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The Institute for Breastfeeding and Lactation Education (IABLE)

Building Breastfeeding-Knowledgeable Health Systems and Communities

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  • Baby Friendly Series for Physicians & Other Providers - eCourse

    Baby Friendly Series for Physicians & Other Providers – eCourse

    Cost

    Members: $40 (You must be logged in to receive member pricing)
    Non-Members: $50

    Overview

    This 3-hour course meets the objectives for Baby Friendly Hospital Initiative provider education. The course reviews optimal breastfeeding management to promote and support exclusive breastfeeding. Physicians and other providers will gain an understanding of the importance of breastfeeding, anatomy & physiology of lactation, current breastfeeding policies, evaluation and management of common maternal & infant problems associated with breastfeeding, and use of medications during lactation.

    Objectives

    • Discuss professional and governmental policies that provide guidance for the promotion, support, and protection of breastfeeding.
    • Identify the 10 steps of the Baby Friendly Hospital Initiative
    • Identify the effect of formula marketing on infant feeding decisions
    •  Describe in general terms the anatomy of the lactating breast and hormones that play a role in breast tissue differentiation during pregnancy
    • Explain 3 breastfeeding topics for discussion during prenatal visits that would support a pregnant woman’s decision to breastfeed
    • Describe maternal and infant contraindications and special considerations for breastfeeding.
    • Identify key strategies for optimal positioning and latch for a breastfeeding dyad
    • Explain benefits of skin-to-skin, rooming-in, and avoiding bottles for infants after birth
    • Identify key hospital routines that enable breastfeeding within the first hour after birth
    • Describe important factors that determine optimal establishment of maternal milk supply postpartum
    • Explain optimal management of engorgement, delay in lactation, and nutritional care for the late preterm/early term infant
    • Explain medical indications and methods for infant supplementation
    • Recite signs of adequate intake for a newborn during the first week of life.
    • Explain how to manage common infant feeding problems such as sleepy infants, slow weight gain in the first week, and the infant who will not latch.
    • Describe 3 reasons for sore nipples beyond 1-2 weeks postpartum, and optimal management of cracked nipples in the first week.
    • Identify 3 factors that play a role in medication transmission into breastmilk
    • Describe how to support breastfeeding for a dyad when mother and infant are separated due to maternal or infant illness

    Topic Outline

    • Professional and governmental policies
    • Prenatal education and support
    • Contraindications and special considerations
    • Anatomy and physiology of lactation
    • Latch and positioning
    • Immediate postpartum management of breastfeeding dyads
    • Breastfeeding management during the first few weeks postpartum
    • Trouble shooting low milk supply
    • Evaluation and initial treatment of sore nipples early postpartum
    • Medications during lactation

    Accreditation

    This recorded activity, Baby Friendly Series for Physicians and other Providers, has been reviewed and is acceptable for up to 3.00 Prescribed credit(s) by the American Academy of Family Physicians.

    IBCLC: This recorded course has been allocated 3 (L) Continuing Education Recognition Points (CERPs) by IBLCE. CERPs approval # CLT117-04.

    Speaker BIO

    Anne Eglash MD, 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 practicing family medicine, she has been a board certified lactation consultant 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 Medicine Clinic. She has published many peer- reviewed articles on breastfeeding medicine, has been the lead author on several Academy of Breastfeeding Medicine protocols, and is an associate editor for Breastfeeding Medicine Journal.

    She co-hosts and produces a breastfeeding medicine podcast series, called The Breastfeeding Medicine Podcast, available free on i-tunes.

    Dr. Eglash is founder and president of The Institute for the Advancement of Breastfeeding and Lactation Education (IABLE), a nonprofit organization dedicated to the creation of breastfeeding- knowledgeable medical systems and communities. She publishes a weekly Clinical Question of the Week and the free LactFacts app, available on android and apple devices.

    $50.00
    Add to cart
  • Basics of Breastfeeding Support for the NICU or PICU Dyad

    Basics of Breastfeeding Support for the NICU or PICU Dyad

    Cost

    Students: $15
    Regular: $25

    Overview

    Lactating parents of premature and/or ill infants in neonatal and pediatric intensive care units need support of several dimensions. Given the superior health outcomes for human milk-fed premature and ill infants, this course is designed to educate NICU/PICU teams (nurses, physicians, dietitians, health professional students) on how to encourage provision of breastmilk, support the establishment and maintenance of milk production, and troubleshoot lactation problems associated with pumping, being back to work and transitioning the infant to the breast/chest.

    Objectives

    • Identify health risks to premature infants who are not fed human milk.
    • Identify maternal health risks of not lactating.
    • Explain differences between mothers' own milk and pasteurized donor human milk.
    • Identify maternal health conditions that are contraindications or that warrant special consideration during lactation.
    • Explain parental barriers to providing expressed human milk, and opportunities to help.
    • Describe breast anatomy and hormones of milk production and release.
    • Identify maternal risk factors for insufficient milk production.
    • Explain the physiologic process of secretory activation.
    • Describe key factors in the establishment and maintenance of milk production.
    • Describe how to counsel the parent of a premature infant on the importance of a human milk diet.
    • Identify risks of delay in lactation.
    • Explain the importance and technique of oral care for the preterm infant.
    • Describe skin to skin and the importance for a premature dyad.
    • Recognize key management strategies during engorgement.
    • Explain how fresh mother's own milk is superior to older, frozen expressed milk.
    • Describe how bolus and continuous feedings differ in terms of quality.
    • Describe basic principles of fortifying mother's own milk.
    • Explain to a parent how to perform manual expression of the breasts.
    • Understand basic principles of operating breast pumps.
    • Counsel parents on proper breast shield size.
    • Explain key techniques of breastmilk expression and milk storage.
    • Identify problems that can occur among parents who exclusively pump milk.
    • Explain how the parent's milk production can be incorporated as vital sign for a NICU patient.
    • Identify insufficient glandular tissue.
    • Describe aspects of emotional support for the lactating parent of a NICU patient.
    • Identify support strategies for a lactating NICU parent who has difficulty being present in the NICU.
    • Describe paced bottle feeding.
    • Describe pharmacologic properties of medications that determine their transmission into breastmilk.
    • Identify unsafe medications during lactation.
    • Explain how to counsel the lactating parent on the use of marijuana, tobacco, and alcohol during lactation.
    • Identify evidence-based resources for medications during lactation.
    • Explain strategies for establishing effective breastfeeding for term infants who are cared for in the NICU.
    • Describe how breastfeeding can be incorporated in the care of a term infant who is in the NICU for low blood sugars.
    • Describe support of breastfeeding when caring for an infant with hyperbilirubinemia.

    Topic Outline

    • Risks of a non-human milk diet for the NICU or PICU patient
    • Demographics of human milk feeding in the NICU
    • The basics of anatomy and physiology of lactation
    • Support the establishment of successful lactation early postpartum
    • Preparing and delivering expressed human milk for the NICU or PICU patient
    • All about pumps- educating the lactating parent on pump use, and trouble-shooting pump-related problems
    • Transitioning the human milk-fed NICU or PICU patient to the breast
    • Medications during lactation
    • Medical indications for supplementation for term infants in the NICU

    Accreditation

    This recorded activity, Basics of Breastfeeding Support for the NICU or PICU Dyad, has been reviewed and is acceptable for up to 5.5 Prescribed credit(s) by the American Academy of Family Physicians.

    This nursing continuing professional development activity was approved for 5.5 Contact Hours by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Expiration Date: May 28, 2023.

    This course has been allocated 5.5 L CERPs by IBLCE Long Term Provider #CLT 117-04.

    The Commission of Dietetic Registration has awarded Prior Approval of 5.5 CPEUs for this education activity.

    Speakers

    Stephanie Attarian MD, IBCLC
    Neonatology/Breastfeeding Medicine
    Assistant Professor
    Dept of Pediatrics
    Vanderbilt University
    Nashville, Tennessee

    Anne Eglash MD, IBCLC, FABM
    Family Medicine/Breastfeeding Medicine
    Clinical Professor
    University of Wisconsin School of Medicine and Public Health
    Madison, Wisconsin

    Sarah Jordan-Crow MD
    Neonatal/Perinatal Fellow
    Rainbow Babies and Children’s Hospital
    Cleveland, Ohio

    Eliza Meyers MD, IBCLC
    Neonatology/Breastfeeding Medicine
    Assistant Professor
    Yale School of Medicine
    New Haven, Connecticut

    Stephanie Ryan RN, IBCLC
    Clinical Adjunct Faculty
    Winona State University and Viterbo University
    LaCrosse, Wisconsin

    Liliana Simon MD, IBCLC
    Pediatric Critical Care/Breastfeeding Medicine
    Clinical Assistant Professor
    University of Maryland
    Rockville, Maryland

    Conflicts of Interest

    None

    $15.00 – $25.00
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  • Breastfeeding Medicine for Breast Surgeons - eCourse

    Breastfeeding Medicine for Breast Surgeons – eCourse

    Overview
    This comprehensive breastfeeding medicine for breast surgeons course reviews all aspects of lactation relevant to breast care providers and surgical practice. It begins with an introduction to the field of breastfeeding medicine and lactation and concludes with a “lactation primer” for surgeons. Core course topics include interventions in obstructive and inflammatory conditions such as mastitis and abscess; nipple areolar complex pathology; benign masses during lactation; plastic surgery and breastfeeding; and, managing the intersection of breast cancer and breastfeeding. Included in the course are key references from the medical and surgical literature, as well as patient education material that can be utilized in surgical clinics.

    Objectives

    At the conclusion of this course, participants should be able to do the following:

    • Describe approaches to effectively managing obstructive and inflammatory conditions in lactation, including plugging, mastitis, abscess, phlegmon, and galactocele
    • Review appropriate interventions for complications that affect the lactating nipple areolar complex, including trauma, subacute mastitis, blebs, and vasospasm
    • Discuss the unique management of benign masses in lactation, as well as the management of breast cancer and breastfeeding
    • Explain how plastic surgery procedures on the breast can impact lactation
    • Describe how a history of breast cancer or a new diagnosis while breastfeeding can impact lactation, and how surgical providers can support these patients
    • Review basic principles of lactation applicable to breast care and surgical practice, as well as access reference tools and patient education material for clinical settings

    Topic Outline

    • Introduction to Breastfeeding for Breast Surgeons
    • Appendicitis of Lactation:  Obstructive and Inflammatory Conditions
    • The Nipple Areolar Complex in Lactation
    • Breast Masses and Benign Breast Conditions in Lactation
    • Plastic Surgery and Breastfeeding
    • Breast Cancer and Breastfeeding
    • Lactation Primer for Breast Surgeons
    • Take Home Points

    Accreditation

    This recorded activity, Breastfeeding Medicine for Breast Surgeons, has been reviewed and is acceptable for up to 5.75 Prescribed credit(s) by the American Academy of Family Physicians.

    IBCLC: This recorded course has been allocated 5.75 (L) Continuing Education Recognition Points (CERPs) by IBLCE. CERPs approval # CLT117-04.

    Speaker BIO

    Katrina B. Mitchell, MD, IBCLC, FACS is a board-certified general surgeon, fellowship-trained breast surgical oncologist, and international board-certified lactation consultant (IBCLC) whose practice includes the care and surgery of women with breast cancer and benign breast disease.  She also treats maternal complications of lactation, and has a special interest in pregnancy and postpartum breast cancer.  She resides in Santa Barbara, California and practices at the Ridley Tree Cancer Center at Sansum Clinic.  She enjoys reading, traveling, and spending time with her son at the beach.  More information about her clinical and educational interests is available at katrinamitchell.org.

    $90.00
    Add to cart
  • Case Presentation of a Female Desiring Induction of Lactation for Adoption - eCourse

    Case Presentation of a Female Desiring Induction of Lactation for Adoption – eCourse

    Cost

    $20 non-members
    $15 members (must be logged in to receive the discount)
    Includes access to the eCourse for 4 months

    Overview

    This 1.25-hour course addresses a case of a woman desiring induction of lactation for adoption.

    Objectives

    • List pertinent topics to discuss with a person who desires induction of lactation
    • Explain options for breast preparation for induction of lactation
    • Describe management of induction of lactation after stopping hormones for breast preparation
    • Review means of feeding support for the dyad before and after returning home

      • Topic Outline

      • Case presentation of a woman who would like to induce lactation for an upcoming adoption
      • Introductory topics to discuss with a person exploring induction of lactation
      • History and physical exam findings that pertain to induction of lactation
      • Timeline for the process of induction, based on when the adoptive parent will have their infant
      • Breast preparation for induction
      • Pumping and collecting milk after breast preparation
      • Hospital routines and policies on adoption and surrogacy
      • Topics to discuss with adoptive parents about getting off to a great start with feeding
      • Outpatient support both in the region where the infant is born and when back at home

      Accreditation

      This Enduring Material activity, Case Presentation of a Female Desiring Induction of Lactation for Adoption, has been reviewed and is acceptable for 1.25 credit by the American Academy of Family Physicians. Term of approval begins 11/1/21. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

      IABLE, Long Term Provider #117-04, allocates 1.25 (L) CERP recognized by IBLCE for this recorded course.

      Speakers

      Anne Eglash MD, 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 practicing family medicine, she has been a board certified lactation consultant 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 Medicine Clinic. She has published many peer- reviewed articles on breastfeeding medicine, has been the lead author on several Academy of Breastfeeding Medicine protocols, and was an associate editor for Breastfeeding Medicine Journal.

      She co-hosts and produces a breastfeeding medicine podcast series, called The Breastfeeding Medicine Podcast.

      Conflicts of Interest

      None

    $20.00
    Add to cart
  • Case Presentation of a Lactating Mother with a Neurological Illness - 10/20 - eCourse

    Case Presentation of a Lactating Mother with a Neurological Illness – 10/20 – eCourse

    Cost

    Members: $15 (You must be logged in to receive member pricing)
    Non-Members: $20

    Overview

    This 1-hour course discusses management of a lactating mother with a neurologic illness and a premature infant.

    Objectives

    • Describe 3 barriers to breastfeeding for a mother with a neurologic illness
    • List 3 ways to support a breastfeeding mother with a neurologic condition

    Topic Outline

    • Review of a case of a lactating mother with spinal muscle atrophy
    • Special considerations regarding lactation with a variety of neurologic illnesses
    • Pumping and breastfeeding logistics for a mother with spinal muscle atrophy
    • Social support for lactating mothers with neurologic illness

    Accreditation

    This Enduring Material activity, Case Presentation of a Lactating Mother with a Neurologic Illness, has been reviewed and is acceptable for 1 credit by the American Academy of Family Physicians. Term of approval begins 05/01/2020. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    IABLE, Long Term Provider #117-04, allocates 1 (L) CERP recognized by IBLCE for this recorded course.

    Speaker Bio

    Stephanie Attarian MD is a neonatologist and an assistant professor in the Department of Pediatrics at Vanderbilt University. She is also a fellow of the Academy of Breastfeeding Medicine. She provides breastfeeding education for medical students, residents, and fellows at her medical institution, and is an instructor for IABLE physician education courses.

    Conflicts of Interest
    None

    $20.00
    Add to cart
  • Case Presentation of a Lactating Woman With a Drop in Milk Production After a Head Injury - eCourse

    Case Presentation of a Lactating Woman With a Drop in Milk Production After a Head Injury – eCourse

    Cost

    $20 non-members
    $15 members (must be logged in to receive the discount)
    Includes access to the eCourse for 4 months

    Overview

    This 1.25-hour course addresses a case of a lactating woman with a drop in milk production after a head injury.

    Objectives

    • Review pituitary anatomy and hormones of lactation
    • Explain evidence on the effect of traumatic brain injuries and subarachnoid hemorrhage on pituitary hormones
    • Discuss lab evaluation and options for clinical management in the case of a person with drop in milk production after a head injury

    Topic Outline

    • Case presentation of a lactating woman who sustained a drop in milk production after a head injury
    • Review of the pituitary gland and hormones of lactation
    • Review of research evidence on the effect of traumatic brain injuries and subarachnoid hemorrhage on pituitary hormones
    • Discussion regarding lab evaluation and management when a lactating individual has a drop in milk production after a head injury

    Accreditation

    This Enduring Material activity, Case Presentation of a Lactating Woman With a Drop in Milk Production After a Head Injury, has been reviewed and is acceptable for 1.25 credit by the American Academy of Family Physicians. Term of approval begins 08/31/21. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    IABLE, Long Term Provider #117-04, allocates 1.25 (L) CERP recognized by IBLCE for this recorded course.

    Speakers

    Anne Eglash MD, 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 practicing family medicine, she has been a board certified lactation consultant 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 Medicine Clinic. She has published many peer- reviewed articles on breastfeeding medicine, has been the lead author on several Academy of Breastfeeding Medicine protocols, and was an associate editor for Breastfeeding Medicine Journal.

    She co-hosts and produces a breastfeeding medicine podcast series, called The Breastfeeding Medicine Podcast.

    Conflicts of Interest

    None

    $20.00
    Add to cart
  • Case Presentation of a Variety of Nipple Lesions - eCourse

    Case Presentation of a Variety of Nipple Lesions – eCourse

    Cost

    $20 non-members
    $15 members (must be logged in to receive the discount)
    Includes access to the eCourse for 4 months

    Overview

    This 1-hour course addresses the diagnosis and management of a variety of nipple lesions.

    Objectives

    • Identify a variety of nipple lesions that occur during lactation
    • Explain possible etiology and appropriate management of a variety of nipple lesions during lactation

    Topic Outline

    • Presentation of several nipple lesions
    • Discussion of underlying etiology of nipple lesions
    • Review of natural history and appropriate management of nipple lesions during lactation

    Accreditation

    This Enduring Material activity, Case Presentation of a Variety of Nipple Lesions, has been reviewed and is acceptable for 1 credit by the American Academy of Family Physicians. Term of approval begins 08/31/21. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    IABLE, Long Term Provider #117-04, allocates 1 (L) CERP recognized by IBLCE for this recorded course.

    Speakers

    Katrina B. Mitchell, MD, IBCLC, FACS, is a board-certified general surgeon, fellowship-trained breast surgical oncologist, and international board-certified lactation consultant (IBCLC) whose practice includes the care and surgery of women with breast cancer and benign breast disease. She also treats maternal complications of lactation, and has a special interest in pregnancy and postpartum breast cancer.

    She resides in Santa Barbara, California and practices at the Ridley Tree Cancer Center at Sansum Clinic. She enjoys reading, traveling, and spending time with her son at the beach.

    More information about her clinical and educational interests is available at physicianguidetobreastfeeding.org/contact.

    Conflicts of Interest

    None

    $20.00
    Add to cart
  • Case Presentation of Lactation Anaphylaxis - eCourse

    Case Presentation of Lactation Anaphylaxis – eCourse

    Cost

    $20 non-members
    $15 members (must be logged in to receive the discount)
    Includes access to the eCourse for 4 months

    Overview

    This 1.25-hour course addresses the presentation, evaluation and treatment of lactational anaphylaxis.

    Objectives

    • Describe the spectrum of symptoms that would indicate lactational anaphylaxis.
    • Explain typical management of lactational anaphylaxis.
    • Describe possible underlying physiologic cause of lactational anaphylaxis.

     

    Topic Outline

    • Presentation of a person who has symptoms of lactational anaphylaxis.
    • Discussion of clinical management for this case.
    • Review possible underlying physiologic cause of lactational anaphylaxis.
    • Discussion of natural history of lactational anaphylaxis.

     

    Accreditation

    This Enduring Material activity, Case Presentation of Lactation Anaphylaxis, has been reviewed and is acceptable for 1.25 credit by the American Academy of Family Physicians. Term of approval begins 9/30/21. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    IABLE, Long Term Provider #117-04, allocates 1.25 (L) CERP recognized by IBLCE for this recorded course.

    Speakers

    Dixie Whetsell MS, IBCLC, has been working with breastfeeding families for close to 30 years. As an IBCLC she has worked in a variety of settings including private practice, county and state public health programs and high risk maternal and pediatric hospitals. She has been teaching lactation training courses for more than 15 years and is currently an adjunct faculty member teaching in the Pathway 2 Lactation Training Program in the OHSU-PSU School of Public Health at Portland State University. She was a founding Board Member for Northwest Mothers Milk Bank, a HMBANA non-profit donor milk bank.

    Lisa Gonzales BSN, RN, IBCLC, earned her Bachelor of Science in Nursing from Linfield College. She started her nursing career as a Labor and Delivery nurse at a Level III OB hospital in 2006. After having her first baby in 2011, Lisa pursued lactation education and became an IBCLC in 2013. She made a full career change in 2015 to become a lactation nurse in a high risk maternity and pediatric hospital, providing inpatient and outpatient consults to growing families. In 2019 Lisa opened her private practice in Wilsonville, Or and currently provides feeding support to families in their home. When not doing home visits, Lisa is a full time mom to her 3 kids and can’t wait for them to go back to school in person in the fall.

    Conflicts of Interest

    None

    $20.00
    Add to cart
  • Case Presentation on a Pregnant Woman with Idiopathic Granulomatous Mastitis - eCourse

    Case Presentation on a Pregnant Woman with Idiopathic Granulomatous Mastitis – eCourse

    Cost

    $20 non-members
    $15 members (must be logged in to receive the discount)
    Includes access to the eCourse for 4 months

    Overview

    This 1-hour course addresses a case of a pregnant woman with idiopathic granulomatous mastitis (IGM).

    Objectives

    • Review symptoms and signs of IGM
    • Explain underlying pathology of IGM
    • Discuss natural history of IGM during pregnancy and postpartum
    • Review treatment options for IGM during pregnancy and lactation

    Topic Outline

    • Case presentation of a pregnant woman who presents with IGM
    • Review pathophysiology of IGM
    • Discuss typical course of symptoms that patients with IGM experience during pregnancy and lactation
    • Discuss treatment options for IGM during pregnancy and lactation

    Accreditation

    This Enduring Material activity, Case Presentation on a Pregnant Woman with Idiopathic Granulomatous Mastitis, has been reviewed and is acceptable for 1 credit by the American Academy of Family Physicians. Term of approval begins 08/31/21. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    IABLE, Long Term Provider #117-04, allocates 1 (L) CERP recognized by IBLCE for this recorded course.

    Speakers

    Katrina B. Mitchell, MD, IBCLC, FACS, is a board-certified general surgeon, fellowship-trained breast surgical oncologist, and international board-certified lactation consultant (IBCLC) whose practice includes the care and surgery of women with breast cancer and benign breast disease. She also treats maternal complications of lactation, and has a special interest in pregnancy and postpartum breast cancer.

    She resides in Santa Barbara, California and practices at the Ridley Tree Cancer Center at Sansum Clinic. She enjoys reading, traveling, and spending time with her son at the beach.

    More information about her clinical and educational interests is available at physicianguidetobreastfeeding.org/contact.

    Conflicts of Interest

    None

    $20.00
    Add to cart
  • Case Presentation on Breast Pain - 12/20 - eCourse

    Case Presentation on Breast Pain – 12/20 – eCourse

    Cost

    Members: $15 (You must be logged in to receive member pricing)
    Non-Members: $20

    Overview

    This 1-hour course is a case presentation of a mother with breast pain due to hyperlactation.

    Objectives

    • List 4 reasons for bilateral diffuse breast pain
    • Explain the symptoms of hyperlactation for infants and mothers
    • Identify underlying causes of hyperlactation
    • Describe options for management of hyperlactation.

    Topic Outline

    • Case presentation
    • Differential diagnosis of breast pain
    • Symptoms of hyperlactation for infants and mothers
    • Underlying causes of hyperlactation
    • Relevant laboratory testing for hyperlactation
    • Treatment options for hyperlactation

    Accreditation

    This Enduring Material activity, Case Discussion of Breast Pain, has been reviewed and is acceptable for 1 credit by the American Academy of Family Physicians. Term of approval begins 05/01/2020. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    IABLE, Long Term Provider #117-04, allocates 1 (L) CERP recognized by IBLCE for this recorded course.

    Speaker Bio

    Divyah Parikh MD, IBCLC, is a board-certified pediatrician and breastfeeding medicine specialist who is in practice with Central Ohio Primary Care. She is a fellow of the American Academy of Pediatrics and a member of the Academy of Breastfeeding Medicine.

    Conflicts of Interest
    None

    $20.00
    Add to cart
  • Case Presentation on Counseling the Pregnant Mother with a History of Insufficient Glandular Tissue - eCourse

    Case Presentation on Counseling the Pregnant Mother with a History of Insufficient Glandular Tissue – eCourse

    Cost

    $20 non-members
    $15 members (must be logged in to receive the discount)
    Includes access to the eCourse for 4 months

    Overview

    This 1-hour course is a recording of a February 2021 case discussion that addresses anticipatory guidance for a pregnant mother with a history of insufficient glandular tissue.

    Objectives

    • Identify topics to be included when providing anticipatory guidance for a pregnant mother with a history of insufficient glandular tissue.
    • Describe supportive measures in the first few days postpartum for a mother with a history of insufficient glandular tissue.
    • Outline opportunities for shared decision making when discussing postpartum outpatient breastfeeding management, for a mother with a history of insufficient glandular tissue.

     

    Topic Outline

    • Case presentation of a pregnant mother with a history of insufficient glandular tissue
    • Topics to be included in prenatal anticipatory guidance
    • Decision making on herbal and prescription galactogogues
    • Early postpartum breastfeeding management
    • Outpatient breastfeeding management

     

    Accreditation

    This Enduring Material activity, Counseling the Pregnant Mother with a History of Insufficient Glandular Tissue, has been reviewed and is acceptable for 1 credit by the American Academy of Family Physicians. Term of approval begins 07/20/21. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    IABLE, Long Term Provider #117-04, allocates 1 (L) CERP recognized by IBLCE for this recorded course.

    Speaker

    Anne Eglash MD, IBCLC, FABM
    Dr. Eglash 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 practicing family medicine, she has been a board certified lactation consultant 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 Medicine Clinic. She has published many peer- reviewed articles on breastfeeding medicine, has been the lead author on several Academy of Breastfeeding Medicine protocols, and was an associate editor for Breastfeeding Medicine Journal.

    She co-hosts and produces a breastfeeding medicine podcast series, called The Breastfeeding Medicine Podcast.

    Conflicts of Interest

    None

    $20.00
    Add to cart
  • Contraception During Breastfeeding - eCourse

    Contraception During Breastfeeding – eCourse

    Cost

    $20 non-members
    $15 members (must be logged in to receive the discount)
    Includes access to the eCourse for 4 months

    Overview

    This 1-hour course reviews contemporary options for birth control, as well as the current medical guidelines on contraceptive options during lactation, set by the World Health Organization and the Centers for Disease Control. Evidence for the hormonal effects on lactation is discussed. The lecture ends with a focus on shared decision making and equity regarding contraception during lactation.

    Objectives

    • Identify the safest forms of birth control during lactation
    • Define the lactation amenorrhea method
    • Review the World Health Organization and the Centers for Disease Control recommendations for immediate postpartum contraception during lactation
    • Recognize the existence of bias and health equity regarding contraception and race/ethnicity
    • Discuss key points in optimizing shared decision-making between healthcare providers and patients regarding contraception

     

    Topic Outline

    • Forms of contraception, and those having the least impact on lactation
    • The lactation amenorrhea method
    • The effect of hormonal birth control on lactation
    • The CDC and WHO medical eligibility criteria for contraception during lactation
    • Studies that demonstrate the effect of hormonal contraception on lactation
    • Academy of Breastfeeding Medicine’s recommendations on contraceptive choices during lactation
    • Issues regarding equity when implementing postpartum long-acting reversible contraception

     

    Accreditation

    This recorded activity, Contraception During Lactation has been reviewed and is acceptable for up to 1.00 Prescribed credit(s) by the American Academy of Family Physicians.

    This recorded course has been allocated 1 (L) Continuing Education Recognition Points (CERPs) by IBLCE. CERPs approval # CLT117-04.

    Speaker

    Anne Eglash MD, 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 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 Medicine Clinic. She has published many peer-reviewed articles on breastfeeding medicine, has been the lead author on several Academy of Breastfeeding Medicine protocols, and has been an associate editor for Breastfeeding Medicine Journal.

    She co-hosts and produces a free bimonthly breastfeeding medicine podcast series, called The Breastfeeding Medicine Podcast.

    Dr. Eglash is founder and president of The Institute for the Advancement of Breastfeeding and Lactation Education (IABLE), a nonprofit organization dedicated to the creation of breastfeeding-knowledgeable medical systems and communities.

    Conflicts of Interest

    None

    $20.00
    Add to cart
  • Differential Diagnosis of Low Milk Supply - eCourse

    Differential Diagnosis of Low Milk Supply – eCourse

    Cost

    Members: $15 (You must be logged in to receive member pricing)
    Non-Members: $20

    Overview

    This 1-hour course reviews the possible underlying reasons for low supply, organized from prenatal to postpartum time periods. We discuss lab workup and the basics of therapeutics.

    Objectives

    • List 2 reasons for insufficient breast development during pregnancy.
    • Describe 2 reasons why a woman may have absence of lactation postpartum.
    • Recite 3 reasons for low milk supply postpartum that are not due to prenatal breast development.
    • Identify 2 behavioral means of increasing milk supply.
    • Describe 2 indications for using herbs or prescription medications to increase milk supply.

    Topic Outline

    • Perceived low milk supply
    • Insufficient breast growth during pregnancy
    • Lack of lactogenesis II
    • Loss of milk supply postpartum
    • Laboratory work up
    • Behavioral means of increasing milk supply
    • Galactogogues

    Accreditation

    This recorded activity, Low Milk Supply has been reviewed and is acceptable for up to 1.00 Prescribed credit(s) by the American Academy of Family Physicians.

    IBCLC: This recorded course has been allocated 1 (L) Continuing Education Recognition Points (CERPs) by IBLCE. CERPs approval # CLT117-04.

    Speaker BIO

    Anne Eglash MD, 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 practicing family medicine, she has been a board certified lactation consultant 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 Medicine Clinic. She has published many peer- reviewed articles on breastfeeding medicine, has been the lead author on several Academy of Breastfeeding Medicine protocols, and is an associate editor for Breastfeeding Medicine Journal.

    She co-hosts and produces a breastfeeding medicine podcast series, called The Breastfeeding Medicine Podcast, available free on i-tunes.

    Dr. Eglash is founder and president of The Institute for the Advancement of Breastfeeding and Lactation Education (IABLE), a nonprofit organization dedicated to the creation of breastfeeding- knowledgeable medical systems and communities. She publishes a weekly Clinical Question of the Week and the free LactFacts app, available on android and apple devices.

    $20.00
    Add to cart
  • Differential Diagnosis of Nipple & Breast Pain During Lactation - eCourse

    Differential Diagnosis of Nipple & Breast Pain During Lactation – eCourse

    Cost

    Members: $15 (You must be logged in to receive member pricing)
    Non-Members: $20

    Overview

    This 1-hour course reviews the differential diagnosis in the evaluation of breastfeeding mothers who present with sore nipples and sore breasts. We discuss typical history, symptoms, signs on physical exam and treatment options.

    Objectives

    • Describe 3 common reasons for persistent sore nipples/breasts in a lactating mother.
    • List 3 indications to clip an infant lingual frenulum.
    • Discuss 2 treatment options for nipple vasospasm.
    • Describe 3 causes of nipple dermatitis.
    • List 2 interventions for a breast abscess.
    • Identify 3 common bacteria that are known to cause acute mastitis.

    Topic Outline

    • Evaluation and management of nipple trauma
    • Definition, evaluation, and treatment of nipple blebs
    • Differential diagnosis and treatment of problems that cause chronic nipple and breast pain
    • Etiologic factors predisposing to plugged ducts, and treatment modalities
    • Evaluation and management of acute mastitis
    • Evaluation and management of nipple dermatitis

    Accreditation

    This recorded activity, Low Milk Supply has been reviewed and is acceptable for up to 1.00 Prescribed credit(s) by the American Academy of Family Physicians.

    IBCLC: This recorded course has been allocated 1 (L) Continuing Education Recognition Points (CERPs) by IBLCE. CERPs approval # CLT117-04.

    Speaker BIO

    Anne Eglash MD, 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 practicing family medicine, she has been a board certified lactation consultant 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 Medicine Clinic. She has published many peer- reviewed articles on breastfeeding medicine, has been the lead author on several Academy of Breastfeeding Medicine protocols, and is an associate editor for Breastfeeding Medicine Journal.

    She co-hosts and produces a breastfeeding medicine podcast series, called The Breastfeeding Medicine Podcast, available free on i-tunes.

    Dr. Eglash is founder and president of The Institute for the Advancement of Breastfeeding and Lactation Education (IABLE), a nonprofit organization dedicated to the creation of breastfeeding- knowledgeable medical systems and communities. She publishes a weekly Clinical Question of the Week and the free LactFacts app, available on android and apple devices.

    $20.00
    Add to cart
  • Eatin' at Mom's- How Diet Influences Breastmilk - eCourse

    Eatin’ at Mom’s- How Diet Influences Breastmilk – eCourse

    Cost

    $20 non-members
    $15 members (must be logged in to receive the discount)
    Includes access to the eCourse for 4 months

    Overview

    The maternal diet plays a limited role in the quality of breastmilk. This 1-hour webinar recording reviews the evidence on the impact of maternal foods, vitamins, and probiotic supplements on breastmilk quality. The hour also covers issues of maternal supplementation of vitamin D and calcium, both for her health and breastmilk composition.

    Objectives

    • Describe the role of the maternal diet in allergic disease of the breastfeeding infant.
    • Explain the role of DHA in the maternal diet, and current recommendations on DHA intake.
    • Identify how vitamin supplementation influences vitamin levels in breastmilk.
    • Describe how calcium supplementation for breastfeeding women influences maternal bone density.
    • Discuss the role of maternal Vit D supplementation and BM vitamin D level
    • Explain the role of choline in infant development and dietary sources of choline
    • Explain why BM has an off-odor
    • Understand the effect of maternal probiotic supplementation and BM probiotic levels

    Topic Outline

    • The importance of the first 1000 days of a child’s life
    • The US Center for Disease Control’s recommendation on diet for breastfeeding mothers
    • Effect of maternal diet on infant allergies
    • The importance of fish and DHA in the maternal diet
    • High dose vitamin intake during lactation
    • Vegetarian and vegan diets while breastfeeding
    • Maternal vitamin D and calcium supplementation during lactation
    • Sweetener use during lactation
    • Choline resources in the diet of breastfeeding mothers
    • Carotenoids during lactation
    • Off-odor of stored breastmilk
    • The effect of maternal BMI on breastmilk components
    • The importance of fiber in the maternal diet
    • Probiotics during breastfeeding

    Accreditation

    This recorded activity, Eatin' at Mom's - How Diet Influences Breastmilk, has been reviewed and is acceptable for up to 1.00 Prescribed credit(s) by the American Academy of Family Physicians.

    IBCLC: This recorded course has been allocated 1 (L) Continuing Education Recognition Points (CERPs) by IBLCE. CERPs approval # CLT117-04.

    Conflicts of Interest
    None

    Speaker BIO

    Anne Eglash MD, 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 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 Medicine Clinic. She has published many peer- reviewed articles on breastfeeding medicine, has been the lead author on several Academy of Breastfeeding Medicine protocols, and has been an associate editor for Breastfeeding Medicine Journal.

    She co-hosts and produces a free bimonthly breastfeeding medicine podcast series, called The Breastfeeding Medicine Podcast.

    Dr. Eglash is founder and president of The Institute for the Advancement of Breastfeeding and Lactation Education (IABLE), a nonprofit organization dedicated to the creation of breastfeeding-knowledgeable medical systems and communities.

    $20.00
    Add to cart
  • Food Protein Induced Allergic GI Disorders - eCourse

    Food Protein Induced Allergic GI Disorders – eCourse

    Cost

    $20 non-members
    $15 members (must be logged in to receive the discount)
    Includes access to the eCourse for 4 months

    Overview

    This 1-hour course focuses on non-IgE related infant food protein-induced allergic GI disorders, including allergic proctocolitis, food protein enteropathy, food protein enterocolitis, and cow's milk allergy. Typical presentations, work up differential diagnosis and treatment are reviewed.

    Objectives

    • Explain 3 different forms of food protein induced GI disorders
    • Describe 3 symptoms and signs of FPIES
    • Describe 2 characteristics of food protein enteropathy
    • Discuss the relationship between eosinophilic GI disorders and food protein induced GI disorders
    • Explain initial workup and advice for a family whose 3 month old infant has blood streaked stools

    Topic Outline

    • Distinguishing IgE from non-IgE mediated GI disorders in infants.
    • Possible underlying risks for non-IgE enteritis in breastfed infants
    • Food protein-induced enterocolitis- presentation, diagnosis, treatment
    • Food protein-induced enteropathy- presentation, diagnosis
    • Allergic proctocolitis- presentation, diagnosis, treatment
    • Maternal elimination diets
    • Role of hyperlactation for infants with allergic proctocolitis
    • Breastfed infants with allergic proctocolitis who receive formula
    • Cow's milk allergy -associated GI symptoms

    Accreditation

    This recorded activity, Food Protein Induced Allergic GI Disorders, has been reviewed and is acceptable for up to 1.00 Prescribed credit(s) by the American Academy of Family Physicians.

    This recorded course has been allocated 1 (L) Continuing Education Recognition Points (CERPs) by IBLCE. CERPs approval # CLT117-04.

    Speaker

    Anne Eglash MD, 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 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 Medicine Clinic. She has published many peer-reviewed articles on breastfeeding medicine, has been the lead author on several Academy of Breastfeeding Medicine protocols, and has been an associate editor for Breastfeeding Medicine Journal.

    She co-hosts and produces a free bimonthly breastfeeding medicine podcast series, called The Breastfeeding Medicine Podcast.

    Dr. Eglash is founder and president of The Institute for the Advancement of Breastfeeding and Lactation Education (IABLE), a nonprofit organization dedicated to the creation of breastfeeding-knowledgeable medical systems and communities.

    Conflicts of Interest

    None

    $20.00
    Add to cart
IABLE is a member of The United States Breastfeeding Committee
IABLE is compliant with the International Code of Marketing of Breastmilk Substitutes
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