Download Going to The Heart of Lactation Practice November 3, 2016, 15th

Going to The Heart of
Lactation Practice
November 3, 2016, 15th Annual Conference
CONFERENCE 8:30-09:45 OPENING SESSION
8:30 AM – 09:45 AM
Alexander Valley Room I&II
Mother’s Speak Out: Top Five Traits of a Great LC
Presenter: Lisa Marasco
What makes for a great LC? Find out what real mothers had to say about what
was most important and impressive to them! Great insights for improving
effectiveness and clinical outcomes.
CONFERENCE 09:45 – 11:00 PRESENTATIONS
09:45 AM - 11:00 AM
Alexander Valley Room I&II
Getting a Better Grip on Prolactin
Presenter: Lisa Marasco
Prolactin is considered to be a key hormone for lactation, yet our knoweldge
has been surprisingly sparse. It is necessary for pubertal and pregnancy
mammary development as well as milk synthesis. While prolactin level does not
correlate directly to milk production, lactation fails without it. This talk will take a
closer look at current research and what we do and do not yet understand
about prolactin. We will then examine specific cases and discuss the process of
elimination, as well as possible strategies for affected mothers.
09:45 AM - 11:00 AM
Facilitating State Control in Non-Latching Infants
Dry Creek Room
Going to The Heart of
Lactation Practice
Presenter: Catherine Watson Genna
Maintaining neurobehavioral organization in dyads that are struggling with
latching difficulties is a challenge for lactation professionals. Maternal
interpretations of infant behavior and signs of frustration can affect her
motivation to breastfeed and available psychosocial resources. This
presentation explores how lactation consultants can scaffold maternal
functioning by providing support, interpreting and framing normal infant
behaviors, and modeling and teaching ways to scaffold the infant’s
organization to improve the dyad’s ability to work through breastfeeding
difficulties.
CONFERENCE 11:15-12:30 PRESENTATIONS
11:15 AM – 12:30 PM
Alexander Valley Room I&II
Breastfeeding on the Insulin Dysregulation Spectrum
Presenter: Lisa Marasco
Insulin is part of the Lactogenic Complex and Lactogenesis 2 cannot start
without it. Until recently, however, we did not understand its role well. Emerging
research is starting to shed light on specific roles for insulin in both pregnancy
breast development as well as milk synthesis. Discover the how and why
diabetes and insulin resistance can cause lactation problems, and what
treatments may be helpful for affected mothers.
11:15 AM – 12:30 PM
Dry Creek Room
Breastfeeding Babies with Torticollis
Presenter: Catherine Watson Genna
Many infants with unilateral breast refusal and asymmetrical tongue movements
have a tight neck muscle from their intrauterine position. This presentation
Going to The Heart of
Lactation Practice
discusses torticollis and related craniofacial asymmetries and the effect on
breastfeeding, as well as creative ways to position babies at the breast and
support normal feeding.
CONFERENCE 1:30-3:00 PRESENTATIONS
1:30-3:00 PM
Alexander Valley Room L&II
Why Can’t That Baby Latch? How Tongue and Lip Mobility Restriction Can Affect
Breastfeeding
Presenter: Lisa Marasco
Successful lactation depends in part on a baby’s ability to latch and draw milk
from the breast in an effective and efficient manner. When baby isn’t able to do
his job, everyone suffers. Tongue and lip mobility restriction can both overtly and
subtly impact baby’s suck, yet this problem is rarely picked up by most health
care providers. Anterior tongue-tie is easiest to identify, but restrictions involving
the posterior tongue or the lip can be equally devastating and yet are almost
unknown. This talks covers the role of the tongue and lips in sucking and red
flags for tongue mobility restriction. Each variation of problem is illustrated by
multiple photos and video clips, and optional cases describe presentation,
treatment and outcome.
1:30 PM – 3:00 PM
Dry Creek Room
How Milk is Made: Implications for LC Practice
Presenter: Catherine Watson Genna
The control of milk synthesis depends on a complex interaction of autocrine and
endocrine factors. The contributions of these two systems are continually being
clarified by research. This presentation explains the two systems, their
interactions, and what this means for the advice we give to mothers. Should an
engorged mother pump? How do we best help a mother increase milk supply?
How do we control oversupply without increasing the risk of mastitis? The
scientific background is clearly delineated in understandable language, and
these quandaries discussed.
Going to The Heart of
Lactation Practice
CONFERENCE 3:30-5:00 PRESENTATION
3:30 PM-5:00 PM
Alexander Valley Room L&II
What About Next Time? Planning for the Next Baby
Presenter: Lisa Marasco
When a mother has struggled with chronic low milk production, sooner or later
she begins to wonder about the next baby. Will this happen to me again? Is
there anything I can do to increase my chance of more success the next time
around? Should I even try breastfeeding again? Research suggests that mothers
often do better with subsequent babies, but not all mothers wish to wait
passively on the roll of the dice. For those who desire to be proactive, there
often are concrete clues that can help paint a prognosis and lend guidance to
future plans. This session will look at various scenarios of low milk supply and
analyze potential variables that might be influenced in the future. Specific cases
with varying outcomes will be presented, along with discussion on counseling
challenges and helping mothers find emotional balance in the process.
3:30 PM-5:00PM
Dry Creek Room
Red Flags of Breastfeeding
Presenter: Catherine Watson Genna
Some conditions require further scrutiny and referral to a health care
professional. This presentation uses clinical photographs to illustrate signs of
insufficient milk intake, cardiac and respiratory problems, and tongue-tie in
infants; as well as signs of breast cancer or risk factors for insufficient milk
production in mothers.