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This is the second module from the anatomy and physiology of the lactating breast series. Evidence based care, established from an understanding of the basic principles of lactation and mammary gland function is imperative to improve breastfeeding rates and subsequently the health and wellbeing of breastfeeding women, infants’, and their families. This lesson is part of the anatomy and physiology of the lactating breast series and aims to understand the physiological breast changes from neonate to the end of pregnancy, focusing on breast growth during pregnancy known as secretory differentiation. This series aims to develop an understanding of the anatomy and physiology of the lactating breast to drive timely and effective secretory activation to establish a copious milk supply through lactation best practices. This course is CPD (Continuing Professional Development) certified.  Read more

Medela’s Breastfeeding & Lactation Symposium 2023 featured a world-class agenda for healthcare professionals keen to learn about the latest scientific evidence in the field of human milk and lactation towards improving the quality of lactation care and infant feeding. International speakers provided most recent advances in the topics of lactation as a biological system, research in the mother-breast milk-infant “triad” and initiation of lactation best practice in the neonatal unit and Maternity Ward as well as focused on the need of prioritizing own mother’s milk and collecting standardized metrics to improve infant outcomes in the neonatal unit. This program has been approved for 2.0 contact hours; provider approved by the California Board of Registered Nursing, CEP 13692. This course is CPD (Continuing Professional Development) certified.  Read more

Black women and birthing people have the lowest rate of breastfeeding in the United States than in regions of Africa, the Caribbean, and Latin America. There is a stereotypical belief among healthcare workers that Black women do not want to breastfeed, with an ensuing lackluster attempt to support them in their feeding choices and remove barriers to ensure success. Let's have a candid conversation and change the narrative. This program has been approved for 1.0 contact hours; provider approved by the California Board of Registered Nursing, CEP 13692.   Presenters Rose L. Horton, MSM, RNC-OB, NEA-BC, FAAN.png Rose L. Horton, MSM, RNC-OB, NEA-BC, FAAN is the Founder & CEO of NotOnMyWatch Consulting Partners, an LLC she created 3 years after coining the hashtag #notonmywatch. She created the hashtag out of her frustration at the rising rate of maternal & infant morbidity and mortality. As a nurse, she believed that nurses, as the largest healthcare employee contingent, have the power to change the trajectory of morbidity and mortality. The hashtag is a call to action for all nurses to use their collective voices to support, listen to, advocate for, and follow evidence-based practices in caring for all birthing people. Rose is a Women & Infant healthcare executive leader working as a Specialty Director at Emory Decatur Hospital. She is passionate about safe and equitable care for all women. Rose speaks on the topic of Maternal & Infant Mortality, Resilience, Joy diversity, equity, and inclusion (DEI) locally, regionally, and nationally. She is leading a DEI Health & Wellness committee at her hospital. Rose served as the 2012 President of the Association of Women’s Health Obstetrics & Neonatal Nursing (AWHONN), a 25,000-nurse member association that is pivotal in creating, supporting, legislating, and researching best practices and evidence-based care of women and newborns. Read more

Embedded in this approach is evidence that the mammary gland undergoes essential programming during the first two weeks postpartum, which can be measured with biomarkers, and is essential to long-term mothers’ own milk (MOM) provision. Clinical strategies that target the early postpartum period will be highlighted, including species-specific mammary gland stimulation, monitoring of MOM biomarkers of secretory activation and assessment of coming to volume. Additionally, the distinction between impaired secretory differentiation and delayed/impaired secretory activation in this population will be discussed, with application to NICU mothers who have multiple inflammation-based morbidities that increase the risk for lactation problems. This program has been approved for 1.0 contact hours; provider approved by the California Board of Registered Nursing, CEP 13692.   Presenter Paula Meier PhD, RN Paula Meier, PhD, RN, is a Professor of Paediatrics and Nursing at Rush University Medical Center in Chicago. Dr. Meier has worked as a practitioner, researcher, and educator in the area of human milk, lactation and breastfeeding for premature infants and their mothers since 1975. Dr. Meier's lifetime research focus has been on the improvement of initiation and maintenance of lactation in breast pump-dependent mothers of NICU infants, and in the development and testing of clinical techniques to optimize the impact of human milk on health and cost outcomes in NICU infants. Most recently, she is the recipient of the 2022 Macy-Gyorgy Award from ISRHML, a biennial award that recognizes outstanding lifetime research contributions to human milk, lactation and breastfeeding. Read more

Breastfeeding provides immense health benefits for both infants and mothers. It is also acknowledged as a key strategy to improve public health; yet our exclusive breastfeeding rates remain suboptimal. In this course, we will discuss prenatal colostrum expression and collection as an intervention that has the potential to enhance breastfeeding outcomes. This program has been approved for 1.0 contact hours; provider approved by the California Board of Registered Nursing, CEP 13692.   Presenter Staci Gallman, RN, BSN, IBCLC Staci Gallman, a registered nurse and international board certified lactation consultant, began her career 11 years ago and has dedicated most of her profession to maternity and lactation specific care. She has been in nursing leadership since 2017 where she currently manages an inpatient and outpatient lactation program, prenatal education program and oversees the Baby Friendly designation at a level III hospital in South Carolina. Staci is involved with many local and statewide maternity and lactation specific initiatives and coalitions. Her experience, both professionally and personally birthed her deep passion surrounding the importance of prenatal preparedness for breastfeeding success. Staci believes that we do not have a problem with mothers desiring to breastfeed, but that our problem lies in mothers not being properly equipped as they step into their breastfeeding journeys for sustainability. This is validated through nationwide data confirming >80% initiation vs 25% sustained exclusivity at 6 months and >60% of mothers reporting their breastfeeding journeys ended sooner than they had planned. Staci believes that proper prenatal education and equipping mothers with tools in their toolkits will lead to the empowerment and self-efficacy of mothers that is demanded if we truly seek to improve breastfeeding outcomes. Staci’s current passion project is deeply rooted in the research, advocacy, safety, efficacy and outcomes of prenatal colostrum expression, collection, storage and feeding as an effort to enhance breastfeeding goals in the early days and to help more babies receive colostrum for the very best start in life. Read more

Übersicht Häufigkeit von Diabetes in Deutschland Stillverhalten bei Frauen mit/ohne Diabetes Aktuelle Empfehlungen zur Stilldauer Zusammenhang zwischen Typ 1 Diabetes und Gestationsdiabetes auf den BMI des Kindes Stillen und die kindliche Gesundheit Stillen und mütterliche Gesundheit S3-Leitlinie Gestationsdiabetes mellitus (GDM) Unterstützung des Stillmanagements   Referentin Dr. rer. nat. Daniela Much, Ökotrophologin (M.Sc.) Still- und Laktationsberaterin IBCLC Scientific Affairs Medela Europa Read more