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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 fortification of human milk.
Objectives
- Describe indications to fortify human milk for NICU patients
- Explain indications for fortification of human milk at the time of NICU discharge
- Outline a strategy to wean from human milk fortification in the outpatient setting
Topic Outline
- Definition of fortification
- Indications for fortification
- Fortification while in the NICU
- Developing a discharge feeding plan
- Biochemical and growth monitoring for premature infants after hospital discharge
- Types of fortification
- Lactation considerations with suboptimal nutritional status
- Growth charts and outpatient growth monitoring
- Discontinuing fortification
- Risks of fortification
- Metabolic consequences of continued fortification.
Accreditation
CMEs: The AAFP has reviewed Fortification of Human Milk and deemed it acceptable for up to 0.75 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 0.75(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
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. She is the founder and president of the Institute for the Advancement of Breastfeeding and Lactation Education.
Dr. Stephanie Attarian is an Associate Professor of Clinical Pediatrics at Vanderbilt University Medical Center in Nashville, Tennessee where she practices Neonatology and Breastfeeding and Lactation Medicine. After attending medical school at the University of Tennessee Health Science Center, she completed training in Pediatrics and Neonatal/ Perinatal Medicine at Washington University in St. Louis, MO. During her fellowship training, she observed the gap in evidence-based support for lactating mothers of NICU infants which inspired her to become an International Board-Certified Lactation Consultant®, fellow of the Academy of Breastfeeding Medicine, and educator for the Institute for the Advancement of Breastfeeding and Lactation Education (IABLE). Dr. Attarian now focuses her academic work on neonatal nutrition and is working to improve breast milk utilization rates, specifically mother’s own milk, in the Neonatal Intensive Care Unit.
Conflicts of Interest
None