AGENDA
As in years past, we will submit paperwork to have Nursing Contact Hours through the Wisconsin Nurses Association.
We have applied for CERPs through IBLCE for all sessions except "Navigating the Path to IBCLC." The maximum available CERPs for the day is 6.25.
Friday, April 17, 2020
7:30–8:30 a.m.: Registration, Breakfast, and Exhibitors
8:30–10:00 a.m.: General Session 1, Room 135
Breastfeeding the Late Preterm Infant, Marsha Walker
This offering reviews the vulnerabilities of the late preterm infant (34-37 weeks) and offers specific guidelines for breastfeeding these babies and protecting the mother’s milk supply.
10:00–10:15 a.m.: Break
10:15–11:45 a.m.: General Session 2, Room 135
Exclusive Pumping: Pros, Cons, and Considerations, Marsha Walker
Approximately 85% of mothers have expressed milk sometime since their infant was born. About 5.6% of these mothers exclusively pump their milk. There are many reasons for this and a number of unanswered questions regarding the practice–do the same health advantages accrue to the exclusively pumping mother compared with a parent that directly breastfeeds (reduction in reproductive cancers, type II diabetes, myocardial infarction, metabolic syndrome)? Are there different health outcomes for the infant? Is pumped milk equivalent to milk directly fed from the breast? Expressed milk can be exposed to nutrient degradation through handling, storing, and even altered depending on which bottle-feeding system is used. Bacterial richness is lower in pumped milk which can alter the infant gut microbiome. Milk lypolysis can occur during storage causing an off odor and rancid flavor. Breastmilk components communicate the time of day to infants through a process called chrononutrition and may not be circadian matched. Milk pumped during the day is different than milk pumped at night. This presentation will explore the many nuances of expressed breastmilk, breast pumps, pumping more effectively, typical problems and possible interventions. Recommendations will be provided for a healthy, successful experience.
11:45 a.m.–12:45 p.m.: Lunch, Exhibitors Open
12:45–1:45 p.m.: Breakout Sessions
Option 1, Room 135AC:
Nipple Shields: Useful or Useless?, Marsha Walker
Nipple shields have been used for hundreds of years by mothers to capture leaking milk or manage sore nipples. More recently they have been used as a tool to achieve latch and milk transfer in infants having difficulty with these tasks. Controversy surrounds the use of this tool as there are both pros and cons regarding their use and desired and undesired outcomes. The newborn mouth is a sensitive area with specialized cells tasked with oral tactile recognition. Nipple shields can provide a platform for easier latch and milk transfer in situations of low oral vacuum, upper airway alterations, oral anomalies, and a host of other conditions. However, a rigid nipple shield has the potential to be recognized as a decoy or substitute for the soft pliable breast, can mask the olfactory orientation to the breast, and can act as a super stimulus during a critical period of time when breast recognition is taking place. This presentation will explore the concepts of imprinting, super stimulus, critical periods of time, the development of a conscious mouth image, alterations of the suck central pattern generator, as well as the small amount of research on the use of nipple shields and their effect on breastfeeding.
Option 2, Room 135BD:
Navigating the Path to IBCLC, Jessica Underwood and Jayme Jo Ebert
This session will provide participants an opportunity to learn about the process of becoming an International Board Certified Lactation Consultant (IBCLC). This presentation will explore the three pathways toward IBCLC certification, the requirements within each pathway, and frequently asked questions. Participants will have an opportunity to ask questions about the process.
2:00–3:00 p.m.: Breakout Sessions
Option 1, Room 135AC:
Nipple Confusion: Yes, No, Maybe, Marsha Walker
Ambiguity exists regarding the term “nipple confusion.” Various definitions have been put forth to describe an infant’s difficulty with latching or feeding at breast following exposure to artificial nipples. Conflicting recommendations may further cloud the topic, as the World Health Organization recommends that no artificial nipples be given to neonates while the American Academy of Pediatrics recommends the use of pacifiers as a method to prevent sudden infant death. Sucking at the breast requires a different mouth conformation than does sucking on an artificial nipple. Once exposed to an artificial nipple, some neonates experience a preference for the artificial nipple, refusing the breast or demonstrating difficulty in attachment to the maternal breast. This presentation will explore definitions and evidence for and against this phenomenon, discuss whether nipple confusion is a cause or result of breastfeeding difficulties, examine the differences between the properties of the human nipple/areola and the artificial nipple, discuss the concept of imprinting, and strategize interventions that may provide remedies for infants with latching and feeding difficulties following expose to artificial nipples.
Option 2, Room 135BD:
Signs and Symptoms of Perinatal Mood and Anxiety Disorders and How to Help, Jess Helle-Morrissey
Perinatal Mood and Anxiety Disorders (PMADs) are the most common complication of pregnancy and childbirth. In this session, you’ll learn the signs and symptoms of perinatal and postpartum depression, anxiety, OCD as well as what to do when you suspect someone you’re working with or know personally is suffering.
3:00–3:15 p.m.: Break, Exhibitors Open
3:15–4:30 p.m.: General Session 3, Room 135
Delayed Lactogenesis II: The Waiting Game, Marsha Walker
Delayed lactogenesis II can be the source of much anxiety and frustration along with early formula supplementation and eventual early abandonment of breastfeeding. A number of risk factors influence the delay in milk coming in that include cesarean delivery, primiparity, obesity, preterm delivery, retained placenta, polycystic ovarian syndrome, prenatal SSRIs, and diabetes. Assessment and interventions for both clinicians and mothers will be discussed.
4:30 p.m.: Day Concludes. Turn in CERP/Contact Hour forms and evaluations.
As in years past, we will submit paperwork to have Nursing Contact Hours through the Wisconsin Nurses Association.
We have applied for CERPs through IBLCE for all sessions except "Navigating the Path to IBCLC." The maximum available CERPs for the day is 6.25.
Friday, April 17, 2020
7:30–8:30 a.m.: Registration, Breakfast, and Exhibitors
8:30–10:00 a.m.: General Session 1, Room 135
Breastfeeding the Late Preterm Infant, Marsha Walker
This offering reviews the vulnerabilities of the late preterm infant (34-37 weeks) and offers specific guidelines for breastfeeding these babies and protecting the mother’s milk supply.
10:00–10:15 a.m.: Break
10:15–11:45 a.m.: General Session 2, Room 135
Exclusive Pumping: Pros, Cons, and Considerations, Marsha Walker
Approximately 85% of mothers have expressed milk sometime since their infant was born. About 5.6% of these mothers exclusively pump their milk. There are many reasons for this and a number of unanswered questions regarding the practice–do the same health advantages accrue to the exclusively pumping mother compared with a parent that directly breastfeeds (reduction in reproductive cancers, type II diabetes, myocardial infarction, metabolic syndrome)? Are there different health outcomes for the infant? Is pumped milk equivalent to milk directly fed from the breast? Expressed milk can be exposed to nutrient degradation through handling, storing, and even altered depending on which bottle-feeding system is used. Bacterial richness is lower in pumped milk which can alter the infant gut microbiome. Milk lypolysis can occur during storage causing an off odor and rancid flavor. Breastmilk components communicate the time of day to infants through a process called chrononutrition and may not be circadian matched. Milk pumped during the day is different than milk pumped at night. This presentation will explore the many nuances of expressed breastmilk, breast pumps, pumping more effectively, typical problems and possible interventions. Recommendations will be provided for a healthy, successful experience.
11:45 a.m.–12:45 p.m.: Lunch, Exhibitors Open
12:45–1:45 p.m.: Breakout Sessions
Option 1, Room 135AC:
Nipple Shields: Useful or Useless?, Marsha Walker
Nipple shields have been used for hundreds of years by mothers to capture leaking milk or manage sore nipples. More recently they have been used as a tool to achieve latch and milk transfer in infants having difficulty with these tasks. Controversy surrounds the use of this tool as there are both pros and cons regarding their use and desired and undesired outcomes. The newborn mouth is a sensitive area with specialized cells tasked with oral tactile recognition. Nipple shields can provide a platform for easier latch and milk transfer in situations of low oral vacuum, upper airway alterations, oral anomalies, and a host of other conditions. However, a rigid nipple shield has the potential to be recognized as a decoy or substitute for the soft pliable breast, can mask the olfactory orientation to the breast, and can act as a super stimulus during a critical period of time when breast recognition is taking place. This presentation will explore the concepts of imprinting, super stimulus, critical periods of time, the development of a conscious mouth image, alterations of the suck central pattern generator, as well as the small amount of research on the use of nipple shields and their effect on breastfeeding.
Option 2, Room 135BD:
Navigating the Path to IBCLC, Jessica Underwood and Jayme Jo Ebert
This session will provide participants an opportunity to learn about the process of becoming an International Board Certified Lactation Consultant (IBCLC). This presentation will explore the three pathways toward IBCLC certification, the requirements within each pathway, and frequently asked questions. Participants will have an opportunity to ask questions about the process.
2:00–3:00 p.m.: Breakout Sessions
Option 1, Room 135AC:
Nipple Confusion: Yes, No, Maybe, Marsha Walker
Ambiguity exists regarding the term “nipple confusion.” Various definitions have been put forth to describe an infant’s difficulty with latching or feeding at breast following exposure to artificial nipples. Conflicting recommendations may further cloud the topic, as the World Health Organization recommends that no artificial nipples be given to neonates while the American Academy of Pediatrics recommends the use of pacifiers as a method to prevent sudden infant death. Sucking at the breast requires a different mouth conformation than does sucking on an artificial nipple. Once exposed to an artificial nipple, some neonates experience a preference for the artificial nipple, refusing the breast or demonstrating difficulty in attachment to the maternal breast. This presentation will explore definitions and evidence for and against this phenomenon, discuss whether nipple confusion is a cause or result of breastfeeding difficulties, examine the differences between the properties of the human nipple/areola and the artificial nipple, discuss the concept of imprinting, and strategize interventions that may provide remedies for infants with latching and feeding difficulties following expose to artificial nipples.
Option 2, Room 135BD:
Signs and Symptoms of Perinatal Mood and Anxiety Disorders and How to Help, Jess Helle-Morrissey
Perinatal Mood and Anxiety Disorders (PMADs) are the most common complication of pregnancy and childbirth. In this session, you’ll learn the signs and symptoms of perinatal and postpartum depression, anxiety, OCD as well as what to do when you suspect someone you’re working with or know personally is suffering.
3:00–3:15 p.m.: Break, Exhibitors Open
3:15–4:30 p.m.: General Session 3, Room 135
Delayed Lactogenesis II: The Waiting Game, Marsha Walker
Delayed lactogenesis II can be the source of much anxiety and frustration along with early formula supplementation and eventual early abandonment of breastfeeding. A number of risk factors influence the delay in milk coming in that include cesarean delivery, primiparity, obesity, preterm delivery, retained placenta, polycystic ovarian syndrome, prenatal SSRIs, and diabetes. Assessment and interventions for both clinicians and mothers will be discussed.
4:30 p.m.: Day Concludes. Turn in CERP/Contact Hour forms and evaluations.