Advancing Human Milk & Breastfeeding Practices in the NICU Lecture Pack
Human milk and breast/chestfeeding are of critical importance for premature and medically fragile infants. Research in recent years has greatly enhanced knowledge of immunoprotective and immunomodulating properties of human milk. This package focuses on nutritional and medicinal aspects of human milk, along with the practicalities of pumping and handling milk and at breast/chest feeding in the NICU.
Important: Please note that this package is available on the GOLD Learning CE website and was previously offered alongside the 2022 GOLD Neonatal, GOLD Midwifery Online Conferences. It was also offered as "NICU Babies: Advancing Human Milk and Breastfeeding Practices Lecture Pack" alongside the 2023 GOLD Lactation Online Conference. If you have previously purchased and viewed this series of lectures, you will not be able to claim another accreditation certificate again.
*Only those registering for the main conference, or have registered for the main conference will have the ability to purchase this lecture pack. You will have the opportunity to purchase this add-on at the time of conference registration, or anytime afterwards (during the time of the conference).
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Speakers & Presentations
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MS, CCC-SLP, BCS-S, IBCLC, CNTBiography Topic Info
Amber Valentine is a Speech-Language Pathologist who graduated from the University of Kentucky with her MS in Communication Disorders. She is a Board Certified Specialist in Swallowing and Swallowing Disorders and an International Board Certified Lactation Consultant, as well as a Certified Neonatal Therapist (CNT). She worked for Baptist Health Systems, Inc for 8 years before moving to Florida where she worked for Wolfsons Children’s Hospital and Mayo Florida. She is now back in Kentucky working for Baptist Health Lexington. She has experience in adults and pediatrics with feeding and swallowing difficulties including: bedside swallow evaluations, Modified Barium Swallow studies, FEES, and pediatric feeding evaluations including NICU. She has experience with head and neck cancer patient including evaluation and treatment of swallowing difficulties, PMV use, and voice after total laryngectomy including TEP. She has provided guest lectures for the University of Kentucky, Eastern Kentucky University, and the University of Louisville on feeding and swallowing topics. She has presented at the hospital, local, state, national, and international levels on pediatric feeding/swallowing and breastfeeding.
Abstract:View Full Presentation InformationFeeding is the most complex task of infancy, even in term babies with no complications. There are many diagnoses, conditions, syndromes, and co-morbidities that can impact feeding in neonates and infants. This talk will briefly highlight many of those, but we will focus on three specific populations of interest –Cleft lip and palate, Infants of Diabetic Mothers, and Down Syndrome. We will discuss the specific implications these conditions can have on feeding, why these infants may have difficulty, and the classic symptoms one could expect to see. The differences between delayed and disordered feeding will also be addressed. Strategies and adaptions for both breast and bottle feeding will be discussed. Positioning, nipple flow rate, and external strategies will be explained. Case studies will be shared at the end of the presentation.
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MD, IBCLCBiography Topic Info
Dr Fayrouz Essawy is a pediatrician, neonatologist and neonatology consultant. She obtained her Bachelor of Medicine and Surgery from Cairo university, Egypt in 2004 and her Masters degree of Pediatrics from Ain shams University in 2012. She gained Egyptian neonatology fellowship in 2015, and also became a Lactation Consultant (IBCLC) in the same year. Dr Essawy specializes in Breastfeeding Medicine and is also a Baby friendly coordinator. In 2020 she completed the Harvard Graduate of Training trainee program. Dr Essawy is also a member of various associations including: Egyptian Society of Pediatrics, Egyptian Lactation Consultant Association (ELCA), Academy of Breastfeeding Medicine (ABM) and the International Lactation Consultant Association (ILCA).
Abstract:View Full Presentation InformationThe feeding of breast milk during the NICU admission reduces the risk of short-and long-term morbidities especially in premature infants. Breastmilk provides immunological, anti-infective, anti-inflammatory, epigenetic, and mucosal membrane protecting properties. The mechanisms by which human milk provides its protection are varied. These mechanisms include immunological and specific unique human milk components that are not present in formula. Thus, the feeding of mother’s own breastmilk should be a NICU priority and every NICU should have a breastmilk storage and handling policy. In this presentation we will discuss how we can counsel parents about the infection control measures and guidelines related to storage, handling and administration of breastmilk to babies in the NICU. Learn more about hospital grade pumps, pumping at home vs pumping in hospital setting, prevention and management of potential mistakes such as giving a child another mother’s milk and how to handle and store fortified breastmilk.
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MHS, IBCLC, RLC, CCEBiography Topic Info
Jeanette Mesite Frem, MHS, IBCLC, RLC, CCE is an experienced childbirth educator, IBCLC-lactation consultant and retired birth doula. She started her career working with families while serving as a Peace Corps Volunteer in Côte d'Ivoire, West Africa in the early 90s. She loved that work so much she went on to receive a public health masters degree from Johns Hopkins School of Public Health, focusing her studies on nutrition for maternal and child health. Her two children were breastfed for more than 2 years each and Jeanette has experience pumping at work for both children and has supported more than a thousand families with feeding and pumping over the last 20 years.
Jeanette provides prenatal childbirth and breastfeeding classes at her office in Northborough, Massachusetts, as well as providing virtual and office feeding consultations. She also enjoys leading workshops for perinatal health professionals and mentoring those who work with families. If you have questions, feel free to email [email protected].Abstract:View Full Presentation InformationPerinatal professionals in hospitals have great influence over how much human milk a baby receives, as well as how encouraged parents feel related to pumping and initiating and maintaining their milk production and eventually meeting their infant feeding goals. When hospital staff help with pumping in the early hours, days, and weeks of a new and fragile baby’s life—especially when at breast, chest or body feeding isn’t possible—getting that professional support is likely to make a difference in the long-term health of that child as well as the health of their parent. Healthcare providers can facilitate milk collection and provision of it to babies and support parents with specific and updated guidance on pump choices, pump usage, flange fit and milk storage. Those who work in hospitals with families can make an important positive impact on long-term breastfeeding and human-milk feeding rates. This session will cover 12 simple ways (including the what, why, how, when and where of pumping) that healthcare providers can support parents who pump for their hospitalized baby.
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MD, IBCLCBiography Topic Info
Mariana Colmenares Castaño was born in Mexico City, and from an early age she was fascinated by animals and nature. She studied medicine at the National University of Mexico (UNAM), and found her passion as a pediatrician doing her residency at the National Pediatric Institute. With the birth of her first child, Mariana witnessed the lack of knowledge and commitment with breastfeeding and nutrition within the medical profession. This was her impetus to specialize in breastfeeding medicine. Certified as a Lactation Consultant (IBCLC) in 2011 by the International Board of Lactation Consultant Examiners (IBLCE), she is currently a member of the International Lactation Consultant Association, the Academy of Breastfeeding Medicine and a proud founding member of the National Lactation Consultant Association of Mexico (ACCLAM), where she served on the Board of Directors as Education Coordinator (2014-2019). Regional coordinator for the Academy of Breastfeeding Medicine for the Región of LATAM (2018 to date) and an in coming board member 2019-2022. As part of her continuing professional training she studied at the International Breastfeeding Clinic, in Toronto CA.
Mariana is a member of the team for Breastfeeding Country Index BFCI, a project from Yale University and Universidad Iberoamericana whose goal is to develop an evidence base metric that can help decision-makers to understand the current status to elevate breastfeeding programs and increase breastfeeding rates. A frequent speaker at national and international conferences (plenary speaker at ILCA 2018), she has published numerous articles and co-authored a chapter for the National Academy of Medicine. To contribute to a medical profession better prepared to support breastfeeding, she teaches medical students at the National University of México and serves as a consultant for the National Health Institute and UNICEF.Abstract:View Full Presentation InformationBreastmilk must be the food for every human on earth. During the last decades we have been learning much more about the immunoprotective and immunomodulating properties of human milk, specifically colostrum. With advancements in neonatal care, we also have new challenges. As health care professionals it is an ethical responsibility to protect and promote breastfeeding practices for every family. Oral colostrum care is the use of own mother's colostrum in the cheeks and mouth of the baby not for a feeding purpose. It is an opportunity to initiate an immunological intervention in small or sick babies, allowing interaction of immunological properties with the linfoid tissue, promoting and improving microbiome and immune response. The mother and the family can also benefit from this intervention improving and enhancing integral participation and prevalence of breastfeeding in the long term.
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MD, IBCLC, FAAP, FABMBiography Topic Info
After 37 years as an attending neonatologist and 18 years as medical director of lactation services, Nancy retired from clinical practice 2019. She graduated from medical school and did her training in pediatrics at the University of North Carolina, Chapel Hill. She did her fellowships in Neonatal-Perinatal Medicine and ECMO at UCSD Medical Center in San Diego. She has been a board-certified lactation consultant since 1988. Nancy co-founded the San Diego County Breastfeeding Coalition in 1994. She was the Breastfeeding Coordinator for AAP CA Chapter 3 from 1992 until 2020, Board Member of HMBANA 2015-2019 and established the first Donor Milk Depot in San Diego over 25 years ago. Nancy is a past president of the Academy of Breastfeeding Medicine. She wrote, and continues to update, the very first ABM Protocol on Hypoglycemia and Breastfeeding. In 2014 Nancy was awarded the Golden Wave Award by the California Breastfeeding Coalition for her efforts to reduce obstacles to breastfeeding in California, and the WIC Breastfeeding Champion Award in 2017. She received AAP Special Achievement Awards in 1997 and 2021 for her breastfeeding education and promotion efforts.
On a personal note, she is the mother of a (formerly breastfed) archaeology student and lives in San Diego, CA, with her significant other, their dog, Darwin, and a beautiful view of the ocean.Abstract:View Full Presentation InformationIn the neonatal period, low birth weight, preterm, and ill infants, regardless of gestational age, have greater nutritional needs than at any other time in their lives. Without the last trimester, the preterm infant faces the most demanding growth period with a nutritional deficit. For any NICU infant, the stress of medical conditions may contribute to increased nutrient needs. Human milk is a complex fluid that simultaneously provides nutrients and bioactive components that facilitate the adaptive, functional changes required for the optimal transition from intrauterine to extrauterine life. We will discuss the goals and methods of providing appropriate nutrition for NICU infants to promote optimal short- and long-term outcomes.
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MD, FRCP(C)Biography Topic Info
Dr. Unger is a neonatologist at Sinai Health in Toronto, Canada. She is the medical director of the Roger Hixon Ontario Human Milk Bank and a professor of pediatrics at the University of Toronto. She is a co-primary investigator for the Canadian Institutes of Health Research funded MaxiMoM: Maximizing Mother’s own Milk Program of research. Dr Unger graduated from medical school at Dalhousie University on the east coast of Canada. She is the proud mother of three teenage daughters.
Abstract:View Full Presentation InformationAlthough human milk confers important health promotion benefits to all infants, vulnerable babies admitted to an NICU stand to benefit even more. Their parents are typically strongly motivated to provide their own milk, although for a variety of reasons, such as parental ill health and stress (often complicated by the pandemic), parents may not have a full volume of their own milk. In this case, donor milk is the recommended supplement to bridge until parent’s milk is available. There is strong research evidence to support the use of human donor milk in preterm infants to prevent necrotizing enterocolitis, while there is less available evidence for the use of donor milk in late preterm infants. There are important differences between parent’s milk and donor milk with respect to their nutrient and non-nutrient components which may be secondary to processing techniques used in creating batches of donor milk. It is important to understand these differences and be able to interpret nutritional labelling on donor milk. Newer techniques in pasteurization may address some of the losses of bioactive molecules in human milk.
Educational Credits
This Add-on Lecture Pack offers 6 hours of continuing education and is approved for 6 CME Prescribed Credits & 6 L CERPs. Nurse Contact Hours are applied for.
Advancing Human Milk & Breastfeeding Practices in the NICU Add-on Purchase Details
Registration: Early Bird Registration is open. Register early & save!
Presentations: Start viewing from June 4 - August 30. (Until Sept. 20, 2024 for GOLD Annual Members)
Important Note: Please note that this package is available on the GOLD Learning CE website and was previously offered alongside the 2022 and 2023 GOLD Neonatal Online Conferences. It was also offered as "NICU Babies: Advancing Human Milk and Breastfeeding Practices Lecture Pack" alongside the 2023 GOLD Lactation Online Conference. If you have previously purchased and viewed this series of lectures, you will not be able to claim another accreditation certificate again.
Individual Advancing Human Milk & Breastfeeding Practices in the NICU Add-on to Main Conference |
Group Advancing Human Milk & Breastfeeding Practices in the NICU Add-on to Main Conference (per person) |
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| Early Bird | Regular | Early Bird | Regular | |
| ACountry Category | $90 | $110 | $80 | $100 |
| BCountry Category | $40 | $50 | $30 | $40 |
| C & DCountry Category | $20 | $25 | $15 | $20 |
| What is my Country Category?All Prices in $USD |
RegisterIndividual + Addon | RegisterGroup + Addon | ||
Add-on Purchase Details
- Group Registration: Pricing above is per person. Group rates for the Advancing Human Milk & Breastfeeding Practices in the NICU Add-on Lecture Pack will be offered to members at the time of Main Conference Registration Only. As long as you have a group of 5+ members when you register for GOLD Neonatal Conference, your members will have the option to purchase the add-on. Not all group members are required to purchase the add-on to qualify for group discount pricing. Groups members may choose to purchase the add-on after their conference registration however they will be charged the individual rate at that time.
Registering for the add-on is easy! You will be prompted to select this add-on package when registering for GOLD Neonatal, selecting 'yes' if you wish to avail yourself of this special education. Log in details to access the lecture pack will be the same as when accessing GOLD Neonatal, during the same dates as the main conference.
Should you have any questions about this special package, please contact the Conference Manager through our contact form
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If your computer does not pass the Technology Test it is not advisable to register until the possible problem is resolved. Click here for more information or contact us for technical support at [email protected].Registration Categories
As an international conference, we are sensitive to the fact that not all countries are economically equal. As breastfeeding advocates we recognise that people in these countries generally have the most need for this information and limited resources, which is why in addition to our standard registration options, this year we are offering a special registration fee for residents from countries that fall in Cat. B, C & D. The Categories are based of the World Bank Data. Please view our Reduced Rate Terms. Proof of residency maybe required.
Category A:
Andorra, Anguilla, Australia, Austria, Bahamas, Bahrain, Barbados, Belgium, Bermuda, Brunei, Canada, Cayman Islands, Chile, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Greece, Germany, Hong Kong, Hungary, Iceland, Ireland, Israel, Italy, Japan, Kuwait, Liechtenstein, Luxembourg, Macao, Malta, Monaco, Netherlands, New Zealand, Norway, Oman, Poland, Portugal, Qatar, San Marino, Saudi Arabia, Singapore, Slovakia, Slovenia, South Korea, Spain, Sweden, Switzerland, Taiwan, Trinidad and Tobago, United Arab Emirates, United Kingdom, United States of America. TOP
Category B:
Albania, Algeria, American Samoa, Antigua and Barbuda, Argentina, Azerbaijan, Belarus, Belize, Bosnia and Herzegovina, Botswana, Brazil, Bulgaria, China, Colombia, Costa Rica, Cuba, Curaçao, Dominica, Dominican Republic, Ecuador, Ecuador, Fiji, Grenada, Guatemala, Iran, Jamaica, Jordan, Kazakhstan, Kiribati, Latvia, Lebanon, Libya, Lithuania, FYR Macedonia, Malaysia, Maldives, Mauritius, Mexico, Montenegro, Palau, Peru, Puerto Rico, Romania, Russia, Serbia, Seychelles, South Africa, St. Kitts and Nevis, St. Lucia, St. Vincent & the Grenadines, Thailand, Turkey, Uruguay, Venezuela. TOP
Category C:
Angola, Armenia, Bhutan, Bolivia, Cape Verde, Côte d'Ivoire, Djibouti, East Timor, Egypt, El Salvador, Gabon, Georgia, Ghana, Guyana, Honduras, India, Indonesia, Iraq, Marshall Islands, Micronesia, Moldova, Mongolia, Morocco, Namibia, Nigeria, Pakistan, Panama, Paraguay, Philippines, Samoa, Sri Lanka, Suriname, Swaziland, Timor-Leste, Tunisia, Turkmenistan, Tuvalu, Ukraine, Uzbekistan, Vietnam. TOP
Category D:
Afghanistan, Bangladesh, Benin, Burkina Faso, Burundi, Cambodia, Cameroon, Central African Rep., Chad,Comoros, Democratic Republic of Congo, Equatorial Guinea, Eritrea, Ethiopia, Gambia, Guinea, Guinea-Bissau, Haiti,Kenya, Kyrgyz Republic, Lesotho, Liberia, Madagascar, Malawi, Mali, Mauritania, Mozambique, Myanmar, Nauru, Nepal, Nicaragua, Niger, North Korea, Papua New Guinea, Rwanda, Sao Tomé and Principe, Senegal, Sierra Leone, Solomon Islands, Somalia, South Sudan, Sudan, Syrian Arab Republic, Tajikistan, Tanzania, Togo, Tonga, Uganda, Vanuatu, Yemen, Zambia, Zimbabwe. TOP
Dr. Speakers Full Name
Speaker Credentials
Annet Mulder first became interested in breastfeeding in the year 2000, when she became a mother for the first time. During and because of her own breastfeeding experiences, in 2002 she became a volunteer with the Dutch breastfeeding Organization and in 2008 sat for and passed the exam administered by the International Board of Lactation Consultant Examiners. As an International Board Certified Lactation Consultant, she now
Annet Mulder first became interested in breastfeeding in the year 2000, when she became a mother for the first time. During and because of her own breastfeeding experiences, in 2002 she became a volunteer with the Dutch breastfeeding Organization text text text text more name mulder first became interested in breastfeeding in the year 2000, when she became.
Dr. Speakers Full Name
Speaker Credentials