• CONF 2019 The Role of Lactation Consultants in the Code

    Includes Credits Recorded On: 07/25/2019

    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.

  • CONF 2019 Breastfeeding Without Nursing: Reducing the Prejudice Against Exclusive Pumping

    Includes Credits Recorded On: 07/25/2019

    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.

  • CONF 2019 Tongue or the Breast? Teasing Out the Etiology of Breastfeeding Problems

    Includes Credits Recorded On: 07/25/2019

    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.

  • CONF 2019 Integrating Lactation Support into Early Intervention Services for Infants with Special Needs

    Includes Credits Recorded On: 07/25/2019

    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.

  • CONF 2019 Adelante!: A Community-Based Approach to Improve Child Health in a Latinx Community

    Includes Credits Recorded On: 07/21/2017

    In this session, Paulina Erices, MS, IBCLC, RLC presents on how to apply Community-based Participatory Research (CBPR) principles to create effective public health interventions. Adelante! is a network lead by community members, the Colorado Statewide Parent Coalition, and Jefferson County Public Health. Adelante’s vision emerged from the expert and referent power of the Latinx community to solve issues such as unstable housing and food insecurity, childcare deserts, and linguistic isolation, which are intensified by lack of access to quality and culturally responsive services. Adelante! has three main goals: Connect and Empower Families: whole and extended families are educated on infant feeding, child development, and parenting skills that supports culturally traditional roles and builds resiliency and emotional support, as well as reduces risk of maltreatment, negligence, and trauma. Build Community Capacity: In Jefferson County, it is estimated that over 50% of Latino children younger than 5 years receive care from a friend, family member, or neighbor (FFN) while their parents are at work. Adelante! offers a child development credential, continuing education, and other professional development opportunities to FFN providers, including infant feeding/breastfeeding/chestfeeding, mental health, care for premature infants, equity, and leadership. Ensure Coordinated Services: providers and families are connected to health and education systems and those systems are responsive to their cultural and linguistic needs. This presentation will focus on the project development, partnerships developed between agencies and community members, and outcomes in the first year of the project.