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Day One
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6:45 - 7:15
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Registration
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7:15 - 7:25
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Welcome, Announcements, Introductions
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7:25 - 9:00
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Breastfeeding: Is It Still the Best?
Informed infant feeding choice
Risks/Benefits of infant feeding choices
Why aren't more mothers breastfeeding?
Breastfeeding support team members
Baby-Friendly Initiative
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9:00 - 9:15
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Break
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9:15 - 10:50
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Breastfeeding: Is It Still the Best?
(continued)
Prenatal Care for Breastfeeding Families
Prenatal assessment
Social support, Cognitive
preparation
Three
phase process for promotion and education
Breast and nipple assessment
Previous
breast surgery
Update on prenatal recommendations
Prenatal baby feeding classes
"Flags" indicating additional assistance
& support needed
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10:50 - 11:00
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Break
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11:00 - 12:15
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Optimizing First Feedings
Impact of early experiences on breastfeeding
Optimal labor support
"Welcoming" babies
at birth
Creating optimal feeding readiness
Influence of analgesia and
anesthesia on breastfeeding
Breastfeeding immediately
after birth
Infant states of
consciousness related to feeding
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12:15 - 1:15
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Lunch
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1:15 - 2:40
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Positioning and Latch-On
Positioning at breast
Classic cradle hold,
transitional hold, football (clutch) hold,
side-lying hold
Cuing baby (eliciting mouth-opening reflex)
Latching baby on breast
Assessing the infant at breast
Role play with dolls and breast models
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2:40 - 2:50
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Break
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2:50 - 4:00
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Demystifying Milk Supply
Milk removal principle of milk production
Frequency and length of breastfeeding sessions
Milk ejection reflex
Routine supplementation; Artificial Nipples;
Pacifiers
Key factors to get breastfeeding off to a good start
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4:00 - 4:10
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Break
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4:10 - 5:30
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Maternal Learning Needs
Prioritizing content with shorter birth setting stays
Evaluating educational materials
How to assess "If baby is getting enough?"
Food myths and maternal nutrition
Alcohol, nicotine, caffeine, exercise recommendations
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Day Two
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7:30 - 9:00
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Later Breastfeeding
High need/fussy babies
Sexuality and breastfeeding
Vitamin and mineral supplementation
(including Vitamin D, iron,
and fluoride recommendations)
Weaning techniques
Tandem nursing
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9:00 - 9:15
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Break
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9:15 - 10:50
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Later Breastfeeding (continued)
Difficult Latch-On
Premature termination of breastfeeding
Communication considerations in challenging
situations
Assessment-based interventions for difficult latch-on
(Sleepy baby, nipple and
breast variations, unsustained latch-on,
preference for one breast,
maternal anxiety)
Appropriate use of nipple shields
Fluid enticement
Follow-up care with challenging latch-on
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10:50 - 11:00
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Break
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11:00 - 12:15
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Difficult Latch-On (continued)
When Supplementation is Indicated
Guidelines for supplementation
When to supplement
How much to supplement
Types of supplements
(advantages and
disadvantages)
Methods of supplementation
(advantages and
disadvantages)
Practice using supplementation equipment
Supporting continued Lactation
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12:15 - 1:15
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Lunch
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1:15 - 2:40
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Sore Nipples
Preventing or minimizing nipple trauma
Assessment of nipple trauma
Assessment-based management of nipple trauma
Correcting disorganized suck
Management of candidiasis (yeast infection)
Comfort measures for sore nipples
Enhancing healing of sore nipples
Follow-up care
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2:40 - 2:50
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Break
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2:50 - 4:00
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Additional Early Challenges
Hypoglycemia and breastfeeding management
Review of Academy of
Breastfeeding Medicine's recommendations
for assessment and management
of hypoglycemia
How breastfeeding influences jaundice
Physiologic, pathologic, and
breastmilk jaundice
Prevention and treatment of pathologic engorgement
Management of leaking
Review of management goals for breastfeeding
challenges
Telephone counseling
Triage, third/fourth day
follow-up calls, anticipatory guidance
Optimizing care when breastfeeding is discontinued
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4:00 - 4:10
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Break
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4:10 - 5:30
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Special Maternal and Infant Situation - Part I
Ill infants
Hospitalized infants
Fasting prior to general
anesthesia
Babies with cleft lips and
cleft palates
Babies who gain weight slowly
Insufficient milk supply - factors influencing
production
Strategies to increase milk production
Lactagogues
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Day Three
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7:30 - 9:00
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Special Maternal Situations - Part II
Promotion of breastfeeding among adolescent mothers
Breastfeeding after a cesarean birth
Breastfeeding multiples
Ill mothers
Psycho-social issues related to breastfeeding
Postpartum depression
Less-than-optimal childhood
history
Treatment of obstructed ducts and mastitis
Maternal medications
Relactation and induced lactation
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9:00 - 9:15
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Break
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9:15 - 10:50
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Combining Employment and Breastfeeding
Concerns of employed breastfeeding mothers
Strategies to facilitate continued breastfeeding
Feeding options
Developing a personal plan
Methods of milk expression
Practice manual expression
techniques with breast model
Criteria for selection of
breast pumps
Practice assembling manual
breast pumps
Strategies to optimize
effectiveness of breast pumps
Breastmilk storage
Storage containers, storage
guidelines (freshly expressed,
refrigerated, frozen, and
thawed breastmilk)
Maintaining/increasing milk supply while employed
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10:50 - 11:00
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Break
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11:00 - 12:15
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Breastfeeding Critically Ill Infants
Supporting mother's decision
Maintaining milk supply
Storage recommendations for hospitalized infants
Kangaroo (skin-to-skin) care
Early direct feeding
Follow-up care
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12:15 - 1:15
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Lunch
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1:15 - 3:00
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Creating An Effective Team
Correcting misinformation among colleagues
Consumer advocacy - Making Changes
"Baby Friendly" Initiative
World Breastfeeding Week opportunities
Change Activity
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3:00
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Adjournment and Check-Out of Skills Kits
Awarding of certificates of attendance
(For participants who are not
certifying as
Breastfeeding Educators)
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3:00 - 3:10
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Break
(For participants who are completing certification)
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