Building Breastfeeding-Knowledgeable Health Systems and Communities
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Basics of Breastfeeding Support for the NICU or PICU Dyad
Includes access to the eCourse for 1 year
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
Primary Care Breastfeeding Medicine Course for Physicians & Other Providers – eCourse
The Best Deal for Medical Student and Resident Lactation Education!
Includes access for 1 year
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.
Includes access to the eCourse for 1 year and a copy of the OBC Curriculum booklet
The IABLE Outpatient Breastfeeding Champion Course is a basic, clinically-focused course for any person who is a medical or community breastfeeding supporter. The course provides instruction on how to answer the most common breastfeeding questions that a lactating parent and their family have throughout the course of lactation, into toddlerhood and beyond.
A wide variety of community breastfeeding supporters have found this course rewarding and relevant to their work, including office nurses, medical assistants, nutritionists, public health nurses, home visitors, doulas, midwives, peer counselors, social workers, health professional students (nursing, medicine, pharmacy), medical interpreters, and medical providers (physicians, nurse practitioners, and physician assistants).
Attendees will gain knowledge and confidence in evidence-based care for common lactation questions and concerns.
Identify the nutritional and immunologic properties of breastfeeding and the risks of artificial milk.
Discuss care plans for common breastfeeding problems, such as sore nipples, poor weight gain, and latch difficulties.
Use in-person and telephone breastfeeding triage tools that aid in increasing positive breastfeeding outcomes.
Special Properties of Human Milk
The Entero-Mammary Pathway
Risks of Not Breastfeeding
Contraindications to Breastfeeding
Healthy People 2030 Breastfeeding Objectives
Barriers to Breastfeeding
Communication and Counseling the Breastfeeding Mother
Anatomy and Physiology
Positioning for Breastfeeding
Defining a Feeding
Feeding Frequency and Duration
Infant and Maternal Signs of Adequate Milk Intake
Breastfeeding in the Immediate Postpartum Period
Supporting Dyads during the First Week Postpartum
Maternal Infant Separation
The Baby Friendly Hospital Initiative
The International Code of Marketing of Breastmilk Substitutes
Hospital Discharge & Follow Up
Sore Nipples- The Most Common Causes
Proper Positioning and Latch to Prevent and Resolve Sore Nipples
Managing Nipple Sores
Breast Swelling and Engorgement
Infectious Causes of Breast/Nipple Pain
Non-Infectious Causes of Breast/Nipple Pain
The Baby Who is Not Gaining Well
Pre/Post Feed Weights
Maternal Low Milk Production
Supplementing the Breastfed Baby
Night Time Feedings
The Non-Latching Baby
The Baby who Prefers One Side
Pacifiers and Nursing Infants
Infant Fussiness at the Breast
Parental Diet and Breastfeeding
Induced Lactation and Re-lactation
Fitting Breast Shields
Operating and Cleaning a Breast Pump
Storage of Expressed Breastmilk
Use of Expressed Breastmilk
Returning to Work and Breastfeeding
Maternal Medications and Breastfeeding
Health Equity and Breastfeeding
This nursing continuing professional development activity was approved for 14.5 Contact Hours by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Expiration Date: May 26th, 2023.
This course has been allocated 14.5 L CERPs by IBLCE Long Term Provider #CLT 117-04.
The Commission on Dietetic Registration has awarded Prior Approval of 14.5 CPEUs for this education activity.
Anne Eglash MD, IBCLC, FABM
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.
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.