Product Detail

1. Design a plan for a baby who does not latch well in the first 24 hours postpartum.
2. Determine the important roles that oxytocin and vasopressin play in the first hours of mother and baby’s time together.
3. Analyze the research regarding mothers’ decisions to supplement breastfeeding in the early days postpartum.
4. Assess the essential patient teaching components on infant behavior that mothers must understand to be able to optimally read baby’s early cues for comfort vs. food.
5. Examine the role of hormonal alterations in overweight and obese mothers that challenge milk supply.
6. Compare normal breast structure vs. hypoplastic breast structure and the effect on breastfeeding success.
7. Develop strategies to support the mother-baby relationship and breastfeeding following various traumatic birth experiences.
8. Evaluate your professional practice strategies to enhance mother’s commitment to breastfeeding after discharge.

Baby-Friendlier Hospitals

• The ten steps to baby friendly status
• The role of the CDC/Maternity Care
• Practice surveys in improving the atmosphere for breastfeeding success
• International vs. local perspectives in achieving identified goals

Traumatic Birth

• Mom’s history
• Pregnancy losses
• How you are born does matter:
• Induction, epidural, c-section
• Are a good birth and a safe birth mutually exclusive?
• Red flags to be aware of in the chart
• Consequences for breastfeeding and mother-baby interaction
• Would a referral for “other” services be helpful for mom?

Implications of Obesity on Breastfeeding Success

• The large-breasted, obese woman:
• Positioning and counseling strategies
• The obese woman with small breasts:
• Assessing for insufficient glandular tissue
• Recognizing hormonal difficulties that may impact milk supply

Supporting the Latch

• Positioning tips
• The decision to breastfeed – or not to breastfeed: Who chooses what?
• Laid back breastfeeding
• Innate infant & maternal behaviors and their role in feeding
• Anatomical mismatches contribute to additional challenges
• What a “bad latch” means for breastfeeding duration
• The reluctant nurser

Professional Challenges that Complicate Patient Teaching

• Professional boundaries in a helping profession
• The continuum of involvement: From distant to over-involved
• What should guide practice:
• Anecdotal/personal experience or evidence-based research?

Getting Past the First Night Home

• Recent research sheds new light on mother’s assessment of infant intake
• Hospital practices that sabotage the first night home
• What mothers need to know about infant behavior
• What mothers need to know about making milk
• Preparing mothers for return to home & return to work
• Addressing insufficient milk supplies

Breastfeeding Communities

• Influencing the choice to breastfeed
• The role of social media in social change
• Celebrating victories

Dawn M. Kersula, MA, RN, IBCLC, LCCE, FACCE , is a lactation specialist and perinatal educator who founded/continues to staff the outpatient lactation clinic at a hospital in Vermont. She has worked with birthing and breastfeeding families for more than 30 years. Respected for her expertise in the field, Dawn is a requested presenter at international childbirth conferences and locally continues to coordinate her hospital's perinatal education programs/support groups. As president of the Vermont Lactation Consultants Association, she works closely with the Vermont State Breastfeeding Network to offer training opportunities throughout the state and has had the opportunity to impact change through several legislative initiatives that have resulted in pro-breastfeeding legislation in Vermont.

Dawn's passion and commitment is evidenced through her certification as a Lamaze Certified Childbirth Educator (LCCE), active involvement with ILCA (International Lactation Consultants Association) and appointment as a fellow with the American College of Childbirth Educators (FACCE). Her master's research focused on PTSD following traumatic childbirth experiences and, in her role as a perinatal psychologist, she continues to have a special interest in the developmental transition to motherhood. To her credit, Dawn has published over 30 articles pertaining to the specialty of breastfeeding. Speaker Disclosures:
Financial: Dawn Kersula has an employment relationship with Lactation Education Consultants. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dawn Kersula is an author for Baby Steps Blog.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

---

Registered Dietitians & Dietetic Technicians

PESI, Inc., PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR) from July 1, 2019 through June 30, 2022. Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 6.0 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This self-study program/material is designated as LEVEL 2.

---

Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 6/18/2018
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.2 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

---

Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Nurse Practitioners, Midwives, Clinical Nurse Specialists, Dietitians, Nurse Educators, Lactation Counselors/Consultants, Childbirth Educators, Doulas, Breastfeeding Mothers, Certified Professional Midwives