Monday May 27

Cecilia Tomori, PhD

Contested Moralities:  Breastfeeding Stigma in a Cross-Cultural Perspective

Breastfeeding is increasingly viewed as important for health, yet breastfeeding families continue to face significant structural and cultural barriers. Concerns have been raised about the moralizing aspects of breastfeeding promotion and its detrimental effects on those who do not breastfeed, but the experiences of those who pursue breastfeeding have not been adequately researched. This presentation introduces lactation professionals and breastfeeding supporters to anthropological approaches for identifying and addressing cultural perspectives that hinder breastfeeding. The talk outlines key ways in which breastfeeding remains stigmatized in several important areas, including in spaces where breastfeeding is seen (in “public”), breastfeeding over time, nighttime breastfeeding, and milk sharing. The stigmatization of breastfeeding highlights the contradiction between support for the ideal of breastfeeding versus its actual daily practice. Finally, the presentation will offer new approaches for re-establishing and supporting breastfeeding as a cultural norm.

Breastfeeding, Co-Sleeping, and Sudden Infant Death:  Integrating Evolution, Culture, and Public Health

This presentation will address the controversy surrounding breastfeeding, co-sleeping, and Sudden Infant Death using a novel interdisciplinary approach. While biomedical guidelines consider co-sleeping inherently dangerous, this presentation will demonstrate that this perception is the product of western cultural ideologies that emerged in an era when artificial feeding and solitary sleep were the norm. To decenter these assumptions, an overview will be provided of evolutionary and cross-cultural research that highlights the foundational relationship between breastfeeding and proximate sleep. The presenter will also draw on novel perspectives from anthropology and public health to show that current prevention approaches lack sufficient attention to the social determinants of risk for Sudden Infant Death - poverty and historical marginalization - and to the critical preventive role of breastfeeding. A more effective prevention strategy entails implementing structural changes to reduce poverty and discrimination, regulating the tobacco and formula industries, and supporting families’ efforts to breastfeed and to create safer environments for proximate sleep. The presentation will conclude with concrete strategies for Sudden Infant Death prevention for breastfeeding families.


Maya Bolman RN, BA, BSN, IBCLC

The Art of Breast Massage in Supporting Breastfeeding

Breast pain is a major cause of weaning.  Milk stasis, which occurs in engorgement, mastitis and plugged ducts, is a common cause of pain that may lead to the temporary or permanent cessation of breastfeeding. Therapeutic Breast Massage in Lactation (TBML) is one clinical tool to help resolve breast pain quickly.  The presenter will describe how breast massage is used in different cultures to relieve acute breast pain while also reviewing role of lymphatic system, oxytocin and pain control theory. Therapeutic Breast Massage in Lactation principles include mobilization of fluid with massage toward the axillae to facilitate lymph circulation and alternating gentle massage and hand expression to facilitate milk removal. The presenter will discuss nipple blebs and milk blisters, available treatments and current research.

HAND-ling the Pain: Therapeutic Breast Massage in Lactation: Research and Case Reviews

The latest research findings on the role of Therapeutic Breast Massage in Lactation (TBML) will be presented.  When treating mothers for engorgement, plugged ducts, or mastitis research supports the role for TBML in providing immediate clinically significant improvement in pain, engorgement severity, and plugged duct severity.  Parents find this treatment helpful and continue to use the techniques as needed while breastfeeding.  Multiple video cases of TBML use during treatment for engorgement, plugged ducts, and mastitis will be demonstrated.  These hands-on techniques may provide a complementary treatment strategy.




Tuesday May 28

Catherine Watson Genna, BS, IBCLC

Assessing the Breastfeeding Dyad (120 minutes)

This interactive workshop illustrates global assessment of breastfeeding mothers and infants as well as specific clinical breastfeeding evaluation. Case examples from clinical photos and videos are used for group practice in applying the strategies taught. Attendees are encouraged to develop a systematic assessment to expose potential breastfeeding strengths and problems.

Torticollis and Tongue-tie: Teasing out the Interactions (60 minutes)

Congenital tightness of the sternocleidomastoid muscle in the neck impacts breastfeeding biomechanics including tongue mobility and base of action as well as respiratory capacity. In addition to challenging feeding abilities, torticollis can reduce infant neurobehavioral organization and adaptability. This presentation explores the interactions between tongue-tie, reduced tongue mobility due to torticollis, and other medical conditions that impact tongue action to guide both breastfeeding assistance and referral to other health care professionals.

The Non-Latching Infant: The First 48 Hours and Beyond (105 minutes)

One of the biggest challenges of lactation consultant practice is the non-latching infant. Designed for mixed groups of hospital and private practice lactation consultants and health care providers, this presentation provides equal emphasis on in patient and outpatient issues for non-latching infants. Advanced strategies for helping infants who don’t latch are covered in the final half of the presentation. This presentation is copiously illustrated with clinical photos and video.

Interactive Case Studies (75 minutes)

There are usually several ways to resolve a breastfeeding problem. This series of case studies provides an entrée to discussion of evaluation and clinical decision making around lactation difficulties. The interventions and outcomes used are revealed after the audience discusses what strategies they might try, and alternative approaches are validated.

Awaiting approval of CERPs and CMEs.