Triangle Breastfeeding Alliance, Inc.

12^th Annual Mothers Special Gift Conference
June 26, 2010
Charlotte, North Carolina.

Mothers Special Gift 2010 Call for Abstracts-1

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February 11, 2010
FOR IMMEDIATE RELEASE

CONTACT
Megan Renner
301-807-4963 (cell)
mrenner@usbreastfeeding.org

Preventing Obesity Begins at Birth through Breastfeeding

Washington, DC–As First Lady Michelle Obama launches her campaign to fight childhood obesity, the United States Breastfeeding Committee (USBC) reminds the public, health care professionals, and educators that obesity prevention begins at the earliest moments of life when parents make infant feeding decisions. Breastfeeding has been shown to have an impact on obesity throughout the life span, while also contributing to numerous other positive health outcomes.

USBC supports the “Let’s Move” campaign as a vitally important initiative for our Nation’s health, and shares the First Lady’s commitment to the goal of combining efforts to overcome obesity within a generation. In addition to the important measures outlined to reduce and prevent obesity, USBC calls on the First Lady and policymakers to consider the importance of breastfeeding and recommends that breastfeeding experts be included on the Task Force on Childhood Obesity.

As with breastfeeding, the actions necessary to reduce and prevent childhood obesity require that parents are supported to make healthy choices in all aspects of their lives. According to the Centers for Disease Control and Prevention’s National Immunization Survey, nearly 75% of new mothers initiate breastfeeding, however, rates of exclusive breastfeeding at six months and continued breastfeeding at 12 months are well below the national Healthy People 2010 goals. Another recent CDC study found that 60% of women do not even meet their own breastfeeding goals. Thus USBC applauds and echoes the “Let’s Move” campaign’s emphasis on empowering consumers and providing parents with the tools, support and information they need to make healthier choices for their families, beginning with breastfeeding.

According to USBC Chair, Joan Younger Meek, MD, MS, RD, IBCLC, “Multiple studies have shown that a history of not breastfeeding increases the risk of being overweight or obese in childhood and adolescence. Adolescent obesity often persists into adult life. Breastfeeding plays an important role in obesity prevention and improving overall health outcomes, and therefore is vitally important to public health.”

Dr. Meek points out that the longer and the more exclusively babies breastfeed, the better their health outcomes. “Both duration and exclusivity should be considered when investigating the relationships between breastfeeding and obesity. The duration of breastfeeding has been shown to be inversely related to overweight–meaning that the longer the duration of breastfeeding, the lower the odds of overweight. And although further research is needed, exclusive breastfeeding appears to have a stronger protective effect than breastfeeding combined with formula feeding.”

The evidence for the value of breastfeeding to children’s and women’s health is scientific, solid, and continually being reaffirmed by new research. Medical experts agree with the U.S. Department of Health and Human Services in recommending exclusive breastfeeding for six months and continued breastfeeding for the first year of life and beyond. The comprehensive review and analysis of breastfeeding research released in 2007 by the DHHS Agency for Healthcare Research and Quality strongly supports the evidence demonstrated in the research:

• For the child: reduced risk of ear, skin, stomach, and respiratory infections, diarrhea, sudden infant death syndrome, and necrotizing enterocolitis; and in the longer term, reduced risk of obesity, type 1 and 2 diabetes, asthma, and childhood leukemia.
• For the mother: reduced risk of breast cancer, ovarian cancer, type 2 diabetes, and postpartum depression.

Obesity has serious implications for the health of Americans, increasing the risk of many diseases and conditions, including: coronary heart disease, type 2 diabetes, certain types of cancers, high blood pressure, stroke, liver and gallbladder disease, sleep apnea and respiratory problems, osteoarthritis, and gynecological problems. USBC urges all Americans to support the “Let’s Move” campaign and to begin a healthy lifestyle at birth and prevent obesity through optimal breastfeeding of our Nation’s children.

For more information about breastfeeding, visit The National Women’s Health Information Center. Physicians and other health care providers can offer assistance and answer questions about breastfeeding, and knowledgeable breastfeeding support personnel can be located through the International Lactation Consultant Association, the USDA Food and Nutrition Service Women, Infants and Children (WIC) Program, and La Leche League International.

USBC is an organization of organizations. Opinions expressed by USBC are not necessarily the position of all member organizations and opinions expressed by USBC member organization representatives are not necessarily the position of USBC.

United States Breastfeeding Committee (USBC)
The United States Breastfeeding Committee (USBC) is an independent nonprofit coalition of 41 nationally influential professional, educational, and governmental organizations. Representing over half a million concerned professionals and the families they serve, USBC and its member organizations share a common mission to improve the Nation’s health by working collaboratively to protect, promote, and support breastfeeding. For more information about USBC, visit www.usbreastfeeding.org.

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Breastfeeding: Nature’s Health Plan

March 12-14, 2010
Charlotte Hilton Executive Park

Important Dates:

• Hotel reservation deadline is February 15 – Click HERE to reserve your room On-Line
• Deadline for applying for Leader scholarship is February 15
• Early bird registration to obtain $10 discount on registration is February 20

Conference Flyer

The 2010 Area Conference will be an exciting event and there’s no vacation destination that is as pro-breastfeeding, baby, and family friendly as a La Leche League conference. We will see you there! As one local Leader said, “LLL conferences are wonderful events! I always come away from them with renewed enthusiasm about LLL, valuable information and ideas about parenting, and a big dose of “warm fuzzies” from seeing friends, spending time with family, hearing inspirational speakers, and being around happy children and families (you rarely, if ever, hear a child cry at an LLL conference).”

Speakers

• Marian Tompson – One of the seven Founders of La Leche League International. She was President of La Leche League for 24 years, from 1956 to 1980, and is currently a member of the Founders Advisory Council. Wife of the late Clement Tompson, she is the mother of seven children, grandmother of sixteen, and as of 2007, great-grandmother of five. An early advocate of home birth, four of her children and many grandchildren and great-grandchildren were born at home.
• Diane Wiessinger -Diane Wiessinger holds Bachelor’s and Master’s degrees from Cornell University. At her first La Leche League meeting in 1980 she saw a roomful of women all focused on their children, and thought to herself, ‘There is more to me than this.’” However, she went on to become a La Leche League Leader in 1985 and an International Board Certified Lactation Consultant in 1990. She has a private practice in Ithaca, NY, has written many breastfeeding resources, most recently co-authoring La Leche League International’s 8th edition of the Womanly Art of Breastfeeding. She has spoken across the English-speaking world. Apparently there isn’t any more to her than this! She is the mother of two breastfed sons, mother-in-law of two wonderful young women and grandmother of two beautiful breastfed children.
• Diana West -Diana West is an international board certified lactation consultant (IBCLC) in private practice, co-author with Teresa Pitman and Diane Wiessinger of the 8th edition of La Leche League International’s “The Womanly Art of Breastfeeding.” She is also co-author with Lisa Marasco of “The Breastfeeding Mother’s Guide to Making More Milk” and Dr. Elliot Hirsch of “Breastfeeding After Breast and Nipple Procedures.” She is the author of the “Clinician’s Breastfeeding Triage Tool” and “Defining Your Own Success: Breastfeeding After Breast Reduction Surgery.” She has a bachelor’s degree in psychology, is a La Leche League Leader, a website developer, and administrator of the popular BFAR.org, LowMilkSupply.org, and LactSpeak.com websites. Diana has been a member of the Board of Directors for the International Lactation Consultant Association. She lives with her three sons and one husband in the picturesque mountains of western New Jersey.
• Janet Jendron – Janet Jendron, President of the Attatchment Parenting International Board of Directors, has been a long-time supporter of API. She served for eleven years on the LLLI Board of Directors and many years on the LLLI Alumnae Association Council. Janet has also served on numerous other non-profit Boards, including church-related and wish granting organizations. She has written articles and spoken at conferences throughout the United States on a wide variety of issues related to her non-profit and paid work. The mother of four children ages 25 to 33, she spends as much time as possible with her five-year-old granddaughter Mary Grace. She lives in South Carolina near Columbia and works full time at the USC School of Medicine in the SC Assistive Technology Program, where she specializes in information technology accessibility, conference planning, equipment reutilization and public relations.
• Jan Ellen Brown – credits the support of LLL for salvaging her breastfeeding relationship with her first baby. A former LLL Leader, Jan Ellen became an IBCLC in 1991. She has worked as a hospital based lactation consultant and operated a private home visit practice. She is currently the IBCLC for Charlotte Pediatric Clinic. Jan Ellen serves on the Board of Directors for BELLAS peer counselor program. She is the co-author with Kathleen Huggins of 25 Things Every Nursing Mother Needs to Know(2009) and The Nursing Mother’s Companion Diary, available Fall 2010. She is a frequent conference speaker and Little Ones magazine contributor

For more info:   http://www.lllofnc.org/Conference.html

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Please read if you are interested in the events in lactation worldwide -
especially if you are not a current member of ILCA. The article on Mary
Tully includes the tribute that Mary Overfield delivered during Mary T’s
Funeral/Memorial Mass.

http://www.ilca.org/files/eGlobe/2010/022010_eGlobe.pdf

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“Formula Feeding is the longest lasting uncontrolled experiment lacking informed consent in the history of medicine.”
Frank Oski, M.D., retired editor, Journal of Pediatrics

Check out this trailer for a film called Formula Fed America.

http://www.formulafedamerica.com

Tell us what you think about it

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Don’t miss your chance to join us for one of our exciting Lunch and Learn education programs in February.  Earn Cerps by signing up and attending one of our live online sessions.

Can’t make it for the live webinar?  You can still earn Cerps by ordering the webinar on CD and watching at your convenience click here.

Sincerely,

Barbara Robertson, BA, MA, IBCLC, RLC
United States Lactation Consultant Association

Tuesday February 9, 2010

“The Role of the Breastfeeding Father”
by: Tom Johnston, CNM, IBCLC

History of Men at birth from Medieval through Industrialization era Dr Bradley’s career.

Review the evidenced associated with paternal support during childhood – increased/improved social and cognitive functioning on several studies

Basics of breastfeeding from a father’s perspective.
Review his role, his job, what he can do, what he wants to do, and what he is expected to do.

Objectives:

• Explore the history of paternal involvement in childbirth and their value to the breastfeeding relationship
• Advocate for recognition of fathers as equal partners in the breastfeeding and parenting relationships
• Identify effective teaching strategies to prepare fathers for their role as breastfeeding coaches

Course Details:
1pm Eastern, 12pm Central, 11am Mountain, 10am Pacific
60 Min program
1 L Cerp Awarded for participating (Certificates are emailed to attendees)

Prices:
USLCA Members $20,  Non-members $30, Groups 2-10 $45,
10 or more $65

Registration Deadline is February 8, 2010 at 12:00 noon Eastern Time

Course Details:
1pm Eastern, 12pm Central, 11am Mountain, 10am Pacific
60 Min program
1 L Cerp Awarded for participating (Certificates are emailed to attendees)

Prices:
USLCA Members $20,  Non-members $30, Groups 2-10 $45,
10 or more $65

Registration Deadline is February 8, 2010 at 12:00 noon Eastern Time

Click here to sign up “The Role of the Breastfeeding Father”

Thursday February 18, 2010
“Caring for the Late Preterm Infant:
Are the “Expert” Recommendations Really Valid?”

by: Molly Pessl BSN, IBCLC

Late Preterm infants frequently present a dilemma for the healthcare system. These infants are more vulnerable to hypothermia, progressive lethargy, and excessive weight loss if breastfed without intervention. This workshop focuses on best outcomes through optimal birth and feeding practices, while preventing needless complexities or unnecessary anxieties for the parents.

Course Objectives:

• The Stone Age Baby/Space Age Culture
  Looking at the history of our care AWHONN’s Late Preterm Initiative
  • What are the Issues?
    At risk for feeding problems,  hypoglycemia, hypothermia, hyperbilirubinemia, developmental delays
  • Evaluating Our Practices:
    Applying the research to practice
    Develop a plan
    How to feed
    Maximizing milk volumes
    Early follow-up

Course Details:

2pm Eastern, 1pm Central, 12am Mountain, 11am Pacific

60 Min program

1 L Cerp Awarded for participating (Certificates are emailed to attendees)

Prices:

USLCA Members $20,  Non-members $30, Groups 2-10 $45,

10 or more $65

Registration Deadline is February 17, 2010 at 12:00 noon Eastern Time.

Click here to sign up “Caring for the Late Preterm Infant: Are the “Expert” Recommendations Really Valid?”

How to sign up for a USLCA Webinar (Please Read)

1. Download the sign up sheet for the appropriate webinar.Click here for list of scheduled webinars. Submit your sign up sheet and payment information to our headquarters using these options:
Attention: USLCA Webinar
email ScottSherwood@uslcaonline.org or
by fax 919-459-2075

2. You will then receive an email invitation to register for the webinar. Please complete this as soon as possible. You will not be able to sign on to the webinar until this registration is submitted, and approved.

3.  You will then receive an email confirmation with link to join the webinar.  If you have not received your email confirmation with your link to join the webinar 12 hr prior to the webinar beginning please contact us as we will not be able to resolve any issues with registration after that.

If you have any questions please contact us at any time for assistance.

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By Nancy Walsh, Senior Writer, MedPageToday
Reviewed by Dori F. Zaleznik, MD; Associate Clinical Professor of Medicine, Harvard Medical School, Boston.
January 26, 2010

Women taking selective serotonin reuptake inhibitor (SSRI) antidepressants may experience delays in postpartum breast milk production, researchers said.

Delayed secretory activation occurred in 87.5% of a small group of women taking SSRIs, compared with 43.5% of those not taking the drugs (RR 2, 95% CI 1.51 to 2.67, P=0.02), according to Aaron M. Marshall, PhD, of the University of Cincinnati.

The relative risk of delayed activation remained significantly higher (P<0.05) among SSRI users after adjustment for maternal age, obesity, cesarean delivery, infant gestational age, and infant breastfeeding behavior, the researchers reported online in the Journal of Clinical Endocrinology and Metabolism.

An early breastfeeding difficulty faced by many women, particularly those who are primiparous, is milk secretion delayed beyond 72 hours postpartum.

These women also are at risk of early cessation of breastfeeding. In fact, only 11% of mothers in the U.S. breastfeed exclusively for the recommended six months.

Studies in animal models and cell cultures suggested that serotonin (5-HT) is an important local regulator of lactation homeostasis, and the 5-HT transporter is expressed in mammary tissue at the apical membrane of epithelial cells.

Serotonin is controlled intracellularly by a balance between synthesis and degradation, while extracellularly its availability is controlled through recycling by the 5-HT transporter.

The 5-HT transporter also is the target for the most commonly prescribed class of antidepressants in the U.S. and other developed countries. These SSRI antidepressants are typically used to treat postpartum depression.

The investigators conducted in vitro and animal studies to establish that the 5-HT transporter is expressed in breast tissue, particularly in the apical membranes of mammary epithelial cells, and that pharmacologic inhibition of the transporter disrupts tight junctures leading to a local involution-like effect.

To examine the potential effect of SSRI inhibition on milk production in women, Marshall and colleagues enrolled 431 mothers as part of a longitudinal cohort study examining barriers to early lactation success.

All were expecting their first live-born infants, had no known absolute contraindication to breastfeeding, and were at least 19 years old.

Women taking SSRIs were more likely to have scored higher on a depressive symptom scale (as expected), and were somewhat more likely to be obese or to have had a cesarean delivery.

Participating mothers were visited between 72 and 96 hours after giving birth to assess their breastfeeding experience and to determine the timing of secretory activation, and then seen again one week later.

Delayed secretory activation was defined as initiation more than 72 hours postpartum.

Median onset of secretory activation among the SSRI-treated mothers was 85.8 hours compared with 69.1 hours in mothers not using the drugs (P=0.004).

Eight women reported regular use of an SSRI medication. Seven experienced definite delayed secretory activation, and the eighth reported activation at 72 hours and therefore did not meet the defined cutoff for delayed activation.

All women taking SSRIs had experienced secretory activation by their second visit a week after the first interview.

The researchers noted that most studies on the effects of SSRI use during pregnancy and lactation have focused on the risks for developmental defects or whether the drugs passed into milk during lactation.

This study, they said, is the first to report data on another important aspect of SSRI use during the peripartum, the effect on milk production.

They concluded that the risk of delayed secretory activation was twice as great among primiparous women using an SSRI medication, and although the fraction of women taking the drugs was small, the risk was significant and remained so after adjustment for potential confounding factors.

Further examination of this relationship is needed in larger groups of mothers, the researchers said, and in studies to determine if there are differences among the antidepressant medications.

Action Points

• Explain to interested patients that the use of certain types of antidepressants in the postpartum period may affect the onset of mothers’ milk production.
• But note that this observation was in a study that included only a small number of women using the drugs, and further research is needed.

Primary source: Journal of Clinical Endocrinology and Metabolism
Source reference: Marshall A, et al “Serotonin transport and metabolism in the mammary gland modulates secretory activation and involution” J Clin Endocrin Metab 2009; DOI: 10.1210/jc.2009-1575.

Website source: https://rexnurse.mednewsplus.com/html/topicdetails.asp?pid=89&section_id=187&topic_id=18149&puid=11536&flag=1%22_blank%22

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Limited to 40 participants!

Registration: 8:00am (daily)

Program: 8:30am – 5:00pm (Monday – Thursday)

8:30am – 4:00pm (Friday)

3024 New Bern Avenue

Raleigh, NC 27610

The Lactation Consultant Comprehensive Update is an in-depth overview of human lactation and breastfeeding management. It is designed to prepare experienced clinicians to provide optimal breastfeeding care to mothers and babies, as well as prepare those clinicians who may be sitting for the IBLCE Exam. During the five day program, there are lectures, group discussions, small group activities, slides, videos, and extensive written handouts that reflect the areas addressed by the International Board of Lactation Consultant Examiners Blueprint for Certification Examination. Each topic is related to clinical practice by experienced lactation consultants and other health care professionals with specialized expertise.

For more infomation see Brochure: http://www.wakeahec.org/coursecatalog/brochures/lccu10flyer.pdf

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For those of you interested and are not already members of ILCA here is a link to their latest newsletter.  

This newsletter has great infomation about

• IBCLC DAY: March 3, 2010
• 2010 ILCA Conference – ILCA’s 25th Anniversary
• USLCA Offering Webinars
• Member information  

http://www.ilca.org/files/eGlobe/2010/012010_eGlobe.pdf

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