 Catalyzing Change: Building Baby-Friendly Momentum in Vulnerable Communities

    Includes Credits Recorded On: 07/22/2017

    Promoting and supporting lactation is essential to improve the future health of parents and their children. Racial and ethnic disparities in breastfeeding rates and perinatal care practices unfortunately continue to be major challenges faced by at-risk populations in the United States. This session identifies the special challenges of vulnerable communities and presents strategies implemented by the CHAMPS initiative (Community and Hospitals Advancing Maternity Practices South) in the Deep Southern United States to engage vulnerable communities in overcoming barriers to better support breastfeeding and maternity care practices. For example, the session highlights the importance of community engagement and building relationships with community members rather than imposing your perceived solutions on them. It also discusses how to gain momentum for system level changes by focusing on smaller changes—such as rooming-in, skin to skin at delivery, and exclusive human milk feeding—which resulted in the larger change of hospitals entering the BFHI pathway.

  • CONF 2017 Lactation Management and Breast Cancer

    Includes Credits Recorded On: 07/22/2017

    This presentation helps care providers facilitate informated decision making for families coping with breast cancer before or during pregnancy and lactation. It discusses the feasibility and safety of breastfeeding for the birthing parent after previous treatment for breast cancer, addresses research on how subsequent breastfeeding affects mortality rates, includes interesting photos of breasts after surgery and radiation, and dispels some myths and misinformation. The question and answer section offers still more details and case studies from the presenter.

  • CONF 2017 Can Breastfeeding Protect Against Childhood Obesity?

    Includes Credits Recorded On: 07/22/2017

    This presentation reviews current research on the connection between breastfeeding and the prevention of childhood obesity. It explores the multiple maternal and infant factors involved in the development of childhood obesity as well as breastfeeding’s role in relationship to these factors. The presentation also discusses the newest systemic meta-analysis review which concludes that breastfeeding does have an effect on prevention but the degree of protection is influenced by the other multiple factors involved in the development of childhood obesity; therefore, breastfeeding promotion is only one part of a multifaceted plan needed to reduce childhood obesity.

  • CONF 2017 Advocacy for Breastfeeding and Skilled Lactation Care: Lessons from around the World

    Includes Credits Recorded On: 07/22/2017

    In this session, Arun Gupta, MD, FIAP provides an overview of advocacy in the last 37 years related to the protection, promotion, and support of breastfeeding at levels such as the family, community, health care professionals, and government and aid agencies; describes the fundamentals of advocacy in the context of breastfeeding and lactation care; shares case studies of global and regional advocacy; presents findings from an unpublished survey from 38 countries; and shares strategies, skills, and lessons learned on advocacy from around the world—including action items for building relationships which help to promote change.