Deciding when & how often to express human milk in the immediate postpartum period for mothers and infants at risk of breastfeeding challenges

2 modules


Course Length
60 mins

Medela Global Education



In this webinar we discuss maternal-neonatal risk factors where expression of human milk should be implemented in the first 3 days of life to support an optimal milk supply.

This program has been approved for 1.0 contact hours; provider approved by the California Board of Registered Nursing, CEP 13692.



Darlene Silver, MSN, RN, IBCLC

For over 30 years, Darlene’s career has primarily focused on the care of women, infants and children, as well as nursing education with a commitment to working in underserved communities. She currently works as the lead lactation consultant in the Women’s Services Department at the George Washington University Hospital. She provides direct patient care. She also educates newly hired nurses, lactation consultant interns and medical students on the care and management of breastfeeding dyads and human lactation. In addition, she participates in multidisciplinary committees and workgroups to revise and develop evidence-based protocols and policies.

Darlene has served on the Board of Directors for three non-profit organizations. Two focusing on increasing the number of students from underserved communities to pursue careers in nursing, medicine, healthcare and STEM professions, and one providing community based residential care and services to individuals and families with long-term mental health challenges in Prince George’s County. She fervently believes in community service and regularly volunteers in community based activities sponsored by local, state and national organizations dedicated to health and wellness.


Upon completion of this program, the participant will be able to:

  • Identify dyads where initiation of expression would be beneficial within the first hour of life.
  • Identify dyads where initiation of expression would be beneficial in the first 1-3 days postpartum.
  • Identify maternal prenatal, intrapartum risk factors, and infant risk factors that the healthcare team should consider in the first few days postpartum.
  • Apply timely interventions to support mothers effectively initiate and build milk production, to establish  breastfeeding alongside expression in at-risk women and infants.


By completing/passing this course, you will attain the certificate Certificate Deciding when & how often to express human milk

Learning Credits

Deciding when & how often to express human milk in the immediate postpartum period
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