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Basics of Breastfeeding Support for the NICU or PICU Dyad
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.
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.
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
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.
Stephanie Attarian MD, IBCLC
Dept of Pediatrics
Anne Eglash MD, IBCLC, FABM
Family Medicine/Breastfeeding Medicine
University of Wisconsin School of Medicine and Public Health
Sarah Jordan-Crow MD
Rainbow Babies and Children’s Hospital
Eliza Meyers MD, IBCLC
Yale School of Medicine
New Haven, Connecticut
Stephanie Ryan RN, IBCLC
Clinical Adjunct Faculty
Winona State University and Viterbo University
Liliana Simon MD, IBCLC
Pediatric Critical Care/Breastfeeding Medicine
Clinical Assistant Professor
University of Maryland
Breastfeeding Medicine for Breast Surgeons – eCourse
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.
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
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
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.
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.
Primary Care Breastfeeding Medicine Course for Physicians & Other Providers – eCourse
The Best Deal for Medical Student and Resident Lactation Education!
IABLE's Primary Care Breastfeeding Course for physicians teaches prenatal breastfeeding education, intrapartum and early postpartum support, along with problem-focused management. It also covers differential diagnosis and management of the most common outpatient breastfeeding problems encountered by physicians and other providers who work with breastfeeding dyads.
Gain knowledge and skills to counsel mothers and families on benefits of breastfeeding and risks of artificial feeding
Describe how to support and protect breastfeeding immediately postpartum
Explain the differential diagnoses and management strategies for the most common breastfeeding problems that arise during lactation
Identify evidence-based resources for issues such as medications during lactation, patient education on breastfeeding, and problem-based breastfeeding support
Components of breastmilk, risks of not breastfeeding
Policies and demographics
Anatomy and physiology of breastfeeding
Latch and positioning
Breastfeeding in the immediate postpartum period
The first week postpartum
Sore nipples and breast pain
Low milk production
Medications during lactation
This recorded activity, Primary Care Breastfeeding Medicine Course for Physicians and Other Providers, has been reviewed and is acceptable for up to 7.25 Prescribed credit(s) by the American Academy of Family Physicians.
This nursing continuing professional development activity was approved for 7 Contact Hours by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Expiration Date: May 1, 2023.
This course has been allocated 7.25 L CERPs by IBLCE Long Term Provider #CLT 117-04.