Case Presentation of Hemolytic Disease of the Newborn – eCourse

Cost

$12.50 non-members
$11.25 members (must be logged in to receive the discount)
Includes access to the eCourse until completed or for 1 year

Overview

This 1.25-hour course reviews a case presentation regarding hemolytic disease of the newborn.

Objectives

• • Review the pathophysiology of hemolytic disease of the newborn
• • Discuss passive transfer of alloantibodies through breastmilk and potential risks
• • Outline anticipatory guidance for a pregnant individual with known RBC alloantibodies who would like to provide milk to their infant

Topic Outline

• • Case presentation
• • Physiologic drop in hemoglobin after birth
• • Hemolytic disease of the newborn
• • Rh incompatibility in pregnancy
• • Role of IgG in hemolytic disease of the newborn

Accreditation

CMEs: The AAFP has reviewed Case Presentation of Hemolytic Disease of the Newborn and deemed it acceptable for up to 1.25 Enduring Materials, Self-Study AAFP Prescribed credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

CERPs: This course has been allocated 1.25 (L) CERPs recognized by IBLCE. Long Term Provider #117-04.

IABLE has been accepted by International Board of Lactation Consultant Examiners® (IBLCE®) as a CERP Provider for the listed Continuing Education Recognition Points (CERPs) programme. Determination of CERPs eligibility or CERPs Provider status does not imply IBLCE®’s endorsement or assessment of education quality. INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS®, IBLCE®, INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT®, and IBCLC® are registered marks of the International Board of Lactation Consultant Examiners.

Nursing Credits: All state boards for nursing licensure approve of educational offerings that are approved by the American Nursing Credentialling Center (ANCC)
According to ANCC Certification, the continuing education hours approved by the AAFP and AMA PRA Category 1 Credits™ meet the requirement of formally approved continuing education hours and may be used as such for ANCC Certification renewal. https://www.nursingworld.org/certification/faqs/

Speakers

Ariana Komaroff DNP, FNP, IBCLC, is a nurse practitioner at the Center for Advanced Pediatrics (TCFAP) in southern CT. She is a board-certified family nurse practitioner, international board-certified lactation consultant and holds a perinatal mental health certification. She obtained her Master of Science in Nursing from Columbia University School of Nursing and her Doctor of Nursing Practice from the University of Texas Medical Branch at Galveston. She is the Clinical Director of the Breastfeeding and Lactation Program at TCFAP. In her current clinic role, she works with patients and their families providing general pediatric primary care, breastfeeding support to new mothers and parents, and medical management of lactation disorders.

Ariana is passionate about family-centered care, honoring the cultures, traditions, and expertise that families bring to the provider-patient relationship. She has participated in several research and quality improvement initiatives surrounding infant growth, development, nutrition, and breastfeeding.

Dr. Komaroff is also an Assistant Professor at Columbia University School of Nursing teaching graduate nursing students in the family, pediatric, midwifery, and women’s health programs.

She is passionate about nursing education and has a long history of mentoring students in the clinical setting. She is known for her clinical innovation and dissemination of best clinical practices through her knowledge of evidence-based practice.

Dan Prior MD is a pediatric hematology / oncology fellow at Yale New Haven Hospital. Dan completed his undergraduate education at Middlebury College, medical school at the University of Connecticut, and pediatrics residency at Yale, prior to staying on for hematology / oncology fellowship at Yale. Dan has a passion for clinical medicine and medical education, with clinical interests spanning the spectrum of benign hematology to liquid and solid neoplasms, hematopoietic stem cell transplant and cellular therapies. At this time, he is most interested in and thus planning on completing a fellowship in transplant and cellular therapies upon completion of general hematology / oncology training. Dan’s research interests are focused on improving outcomes in poor-risk germ cell tumors, as well as optimizing outcomes for hematopoietic stem cell transplant patients.

Eliza Myers MD, IBCLC, is an Academic Neonatologist in the Yale New Haven Children’s Hospital system NICUs, and Medical Director of the level 3 YNHCH NICU on the Bridgeport Campus. She is a graduate of Harvard College, where she majored in Visual and Environmental Studies, and the University of Rochester School of Medicine and Dentistry, from where she received her MD and completed pediatric residency. Her fellowship in Neonatal-Perinatal Medicine was at Yale. She remains active in the visual arts and completes a few very large-scale oil paintings a year and occasional medical illustrations. Her scholarship work dovetails neatly with her clinical work, where she focuses on family centered care and lactation medicine. She is aiming to become board certified in Breastfeeding and Lactation Medicine in the spring of 2025. She is also the recipient of a 2022 Yale New Haven Health System Innovation Award, for her work in creating a MyChart-imbedded breastmilk pumping log that allows parent entered expressed milk data to populate the Epic EMR. In her words, “Human milk saves lives. For babies, parent’s own milk is as critical as customized medicine, protecting against infection and providing gold standard nutrition. For parents, expressing milk yields lifelong metabolic benefits and protection against some cancers. This tool empowers parents to engage with the medical team and brings patient-entered data directly to clinicians for review and action. My vision is that TrackMyMilk changes the landscape of human milk use in our system NICUs, driving equitable and skilled lactation support across our system.”

None of this work would have been possible without the support of the Department of Pediatrics and in particular her close TrackMyMilk collaborator, Michelle DeWitt, and her colleague Noa Fleiss, who taught her everything she knows about QI -and- about the Incubator Podcast!

Anne Eglash MD, NABBLM-C, IBCLC, FABM, is a clinical professor with the University of Wisconsin School of Medicine and Public Health, in the Department of Family and Community Medicine. In addition to family medicine, she has been practicing breastfeeding and lactation medicine since 1994.

Dr. Eglash is a cofounder of the Academy of Breastfeeding Medicine, the Medical Director and cofounder of the Mothers’ Milk Bank of the Western Great Lakes, and the Medical Director of the University of Wisconsin Breastfeeding and Lactation Medicine Clinic. She has published many peer- reviewed articles on breastfeeding medicine and is a past associate editor for Breastfeeding Medicine Journal.

Dr. Eglash is founder and president of The Institute for the Advancement of Breastfeeding and Lactation Education (IABLE), as well as a cofounder, inaugural president, and immediate past-president of the North American Board of Breastfeeding and Lactation Medicine.

Karen Bodnar MD, NABBLM-C, IBCLC, FAAP, FABM, received her BS in Physics from MIT and served as an officer in the US Air Force. She then completed medical school and pediatric residency at the University of Florida. At UF, she also studied to become an Internationally Board-Certified Lactation Consultant (IBCLC). After completing her training, she spent 5 years in California where she worked in private practice and as an assistant clinical professor of general pediatrics at Harbor UCLA Medical Center. In 2015, she relocated to Virginia and became a pediatric hospitalist, assistant clinical professor at Inova Children’s Hospital, and medical director of the Inova Breastfeeding Medicine Clinic. She is a fellow of both the American Academy of Pediatrics and the Academy of Breastfeeding Medicine (ABM), a past board member of IABLE, and is a current board member of ABM. She is a cohost of the Breastfeeding Medicine Podcast series.

Conflicts of Interest

None

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