• 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 2016 Growth Charts: Use and Misuse

    Includes Credits

    In this session, Dr. Gonzalez reviews the correct way to use growth charts to determine growth in nurslings. Through several case studies, he illustrates normal growth and development, how normal growth and development vary significantly, and how the misuse of growth charts can lead to babies being labeled as having problems when they are not at all having problems. Dr. Gonzalez is both knowledgeable about the subject matter and entertaining in its presentation. Credit: 1 L CERP and 1 Contact Hour

  • CONF 2016 Skin to Skin Care Decreases Procedural Pain for Newborns

    Includes Credits

    In this compelling session, the speakers identify the negative consequences of newborn exposure to numerous painful procedures after delivery and discuss how parent-provided skin-to-skin care can decrease procedural pain in newborns no matter how they are fed. They present the results of the pilot study they conducted at a Baby Friendly designated hospital in the United States. The session describes how they used a PICO question (Problem or Population, Intervention, Comparison, Outcomes) to encourage their facility to question its current practices, examine the evidence, and change to engaging in evidence-based practice to reduce newborn pain. The PICO question was “For newborns born at more than 37 weeks gestation, does the use of skin-to-skin care reduce procedural pain?” The study showed a significant reduction of procedural pain in newborns receiving skin-to-skin care. Credit: 1 L CERP and 1 Contact Hour

  • CONF 2016 The Affective Needs of Children: Crying and the Need for Comforting

    Includes Credits

    In this humorous but evidence-based session, Dr. Carlos González, offers a delightful, basic review of why human infants need to be near their mothers/caregivers, and why carrying and keeping infants near, even during sleep, is a developmentally appropriate response to the innate proximity-seeking behaviors exhibited by all infants. He explains from a biological and anthropological perspective why infant separation is not normal for human survival. In the words of the speaker, “Children all over the world, just like the offspring of many other species, want to be with their mothers all day (and night) long, want to be carried, and cry when separated from their mothers. But, many people in our western industrialized culture see that as abnormal. Our children are not our enemies. They want to be with us, because they love us. A lot.” Credit: 1 R CERP and 1 Contact Hour

  • CONF 2016 Cooperative Infant Feeding in Humans: Biocultural Perspectives of Sharing Human Milk

    Includes Credits

    Dr. Palmquist reviews the origins of breastfeeding and human milk sharing through her unique perspective as an anthropologist. This session reviews information about alloparenting and allomaternal breastfeeding across many cultural contexts, as well as research into cultural norms and taboos. It helps learners understand the origins of human milk sharing and societal views of the practice today and deepens our understanding of the importance of human milk for all human infants. Credit: 1 L CERP and 1 Contact Hour

  • CONF 2016 Developing a Clinical Lactation Training Program: A Model for Academic Medical Centers

    Includes Credits

    Obtaining the necessary lactation training to fulfill the eligibility requirements of the IBLCE certification examination can be difficult. For aspiring IBCLCs, completion of a Pathway 3 program may be their only option to meet the requirements. However, finding mentors to directly supervise their training can be a major obstacle. The speakers of this informative session present their experiences implementing a Pathway 3 clinical lactation training program in a university health system in the United States. They discuss the planning process in developing a 6-month, full-time, clinical training program designed to meet the 500-hour clinical experience requirement. Their model may be used as a guideline by lactation departments at other medical centers to develop their own clinical lactation training program. Credit: 1 L CERP and 1 Contact Hour