USLCA’s Virtual Conference Session Recordings Overview
USLCA is proud to provide a variety of education resources.
ABM Mastitis Spectrum Protocol Update With Katrina Mitchell, MD, IBCLC, PMH-C
In this presentation, Dr. Mitchell will review the pathophysiologic spectrum of inflammatory conditions affecting the lactating breast in the mastitis spectrum. Starting with the discussion of hyperlactation (“oversupply”) and will transition into exploring non-infectious and infectious mastitis, and abscess development in the setting of massage and untreated hyperlactation. This presentation will also detail the identification and treatment of galactocele and lactational phlegmon. The goal is for lactation care providers to identify when these conditions may be presenting in a patient they are evaluating, and to understand when to refer patients to a medical provider for further intervention and care. Finally, this presentation will review risk factors for these conditions and how lactation care providers, within their scope of practice, can help prevent progression of complications. These include techniques such as gentle lymphatic drainage and other supportive measures such as reducing excessive pumping that will be reviewed.
67 minutes
1 L CERP/Nursing CE
Becoming An Early Bird Expert: Late Preterm Dyads Need You! With Christine Staricka, BS, IBCLC, RLC, CE, FILCA
When a baby is born at 32 weeks, everyone understands and expects that there will be challenges to lactation and breastfeeding/chest feeding, and a support network mobilizes. Where is the support network for the dyad that includes a 36-week baby?
Late preterm dyads need intensive and continuous support, often far exceeding the capacity of hospital postpartum staff and outpatient lactation settings. Access to a lactation expert on Early Birds, babies born between 34+0 and 36+6 weeks gestation, can mean the difference between robust & faltering milk production, a baby who fails to gain weight early or one who grows well right from the start, a parent whose feeding goals are attainable or which are slipping away as the first weeks pass. This session
will bring you up to speed on exactly what techniques & counseling will best support these dyads in your practice.
67 minutes –
1 R CERP/Nursing CE
Discarding the Pump and Dump: Perioperative Care of the Lactating Surgical Patient With Kara M. Barnett, MD, FASA
Despite the growing body of evidence on the compatibility of lactation after receiving anesthesia, sedation, or analgesia,lactating surgical patients are often still misinformed by their health care team to pump and discard for an unnecessary and
arbitrary period of time. Misinformation and lack of perioperative lactation support may lead to increased patient stress, decreased milk supply, mastitis, or unintentional weaning. This comprehensive talk will cover all aspects of the perioperative care of the lactating patient including preoperative counseling and education, intraoperative anesthetic management, and postoperative strategies to maintain and protect lactation. However, there are indications or reasons to wean when lactating patients may not be able to continue their breastfeeding/chestfeeding feeding journey. Other highlights will include the basics of the various types of anesthesia, actual case studies, role plays, and available evidenced based resources and references for both patients and the health care team.
90 minutes
1.5 L CERP/Nursing CE
Finding Common Ground: Using a Standardized Tool to Facilitate Better Communication When Assessing Oral Functionality with Kristen Rosin, IBCLC
The term “tongue-tied” has unfortunately become a polarizing phrase in the infant feeding world with definitions varying widely depending on training and specialization. As lactation care providers, our skills in assessing an infant’s oral range
of motion, is critical to assisting in feeding interventions and helping advocate for appropriate care. This presentation aims to demonstrate that by adopting a standardized tool our team has been able to comprehensively explain to parents the dimensions of the assessment, while earning the trust and respect of our community pediatricians and neonatologists by using objective terminology and a tool that is replicable. Using a standardized tool and universally accepted language also helps to communicate better within a peer team, allowing multiple practitioners to work together with a family to reach their feeding goals.
53 minutes
1 R CERP/Nursing CE
High Risk and Lactation: What are we missing? With Nastassia Davis, DNP, RN, IBCLC
This presentation will explore various high risk pregnancy complications including preeclampsia and cardiovascular conditions and the intersection of how they impact the lactating dyad. This session will also discuss what the early warning signs are so that lactation care providers can better assist in identification and treatment.
77 minutes
1 R CERP/Nursing CE
Lactation, lab values, and what they mean with Marsha Walker, RN, IBCLC
Laboratory values during lactation can be a helpful assessment tool when working with issues such as insufficient milk production, overproduction, delayed lactogenesis II, acute and chronic health conditions, non-binary lactation, adoptivenursing, and puzzling infant symptomatology. Labs can be drawn for many hormones or nutrients such as prolactin, thyroid hormones, estrogen, progesterone, testosterone, iron, vitamin B12, zinc, A1C, and vitamin D. Values can also be studied in
human milk. While there are published normal ranges for the above, ranges during lactation differ and can be inconsistent between laboratories and depending on which types of tests are used. One value outside the range of normal does not provide a complete picture of what may be causing a problem. Lab values can also be influenced by nursing patterns, diet, medications, health status, and metabolic status. This presentation will explore lab values related to lactation, what they could mean, and
potential suggested interventions.
60 minutes
1 R CERP/Nursing CEs
“May The Fourth Be With You!” Fourth Trimester Care with Rowena D. Pingul-Ravano, MD, FAAFP and Margaret Judge, RN, BSN, LCCE, CLC
“May The 4th Be With You” will be presenting the evidence behind the impact of Centering Pregnancy in the 4th trimester care in decreasing pre-term birth and increasing breastfeeding/chestfeeding initiation rates, and how we can bridge the perinatal care
disparity gap through this innovative Centering Pregnancy model of care. We will also discuss the impact of the triad effect (of a physician, an OB nurse and a doula) on lactating parents. 60 minutes
60 minutes
1 R CERP/Nursing CEs
Patient Empowerment and Shared Decision Making in the Post-Partum Space With Alisha Liggett, MD
Final Day – Conference Plenary
During pregnancy, birth, and beyond, many patients experience difficulties navigating our very complex and confusing healthcare system. This can leave them vulnerable, feeling frustrated or anxious during an already stressful time, and prevent them from seeking the help or guidance they really need. These struggling parents may not be prepared to effectively advocate for their family’s needs. This presentation, taught by Dr. Liggett, a family medicine physician, will focus on health equity and reproductive justice sharing tools to help lactation care providers guide the families in their care and those in their community to feel more confident and empowered during this critical time
120 minutes
2 E CERP/Nursing CEs
Practice, Preach and Advocate! How to Champion Laws and Policies that Support Lactation and Health Equity with Ellen Maughan, JD, IBCLC
Parents who feed human milk to their babies face numerous barriers, not only in the healthcare system, but in communities, workplaces, childcare, schools, businesses, insurance coverage and more. While optimal supportive care is key to improving
lactation outcomes, ensuring the development and implementation of equitable systems, policies and laws is also essential to creating a culture that normalizes breastfeeding, chestfeeding and human milk feeding. This presentation will explore why
lactation advocacy is an essential call to action for every lactation care provider. This session will also furnish attendees the tools and resources they need to commence meaningful lactation advocacy at the local, state and national levels to create
lasting changes to far-reaching policies that support human milk feeding.
53 minutes
1 E CERP/Nursing CE
Social Media for Lactation Professionals: How to Make it Ethical, Inclusive and Engaging with Candace Baracat-Donovan, CLC
More than ever, parents are turning to social media for information about lactation, but misinformation is everywhere. It’s also challenging to figure out what to say, how to say it, and how to make the time for social media content while supporting parents.
Let’s go beyond the basics of just setting up a social media account and focus on strategies for creating ethical, inclusive and engaging content. Learn how to become a trusted voice in the social media space and brand yourself as a lactation care providers
while being inclusive and welcoming for all types of families. This presentation will share social media best practices, give tips and tricks, and do a real-time social media audit of two volunteers from the audience. You’ll leave this fun and inspiring session ready to educate and inform across social media platforms, while still meeting the highest professional and ethical standards.
40 minutes
1 R CERP/Nursing CEs
Strategies for supporting the bottle-refusing baby with Susan Howard, MSN, RN, IBCLC
Not all babies easily accept a bottle despite early introduction and paced feeding. Lactation care providers can be excellent resources for families experiencing bottle difficulties but many do not feel confident in supporting the bottle refusing family.
Effective bottle skills require 1) a good-fit teat compatible with the baby’s oral anatomy, 2) competent sucking skills, and 3) an informed parent/caregiver knowledgeable about bottle feeding. Lactation care providers knowledgeable in bottle feeding can offer strategies beyond the typical distractions and pressure feeding approaches that not only build skills but protect the breastfeeding/chestfeeding relationship. This program will offer a framework for building bottle skills. Practical skills for supporting bottle feeding families as well as the technical skills for improving an infant’s ability to feed at the bottle will be discussed. Novice and seasoned lactation care providers will find the content applicable to practice.
56 minutes
1 L CERP/Nursing CEs
Tongue Ties: Team work makes the dream work! with Cara Riek, DNP, RN, FNP-BC, IBCLC, DABLS
It is well understood that successful breastfeeding requires a team approach. Many issues such a tongue tie, torticollis, and birth trauma can cause an alteration in the infant’s ability to latch and coordinate a proper suck to allow for effective transfer of milk.
While clinical lactation care providers are the main provider of lactation support, these situations may also require the help of multiple disciplines to optimize support for the dyad, and it’s important to understand everyone’s unique role. Understanding the biomechanics of breastfeeding/chestfeeding and how that may be impacted by tongue tie, torticollis, or birth trauma, is necessary to provide holistic care. This talk focuses on scope of practice, team roles, and model care plans.
57 minutes
1 L CERP/Nursing CEs
Understanding Breast Pumps with Allison Tolman, LPN, IBCLC, ICCE
Learn about the different types of breast pumps, understand the basic terms and settings of a breast pump (including flange sizing), review data on suction patterns and max suction, explore the most popular pumps on the current market, and walk
through the process of evaluating a breast pump you are unfamiliar with. Goal: Become more familiar with breast pumps and be able to guide a patient in making an appropriate choice for their individual pumping needs.
62 minutes
1 L CERP/Nursing CE
The Use of Culture and Sensitivity Testing of Human Milk in the Prescence of Parental Infection With Leslie Southard, PharmD, BCACP, CBS
This presentation will discuss the current guidelines for and use of culture and sensitivity tests in the presence of parental breast/chest infection as well as the use of the results to guide treatment. In addition, specific types of infections and the typical course of treatment will be shared.
70 minutes
1 L CERP/Nursing CE
Addressing Burnout: Placing the “care” back in Caregiver. with Annette Leary, RN, BSN, IBCLC and Martha Lasley, BSN, RN, IBCLC
These past 2.5 years have us saying “F” words: Fear, fatigue, family, finances, freedom and dare we mention Frenulums? How do we find time to recharge our battery? Educate ourselves ? or Get back to socializing and collaborating with our colleagues. When do we trust the world is safe again? This has been a very difficult 2.5 plus years for many of use between our personal and family struggles, loses, gains and new adventures. The presentation will start with recognizing and identifying signs and symptoms that lead to disengagement aka burnout in our work. We will interactively process the manifestations of emotional and physical reactions threatening sustainability and then identify strategies to cope and recover. Final goal of the presentation is to have the group leave with a self directed guiding philosophy.
56 minutes –
1 R CERP/Nursing CE
Build your own staff! Lactation Tech Program with Gail Gresham, IBCLC, MPH
This presentation describes how to grow your lactation staff through innovative paid Pathway 3 IBCLC internships. This lactation tech model allows students to provide clinical lactation care for patients in the hospital and outpatient settings by performing
less complex duties, under the direct supervision of an IBCLC. This presentation will describe how to establish opportunities for aspiring IBCLCs that remove barriers to enter into the lactation field by offering a paid position for those without previous perinatal experience or licenses. This session will also discuss peer-to-peer review and support groups as a way to learn from each other and keep your whole team all on the same page through empowerment.
53 minutes
1 R CERP/Nursing CE
Early Insights into Human Milk Analysis with Laura Serke, IBCLC, RD, CSPCC, LD
The FDA has recently approved human milk analyzers for use in healthcare settings. While this is very exciting, it also brings up a lot of questions. When should we sample? How do we sample to minimize interference with breastfeeding/chestfeeding? What
do these results mean? With words like “high and low” and “good and bad” circulating in healthcare, we need to be especially careful with our messaging surrounding human milk analysis results. This session will take a deep dive into understanding the
normal physiologic ranges of human milk in terms of energy, fat, protein, and carbohydrate as well as look at case studies and discuss interventions.
60 minutes
1 L CERP/Nursing CE
Inducing and Supporting Lactation in Trans Parents With Bryna Hayden, IBCLC
This talk covers the ins & outs of lactation induction in trans clients. Trans lactation induction is an area that is needing more evidentiary support than is currently available in literature. This speaker will share clinical experiences and discuss the merits
of each currently available protocol as they apply to different hormonal profiles as well as client considerations and goals.
65 minutes
1 L CERP/Nursing CE
Jaundice, Health Literacy & Lactation with Sekeita Lewis-Johnson, DNP, FNP-BC, IBCLC
Jaundice occurs in over 60 percent of full-term infants. Strategies for preventing or minimizing jaundice include early initiation and frequent breastfeeding/chestfeeding. Oftentimes, formula is recommended as “medical” supplementation without proper assessment, informed consent, explanation of jaundice, or protection of breastfeeding/chestfeeding. Additionally, families are discharged home without continuity of lactation support often leading to thwarted feeding goals. It is imperative that clinicians recognize and adhere to evidence-informed guidelines related to newborn jaundice; take proper precautions to minimize unnecessary formula supplementation; assess health literacy and provide guidance accordingly; and provide individualized discharge plans for continuity of lactation support while managing newborn jaundice.
53 minutes
1 L CERP/Nursing CE
Lactation Support for Clients with Larger Breasts/Chests: With Megan Dunn, BS, IBCLC
Lactating parents with larger breasts/chest face practical challenges with breastfeeding/chestfeeding including physical discomfort and lack of products designed for their morphology. Alongside these practical challenges, families also must contend with the psychological dilemmas resulting from body shaming and hypersexualizing messages from the media and culture. Some parents must also grapple with comorbidities associated with larger breast/chest morphology. As lactation care providers a lack of research exists to offer evidence-based guidelines, protocols, or recommendations for these parents. This presentation addresses all these concerns in addition to providing recommendations for pragmatic functional solutions, addressing provider bias and assumptions, and teaches skills for body acceptance within a trauma informed care model.
65 minutes
1 L CERP/Nursing CE
Microbiome Support for the Breastfeeding/ Chestfeeding Dyad With Megan Dunn, BS, IBCLC
The billions of unicellular organisms that form a symbiotic relationship with our bodies provide essential functions that regulate,modulate, and maintain homeostasis. The microbiome has an essential role in prompting a proper immune response, adequate
nutrition status, managing inflammatory status, supporting mental health, and many more functions which are required for good health. Dysbiotic conditions during the perinatal period are common and impact the parental and infant feeding relationship. In this presentation, participants will learn about the functions of the microbiome as it relates to lactation and infant health as well as the consequences of dysbiosis and its impact on lactation and infant feeding. Additionally, participants will learn how to address dysbiotic conditions within their profession’s scope. This presentation provides clinically applicable information and recommendations that participants can apply when providing lactation education and developing care plans.
58 minutes
1 L CERP/Nursing CE
Neurodivergence and Lactation: QuickStart Guide to Support with Genny Stiller, RN, MSN, IBCLC, C-NLS
As lactation care providers we are extremely adept at customizing care for our clients based on their specific needs and unique situations. Existing lactation education is robust and comprehensive, however it doesn’t include support of the neurodivergent parent. This presentation will cover the basics for delivering neurodivergent-affirming supportive care from where you’re at right now.
75 minutes –
1 L CERP/Nursing CE
On The Move: Advancing IBCLC Expertise in Human Movement as Related to Breastfeeding/Chestfeeding with Allyson Wessells, PT, IBCLC
Knowledge of neuroanatomy, reflexes, and biomechanics as related to breastfeeding/chestfeeding is essential to IBCLCcompetency. This presentation will define breastfeeding/chestfeeding in terms of posture, movement, and reflexive function.
Strategies provided will include methods to identify and treat impairments that impede movement essential to breastfeeding/chestfeeding success. New research on how participation in infant movement group classes facilitated maternal confidence in
breastfeeding/chestfeeding will be reviewed. Presented by an IBCLC who is also a physical therapist, this presentation explores how breastfeeding/chestfeeding should be considered a first movement milestone fostered through interactive tummy time at the most basic and often effective level, and in need of more definition as such across the healthcare continuum. While alerting other healthcare professionals to this definition can help improve support for it, IBCLCs should be the clinical expert in its assessment and treatment as a foundation to collaboratively solving more complex movement impairments that challenge breastfeeding success.
59 minutes
1 L CERP/Nursing CE
The Restricted Mouth: Assessment of Infant Oral Anatomy With BreAnne Marcucci, ARNP, FNP-C, IBCLC
This presentation will focus on assessment of infant oral anatomy with a special focus on infant oral restriction including tongue and lip ties (ankyloglossia & restricted maxillary labial frenum). We will review when infant oral exam is appropriate, examination techniques, useful and proven assessment tools, clinical descriptive language and how to translate this to interventions and/orreferrals that support the dyad. This presentation will include pictures, recordings, and case scenarios to help the learner and is aimed at empowering clinical lactation care providers to perform accurate and thorough infant oral exams when indicated.
90 minutes
1.5 L CERP/Nursing CE
Supporting Families and Babies with Food Allergies with Meghan McMillin, MS, RDN, IBCLC
Though the overall risk of the development of food allergies in infants remains very low, prevalence has been increasing. With that increase, we are also seeing more concerns for food allergies in the exclusively breast/chest fed infant. This
presentation aims to educate on the different types of food allergies (IgE mediated vs non- IgEmediated) and their symptoms commonly seen in a breast/chest fed infant. We’ll review the current feeding recommendations for an infant that presents with
food allergies including maternal elimination diets. This presentation will also explore the role of the lactation care provider in managing food allergies and supporting our families that face this challenging situation.
58 minutes
1 L CERP/Nursing CE
Structural support for ideal nutrition in preterm infants with Claire Eden, IBCLC, Licensed Lactation Consultant
Parents of hospitalized neonates face specific barriers to establishing lactation and providing their milk. Donor human milk(DHM) is the appropriate nutrition for high-risk infants when the supply of the parent’s own milk is insufficient. Financial
burden, policy differences, and limited education all contribute to inequitable access to both parent’s milk and DHM, which can be lifesaving to vulnerable neonates. The American Academy of Pediatrics and the US Surgeon General have called for an investigation into the barriers preventing the use of DHM and for changes to public policy to improve availability and afford ability. We will review barriers to the provision of human milk (both parent’s own and DHM) and strategies to address them, including advocating for Medicaid reimbursement for medically indicated DHM.
54 minutes
1 R CERP/Nursing CE
Talk to Me Nice: The Importance of Inclusive and Affirmative Language in Lactation With Iya Mystique Faodugun, MS, CFSD, CBE, CLE, CBS
This “no cookie-cutter” workshop centers on informing and educating the importance of being inclusive and affirmative in lactation support. “Talk to Me Nice” creates the learning space for the lactation care provider to dive deeper into the importance of checking, correcting, and collecting problematic narratives that cause harm to marginalized communities, such as LGBTQ+individuals. Participants will be informed about the harmful practices that are presented daily in perinatal health care while serving LGBTQ+individuals who are in need of safe and uplifting spaces. Participants will learn skills to dismantle and transform their practice for more inclusive and affirmative support.
60 minutes
1 R CERP/Nursing CE
You have a great idea, now what? How to publish your work with Angela Lober, PhD, RNC, IBCLC
Research is vital to improving practice and furthering lactation science. This session seeks to demystify the process from idea to journal publication. Many practitioners have wonderful ideas that need to be shared with the lactation community. The speaker
will review how to partner with researchers, write a proposal, conduct a study, draft a manuscript, and submit for publication.
47 minutes
1 R CERP/Nursing CE