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stock-beatpink.jpgWhere’s the Milk: The Unhappy Intersection of Traumatic Birth and Breastfeeding 

by Leslie Butterfield, Ph.D.


Event date: 9/27/18, 10:00 AM, PST


Tickets here: http://stores.praeclaruspress.com/live-webinar-wheres-the-milk-the-unhappy-intersection-of-traumatic-birth-and-breastfeeding-by-leslie-butterfield-ph-d/?ctk=d85095c4-dba7-439e-9f40-c20d29d32f46


*This webinar will be recorded and sent to everyone who purchases a ticket to accommodate everyone's schedules. We have applied for CERPs.


This presentation will focus on (1) identifying the experiences that contribute to a woman’s perception of having experienced a traumatic birth; (2) understanding the impact that traumatic birth can have on the breastfeeding experience; and (3) learning strategies to assess and support traumatized women as they begin their breastfeeding journey.



1. List five factors that may contribute to a birth being experienced as traumatic

2. Identify four things that you might notice in a birth story that would alert you to the possible presence of a traumatic response.

3. Name three screening tools that can be used to assess for perinatal distress – including trauma

4. Describe three methods for helping a traumatized mother to “better connect” to her infant 




I. Traumatic birth affects lactogenesis and successful breastfeeding

A. what is traumatic birth
B. what factors contribute to a birth being perceived as traumatic
C. Subjective vs. objective birth experiences

(1) interpersonal disruptions
(2) cognitive appraisal styles
(3) negative emotionality
(4) peritraumatic dissociation

II. Trauma informed lactation care

A. ways that traumatic birth impacts lactation (prolactin, cortisol, oxytocin)
B. “listening” to the birth story with a trauma-recognizing ear
C. Know the emotional impact of birth trauma on breastfeeding

III. Screening for perinatal trauma and distress
A. Perinatal Posttraumatic Stress Questionnaire
B. Edinburgh Postnatal Depression Scale
C. Perinatal Anxiety Screening Scale

IV. Making a plan for women traumatized during childbirth
A. Vulnerability
B. Recognizing shock
C. Healing disconnections
D. DOs and DON’Ts

(2) Interpersonal disruptions
(1) Cognitive appraisal styles
(2) Negative emotionality
(3) Peritraumatic dissociation



dscn5315-1-.jpgLeslie Butterfield, Ph.D. is a clinical psychologist specializing in perinatal mental health. She runs a private practice in Seattle, is the current President of PATTCh (Prevention and Treatment of Traumatic Childbirth), a state coordinator and trainer for PSI (Postpartum Support International), and co-designs and presents the Perinatal Support of Washington trainings. Additionally, she travels both nationally and internationally in her capacity as a consultant and trainer in the field, most recently in France and Turkey.

Cultural Sensitivity Begins with a Listening Presence to the Breastfeeding Mother


 By Chris Auer
9-10-18, 1PM, EST
*This live webinar will be recorded and sent to everyone who purchases a ticket. We have applied for CERPs. 
Questions and concerns: ken@praeclaruspress.com

This webinar applies the principles of cultural awareness with the skills of reflective listening to establish the framework for how these create a healing capacity of Presence to help mothers and families move forward on their parenting journey. 


A. Define what it means to be “Present” in a therapeutic relationship

1. Definition, description and images of Presence and non-presence

B. Describe 3 aspects of holistic care of a mother

1. Bedside Presence
2. Clinical Presence
3. Healing Presence

C. Name 2 scenarios where Implicit Bias can be operative and negatively impact our practice and Presence with a mother

1. We are All shaped by our personal history, consciously and unconsciously, our culture, and family of origin
2. potential examples from practice: LGBTQ, teen mom of 4, staff nurse who didn’t breastfeed

D. Describe 2 examples of cultural practices that are not the norm for the majority of Americans that could contribute to misunderstandings between providers and mothers

1. laying flat for the Indian mom after birth
2. being cared for in the first 6 months by the females in the family, vs the US With its emphasis on maternal care prenatal and    left on your own 2wks after delivery
3 The silence the Swedes are comfortable with in conversation

E. Describe 3 factors associated with maternal/patient satisfaction that parallel being Present

1. Listened to “carefully”
2. Sense of a partnership with their caregivers
3. Feeling respected and shown courtesy

chris.jpegThe Speaker: 


Chris Auer is a registered nurse and lactation consultant who has worked in the world of mother-baby care at the University of Cincinnati Medical Center for over 40 years, including 25 years as a board-certified lactation consultant. She has listened attentively to the stories of mothers and her fellow healthcare team. She conveys her insights into ways parenting is deeply influenced both consciously and unconsciously, by a mother’s history, family, culture, and temperament. She is also the author of Under One Sky: Intimate Encounters with Moms and Babies by a Breastfeeding Consultant and Nurse. 
thumbnail-under-one-sky.jpgUnder One Sky recounts poignant encounters surrounding birth, breastfeeding, and the life circumstances of families from over 77 countries. As a lactation consultant, Chris Auer met with thousands of women as they began their mothering and breastfeeding journey, women from places as diverse as The Congo, Ecuador, Italy, and Nepal, as well as American women from all walks of life. The babies range from healthy, full-term to extremely premature.  The mothers range from 12 to 52. Chris Auer has worked passionately to champion mothers on this segment of their life journey. In the retelling of their stories, we see the importance of meeting mothers where they are in the moment, with an accepting, listening presence.  Under One Sky is beyond a memoir; it’s a mosaic of their stories and reveals a poignant picture of our connectedness.










Questions: ken@praeclaruspress.com




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To register for a webinar, please click on the link to purchase a ticket. Upon your purchase, you will receive a pdf that includes a link that you will use to join the webinar at the appointed time. Questions: ken@praeclaruspress.com

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