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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 breastfeeding management of the infant in the Neonatal Intensive Care Unit (NICU).
Objectives
- Explain how human milk feeding in the NICU reduces the risk of short-and long-term morbidities in premature infants
- Describe 3 ways to help a NICU parent protect their milk production
Topic Outline
- Steps to promote breastfeeding and institutional practices to support lactation while an infant is in the NICU
- Risks of formula feeding for the premature infant
- Benefits of colostrum
- Comparison of mother’s own milk vs. donor human milk vs. formula feeding
- Differences between mother’s own milk and donor milk
- Changes to donor milk composition through pasteurization or sterilization process
- Prenatal consult
- Counselling in the immediate postpartum period
- Colostrum for oral immune therapy
- Changes to the composition of milk when frozen
- Methods of feeding human milk to the NICU infant
- Transitioning premature infants to direct breastfeeding
- Target milk production volumes
- Preparation for hospital discharge to home
Accreditation
CMEs: The AAFP has reviewed Breastfeeding Management of the NICU Infant 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
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