Topics & Abstracts

This talk uses research literature and hospital policies and programs to explore ways for families of babies in the NICU to be meaningful and active members of the NICU care team. We will look at a global snapshot of prematurity; define what a team is and who is on the NICU care team; and discuss the short- and long-term goals of the NICU care team, as well as many tools and strategies that team members and the team as a whole have at their disposal to reach those goals. Can be adapted for US or global audiences.

Live Presentation Schedule Jun 8, 2020

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08-06-2020 17:00 08-06-2020 18:00 35 A Place at the Bedside: NICU Families on the NICU Team This talk uses research literature and hospital policies and programs to explore ways for families of babies in the NICU to be meaningful and active members of the NICU care team. We will look at a global snapshot of prematurity; define what a team is and who is on the NICU care team; and discuss the short- and long-term goals of the NICU care team, as well as many tools and strategies that team members and the team as a whole have at their disposal to reach those goals. Can be adapted for US or global audiences. GOLD Neonatal Online Conference false DD/MM/YYYY

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The impact of the NICU environment and toxic stress on the fragile developing brain of the premature infant can have important neurobehavioral long-term issues if they are not addressed. Development of care is an individualized and family-centered care philosophy that promotes the optimal neurological development of premature infants at the NICU. This neuroprotective trauma-informed care is supported by national (Leading practice from Accreditation Canada) and international recommendations (Institutional implementation of developmental neuroprotective care in the NICU from the CANN, CAPWH, NANN & COINN).
The goal of this educational training is to improve your theoretical knowledge and your clinical abilities in order to maximize the physical, cognitive and behavioural potential of sick term newborns or premature infants. It consists of an introduction and overview of the theoretical and scientific evidence.

Live Presentation Schedule May 26, 2020

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26-05-2020 16:00 26-05-2020 17:15 35 An Introduction to Developmental Neuroprotective Trauma-Informed Care The impact of the NICU environment and toxic stress on the fragile developing brain of the premature infant can have important neurobehavioral long-term issues if they are not addressed. Development of care is an individualized and family-centered care philosophy that promotes the optimal neurological development of premature infants at the NICU. This neuroprotective trauma-informed care is supported by national (Leading practice from Accreditation Canada) and international recommendations (Institutional implementation of developmental neuroprotective care in the NICU from the CANN, CAPWH, NANN & COINN). The goal of this educational training is to improve your theoretical knowledge and your clinical abilities in order to maximize the physical, cognitive and behavioural potential of sick term newborns or premature infants. It consists of an introduction and overview of the theoretical and scientific evidence. GOLD Neonatal Online Conference false DD/MM/YYYY

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Early- and late-onset sepsis is a significant cause of morbidity and mortality in neonates. However, prolonged antibiotic administration alters the microbiome and increases the risk of necrotizing enterocolitis, sepsis, and death in very low birth weight infants and in late preterm and term infants adverse effects include ototoxicity, nephrotoxicity, increased bacterial resistance, and unnecessary costs. Empiric antibiotic therapy for early-onset sepsis and routine Vancomycin usage for late-onset sepsis was a common practice for neonates at this neonatal intensive care unit. Also, antibiotic stewardship in early- and late-onset sepsis management in the NICU posed unique challenges due to variability in provider practices. In this presentation the Model for Improvement quality improvement methodology and three quality improvement projects with a global aim to reduce antibiotic usage will be presented.

Live Presentation Schedule Jun 1, 2020

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01-06-2020 17:00 01-06-2020 18:00 35 Antibiotic Stewardship: A Quality Improvement Story Early- and late-onset sepsis is a significant cause of morbidity and mortality in neonates. However, prolonged antibiotic administration alters the microbiome and increases the risk of necrotizing enterocolitis, sepsis, and death in very low birth weight infants and in late preterm and term infants adverse effects include ototoxicity, nephrotoxicity, increased bacterial resistance, and unnecessary costs. Empiric antibiotic therapy for early-onset sepsis and routine Vancomycin usage for late-onset sepsis was a common practice for neonates at this neonatal intensive care unit. Also, antibiotic stewardship in early- and late-onset sepsis management in the NICU posed unique challenges due to variability in provider practices. In this presentation the Model for Improvement quality improvement methodology and three quality improvement projects with a global aim to reduce antibiotic usage will be presented. GOLD Neonatal Online Conference false DD/MM/YYYY

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Our special babies present unique challenges in vascular access. This presentation will highlight different methods of vascular access in neonates and infants including anatomy, therapy and patient characteristics. This will provide baseline information regarding guidelines for proper placement of umbilical catheters, surgically-inserted, peripherally inserted central catheters (PICC), midline and peripheral intravenous catheter. This is essential to building the knowledge base of new nurses and will update advanced neonatal nurses.

Live Presentation Schedule Jun 8, 2020

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08-06-2020 19:00 08-06-2020 20:00 35 Around the World of Neonatal Vascular Access Our special babies present unique challenges in vascular access. This presentation will highlight different methods of vascular access in neonates and infants including anatomy, therapy and patient characteristics. This will provide baseline information regarding guidelines for proper placement of umbilical catheters, surgically-inserted, peripherally inserted central catheters (PICC), midline and peripheral intravenous catheter. This is essential to building the knowledge base of new nurses and will update advanced neonatal nurses. GOLD Neonatal Online Conference false DD/MM/YYYY

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Inflammatory Bowel Disease is a chronic immune-mediated disease with increasing epidemiology. IBD results from a complex relationship between genetic susceptibility, environmental factors and intestinal microbiota, resulting in a self-perpetuating abnormal mucosal immune response. Increasing epidemiological evidence suggests that early life events and childhood exposures may be important for determining the risk of IBD. One of the most important early life exposures is diet: breastfeeding (BF) or formula feeding may impact microbiome development, which in turn may modulate immune system maturation. In this presentation I will review the benefits of BF, the evidence suggesting the role of BF in IBD, the impact of BF on the developing microbiome, and debate the issues of breastfeeding in patients with IBD.

Live Presentation Schedule Jun 2, 2020

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02-06-2020 13:00 02-06-2020 14:00 35 Breastfeeding and IBD Inflammatory Bowel Disease is a chronic immune-mediated disease with increasing epidemiology. IBD results from a complex relationship between genetic susceptibility, environmental factors and intestinal microbiota, resulting in a self-perpetuating abnormal mucosal immune response. Increasing epidemiological evidence suggests that early life events and childhood exposures may be important for determining the risk of IBD. One of the most important early life exposures is diet: breastfeeding (BF) or formula feeding may impact microbiome development, which in turn may modulate immune system maturation. In this presentation I will review the benefits of BF, the evidence suggesting the role of BF in IBD, the impact of BF on the developing microbiome, and debate the issues of breastfeeding in patients with IBD. GOLD Neonatal Online Conference false DD/MM/YYYY

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Early Vocal Contact aims to enhance closeness between preterm infants and their caregivers, principally through the medium of the voice. The specific aims of this presentation are;

(1) to give evidence the special orientation that newborns have towards the maternal voice;
(2) to explore the literature on the effects of the maternal voice on preterm infants in the neonatal intensive care unit;
(3) to identify and to describe the mechanisms through which early vocal contact acts as an early, family-based intervention for preterm infants and;
(4) to suggest some final recommendations for clinical practice.

Encouraging live vocal contact, with preterm infants, far from being only a sensory/acoustical stimulation, can activate a number of related and consequential actions (intuitive parenting, multimodal co-regulation, reciprocal synchronisation). These normal actions in full-term birth are at the foundation of bonding and attachment processes and can lead to long-term and sustained positive effects on the development of preterm infants.

Live Presentation Schedule Jun 8, 2020

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08-06-2020 15:00 08-06-2020 16:00 35 Early Vocal Contact Between Parents and Preterm Infants in the Neonatal Intensive Care Unit Early Vocal Contact aims to enhance closeness between preterm infants and their caregivers, principally through the medium of the voice. The specific aims of this presentation are; (1) to give evidence the special orientation that newborns have towards the maternal voice; (2) to explore the literature on the effects of the maternal voice on preterm infants in the neonatal intensive care unit; (3) to identify and to describe the mechanisms through which early vocal contact acts as an early, family-based intervention for preterm infants and; (4) to suggest some final recommendations for clinical practice. Encouraging live vocal contact, with preterm infants, far from being only a sensory/acoustical stimulation, can activate a number of related and consequential actions (intuitive parenting, multimodal co-regulation, reciprocal synchronisation). These normal actions in full-term birth are at the foundation of bonding and attachment processes and can lead to long-term and sustained positive effects on the development of preterm infants. GOLD Neonatal Online Conference false DD/MM/YYYY

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Current methods used to identify feeding intolerance signs/symptoms in preterm infants rely heavily on nurses’ physical assessment and reporting of symptoms to the health care provider (HCP). Feeding intolerance, for the purposes of this discussion, is defined as “experiencing difficulty with the ingestion or digestion of formula or breast milk that causes a disruption in the current enteral feeding plan due to the manifestation of one or more of defined clinical symptoms including gastric residuals (>50% of feeding volume), abdominal distention, appearance of the abdomen (changes in color or suppleness), emesis and changes in the stool (minimal or lack of)” (Carter, 2012). It is critical to evaluate these assessment strategies to determine how reliable they are in identifying progression to feeding intolerance and more serious conditions such as necrotizing enterocolitis. Because the guidelines often vary by institutions, this can often be disadvantageous. However, the literature does provide some very consistent support and agreement on what is considered more reliable non-radiology measures that indicate a preterm infant is progressing to feeding intolerance. In addition, there are well known triggers for feeding intolerance that should be considered. There are also future methods, such as intra-abdominal pressure monitoring, that may be on the horizon for predicting feeding intolerance in preterm infants that are presently used in pediatric and adult populations.

Live Presentation Schedule Jun 1, 2020

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01-06-2020 19:00 01-06-2020 20:00 35 Evaluation of Assessment Strategies to Reduce Risk Associated With Feeding Intolerance Current methods used to identify feeding intolerance signs/symptoms in preterm infants rely heavily on nurses’ physical assessment and reporting of symptoms to the health care provider (HCP). Feeding intolerance, for the purposes of this discussion, is defined as “experiencing difficulty with the ingestion or digestion of formula or breast milk that causes a disruption in the current enteral feeding plan due to the manifestation of one or more of defined clinical symptoms including gastric residuals (>50% of feeding volume), abdominal distention, appearance of the abdomen (changes in color or suppleness), emesis and changes in the stool (minimal or lack of)” (Carter, 2012). It is critical to evaluate these assessment strategies to determine how reliable they are in identifying progression to feeding intolerance and more serious conditions such as necrotizing enterocolitis. Because the guidelines often vary by institutions, this can often be disadvantageous. However, the literature does provide some very consistent support and agreement on what is considered more reliable non-radiology measures that indicate a preterm infant is progressing to feeding intolerance. In addition, there are well known triggers for feeding intolerance that should be considered. There are also future methods, such as intra-abdominal pressure monitoring, that may be on the horizon for predicting feeding intolerance in preterm infants that are presently used in pediatric and adult populations. GOLD Neonatal Online Conference false DD/MM/YYYY

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A dearth of validated neonatal feeding assessment instruments are available in an era where medical teams are challenged to demonstrate the evidence base of the services that are provided to neonates. The Neonatal Feeding Assessment Scale (NFAS) was developed to identify oropharyngeal dysphagia with identification of subsequent airway invasion during feeding in neonates. This presentation will take the delegates on a journey through the landscape of evidence, the research process for developing the NFAS and how the NFAS can be used in everyday practice in the NICU to support better feeding outcomes for neonates within their family context.

Live Presentation Schedule Jun 2, 2020

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02-06-2020 15:00 02-06-2020 16:00 35 Evidence Based Assessment of Neonatal Feeding A dearth of validated neonatal feeding assessment instruments are available in an era where medical teams are challenged to demonstrate the evidence base of the services that are provided to neonates. The Neonatal Feeding Assessment Scale (NFAS) was developed to identify oropharyngeal dysphagia with identification of subsequent airway invasion during feeding in neonates. This presentation will take the delegates on a journey through the landscape of evidence, the research process for developing the NFAS and how the NFAS can be used in everyday practice in the NICU to support better feeding outcomes for neonates within their family context. GOLD Neonatal Online Conference false DD/MM/YYYY

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Between the 2000 and 2009, the use of opioids, such as heroin or prescription pain relievers, during pregnancy increased fivefold. Prenatal opioid exposure can result in newborn withdrawal symptoms often called Neonatal Abstinence Syndrome (NAS). NAS can include inconsolable crying, sleeplessness, and poor feeding. National rates of NAS have tripled since 2000. Opioid detoxification during pregnancy is not recommended and is linked to preterm labor and fetal distress. Therefore, it is recommended that pregnant women with opioid use disorder be stabilized on medication assisted treatment (MAT). However, these medications may still result in newborn withdrawal.
Treatment of NAS is typically focused on symptom management using soothing techniques and medications. Soothing techniques are non-pharmacological comfort measures and are considered the first line of care for infants with NAS. However, these techniques can be difficult to implement in a busy nursery environment. Medications may alleviate some NAS symptoms but, the use of medication is linked to a longer and more costly hospital stay and prolonged separation of mother and infant. As such, the purpose of this presentation is to explore best practices in the care of the opioid impacted mother-infant dyad with an emphasis on the important role of the biological mother.

Live Presentation Schedule Jun 15, 2020

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15-06-2020 16:00 15-06-2020 17:15 35 Therapeutic Care of the Opioid-Impacted Mother-Infant Dyad Between the 2000 and 2009, the use of opioids, such as heroin or prescription pain relievers, during pregnancy increased fivefold. Prenatal opioid exposure can result in newborn withdrawal symptoms often called Neonatal Abstinence Syndrome (NAS). NAS can include inconsolable crying, sleeplessness, and poor feeding. National rates of NAS have tripled since 2000. Opioid detoxification during pregnancy is not recommended and is linked to preterm labor and fetal distress. Therefore, it is recommended that pregnant women with opioid use disorder be stabilized on medication assisted treatment (MAT). However, these medications may still result in newborn withdrawal. Treatment of NAS is typically focused on symptom management using soothing techniques and medications. Soothing techniques are non-pharmacological comfort measures and are considered the first line of care for infants with NAS. However, these techniques can be difficult to implement in a busy nursery environment. Medications may alleviate some NAS symptoms but, the use of medication is linked to a longer and more costly hospital stay and prolonged separation of mother and infant. As such, the purpose of this presentation is to explore best practices in the care of the opioid impacted mother-infant dyad with an emphasis on the important role of the biological mother. GOLD Neonatal Online Conference false DD/MM/YYYY

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This presentation is designed to discuss the role of feeding therapy, breastfeeding, and family dynamics with infants with neonatal abstinence syndrome. These baby/family dynamics can be complex situations and feeding difficulties are extremely common. Breastfeeding education/information can be implemented prior to birth along with other education for families to promote more infant/family bonding and reduce stress of being born in substance exposure. Breastfeeding dramatically reduces stress signs in infants exposed to substances neonatally. Working together as an interdisciplinary team, we can set these families up for more successful feeding opportunities and decreased stress in developmental care.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Breastfeeding and Neonatal Abstinence Syndrome This presentation is designed to discuss the role of feeding therapy, breastfeeding, and family dynamics with infants with neonatal abstinence syndrome. These baby/family dynamics can be complex situations and feeding difficulties are extremely common. Breastfeeding education/information can be implemented prior to birth along with other education for families to promote more infant/family bonding and reduce stress of being born in substance exposure. Breastfeeding dramatically reduces stress signs in infants exposed to substances neonatally. Working together as an interdisciplinary team, we can set these families up for more successful feeding opportunities and decreased stress in developmental care. GOLD Neonatal Online Conference false DD/MM/YYYY

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Inequitable access to mother's milk often disempowers those who may benefit the most from it's' benefits. Moreover, suboptimal breastfeeding has the potential to negatively impact the health and well-being of future generations to come. Mother's own milk is internationally accepted as the most optimal source of nutrition for infants, yet breastfeeding initiation and duration rates among minority populations (i.e., women with opioid use disorders [OUDs]) continue to lag significantly behind that of the general population. The implications of the current U.S. opioid crisis and its increasing influence on women of reproductive age presents important considerations for the ways women and infants may receive inequitable access to breastfeeding and the benefits of mother's milk. In this presentation, learn the keys needed to empower lactation support providers to advocate for the use of scientific evidence that informs breastfeeding practices for women receiving MAT for OUD.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Empowering Breastfeeding in Women Receiving Medication-Assisted Treatment for Opioid Use Disorder: A Call for Policy Change Inequitable access to mother's milk often disempowers those who may benefit the most from it's' benefits. Moreover, suboptimal breastfeeding has the potential to negatively impact the health and well-being of future generations to come. Mother's own milk is internationally accepted as the most optimal source of nutrition for infants, yet breastfeeding initiation and duration rates among minority populations (i.e., women with opioid use disorders [OUDs]) continue to lag significantly behind that of the general population. The implications of the current U.S. opioid crisis and its increasing influence on women of reproductive age presents important considerations for the ways women and infants may receive inequitable access to breastfeeding and the benefits of mother's milk. In this presentation, learn the keys needed to empower lactation support providers to advocate for the use of scientific evidence that informs breastfeeding practices for women receiving MAT for OUD. GOLD Neonatal Online Conference false DD/MM/YYYY

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We are aware that an increasing number of babies are exposed to opiates, to methadone, to cannabis and cocaine through maternal breastmilk. In this presentation, I will discuss the pharmacokinetics of the medications and how this impacts the clinical care of the babies both immediately after delivery and later on. We need mothers to be open and honest about any drugs which they have taken in order that we may care for the baby appropriately if it is exhibiting clinical symptoms. This impacts on safeguarding issues but our aim should be to help the mother consider the impact on her baby using evidence-based information and to maintain breastfeeding appropriately. What are the long- and short-term implications of exposure for mother and baby? Is there sufficient research? As always, more questions than answers.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Pharmacokinetics and Clinical Implications of Drugs in Human Milk: The Substance-Exposed Infant We are aware that an increasing number of babies are exposed to opiates, to methadone, to cannabis and cocaine through maternal breastmilk. In this presentation, I will discuss the pharmacokinetics of the medications and how this impacts the clinical care of the babies both immediately after delivery and later on. We need mothers to be open and honest about any drugs which they have taken in order that we may care for the baby appropriately if it is exhibiting clinical symptoms. This impacts on safeguarding issues but our aim should be to help the mother consider the impact on her baby using evidence-based information and to maintain breastfeeding appropriately. What are the long- and short-term implications of exposure for mother and baby? Is there sufficient research? As always, more questions than answers. GOLD Neonatal Online Conference false DD/MM/YYYY

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Late preterm infants struggle with feeding challenges. Due to the oscillating nature of breastfeeding progress in the late preterm population coupled with the innate issues of prematurity, families need support to navigate waters toward breastfeeding success. A model for evidence-based education and breastfeeding assessment will be presented to support infant development and empower mothers to achieve their breastfeeding goals.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Assisting Late Preterm Dyads Achieve Breastfeeding/Chestfeeding Success Late preterm infants struggle with feeding challenges. Due to the oscillating nature of breastfeeding progress in the late preterm population coupled with the innate issues of prematurity, families need support to navigate waters toward breastfeeding success. A model for evidence-based education and breastfeeding assessment will be presented to support infant development and empower mothers to achieve their breastfeeding goals. GOLD Neonatal Online Conference false DD/MM/YYYY

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Most children, happily, encounter no significant illness during childhood. Of those who do, some will be breastfed. Exclusive breastfeeding for 6 months, as well as continued breastfeeding alongside appropriate introduction of solid foods until the age of two years and beyond is recommended by the World Health Organisation. Breastfeeding is known to confer multiple well-documented protective properties, and the risks of not being breastfed are profound, even in well-developed countries.
Although breastfeeding reduces the overall risk of many serious childhood illnesses and malignancies, it is not a panacea. Many children who are breastfed optimally will still develop a serious health condition. This small group of children, and their families are an important population, with specific needs that are under-represented in policy, literature and professional training.
This presentation will identify specific childhood cancers, their prevalence and common treatments. It will also introduce some of the challenges experienced by parents breastfeeding their child through cancer, and some practical ways to support families facing this ordeal.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Breastfeeding Children with Cancer Most children, happily, encounter no significant illness during childhood. Of those who do, some will be breastfed. Exclusive breastfeeding for 6 months, as well as continued breastfeeding alongside appropriate introduction of solid foods until the age of two years and beyond is recommended by the World Health Organisation. Breastfeeding is known to confer multiple well-documented protective properties, and the risks of not being breastfed are profound, even in well-developed countries. Although breastfeeding reduces the overall risk of many serious childhood illnesses and malignancies, it is not a panacea. Many children who are breastfed optimally will still develop a serious health condition. This small group of children, and their families are an important population, with specific needs that are under-represented in policy, literature and professional training. This presentation will identify specific childhood cancers, their prevalence and common treatments. It will also introduce some of the challenges experienced by parents breastfeeding their child through cancer, and some practical ways to support families facing this ordeal. GOLD Neonatal Online Conference false DD/MM/YYYY

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Breastfeeding can sometimes be challenging for some families even when baby and mother are healthy. The Inmunological and nutritional benefits provided by breast milk must be considered when feeding any baby, it is by far the best start for babies that have any other disease where they can tend to suffer from multiple respiratory infections and other medical complications putting babies health, wellbeing and lives at risk. When there is a baby with a congenital cardiac disease we can face a lack of evidence and homogenous practices regarding breastfeeding. Many mothers feel helpless and many surgeons and cardiologists are not convinced that breastfeeding is better and easier for the infant with congenital heart disease. They are uncomfortable with not knowing the volume baby consumes and are not use to observing oxygen saturation an heart rate when the baby Is feeding at the breast. Current challenges in treating patients with chronic conditions include the prioritization of breastfeeding, identification of the most effective nutritional interventions, and the prevention or recovery of acquired growth failure.
Children with congenital heart disease who breastfeed have better growth, shorter hospital stays, and higher oxygen saturations than children with congenital heart disease who receive formula. It is necessary to support this families with evidenced based information to promote and support of breastfeeding to all mothers and babies. Create programs to meet the needs of this vulnerable babies and train surgical and pediatric staff of the neonatal surgery unit so they can support and facilitate a multidisciplinary work.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Breastfeeding The Baby With Congenital Heart Disease Breastfeeding can sometimes be challenging for some families even when baby and mother are healthy. The Inmunological and nutritional benefits provided by breast milk must be considered when feeding any baby, it is by far the best start for babies that have any other disease where they can tend to suffer from multiple respiratory infections and other medical complications putting babies health, wellbeing and lives at risk. When there is a baby with a congenital cardiac disease we can face a lack of evidence and homogenous practices regarding breastfeeding. Many mothers feel helpless and many surgeons and cardiologists are not convinced that breastfeeding is better and easier for the infant with congenital heart disease. They are uncomfortable with not knowing the volume baby consumes and are not use to observing oxygen saturation an heart rate when the baby Is feeding at the breast. Current challenges in treating patients with chronic conditions include the prioritization of breastfeeding, identification of the most effective nutritional interventions, and the prevention or recovery of acquired growth failure. Children with congenital heart disease who breastfeed have better growth, shorter hospital stays, and higher oxygen saturations than children with congenital heart disease who receive formula. It is necessary to support this families with evidenced based information to promote and support of breastfeeding to all mothers and babies. Create programs to meet the needs of this vulnerable babies and train surgical and pediatric staff of the neonatal surgery unit so they can support and facilitate a multidisciplinary work. GOLD Neonatal Online Conference false DD/MM/YYYY

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Lactation professionals often hear from their clients that their breastfed babies have been diagnosed as lactose intolerance. This lack of understanding regarding types of lactose intolerance and potential issues with breastfeeding involving the newborn gut often lead to a cessation of breastfeeding. This session will cover the three main types of lactose intolerance, as well as galactosemia. Maternal gut damage and protein sensitivity and how that can impact the breastfed baby will also be addressed. Attendees will also learn about the most common foods that cause food sensitivity and allergy and what referrals are best made with these issues.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Can a Baby Be Allergic to Breastmilk?: Sensitivities, Allergies, Galactosemia, and Lactose Intolerance Lactation professionals often hear from their clients that their breastfed babies have been diagnosed as lactose intolerance. This lack of understanding regarding types of lactose intolerance and potential issues with breastfeeding involving the newborn gut often lead to a cessation of breastfeeding. This session will cover the three main types of lactose intolerance, as well as galactosemia. Maternal gut damage and protein sensitivity and how that can impact the breastfed baby will also be addressed. Attendees will also learn about the most common foods that cause food sensitivity and allergy and what referrals are best made with these issues. GOLD Neonatal Online Conference false DD/MM/YYYY

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Neurologic conditions often have a significant impact on the breastfeeding/chestfeeding dyad. The majority of these conditions are congenital, however some may be acquired during the first year of life. Breastfeeding/chestfeeding management of the hypotonic and hypertonic infant will be discussed. Hypotonic neurologic conditions that will be reviewed include floppy infant syndrome, infantile botulism, medullary lesions, Prader-Willi Syndrome and Trisomy 13, Trisomy 18 and Trisomy 21. The hypertonic neurologic conditions cerebral palsy and drug exposed infant will be discussed along with neural tube defects and Congenital Zika Syndrome. Case studies of special needs babies with these neurologic conditions will be presented.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Neurologic Conditions and The Breastfed Infant Neurologic conditions often have a significant impact on the breastfeeding/chestfeeding dyad. The majority of these conditions are congenital, however some may be acquired during the first year of life. Breastfeeding/chestfeeding management of the hypotonic and hypertonic infant will be discussed. Hypotonic neurologic conditions that will be reviewed include floppy infant syndrome, infantile botulism, medullary lesions, Prader-Willi Syndrome and Trisomy 13, Trisomy 18 and Trisomy 21. The hypertonic neurologic conditions cerebral palsy and drug exposed infant will be discussed along with neural tube defects and Congenital Zika Syndrome. Case studies of special needs babies with these neurologic conditions will be presented. GOLD Neonatal Online Conference false DD/MM/YYYY

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As a health professional you may find yourself supporting a mother who is breastfeeding or requires support to breastfeed her baby with Down syndrome. Babies with Down syndrome can often have additional health needs, which may affect how successful they are with breastfeeding. Down syndrome or trisomy 21 is the most common genetic cause of intellectual disability for around 1 in 700 births worldwide. People with Down syndrome are not all the same but may have similar characteristic physical features, health and developmental challenges and some level of intellectual disability. Research has shown many benefits associated with breastfeeding a baby with Down syndrome. It contributes to establishing long term skill development, particularly with speech and feeding skills, as well as aiding brain growth. It also provides an opportunity for mother baby bonding during stressful periods after learning of their baby’s diagnosis. Regardless of these known benefits, some mothers may nevertheless be told their baby will not be able breastfeed. This presentation will explore some of the common challenges mothers may face when breastfeeding a baby with Down syndrome and tips on how to address these for the mother and baby. The material presented will also assist health professionals to support mothers with babies who may have similar health/developmental needs.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Yes You Can! Breastfeeding A Baby With Down Syndrome As a health professional you may find yourself supporting a mother who is breastfeeding or requires support to breastfeed her baby with Down syndrome. Babies with Down syndrome can often have additional health needs, which may affect how successful they are with breastfeeding. Down syndrome or trisomy 21 is the most common genetic cause of intellectual disability for around 1 in 700 births worldwide. People with Down syndrome are not all the same but may have similar characteristic physical features, health and developmental challenges and some level of intellectual disability. Research has shown many benefits associated with breastfeeding a baby with Down syndrome. It contributes to establishing long term skill development, particularly with speech and feeding skills, as well as aiding brain growth. It also provides an opportunity for mother baby bonding during stressful periods after learning of their baby’s diagnosis. Regardless of these known benefits, some mothers may nevertheless be told their baby will not be able breastfeed. This presentation will explore some of the common challenges mothers may face when breastfeeding a baby with Down syndrome and tips on how to address these for the mother and baby. The material presented will also assist health professionals to support mothers with babies who may have similar health/developmental needs. GOLD Neonatal Online Conference false DD/MM/YYYY

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While some clinicians might roll their eyes when ‘lactation cookies’ are mentioned we know foods and herbs have long been used to nourish the postpartum parent and enhance lactation. Some topics this talk aims to cover: Does nourishment matter when it comes to breastmilk quality or quantity? How can we approach galactogogues for lactating mothers in an individualized way? How can clinicians evaluate evidence and determine safety regarding galactogogues? We know that parent coping with milk supply concerns are often desperate to ‘try anything’. Clinicians have an important role in helping families understand the risks and benefits of galactogogues. By helping parents identify resources and information around foods and herbs, we can help empower them to make informed choices.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Beyond Fenugreek: An Individualized Approach to Dietary and Herbal Galactagogues While some clinicians might roll their eyes when ‘lactation cookies’ are mentioned we know foods and herbs have long been used to nourish the postpartum parent and enhance lactation. Some topics this talk aims to cover: Does nourishment matter when it comes to breastmilk quality or quantity? How can we approach galactogogues for lactating mothers in an individualized way? How can clinicians evaluate evidence and determine safety regarding galactogogues? We know that parent coping with milk supply concerns are often desperate to ‘try anything’. Clinicians have an important role in helping families understand the risks and benefits of galactogogues. By helping parents identify resources and information around foods and herbs, we can help empower them to make informed choices. GOLD Neonatal Online Conference false DD/MM/YYYY

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Although an alternative feeding method, such as bottle, cup or finger feeding, represents a less than ideal way to feed infants, at times introducing one of these methods may ultimately save the breastfeeding relationship. In this session, Dr. Hazelbaker presents the research on and the theory of finger feeding. She then proposes areas for further research. She includes a sub-lecture on the physiology of finger feeding and compares finger feeding against bottle and cup from the physiological perspective. Participants come away with a new understanding of finger feeding, enabling them to make sound clinical decisions regarding a therapeutic choice when a baby must be fed away from the breast.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Finger Feeding: What Do We Know? What Should We Know? Although an alternative feeding method, such as bottle, cup or finger feeding, represents a less than ideal way to feed infants, at times introducing one of these methods may ultimately save the breastfeeding relationship. In this session, Dr. Hazelbaker presents the research on and the theory of finger feeding. She then proposes areas for further research. She includes a sub-lecture on the physiology of finger feeding and compares finger feeding against bottle and cup from the physiological perspective. Participants come away with a new understanding of finger feeding, enabling them to make sound clinical decisions regarding a therapeutic choice when a baby must be fed away from the breast. GOLD Neonatal Online Conference false DD/MM/YYYY

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All too often, the breastfeeding helper finds herself in the uncharted territory of fielding artificial nipple questions and helping mothers select the best bottles for their breastfed babies. By broadening your artificial nipple knowledge and learning about bottle features you can minimize the negative impact of bottle use. Once you become familiar with bottle features and their impact on a baby’s suck, you can also use this knowledge to improve latching and sucking skills.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Meet Me in the Nipple Aisle All too often, the breastfeeding helper finds herself in the uncharted territory of fielding artificial nipple questions and helping mothers select the best bottles for their breastfed babies. By broadening your artificial nipple knowledge and learning about bottle features you can minimize the negative impact of bottle use. Once you become familiar with bottle features and their impact on a baby’s suck, you can also use this knowledge to improve latching and sucking skills. GOLD Neonatal Online Conference false DD/MM/YYYY

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Most IBCLCs interact with nipple shields in their work whether a family has brought one in that they are already using or they have suggested using this tool themselves. Are we using them too much or too little? When does it make sense to use this tool? Some lactation consultations say never and some give them out too often. In this session, a brief history of nipple shields will be presented along with the possible reason one might use a nipple shield. The pros and cons of nipple shield use in clinical settings will be debated. Finally, the latest research will be discussed to determine which clinical experiences are grounded in best practice.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 The Great Nipple Shield Debate Most IBCLCs interact with nipple shields in their work whether a family has brought one in that they are already using or they have suggested using this tool themselves. Are we using them too much or too little? When does it make sense to use this tool? Some lactation consultations say never and some give them out too often. In this session, a brief history of nipple shields will be presented along with the possible reason one might use a nipple shield. The pros and cons of nipple shield use in clinical settings will be debated. Finally, the latest research will be discussed to determine which clinical experiences are grounded in best practice. GOLD Neonatal Online Conference false DD/MM/YYYY

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Many breastfeeding parents rely on a breast pump to help provide milk for their babies when they are separated or not feeding directly from the breast for other reasons. Others will use a breast pump to bring in or grow their milk production. Some of these parents may find pumping uncomfortable. Many others have difficulty expressing enough milk to meet their babies’ needs. There are also those who produce an overabundance of milk while pumping. This session addresses all of these parents by providing ideas for making pumping as effective, efficient, and comfortable as possible.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 The Proficient Pumper Many breastfeeding parents rely on a breast pump to help provide milk for their babies when they are separated or not feeding directly from the breast for other reasons. Others will use a breast pump to bring in or grow their milk production. Some of these parents may find pumping uncomfortable. Many others have difficulty expressing enough milk to meet their babies’ needs. There are also those who produce an overabundance of milk while pumping. This session addresses all of these parents by providing ideas for making pumping as effective, efficient, and comfortable as possible. GOLD Neonatal Online Conference false DD/MM/YYYY

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This presentation reviews available commercial and clinician-assembled supplementer devices and their use during breastfeeding in a problem solving context. It includes special considerations for infants with oral clefts and cardiorespiratory conditions.

Live Presentation Schedule Feb 26, 2020

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26-02-2020 08:00 26-02-2020 09:00 35 Using Breastfeeding Supplementers This presentation reviews available commercial and clinician-assembled supplementer devices and their use during breastfeeding in a problem solving context. It includes special considerations for infants with oral clefts and cardiorespiratory conditions. GOLD Neonatal Online Conference false DD/MM/YYYY

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