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This eCourse is one session from our Core Content of Breastfeeding and Lactation Medicine course. The Core Content of Breastfeeding and Lactation Medicine Course is comprised of 30 individual sessions that are designed to comprehensively prepare physicians and other providers (physician assistants, nurse practitioners, midwives) to provide evidence-based anticipatory guidance and management of typical breastfeeding and lactation problems seen in primary care.
Overview
This course, for physicians and other healthcare providers, covers the normal function of the tongue during breastfeeding and existing evidence-based information regarding ankyloglossia.
Objectives
- Describe the normal function of the tongue during breastfeeding
- Describe 4 symptoms of tongue tie for mother/infant dyad
- Identify the anatomy of the lingual frenulum
- Recognize limitations in knowledge
- Discuss current controversies
Topic Outline
- Normal tongue function in breastfeeding
- Anatomic definition of the lingual frenulum vs. functional definition
- Review of literature on the lingual frenulum
- Coryllos classification of lingual frenula
- Maternal symptoms of a restrictive lingual frenulum
- Infant symptoms possibly related to a restrictive lingual frenulum
- Other considerations in breastfeeding evaluation
- Existing assessment tools
- Ankyloglossia revision procedures
- Complications after frenotomy
- Post-frenotomy care
- Recognition of limitations in knowledge
Accreditation
CMEs: The AAFP has reviewed Ankyloglossia Medicine and deemed it acceptable for up to 1.25 Live AAFP Prescribed credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CERPS: This course has been allocated 1.25(L) CERPs recognized by IBLCE. Long Term Provider #117-04.
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/
Speaker Biography
Kathy Leeper, MD, IBCLC, FABM first worked as a general pediatrician, then obtained her IBCLC in 2000 and helped develop a nonprofit breastfeeding center in Lincoln, Nebraska called MilkWorks, which opened in 2001. MilkWorks added a location in Omaha, NE in 2015.
She served as MilkWorks’ Medical Director, practicing breastfeeding medicine exclusively from 2001-2014, and 2018-present. While living in Kansas City, KS in (2014-2018), she joined the IABLE to serve on the board of directors, as a trainer, and to help with the development of educational material. She has also served on the Board of Directors of the Academy of Breastfeeding Medicine. She is the inaugural secretary for the North American Board of Breastfeeding and Lactation Medicine (nabblm.org)
Conflicts of Interest
None