Recorded Webinar: Breastfeeding's 4 Horsemen of the Apocalypse by Marsha Walker

*This webinar has been approved for 1.5 L-CERPs

Approval number: C2002110 

This event was recorded:

April 7th 2020, 1 PM EST 

Length: 1.5 hours

 Breastfeeding's 4 Horsemen of the Apocalypse

Presented by Marsha Walker, RN, IBCLC

Unfortunately,hypoglycemia, hyperbilirubinemia, excessive weight loss, and dehydration can sometimes be unwelcome visitors to the start of breastfeeding. These entities can be interconnected, anxiety-provoking, and potentially a breastfeeding deal breaker, leading to supplementation or abandonment of breastfeeding. This quartet has its origins in the early hours and days of breastfeeding relative to hospital policies, skilled support, and careful monitoring of at-risk mothers and infants. This presentation will explore the etiology of these conditions, preventive measures, and suggested interventions. A look at policies, crucial observations, and what mothers and clinicians need to know will be discussed.  

Objectives:  

-Participants will be able to describe the issue of newborn hypoglycemia

-Participants will be able to discuss the issues of newborn weight loss and dehydration 

-Participants will be able to discuss the issue of newborn jaundice

Content Outline:

Hypoglycemia

Etiology

Definition

Risk factors

Screening

Protocols

Strategies for raising blood glucose levels

Reducing hypoglycemia

Feeding guidelines

Supplementation

Renal function in newborns

Maternal IV fluids, 24 hour weight as reference

Predictive measurements

Risk factors

Signs and symptoms

Interventions

Etiology

Types, risk factors, and influences

Role of bilirubin

Weight loss as predictive of jaundice

Signs and symptoms

Breastfeeding interventions

Probiotics

Massage

Closer follow-up

Bibliography:

1. Uettwiller F, Chemin A, Bonnemaison E, Favrais G, Saliba E, et al. (2015) Real-Time Continuous Glucose Monitoring Reduces the Duration of Hypoglycemia Episodes: A Randomized Trial in Very Low Birth Weight Neonates. PLOS ONE 10(1): e0116255.
2. Tozier. JOGNN 2013;42:619-628
3. Császár-Nagy N, Bókkon I. Neurosci Biobehav Rev. 2018(Jan);84:337–351.
4. Faught et al.  Clinics Mother Child Health 2015, 12:2
5. Deng & McLaren. Breastfeed Med 2018, doi: 10.1089/bfm.2017.0124
6. Mulder & Gardner. 2015. Biol Res Nurs 17:94-99
7. Taylor JA, Stout JW, de Greef L, et al. Use of a smartphone app to assess neonatal jaundice. Pediatrics 2017; 140:e20170312.
8. Hassan & Zakerihamidi. J Matern Fetal Neonatal Med, 2018, 31:457-463
9. Chen et al. Frontiers in Pharmacology 2017;8:432
10. Martinez-Brockman et al. J Health Commun 2018:23:40-51

Marsha Walker, RN, IBCLC. Marsha is a registered nurse and international board certified lactation consultant. She has been assisting breastfeeding families in hospital, clinic, and home settings since 1976. Marsha is the executive director of the National Alliance for Breastfeeding Advocacy. NABA is the US IBFAN organization that monitors the International Code of Marketing of Breastmilk Substitutes. As such, she advocates for breastfeeding at the state and federal levels. She served as a vice president of the International Lactation Consultant Association (ILCA) from 1990-1994 and in 1999 as president of ILCA. She is a previous board member of the US Lactation Consultant Association, Baby Friendly USA, and the Massachusetts Breastfeeding Coalition. She serves as USLCA’s representative to the USDA’s Breastfeeding Promotion Consortium, NABA REAL’s representative to the US Breastfeeding Committee, Associate Editor of Clinical Lactation, and a board member of the Massachusetts Lactation Consultant Association. Marsha is an international speaker, and an author of numerous publications including ones on the hazards of infant formula use, Code issues in the US, and Breastfeeding Management for the Clinician: Using the Evidence, 4^th edition.