Day Two
7:30 - 9:00 Later Breastfeeding
High need/fussy babies
Sexuality and breastfeeding
Vitamin and mineral supplementation
(including Vitamin D, iron, and fluoride recommendations)
Strategies to reduce obesity
Weaning techniques
Tandem nursing
9:00 - 9:15 Break
9:15 - 10:50 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
10:50 - 11:00 Break
11:00 - 12:15 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
12:15 - 1:15 Lunch
1:15 - 2:40 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
2:40 - 2:50 Break
2:50 - 4:00 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
4:00 - 4:10 Break
4:10 - 5:30 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
7:30 - 9:00 Later Breastfeeding
High need/fussy babies
Sexuality and breastfeeding
Vitamin and mineral supplementation
(including Vitamin D, iron, and fluoride recommendations)
Strategies to reduce obesity
Weaning techniques
Tandem nursing
9:00 - 9:15 Break
9:15 - 10:50 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
10:50 - 11:00 Break
11:00 - 12:15 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
12:15 - 1:15 Lunch
1:15 - 2:40 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
2:40 - 2:50 Break
2:50 - 4:00 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
4:00 - 4:10 Break
4:10 - 5:30 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
Breastfeeding Educator Program
Detailed Program Agenda
Detailed Program Agenda
Day One
6:45 - 7:15 Registration
7:15 - 7:25 Welcome, Announcements, Introductions
7:25 - 9:00 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
9:00 - 9:15 Break
9:15 - 10:50 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
10:50 - 11:00 Break
11:00 - 12:15 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
12:15 - 1:15 Lunch
1:15 - 2:40 Positioning and Latch-On
Positioning at breast
Classic cradle hold, transitional hold, football (clutch) hold,
side-lying hold, up-right, ventral holds
Cuing baby (eliciting mouth-opening reflex)
Latching baby on breast
Assessing the infant at breast
Role play with dolls and breast models
2:40 - 2:50 Break
2:50 - 4:00 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
4:00 - 4:10 Break
4:10 - 5:30 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
6:45 - 7:15 Registration
7:15 - 7:25 Welcome, Announcements, Introductions
7:25 - 9:00 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
9:00 - 9:15 Break
9:15 - 10:50 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
10:50 - 11:00 Break
11:00 - 12:15 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
12:15 - 1:15 Lunch
1:15 - 2:40 Positioning and Latch-On
Positioning at breast
Classic cradle hold, transitional hold, football (clutch) hold,
side-lying hold, up-right, ventral holds
Cuing baby (eliciting mouth-opening reflex)
Latching baby on breast
Assessing the infant at breast
Role play with dolls and breast models
2:40 - 2:50 Break
2:50 - 4:00 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
4:00 - 4:10 Break
4:10 - 5:30 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
Day Three
7:30 - 9:00 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
9:00 - 9:15 Break
9:15 - 10:50 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
10:50 - 11:00 Break
11:00 - 12:15 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
12:15 - 1:15 Lunch
1:15 - 3:00 Creating An Effective Team
Correcting misinformation among colleagues
Consumer advocacy - Making Changes
"Baby Friendly" Initiative
World Breastfeeding Week opportunities
Change Activity
3:00 Adjournment and Check-In of Skills Kits
Awarding of certificates of attendance
(For participants who are not certifying as Breastfeeding Educators)
3:00 - 3:10 Overview of Certification Process
Optional Certification Activities
3:10 - 3:20 Break
3:20 - 3:50 Role Play Demonstrations
3:50 - 5:30 Certification Examination
Awarding Certificates of Certification and Certificates of Attendance (Some participants may finish before 5:30)
7:30 - 9:00 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
9:00 - 9:15 Break
9:15 - 10:50 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
10:50 - 11:00 Break
11:00 - 12:15 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
12:15 - 1:15 Lunch
1:15 - 3:00 Creating An Effective Team
Correcting misinformation among colleagues
Consumer advocacy - Making Changes
"Baby Friendly" Initiative
World Breastfeeding Week opportunities
Change Activity
3:00 Adjournment and Check-In of Skills Kits
Awarding of certificates of attendance
(For participants who are not certifying as Breastfeeding Educators)
3:00 - 3:10 Overview of Certification Process
Optional Certification Activities
3:10 - 3:20 Break
3:20 - 3:50 Role Play Demonstrations
3:50 - 5:30 Certification Examination
Awarding Certificates of Certification and Certificates of Attendance (Some participants may finish before 5:30)