Autonomy and informed consent are core principles in the ethics of health care. We expect physicians and other health care providers to share relevant information about the risks and benefits of different treatment options, so that the patient can make a decision that aligns with her values and preferences. In infant feeding, these discussions are complicated both by aggressive marketing of infant formula and by the dual role of many breastfeeding support workers as both health care providers and breastfeeding advocates. Moreover, to what extent does "informed consent" require disclosure of rare, serious adverse outcomes, such as contamination of infant formula or accidental starvation of breastfed infants? Does "informed consent" require providers recommending Domperidone as a galactogogue to disclose that the United States Food and Drug Administration has warned that this drug should not be used in breastfeeding women due to safety concerns? And what information should providers prescribing hormonal contraception share with women about potential impact on milk supply?
Participants will explore the issues of autonomy and informed consent in relation to specific, commonly discussed, topics in the post-partum period.
Participants will be able to explain how the concept of shared decision-making might be implemented in infant feeding counselling.
Many studies in the field of breastfeeding and lactation have been challenged when published, simply because their findings are, at best, incorrect. Proper definitions, project design and industry conflict of interest are important factors, and these can be critiqued and challenged at the ethical review stage. Research ethics institutions protect the rights, safety, dignity, and well-being of research participants, and also have a duty to ensure ‘good’ research. Conducting poor research is unethical. In this presentation, Zainab walks us through the process of ethical review of research protocols, and how to effectively, and ethically, analyse published studies in our field.
After this presentation participants will be able to:
This revealing talk shows the marketing tactics of formula companies and how the producers effectively use propaganda, generalizations and advertising to convince the general public that their product is equal to breastmilk. Many examples and pictures are shown, captivating the visual learners.
After this presentation, participants will be able to:
- List ingredients in breastmilk compared to artificial milk
- Read formula literature and packaging and identify misleading information
- Distinguish marketing tactics exclusively for new moms and breastfeeding moms
- Determine the best marketing tactics for breastfeeding
Dr Alison Stuebe
Dr. Alison Stuebe is Associate Professor of Maternal Fetal Medicine at the University of North Carolina (UNC) School of Medicine. She has published multiple peer-reviewed articles on the association between lactation and long-term maternal health outcomes. Her current research includes the clinical management of breastfeeding difficulties and the role of oxytocin in women’s health. In the clinical arena she serves as Medical Director of Lactation Services for UNC Healthcare, where she leads an interdisciplinary team of UNC clinicians that is developing new approaches to management of breastfeeding difficulties. Dr. Stuebe is a member of the American College of Obstetrics and Gynecology Committee on Obstetric Practice, chairs the External Communications Committee of the Society for Maternal-Fetal Medicine, and is a member of the board of the Academy of Breastfeeding Medicine. She has been American Board of Obstetrics and Gynecology certified since 2010.
Zainab studied medical ethics & law at the Imperial College London. She is a biomedical ethicist, independent researcher and campaigner. She published the first peer-reviewed study looking specifically at breastfeeding/nursing aversion and agitation in 2017. She is the leading international expert in Aversion, and has recently published the only book on the topic with specialist publishers Pinter & Martin, London. She has helped thousands of women and families through her free structured support course and peer-to-peer support group online. Zainab is a breastfeeding peer supporter with the NHS and a breastfeeding advocate and infant feeding research ethics expert for ethical committees in the UK.
Christy Jo Hendricks
Christy Jo Hendricks, IBCLC, is an international speaker, teacher and author. She has made a career of teaching professionals and parents in ways that simplify learning and keep audiences engaged, for which she has received numerous awards. She has experience in hospital settings, public clinics, support groups and private practice. Christy Jo created an IBCLC prep course that has earned the distinction of having the highest percentage of students pass the IBLCE Exam (compared to other prep courses). Her students enjoy continued mentoring and counselling in their practice and while they prepare to sit the IBLCE Exam. She resides with her family in California where she continues to serve her community as an IBCLC, CLE, CCCE and doula. Christy Jo continues to work part time for the Department of Public Health and serves as faculty for the CAPPA CLE© and Childbirth Educator Programs.