ADVANCED PRACTICE

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 Oral Ties – Identifying the problem (1.0 L CERPs)

 Infant oral anatomy can vary and common genetic concerns such as ankyloglossia and   variations on restrictions within the oral cavity can cause disruption to the dyad. This session will discuss incidence and identification of any variation from normal,

identify subsequent adaptions and/or compensations to feeding and discuss specific and relevant management strategies. 

 IBLCE Disciplines, I A,B, III A,B, VII D 

Taking the lactation history (1.0 E CERPs)

    Identify elements of the medical and social situation to include in a history, observe and record a breastfeed to create a baseline for observing and recording changes resulting from interventions and record findings from physical examination and observation of the infant and mother.

 IBLCE Disciplines V, VII B 

Breastfeeding Challenges Specific to Oral Restrictions (1.0 E CERPs)

    Many infants with oral ties experience breastfeeding challenges. This session will offer an overview of the common challenges of breastfeeding, pain, supply/growth concerns, mastitis, explore simple strategies to support breastfeeding and overcome difficulties and briefly discuss the prudent use of lactation aids. 

 IBLCE Disciplines  III A,B, V I, VI A,C,D,E VII B   

Oral Ties – Effective Management (1.5 L CERPs)

      This session will describe and discuss the various tools and methods of releasing frenula and identify the functional desired outcome and the impact on the infant. 

Discuss strategies to support maintenance of breastfeeding before and after any intervention, describe what parents need to know, including potential risks, 

and discuss facilitating decision-making. 

 IBLCE Disciplines  III A,B, VII B,D      

Oral ties and non-breastfed infants (0.5 L CERPs)

  Discuss the impact of oral ties on non-breastfed infants. Explore strategies to support these dyads before, during and after interventions to treat oral ties. 

 IBLCE Disciplines  III A,B, VI, VII A,B,D

 An Overview of Breastfeeding Challenges (0.5 E CERPs)

    Many infants with oral ties experience breastfeeding challenges. This session will offer an overview of the common challenges of breastfeeding, pain, supply/growth concerns, mastitis, explore simple strategies to support breastfeeding and overcome difficulties and briefly discuss the prudent use of lactation aids.       

 IBLCE Disciplines  III A,B, VI, VII A,B,D

Managing Milk Supply (1.0 LCERPs)

     This session will characterise the elements of adequate milk supply at different stages of lactation, discuss strategies to determine if milk supply is normal, compromised  or overabundant and discuss strategies to manage concerns 

about milk supply.    

 IBLCE Disciplines, I A,B, II A,B, IV, V, VI, VII A,B,D         

 Using Galactagogues Effectively   (0.5 L CERPs)

 This session will describe both prescribed and non-prescribed galactagogues and

identify when and how to use prescribed galactagogues such as domperidone. 

 IBLCE Disciplines, IV

Nipple Pain and Damage  (1.0 L CERPs)  

 This session will discuss the various types of nipple pain and their causes, including mechanical trauma, discuss infections and possible treatments, and explore practical strategies to support the breastfeeding mother and the decision to limit time at the breast. Then the merit of available lactation aids/treatments will be discussed and medical conditions that may contribute to nipple pain will be reviewed. 

       IBLCE Disciplines, III B, IV, V, VI, VII A,B,D   

 Medication for pain and damage (0.5 L CERPs)  

      This session will describe the available prescribed and non-prescribed topical and systemic treatment of nipple infections and identify when, if, and how to use prescribed and unprescribed topical preparations. 

 IBLCE Disciplines, IV,VII A,B,D   

  Use of infant feeding/lactation aids  (1.0 L CERPs)          

This session will discuss how to determine if an aid is required, how to safely use aids,

calculate a volume guide, how to choose the right tool.

IBLCE Disciplines, VII A,

Lumps and blockages (0.75 L CERPs)

This session will explore duct blockages, breast lumps and white spots and practical management strategies and discuss when and if to seek medical assistance 

or blockages.  

   IBLCE Disciplines, III B, VII A,B,D   

  Mastitis and Abscess (0.75 E CERPs)

    This session will differentiate between infective and non-infective mastitis and identify non-medical management strategies as well as knowing when to seek medical assistance. Then current prescribing recommendations for mastitis will be discussed followed by a discussion on the characteristics of an abscess, including diagnosis, treatment and referral pathways for abscess. 

    IBLCE Disciplines, III B, VII A,B,D        

Relactation/Induced  Lactation (1.5 L CERPs) 

Dinner session with special guest and induced lactation expert, Dr Lenore Goldfarb. 

With  an understanding of how breastfeeding works, the principles of induced and 

re-lactation can be described and demystified. This session will discuss the  varying situations when this might be useful and introduce strategies and resources. 

Exploring re-lactation and induced lactation solidifies the robust nature of   breastfeeding and challenges the commercially constructed belief that breastfeeding is fragile. Confidence in breastfeeding is an essential skill for all health workers.