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No ChargeAdapting Outpatient and Inpatient Breastfeeding Medicine Practices during the COVID-19 Pandemic
Topic Outline
Our medical practices are changing minute by minute with the exponential spread of COVID-19 in our communities. On on March 22, 2020, IABLE hosted a webinar with physicians internationally who shared their insights, policies, and practices from inpatient to outpatient experiences.
The Webinar is available as part of the Breastfeeding Medicine Podcast. The podcast is available on ITunes, Google Play, and our website.
We are please to offer the podcast an eCourse at no charge. Credits are earned after listening to the podcast then completing a short quiz. When enrolling, you will need to create an IABLE account if you don't already have one.
Accreditation
IBCLC: This recorded course has been allocated 1 (L) and 1 (E) Continuing Education Recognition Points (CERPs) by IBLCE. CERPs approval # CLT117-04.Speakers
Kathy Leeper MD, IBCLC, FABM
MilkWorks, Nebraska, Breastfeeding MedicinePooja Kakar MD
Stanford University, CA PediatricsKatrina Mitchell MD, IBCLC
Breast Cancer Surgery, Santa Barbara CARebecca Hicks MD, IBCLC
Bend, OR PediatricsShawna Lamond MD, IBCLC
Calgary Alberta, Canada Family MedicineChandria Johnson MD
Mercy Hospital Springfield MO, OB/GynJosdalyne Anderson MD, CFPC, IBCLC
Monarch Clinic Ottawa, Ontario, Canada Family MedicineLiliana Simon MD, IBCLC
University of Maryland Pediatric Intensive CareNan Dahlquist MD, IBCLC
Hillsboro OR PediatricsEliza Myers MD
Yale School of Medicine NeonatologyKaren Bodnar MD, IBCLC
Inova Medical Systems, Virginia PediatricsAnne Eglash MD, IBCLC
University of Wisconsin Family Medicine -
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$50.00Baby Friendly Series for Physicians & Other Providers
Cost
Members: $40 (You must be logged in to receive member pricing)
Non-Members: $50Overview
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.
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$90.00Breastfeeding Medicine for Breast Surgeons
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.
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$20.00Differential Diagnosis of Low Milk Supply
Cost
Members: $15 (You must be logged in to receive member pricing)
Non-Members: $20Overview
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.
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$20.00Differential Diagnosis of Nipple & Breast Pain During Lactation
Cost
Members: $15 (You must be logged in to receive member pricing)
Non-Members: $20Overview
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.
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$20.00Maternal Health Issues During Lactation- Contraception, Medications, Breast Imaging
Cost
Members: $15 (You must be logged in to receive member pricing)
Non-Members: $20Overview
This 1-hour course is geared to physicians and other providers who provide care for pregnant and breastfeeding mothers. Topics include the risks of not breastfeeding, contraindications to nursing, prenatal support, management of mastitis and plugged ducts, imaging during lactation, and medications while breastfeeding.
Objectives
- Review evidence for the risks of not breastfeeding for infant and mother
- Discuss ways to provide prenatal breastfeeding support
- Recite management of mastitis and plugged ducts
- Explain current recommendations for breast cancer screening during lactation
- Recite recommendations on imaging precautions during breastfeeding
- Counsel mother on the use of medications during lactation
Topic Outline
- Risks of not breastfeeding for mother and infant
- Recommendations on duration of breastfeeding
- Contraindications to breastfeeding
- Prenatal strategies to promote and support breastfeeding
- Diagnosis and treatment of mastitis and plugged ducts
- Breast cancer screening during lactation
- Maternal medications while breastfeeding
- Use of alcohol, tobacco, and marijuana while breastfeeding
- Imaging during lactation
- Anesthesia and analgesia during lactation
Accreditation
This recorded activity, Maternal Health Issues During Lactation, 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
NoneSpeaker 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.
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$20.00Optimizing Breastfeeding Support During the First Few Weeks Postpartum
Cost
Members: $15 (You must be logged in to receive member pricing)
Non-Members: $20Overview
This 1-hour course reviews optimal routine management of breastfeeding during the first week postpartum, after hospital discharge. Common maternal/infant problems are also reviewed including delay in lactation, latch concerns, sleep issues, and maternal peripartum mood disorder.
Objectives
- Develop the skills to counsel families on adequate intake during the first week postpartum.
- Describe management of engorgement.
- Identify 3 common breastfeeding problems during the first week postpartum.
- Explain optimal frequency of visits during the first few months postpartum.
- Describe how to support a mother and infant when there is a delay in lactation.
- Explain 2 risks of nipple shield use.
- Identify signs of maternal peripartum mood disorder
Topic Outline
- Recommendations on timing for outpatient follow-up after hospital discharge
- Signs of adequate intake during the first week postpartum
- Asymmetric latch and strategies to optimize effective feeding at the breast
- Management of maternal breast engorgement
- Delay in lactation- identification and management
- Optional methods of supplementation for the breastfed infant
- Unilateral breast refusal
- Nipple shield use
- Pacifier use
- Common infant problems- frequent feeding, sleepiness, night time awakefulness
- Maternal peripartum mood disorders
Accreditation
This recorded activity, Optimizing Breastfeeding Support During the First Few Weeks Postpartum, 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
NoneSpeaker 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.
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IABLE is compliant with the International Code of Marketing of Breastmilk Substitutes