VII. Clinical Skills Webinar Package

‘Faltering Weight’ is used to describe a baby whose weight gain is less than expected, and in 2017 NICE Guidance was produced to provide evidence-based information and recommendations for those working with the weight faltering babies. This presentation seeks to provide information and resources on supporting the families of breastfed babies who are weight faltering and explores some case studies for discussion.

Following the presentation, participants will be able to:

• Identify thresholds for concern with babies’ weights
• Understand the evidence base around weight faltering infants
• Know how to support families to manage faltering weight in breastfed babies

IBLCE Content Outline: 1 L Cerp (I, II, III, VII)

• I Development & Nutrition
• II Physiology and Endocrinology
• III Pathology
• VII Clinical Skills

This presentation will focus on improving your clinical skills during your lactation consultations to enable you to get the best outcomes for your clients/patients. There will be a focus on improving your history-taking and examination skills. This presentation will address some common conditions of the breastfeeding dyad and highlight red flags to watch out for. Finally, the presentation will cover formulating a management plan and making appropriate referrals.

Following the presentation, participants will be able to:

• Gain skills in taking a lactation history
• Perform a relevant examination of mother, of baby and of the breastfeed
• Improve their ability to formulate a management plan, including making appropriate referrals.

IBLCE Content Outline: 1 L Cerp (I, III, IV, V, VI, VII)

• I Development and nutrition
• III Pathology
• IV Pharmacology and Toxicology
• V Psychology, Sociology & Anthropology
• VI Techniques
• VII Clinical Skills

Breast pain is one of the major causes of weaning. The likelihood of weaning increases the longer pain persists. Engorgement, plugged ducts, and mastitis are commonly associated with acute breast pain. Therapeutic Breast Massage in Lactation (TBML) is one of the important measures to resolve pain quickly. The purpose of this presentation is to enhance knowledge of TBML techniques for relieving discomfort caused by engorgement, plugged ducts and mastitis in lactating women and learn how to empower breastfeeding mothers to use these techniques as well.

After this presentation participants will be able to:

• Describe how breast massage is used by different cultures to help with problems such as engorgement, plugged ducts, and mastitis          
• Identify causes of and treatment options for acute breast pain                   
• Demonstrate how hand expression and Therapeutic Breast Massage in Lactation (TBML) can assist in management of engorgement, plugged ducts and mastitis     
• Explain how to teach TBML techniques to breastfeeding parent

IBLCE Content Outline: 1.5 L Cerp (III, V, VI, VII)

• III Pathology
• V Psychology, Sociology & Anthropology
• VI Techniques
• VII Clinical Skills

Communication is an essential skill for healthcare professionals. Motivational Interviewing has been proven to be one of the best models for encouraging self-directed learning and effect long term change. This talk explains how to effectively use principles and the spirit of Motivational Interviewing to help guide decisions and support Participant-Centered Learning. There is a focus on educating while respecting the autonomy of the client.

Following the presentation, participants will be able to:

• Define Motivational Interviewing
• Describe the Spirit of Motivational Interviewing
• List the Principles of Motivational Interviewing
• List the Tasks of Motivational Interviewing

IBLCE Content Outline: (VII)

• VII Clinical Skills

Most cis-women can exclusively breastfeed. However, a small cohort are unable to produce enough milk to exclusively breastfeed due to having primary low milk supply (PLMS). Recent qualitative studies have found that having breastfeeding difficulties and in particular, PLMS, can have significant implications for mothers’ mental health and well-being in the postpartum period. Research has also revealed that this cohort struggles to find information about PLMS and that they tend to be dissatisfied with the breastfeeding and lactation support they receive from healthcare professionals and others. This presentation will explore the phenomenon of PLMS  - causes, prevalence, and recent research, and challenges faced by parents who experience it. Practical approaches to supporting this cohort will be outlined, with an emphasis on providing manageable, practical care plans that support lactation, psychological well-being, maternal mental health and the mother-baby relationship. The presentation will also address the emotional and social impacts on mothers of being unable to breastfeed exclusively in the way that they had hoped and the embodied nature of what it is to be a woman whose body cannot make sufficient milk. The importance of skilled and individualized breastfeeding support for parents with PLMS will be highlighted and specific areas for improving the support provided to women with PLMS will be illuminated.

IBLCE Content Outline (I, II, III, IV, V, VI, VII)

        I. Development & Nutrition
        II. Physiology & Endocrinology
        III. Pathology
        IV. Pharmacology & Toxicology
        V. Psychology, Sociology & Anthropology
        VI. Techniques
        VII. Clinical Skills