Presentation Information

ADHD impacts 1/30 females, and stimulants are among the most commonly prescribed medications during pregnancy, with an estimated 1% exposure prevalence. Research on ADHD and pregnancy is emerging and imperfect but shows that there are risks to the birther and fetus. Midwives need to be aware of the impacts of ADHD on pregnancy, and the risks and benefits of medication during pregnancy and lactation. Midwives, particularly those working in the continuity of care model, are well positioned to offer education and referrals regarding non-pharmaceutical supports and strategies for managing ADHD in pregnancy.

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14-02-2022 18:00 14-02-2022 19:00 35 ADHD & Pregnancy: What Midwives Need to Know ADHD impacts 1/30 females, and stimulants are among the most commonly prescribed medications during pregnancy, with an estimated 1% exposure prevalence. Research on ADHD and pregnancy is emerging and imperfect but shows that there are risks to the birther and fetus. Midwives need to be aware of the impacts of ADHD on pregnancy, and the risks and benefits of medication during pregnancy and lactation. Midwives, particularly those working in the continuity of care model, are well positioned to offer education and referrals regarding non-pharmaceutical supports and strategies for managing ADHD in pregnancy. GOLD Perinatal Online Conference false DD/MM/YYYY

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Birth trauma is a preventable complication of pregnancy and providers play a critical role in this prevention. Preventing birth trauma not only supports a positive birth experience for the birthing person, but sets the foundation for optimal post-pregnancy health. This is because birth trauma is a catalyst for various long-term health issues for the birthing person including attachment difficulties, chronic pain, chronic illness, autoimmune diseases, postpartum mood and anxiety disorders, as well as an increased risk of pregnancy complications in future pregnancies. Through the study of somatic and somatosensory modalities, as well as years of client work in the high-risk pregnancy population, I have seen clients at risk for pregnancy complications and preterm birth defy medical odds and protect themselves from a traumatic birth in their pregnancies after loss or preterm birth. This presentation will cover the three most important roles of a provider in the facilitation of birth trauma prevention.

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15-02-2022 18:00 15-02-2022 19:00 35 Birth Trauma: A Somatic Approach to Prevention Birth trauma is a preventable complication of pregnancy and providers play a critical role in this prevention. Preventing birth trauma not only supports a positive birth experience for the birthing person, but sets the foundation for optimal post-pregnancy health. This is because birth trauma is a catalyst for various long-term health issues for the birthing person including attachment difficulties, chronic pain, chronic illness, autoimmune diseases, postpartum mood and anxiety disorders, as well as an increased risk of pregnancy complications in future pregnancies. Through the study of somatic and somatosensory modalities, as well as years of client work in the high-risk pregnancy population, I have seen clients at risk for pregnancy complications and preterm birth defy medical odds and protect themselves from a traumatic birth in their pregnancies after loss or preterm birth. This presentation will cover the three most important roles of a provider in the facilitation of birth trauma prevention. GOLD Perinatal Online Conference false DD/MM/YYYY

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A steady decline in the rate of vaginal term breech birth over the past three decades has led to a resurgence of vaginal breech birth in many parts of the world. The dedication of researchers, teachers, providers, and non-profit organizations has fostered on- going studies, published research, and provided hands-on training. Within that dedicated group of professionals there is a controversy surrounding using water for second stage. There are strong opinions on either side. Dr. Herman Ponette, the head obstetrician at the H. Surreys Hospital in Ostend, Belgium, was the first obstetrician to detail his experience using water immersion for term breech vaginal birth in the early 1980s. Using water as a comfort measure for early labor is not currently in question. Most experienced breech providers have limited experience using water for the actual birth.

This session will examine the pros and cons of facilitating breech birth in water from a provider perspective. A brief discussion of fetal reflexes and newborn transitional physiology will be included as well as a summary of the current research. Using photos, video of breech waterbirths, and video demonstration on models of hand positions and techniques to assist with a breech birth will introduce the participant to this topic and create an interest for further research and investigation.

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01-02-2022 17:00 01-02-2022 18:15 35 Breech Waterbirth: Perspectives and Controversy A steady decline in the rate of vaginal term breech birth over the past three decades has led to a resurgence of vaginal breech birth in many parts of the world. The dedication of researchers, teachers, providers, and non-profit organizations has fostered on- going studies, published research, and provided hands-on training. Within that dedicated group of professionals there is a controversy surrounding using water for second stage. There are strong opinions on either side. Dr. Herman Ponette, the head obstetrician at the H. Surreys Hospital in Ostend, Belgium, was the first obstetrician to detail his experience using water immersion for term breech vaginal birth in the early 1980s. Using water as a comfort measure for early labor is not currently in question. Most experienced breech providers have limited experience using water for the actual birth. This session will examine the pros and cons of facilitating breech birth in water from a provider perspective. A brief discussion of fetal reflexes and newborn transitional physiology will be included as well as a summary of the current research. Using photos, video of breech waterbirths, and video demonstration on models of hand positions and techniques to assist with a breech birth will introduce the participant to this topic and create an interest for further research and investigation. GOLD Perinatal Online Conference false DD/MM/YYYY

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Working in perinatal care can be deeply rewarding. It can also lead to job-related burnout, secondary traumatic stress, and moral injury. Secondary traumatic stress (compassion fatigue), or moral injury, can occur when witnessing traumatic events in the workplace. This can occur when witnessing infant death or traumatic births, or when there is too much work, or work that doesn’t seem to make a difference, and little institutional support. Unfortunately, this is remarkably common among caregivers for perinatal women. Burnout, compassion fatigue, and moral injury can lead to physical and mental health sequelae for care providers and have a negative effect on the care they provider. Self-care is essential for being able to provide care to others. In this presentation, participants will learn about the causes and consequences of burnout, compassion fatigue, and moral injury. Fortunately, there is hope for recovery. Participants will learn some specific strategies for integrating self-care into their care for others.

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22-02-2022 17:00 22-02-2022 18:15 35 Burnout, Compassion Fatigue, and Moral Injury in Perinatal Care Providers Working in perinatal care can be deeply rewarding. It can also lead to job-related burnout, secondary traumatic stress, and moral injury. Secondary traumatic stress (compassion fatigue), or moral injury, can occur when witnessing traumatic events in the workplace. This can occur when witnessing infant death or traumatic births, or when there is too much work, or work that doesn’t seem to make a difference, and little institutional support. Unfortunately, this is remarkably common among caregivers for perinatal women. Burnout, compassion fatigue, and moral injury can lead to physical and mental health sequelae for care providers and have a negative effect on the care they provider. Self-care is essential for being able to provide care to others. In this presentation, participants will learn about the causes and consequences of burnout, compassion fatigue, and moral injury. Fortunately, there is hope for recovery. Participants will learn some specific strategies for integrating self-care into their care for others. GOLD Perinatal Online Conference false DD/MM/YYYY

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The rapid development and attempts at standardization and professionalization of the modern version of midwifery in the U.S. has created debate and tension about what, exactly, should be contained within the internationally recommended 3-year midwife training. Competencies in clinical judgment, intuition, multi-tasking, delegating, and other higher-order professional skills, hallmarks of modern midwifery, take longer to develop than just technical excellence. Midwives in my parts of the world are targeted during and after providing care by the dominate for-profit medical model. However, despite all this, charting defensively is not an integral part of midwifery training across the globe, most charting is not standardized therefore putting midwives at risk. Thus, increasing malpractice costs, and decreasing access to midwives is the result. Not having a context for charting, makes midwives vulnerable to litigation. Not good for the midwife, not good for the community. This presentation about defensive charting aims to bridge the gap by starting a conversation around honing critical thinking pathways, sharpening charting skills and debunking charting myths, optimizing charting habits, shared decision-making and tips to protect yourself during and after poor outcomes. Access the tools to close existing gaps in charting, acknowledge cultural incompetency, political reality, and design in-office systems of strength and confidence for the future.

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14-02-2022 14:00 14-02-2022 15:00 35 Defensive Charting for Community-Based Midwives The rapid development and attempts at standardization and professionalization of the modern version of midwifery in the U.S. has created debate and tension about what, exactly, should be contained within the internationally recommended 3-year midwife training. Competencies in clinical judgment, intuition, multi-tasking, delegating, and other higher-order professional skills, hallmarks of modern midwifery, take longer to develop than just technical excellence. Midwives in my parts of the world are targeted during and after providing care by the dominate for-profit medical model. However, despite all this, charting defensively is not an integral part of midwifery training across the globe, most charting is not standardized therefore putting midwives at risk. Thus, increasing malpractice costs, and decreasing access to midwives is the result. Not having a context for charting, makes midwives vulnerable to litigation. Not good for the midwife, not good for the community. This presentation about defensive charting aims to bridge the gap by starting a conversation around honing critical thinking pathways, sharpening charting skills and debunking charting myths, optimizing charting habits, shared decision-making and tips to protect yourself during and after poor outcomes. Access the tools to close existing gaps in charting, acknowledge cultural incompetency, political reality, and design in-office systems of strength and confidence for the future. GOLD Perinatal Online Conference false DD/MM/YYYY

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Systemic racism and bias of individuals in healthcare has a significant impact on the health and well-being of clients/patients, care providers, and communities.

The Canadian midwifery model of care is well-suited to mitigate some of the disparities caused by bias and racism in sexual and reproductive health care. It is also not impossible for well-intentioned midwives to contribute to, and uphold the systems that discriminate.

Drawing from her lived experience as a Métis midwife, Heather will share anecdotes and stories that illustrate the stark differences between communities where there is no access to midwifery care, compared to a community with access. She will explore ways that systemic racism is manifest within sexual and reproductive health care in Canada, and the impacts on patients/clients, healthcare providers, and communities.

Strategies to mitigate these negative impacts must be led by the communities that experience them and supported by others who work and live with these people. A strengths based, community-led approach must be taken. This requires taking a deep look within ourselves and the systems that we work in to understand the breadth of the problem that we face.

Participants will leave the presentation with concrete steps they can take to help combat racism and work towards dismantling systems that contribute to ongoing oppression.

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08-02-2022 20:00 08-02-2022 21:00 35 Exploring Bias and Racism in Sexual and Reproductive Health Care in Remote Canada: A Collection of Stories Systemic racism and bias of individuals in healthcare has a significant impact on the health and well-being of clients/patients, care providers, and communities. The Canadian midwifery model of care is well-suited to mitigate some of the disparities caused by bias and racism in sexual and reproductive health care. It is also not impossible for well-intentioned midwives to contribute to, and uphold the systems that discriminate. Drawing from her lived experience as a Métis midwife, Heather will share anecdotes and stories that illustrate the stark differences between communities where there is no access to midwifery care, compared to a community with access. She will explore ways that systemic racism is manifest within sexual and reproductive health care in Canada, and the impacts on patients/clients, healthcare providers, and communities. Strategies to mitigate these negative impacts must be led by the communities that experience them and supported by others who work and live with these people. A strengths based, community-led approach must be taken. This requires taking a deep look within ourselves and the systems that we work in to understand the breadth of the problem that we face. Participants will leave the presentation with concrete steps they can take to help combat racism and work towards dismantling systems that contribute to ongoing oppression. GOLD Perinatal Online Conference false DD/MM/YYYY

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Traditionally, an outcome focus has often been considered as the measure of ‘success’ in birth. When it comes to consent, that outcome tends to be ‘a live healthy baby’ and ‘the authority to do what is deemed desirable or necessary’. Considering an epidemic of birth trauma and the associations with the #metoo movement in birth, it is evident that this is not success for women and families. It is a narrow and damaging view that needs to be explored, understood, and changes made. The process of consent is valued, tangible, ethically and legally sanctioned, and provides key moments in care, to incorporate such change. A paradigm shift around consent is vital to address the experiences of assault and trauma in perinatal care. Conversation with families about consent is also a potential starting point to consciously address and intervene in damaging processes, and improve experiences, that could then be normalized and ripple out across all care delivery. Practical measures around consent and care processes will be explored with the aim to offer an intervention, when used consistently, to break the human mode of transmission of birth trauma, metaphorically, much like handwashing in our current pandemic.

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15-02-2022 22:00 15-02-2022 23:00 35 Exploring Paradigms Around Consent and Birth Trauma Traditionally, an outcome focus has often been considered as the measure of ‘success’ in birth. When it comes to consent, that outcome tends to be ‘a live healthy baby’ and ‘the authority to do what is deemed desirable or necessary’. Considering an epidemic of birth trauma and the associations with the #metoo movement in birth, it is evident that this is not success for women and families. It is a narrow and damaging view that needs to be explored, understood, and changes made. The process of consent is valued, tangible, ethically and legally sanctioned, and provides key moments in care, to incorporate such change. A paradigm shift around consent is vital to address the experiences of assault and trauma in perinatal care. Conversation with families about consent is also a potential starting point to consciously address and intervene in damaging processes, and improve experiences, that could then be normalized and ripple out across all care delivery. Practical measures around consent and care processes will be explored with the aim to offer an intervention, when used consistently, to break the human mode of transmission of birth trauma, metaphorically, much like handwashing in our current pandemic. GOLD Perinatal Online Conference false DD/MM/YYYY

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In 2016 National Health Service (NHS) England produced a report that is to be ground breaking in its ambitions and is part of the NHS Long Term Plan. The review team spent a whole year meeting with families, midwives, obstetricians and voluntary sector groups. This review team was led by Baroness Cumberledge, she understood the issues and was able to steer this work to its most important conclusion – personalised care centred around the woman and her family gives the best physical and psychological outcomes. The vision for maternity services across England is for them to become safer, more personalised, kinder, professional and more family friendly; where everywoman has access to information to enable her to make decisions about her care; and where she and her baby can access support that is centred around their individual needs and circumstances. If a small group of midwives managed the care of the woman, near to her home and she has access at all times to the information, choices about her birthing options then the benefits were huge. A reduction in premature birth, reduction in stillbirth, less risk of perinatal illness and of course reduction in maternal deaths. This is the reality for maternity services and now we are partway through implementation. I will present some of the realities for this model and the benefits for women and their families.

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14-02-2022 16:00 14-02-2022 17:00 35 Family Centred Midwifery Care in Practice In 2016 National Health Service (NHS) England produced a report that is to be ground breaking in its ambitions and is part of the NHS Long Term Plan. The review team spent a whole year meeting with families, midwives, obstetricians and voluntary sector groups. This review team was led by Baroness Cumberledge, she understood the issues and was able to steer this work to its most important conclusion – personalised care centred around the woman and her family gives the best physical and psychological outcomes. The vision for maternity services across England is for them to become safer, more personalised, kinder, professional and more family friendly; where everywoman has access to information to enable her to make decisions about her care; and where she and her baby can access support that is centred around their individual needs and circumstances. If a small group of midwives managed the care of the woman, near to her home and she has access at all times to the information, choices about her birthing options then the benefits were huge. A reduction in premature birth, reduction in stillbirth, less risk of perinatal illness and of course reduction in maternal deaths. This is the reality for maternity services and now we are partway through implementation. I will present some of the realities for this model and the benefits for women and their families. GOLD Perinatal Online Conference false DD/MM/YYYY

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A seasoned midwife sometimes encounters unusual situations in clinical practice. In these unique case studies, we will consider the challenges of paravaginal birth, uterus didelphys, cervical myoma, and acute urinary retention in the second trimester.

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15-02-2022 20:00 15-02-2022 21:00 35 How Do You Respond to the Unusual? Case Studies of Uncommon Events in Birth A seasoned midwife sometimes encounters unusual situations in clinical practice. In these unique case studies, we will consider the challenges of paravaginal birth, uterus didelphys, cervical myoma, and acute urinary retention in the second trimester. GOLD Perinatal Online Conference false DD/MM/YYYY

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Pre-eclampsia, a complex hypertensive disorder of pregnancy is the second leading cause of global maternal mortality affecting about 8% of pregnancies. Although there are more positive outcomes for women who develop pre-eclampsia in Europe, North America and Australia, there are far more devastating consequences in Low- and Middle-Income Countries (LMIC’s). To improve the outcomes and ultimately achieve the Sustainable Development Goals (SDG’s), effective care is recommended for all women who develop pre-eclampsia, and this should be based on high quality guidelines to facilitate prompt identification and management. As front-line maternity service providers, midwives are instrumental in reducing maternal and neonatal deaths from all complications including pre-eclampsia. Across the continuum of care, midwives have the potential to save over 30% of women who develop pre-eclampsia and eclampsia. Depending on the setting, midwives may assess, diagnose, initiate, and coordinate care for women who develop pre-eclampsia within regulated practice frameworks and in agreement with international practice standards. This presentation will highlight the burden of pre-eclampsia and discuss the current care recommendations during the antenatal, intrapartum, and postpartum periods. Practical application strategies in LMIC’s will be emphasized in the context of WHO’s quality care framework.

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16-02-2022 00:00 16-02-2022 01:00 35 Improving the Outcomes for Women Who Develop Pre-eclampsia: What Can the Midwife Do? Pre-eclampsia, a complex hypertensive disorder of pregnancy is the second leading cause of global maternal mortality affecting about 8% of pregnancies. Although there are more positive outcomes for women who develop pre-eclampsia in Europe, North America and Australia, there are far more devastating consequences in Low- and Middle-Income Countries (LMIC’s). To improve the outcomes and ultimately achieve the Sustainable Development Goals (SDG’s), effective care is recommended for all women who develop pre-eclampsia, and this should be based on high quality guidelines to facilitate prompt identification and management. As front-line maternity service providers, midwives are instrumental in reducing maternal and neonatal deaths from all complications including pre-eclampsia. Across the continuum of care, midwives have the potential to save over 30% of women who develop pre-eclampsia and eclampsia. Depending on the setting, midwives may assess, diagnose, initiate, and coordinate care for women who develop pre-eclampsia within regulated practice frameworks and in agreement with international practice standards. This presentation will highlight the burden of pre-eclampsia and discuss the current care recommendations during the antenatal, intrapartum, and postpartum periods. Practical application strategies in LMIC’s will be emphasized in the context of WHO’s quality care framework. GOLD Perinatal Online Conference false DD/MM/YYYY

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16 million adolescents give birth in India annually which roughly translates to 100 percent of teenage pregnancies worldwide. The United Nations Population Fund (UNFPA) predicted “India will retain the biggest national adolescent girl population, with hardly any net change from 2010 to 2030 (93 million to 95 million)”. Birth Village, the natural birthing center, is the only free-standing natural birth center with midwife led care based currently in India.

In 2012 we formalized our second not for profit organization Birth for Change, and in conjunction with another NGO Dil se, have been successfully running Tejus, a home, the only one of its kind in India for young children who enter pregnancy primarily through violence. We provide a safe space where this section of vulnerable population obtain nourishment, childbirth education and exercise classes, facilitating supportive relationships, birth services and postpartum services. We have also expanded to provide an additional foundling space where the mothers can keep their babies. This presentation provides a look some of our research, including birth narratives recorded with consent, and provides a focused look at the midwifery care of adolescent pregnancies.

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07-02-2022 14:00 07-02-2022 15:00 35 Midwifery Care of Adolescent Pregnancies: Lessons From India 16 million adolescents give birth in India annually which roughly translates to 100 percent of teenage pregnancies worldwide. The United Nations Population Fund (UNFPA) predicted “India will retain the biggest national adolescent girl population, with hardly any net change from 2010 to 2030 (93 million to 95 million)”. Birth Village, the natural birthing center, is the only free-standing natural birth center with midwife led care based currently in India. In 2012 we formalized our second not for profit organization Birth for Change, and in conjunction with another NGO Dil se, have been successfully running Tejus, a home, the only one of its kind in India for young children who enter pregnancy primarily through violence. We provide a safe space where this section of vulnerable population obtain nourishment, childbirth education and exercise classes, facilitating supportive relationships, birth services and postpartum services. We have also expanded to provide an additional foundling space where the mothers can keep their babies. This presentation provides a look some of our research, including birth narratives recorded with consent, and provides a focused look at the midwifery care of adolescent pregnancies. GOLD Perinatal Online Conference false DD/MM/YYYY

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In this session, we'll explore a deeper understanding of what obstetric violence is and the many ways it manifests to undermine and harm birthing people—as well as puts their caregivers and support teams in compromising positions. We'll discuss how birth professionals can avoid committing or contributing to obstetric violence themselves and how they can help make trauma informed care--including self-healing--the industry standard.

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07-02-2022 18:00 07-02-2022 19:00 35 Obstetric Violence and How Birth Professionals Can Help to Prevent, Identify, and Address It In this session, we'll explore a deeper understanding of what obstetric violence is and the many ways it manifests to undermine and harm birthing people—as well as puts their caregivers and support teams in compromising positions. We'll discuss how birth professionals can avoid committing or contributing to obstetric violence themselves and how they can help make trauma informed care--including self-healing--the industry standard. GOLD Perinatal Online Conference false DD/MM/YYYY

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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. Therapeutic Breast Massage in Lactation (TBML) provides a simple, readily accessible method that can be easily taught to parents and health professionals. Empowering parents to resolve complications at home may be a critical skill for extending breastfeeding duration.

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08-02-2022 18:00 08-02-2022 19:00 35 Our Hands as Tools to Resolve Acute Breast Pain in the Early Postpartum Period 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. Therapeutic Breast Massage in Lactation (TBML) provides a simple, readily accessible method that can be easily taught to parents and health professionals. Empowering parents to resolve complications at home may be a critical skill for extending breastfeeding duration. GOLD Perinatal Online Conference false DD/MM/YYYY

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Perinatal Anxiety is included under the umbrella of Perinatal Mood & Anxiety Disorders which are experienced by approximately 1 in 5 mothers. This particular type of anxiety is characterized by intense uncontrollable worry, panic attacks, insomnia, racing thoughts and a general fear that something bad will happen (typically to one’s infant). Although worrying about one’s pregnancy, delivery, and baby is very common; these worries become concerning when they are all-consuming and start to interfere with one’s ability to function. This presentation will focus on ways to identify perinatal anxiety in your patients, the importance of screening throughout pregnancy and postpartum, strategies to share with your patients for managing their anxiety such as relaxation exercises, support groups, education, physical movement, mindfulness, etc., and resources to provide to patients in need of mental health treatment.

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07-02-2022 16:00 07-02-2022 17:00 35 Perinatal Anxiety: Options for Screening, Treatment, and Support Perinatal Anxiety is included under the umbrella of Perinatal Mood & Anxiety Disorders which are experienced by approximately 1 in 5 mothers. This particular type of anxiety is characterized by intense uncontrollable worry, panic attacks, insomnia, racing thoughts and a general fear that something bad will happen (typically to one’s infant). Although worrying about one’s pregnancy, delivery, and baby is very common; these worries become concerning when they are all-consuming and start to interfere with one’s ability to function. This presentation will focus on ways to identify perinatal anxiety in your patients, the importance of screening throughout pregnancy and postpartum, strategies to share with your patients for managing their anxiety such as relaxation exercises, support groups, education, physical movement, mindfulness, etc., and resources to provide to patients in need of mental health treatment. GOLD Perinatal Online Conference false DD/MM/YYYY

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There is a growing awareness of the importance of perinatal mental health, and with the COVID-19 global pandemic, the need for screening is more important than ever. There is a knowledge and practice gap however when it comes to the practicalities of caring for mental health. This panel brings together midwives from different parts of the world and different practice settings to discuss what mental health care looks like in clinical practice and the importance of building mental health assessment and management into the standard structure of care provided to all birthing families.

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16-02-2022 18:00 16-02-2022 19:00 35 Putting Mental Health Care Into Practice There is a growing awareness of the importance of perinatal mental health, and with the COVID-19 global pandemic, the need for screening is more important than ever. There is a knowledge and practice gap however when it comes to the practicalities of caring for mental health. This panel brings together midwives from different parts of the world and different practice settings to discuss what mental health care looks like in clinical practice and the importance of building mental health assessment and management into the standard structure of care provided to all birthing families. GOLD Perinatal Online Conference false DD/MM/YYYY

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So much emphasis has been placed on the bones of the pelvis – the space they can create for birth and the problems they cause. Cephalo Pelvic Disproportion (CPD) seems to be a term all too readily used to justify yet another woman having her baby born by caesarean section. It seems strange that nature has created so many mother/baby mismatches!

Commonly, the pelvic soft tissues don't come into consideration when a mother’s pelvis is deemed too small for her baby’s head. And yet bones don’t move on their own. Bones provide structure and form and bony movements are driven by soft connective tissues. If the connective tissues are holding tension of known or unknown origin, it stands to reason that when that tension is addressed and released, the connective tissues may ‘sigh’ and greater movement of the bony frame could occur.

The presentation will explore what connective tissues influence pelvic space and movement, why connective tissues can hold tension and creative considerations to work with them.

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08-02-2022 22:00 08-02-2022 23:00 35 Soft Tissues of the Pelvis and Their Impact on Birth So much emphasis has been placed on the bones of the pelvis – the space they can create for birth and the problems they cause. Cephalo Pelvic Disproportion (CPD) seems to be a term all too readily used to justify yet another woman having her baby born by caesarean section. It seems strange that nature has created so many mother/baby mismatches! Commonly, the pelvic soft tissues don't come into consideration when a mother’s pelvis is deemed too small for her baby’s head. And yet bones don’t move on their own. Bones provide structure and form and bony movements are driven by soft connective tissues. If the connective tissues are holding tension of known or unknown origin, it stands to reason that when that tension is addressed and released, the connective tissues may ‘sigh’ and greater movement of the bony frame could occur. The presentation will explore what connective tissues influence pelvic space and movement, why connective tissues can hold tension and creative considerations to work with them. GOLD Perinatal Online Conference false DD/MM/YYYY

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Normal birth has been plagued for 67 years by attempts to make it shorter based on arbitrary timelines. A systematic review of cervical patterns of low risk women have called into question the universal application of clinical standards based on an expectation of linear labour progress in all women. The WHO has affirmed that Friedman’s Curve of 1954-55 and the one centimetre an hour dilation threshold should no longer be used to identify adverse outcomes, as it is not evidence-based.

Now, in the era of fear of vaginal breech, attempts to gauge the safe length of second stage in vaginal breech is based on research in hospitals where induction and augmentation are widely used and the amount of time permitted for second stage has already been artificially cut off by assumptive hospital protocols.

The largest sample of upright vaginal breech birth (UVBB) to date was done in a Frankfurt hospital that uses protocols that do not arbitrarily limit second stage but nevertheless produce good outcomes. This suggests that hospitals that use very strict timelines may be producing a self-fulfilling prophecy of what is “normal” that imposes time limits not necessarily required to keep birth safe. Manoeuvres used to rectify problems, such as fundal pressure and “the Crowning Touch” will be demonstrated at this presentation—with their indications based on the failure of the physiological cardinal movements of the breech to transpire after several contractions, or when concerns about the fetal condition or maternal stamina arise. Reviewing problems with how proposed timelines in the breech have been developed and their shortcomings, it will be argued that focus should be on the condition of the fetus and mother rather than the clock.

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01-02-2022 08:00 01-02-2022 09:00 35 Avoiding Another Friedman Curve: Are We Ready to Relax Timing Limitations in Vaginal Breech? Normal birth has been plagued for 67 years by attempts to make it shorter based on arbitrary timelines. A systematic review of cervical patterns of low risk women have called into question the universal application of clinical standards based on an expectation of linear labour progress in all women. The WHO has affirmed that Friedman’s Curve of 1954-55 and the one centimetre an hour dilation threshold should no longer be used to identify adverse outcomes, as it is not evidence-based. Now, in the era of fear of vaginal breech, attempts to gauge the safe length of second stage in vaginal breech is based on research in hospitals where induction and augmentation are widely used and the amount of time permitted for second stage has already been artificially cut off by assumptive hospital protocols. The largest sample of upright vaginal breech birth (UVBB) to date was done in a Frankfurt hospital that uses protocols that do not arbitrarily limit second stage but nevertheless produce good outcomes. This suggests that hospitals that use very strict timelines may be producing a self-fulfilling prophecy of what is “normal” that imposes time limits not necessarily required to keep birth safe. Manoeuvres used to rectify problems, such as fundal pressure and “the Crowning Touch” will be demonstrated at this presentation—with their indications based on the failure of the physiological cardinal movements of the breech to transpire after several contractions, or when concerns about the fetal condition or maternal stamina arise. Reviewing problems with how proposed timelines in the breech have been developed and their shortcomings, it will be argued that focus should be on the condition of the fetus and mother rather than the clock. GOLD Perinatal Online Conference false DD/MM/YYYY

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This presentation shows breech birth videos submitted to Breech Without Borders for analysis & educational purposes. In this session, the instructors present videos that show some type of deviation from normal physiological birth. Some of the births resolve spontaneously, while others require assistance in the form of maneuvers. As the videos play, the instructors discuss what they are seeing, point out what was done correctly and what might have been done differently, and give clinical tips to the audience members for when they are attending vaginal breech birth.

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01-02-2022 08:00 01-02-2022 09:00 35 Breech Birth Video Analysis This presentation shows breech birth videos submitted to Breech Without Borders for analysis & educational purposes. In this session, the instructors present videos that show some type of deviation from normal physiological birth. Some of the births resolve spontaneously, while others require assistance in the form of maneuvers. As the videos play, the instructors discuss what they are seeing, point out what was done correctly and what might have been done differently, and give clinical tips to the audience members for when they are attending vaginal breech birth. GOLD Perinatal Online Conference false DD/MM/YYYY

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This presentation demonstrates both upright and supine maneuvers for resolving obstructed breech birth using an obstetrical simulator. After reviewing the vaginal breech decision tree developed by Dr. David Hayes, we review the following maneuvers:

Upright maneuvers: Front to Back (aka "Face to Pubes" or "Prayer Hands") Side to Side (aka Louwen maneuver) Upright Lovset Shoulder press Rock & Roll Ritgen Finger forceps (aka Finger Flexion or Crowning Touch) Mauriceau-Banks/Cronk (upright MSV) Chin tuck Elevate-flex-rotate (for hyperextended head in the pelvic inlet)

Supine maneuvers: Lovset Burns-Marshall Bracht Pinard MSV (Mauriceau-Smellie-Veit)

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01-02-2022 08:00 01-02-2022 09:00 35 Maneuvers for Abnormal Breech Birth: A Review This presentation demonstrates both upright and supine maneuvers for resolving obstructed breech birth using an obstetrical simulator. After reviewing the vaginal breech decision tree developed by Dr. David Hayes, we review the following maneuvers: Upright maneuvers: Front to Back (aka "Face to Pubes" or "Prayer Hands") Side to Side (aka Louwen maneuver) Upright Lovset Shoulder press Rock & Roll Ritgen Finger forceps (aka Finger Flexion or Crowning Touch) Mauriceau-Banks/Cronk (upright MSV) Chin tuck Elevate-flex-rotate (for hyperextended head in the pelvic inlet) Supine maneuvers: Lovset Burns-Marshall Bracht Pinard MSV (Mauriceau-Smellie-Veit) GOLD Perinatal Online Conference false DD/MM/YYYY

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To test the predictive value of the Physiological Breech Birth Algorithm.

Design: Retrospective case-control study

Setting: Teaching Hospital, United Kingdom

Population/sample: Cases were all vaginal breech births >37 weeks’ gestation where neonatal admission or death occurred between April 2012 and April 2020. Controls were the two term breech births without admission immediately prior to the cases.

Methods: Data was collected from intrapartum care records and analysed using SPSS v26 statistical software. The chi-square test was used to determine association between exposure to the variables of interest and admission to the neonatal unit. Multiple logistic regression was used to test the predictive value of delays defined as non-adherence to the Algorithm.

Main outcome measures: Intervals between the start of labour, the start of second stage of labour and various stages of emergence (presenting part, buttocks, pelvis, arms, head).

Results: Logistic regressing modelling using the Algorithm time frames had an 84.2% accuracy, a sensitivity of 66.7% and a specificity of 92.3%. Delays between umbilicus and head >3 minutes (OR: 9.508 [95% CI: 1.390-65.046] p=0.022) and from buttocks on the perineum to head >7 minutes (OR: 6.682 [95% CI: 0.940-41.990] p=0.058) showed the most effect. Lengths of time until the first intervention were also longer among the cases, suggesting that at least some of this delay is modifiable.

Conclusions: Improved recognition of delay and efficient assistance may help improve vaginal breech birth outcomes. Further research should determine whether training based on the Physiological Breech Birth Algorithm can reduce neonatal admissions.

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01-02-2022 08:00 01-02-2022 09:00 35 Optimal Time Intervals of Vaginal Breech Births: A Case Control Study To test the predictive value of the Physiological Breech Birth Algorithm. Design: Retrospective case-control study Setting: Teaching Hospital, United Kingdom Population/sample: Cases were all vaginal breech births >37 weeks’ gestation where neonatal admission or death occurred between April 2012 and April 2020. Controls were the two term breech births without admission immediately prior to the cases. Methods: Data was collected from intrapartum care records and analysed using SPSS v26 statistical software. The chi-square test was used to determine association between exposure to the variables of interest and admission to the neonatal unit. Multiple logistic regression was used to test the predictive value of delays defined as non-adherence to the Algorithm. Main outcome measures: Intervals between the start of labour, the start of second stage of labour and various stages of emergence (presenting part, buttocks, pelvis, arms, head). Results: Logistic regressing modelling using the Algorithm time frames had an 84.2% accuracy, a sensitivity of 66.7% and a specificity of 92.3%. Delays between umbilicus and head >3 minutes (OR: 9.508 [95% CI: 1.390-65.046] p=0.022) and from buttocks on the perineum to head >7 minutes (OR: 6.682 [95% CI: 0.940-41.990] p=0.058) showed the most effect. Lengths of time until the first intervention were also longer among the cases, suggesting that at least some of this delay is modifiable. Conclusions: Improved recognition of delay and efficient assistance may help improve vaginal breech birth outcomes. Further research should determine whether training based on the Physiological Breech Birth Algorithm can reduce neonatal admissions. GOLD Perinatal Online Conference false DD/MM/YYYY

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After the results of the Term breech trial being published in 2000 more or less over night the rate of vaginal breech delivery has declined tremendously. But vaginal breech birth has become in some units and some countries again available, most of the time it is due to a group of midwives and obstetricians being interested in providing physiological birth in general. It has been felt, that if you choose the right candidate that vaginal breech birth is as safe as in cephalic birth. However upright birth position has been shown to have advantages due to gravity and natural movements being supported especially breech delivery. We have investigated the different mechanism and techniques to overcome possible delays.

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18-10-2021 08:00 18-10-2021 21:00 35 Upright Breech Birth - Tricks of the Trade After the results of the Term breech trial being published in 2000 more or less over night the rate of vaginal breech delivery has declined tremendously. But vaginal breech birth has become in some units and some countries again available, most of the time it is due to a group of midwives and obstetricians being interested in providing physiological birth in general. It has been felt, that if you choose the right candidate that vaginal breech birth is as safe as in cephalic birth. However upright birth position has been shown to have advantages due to gravity and natural movements being supported especially breech delivery. We have investigated the different mechanism and techniques to overcome possible delays. GOLD Perinatal Online Conference false DD/MM/YYYY

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This presentation considers physiological breech research published within the last two years, and its implications for how we teach and practice vaginal breech birth safety skills.

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01-02-2022 08:00 01-02-2022 09:00 35 Using Research to Optimise Safety and Availability of Vaginal Breech Birth This presentation considers physiological breech research published within the last two years, and its implications for how we teach and practice vaginal breech birth safety skills. GOLD Perinatal Online Conference false DD/MM/YYYY

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Research emerging from Relational Neuroscience, including polyvagal theory, regulation theory, and the neurosequential model of development, has shifted our understanding of the origins of behavior. When parents, caregivers, and child development professionals are armed with the latest science about what behavior really is, they increase their capacity for connecting with dysregulated behavior in a way that promotes positive growth and development of the relational, social, and behavioral brain of the child. This workshop will briefly summarize the latest research from the relational neuroscience and then move into practical interventions that will help caregivers soothe difficult behaviors while promoting attachment, regulation, and stress resilience.

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01-02-2022 08:00 01-02-2022 09:00 35 A Neuroscience-Based Paradigm Shift for Parenting Kids With Dysregulated Behaviors Research emerging from Relational Neuroscience, including polyvagal theory, regulation theory, and the neurosequential model of development, has shifted our understanding of the origins of behavior. When parents, caregivers, and child development professionals are armed with the latest science about what behavior really is, they increase their capacity for connecting with dysregulated behavior in a way that promotes positive growth and development of the relational, social, and behavioral brain of the child. This workshop will briefly summarize the latest research from the relational neuroscience and then move into practical interventions that will help caregivers soothe difficult behaviors while promoting attachment, regulation, and stress resilience. GOLD Perinatal Online Conference false DD/MM/YYYY

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There is a growing awareness about the impact of Adverse Childhood Events or ACEs and the toxic stress they can create during a child’s formative years. So far much of the research and conversation has focused on identifying ACEs and the negative life-long consequences they can have. How can we reframe the conversation to shift from focusing on reacting to negative outcomes, to creating the caring connections that promote healthy brain development and stress regulation? To feel healthy, people of all ages look for a meaningful existence with loving and caring relationships. In the Salutogenic Model of Health this is called the Sense of Coherence (SoC). When the SoC is under strain, this can cause pain and trauma that both parent and child express in behaviours that are difficult to handle for themselves and others. As innately and intensely social beings, humans actively try to connect to others to build positive, contextualised relationships that support health and wellbeing and create social resources. Therefore, secure childhoods and nurturing social environments are likely to increase lifelong resilience. Looking at health from a salutogenic perspective can help us understand that health and wellbeing cannot simply be depoliticised and decontextualized as an individual responsibility. ACEs are not always preventable, but we have the power to help both parents and professionals create the positive childhood experiences (PCEs) that buffer the negative ones and create resilience.

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01-02-2022 08:00 01-02-2022 09:00 35 Building Strong Children: The Power of Buffering Protection Through Responsive Parenting and Caring Communities There is a growing awareness about the impact of Adverse Childhood Events or ACEs and the toxic stress they can create during a child’s formative years. So far much of the research and conversation has focused on identifying ACEs and the negative life-long consequences they can have. How can we reframe the conversation to shift from focusing on reacting to negative outcomes, to creating the caring connections that promote healthy brain development and stress regulation? To feel healthy, people of all ages look for a meaningful existence with loving and caring relationships. In the Salutogenic Model of Health this is called the Sense of Coherence (SoC). When the SoC is under strain, this can cause pain and trauma that both parent and child express in behaviours that are difficult to handle for themselves and others. As innately and intensely social beings, humans actively try to connect to others to build positive, contextualised relationships that support health and wellbeing and create social resources. Therefore, secure childhoods and nurturing social environments are likely to increase lifelong resilience. Looking at health from a salutogenic perspective can help us understand that health and wellbeing cannot simply be depoliticised and decontextualized as an individual responsibility. ACEs are not always preventable, but we have the power to help both parents and professionals create the positive childhood experiences (PCEs) that buffer the negative ones and create resilience. GOLD Perinatal Online Conference false DD/MM/YYYY

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Foetal programming refers to changes in the environment in utero during specific critical or sensitive periods and the long-term effect on the child. Maternal stress and anxiety during pregnancy represents an important aspect of the intrauterine environment and can alter the development of the foetus and child and can influence many, if not all, developmental outcomes. The presentation will explain what foetal programming is, why it matters and discuss how stress impacts it. It will discuss the importance of building therapeutic relationships with clients and their families. It will conclude with the tools and strategies to equip professionals who work with women, children and their families to better support them in pregnancy and the first three years of life.

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01-02-2022 08:00 01-02-2022 09:00 35 Foetal Programming and the Impact of Stress Foetal programming refers to changes in the environment in utero during specific critical or sensitive periods and the long-term effect on the child. Maternal stress and anxiety during pregnancy represents an important aspect of the intrauterine environment and can alter the development of the foetus and child and can influence many, if not all, developmental outcomes. The presentation will explain what foetal programming is, why it matters and discuss how stress impacts it. It will discuss the importance of building therapeutic relationships with clients and their families. It will conclude with the tools and strategies to equip professionals who work with women, children and their families to better support them in pregnancy and the first three years of life. GOLD Perinatal Online Conference false DD/MM/YYYY

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An increasing number of research studies and psychotherapists’ accounts address the phenomenon in which parents’ attachment histories play a major role in their emotional capacity for pleasurable bonding with their own baby. Birth trauma, childhood trauma, insecure or disorganized early attachment can all carry forward as unconscious, implicit memory (emotional memory) that, in stressful circumstances, can arise and interfere with parent-infant bonding.

However, when a parent is able to communicate aspects of their historical pain, shock or distress, within a context of empathic and validating dialogue, this can often clear the way for pleasurable and spontaneous bonding.

Health practitioners are in a unique position to invite and hold an empathic dialogical space, in which parents can feel emotionally safe enough to tell a little of their own story. This can make a significant difference to parents’ emotional capacity for sustained attachment with their infant.

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01-02-2022 08:00 01-02-2022 09:00 35 Inner Child Co-Regulation – How Empathic Dialogue Can Clear Implicit-Memory Blocks to Bonding An increasing number of research studies and psychotherapists’ accounts address the phenomenon in which parents’ attachment histories play a major role in their emotional capacity for pleasurable bonding with their own baby. Birth trauma, childhood trauma, insecure or disorganized early attachment can all carry forward as unconscious, implicit memory (emotional memory) that, in stressful circumstances, can arise and interfere with parent-infant bonding. However, when a parent is able to communicate aspects of their historical pain, shock or distress, within a context of empathic and validating dialogue, this can often clear the way for pleasurable and spontaneous bonding. Health practitioners are in a unique position to invite and hold an empathic dialogical space, in which parents can feel emotionally safe enough to tell a little of their own story. This can make a significant difference to parents’ emotional capacity for sustained attachment with their infant. GOLD Perinatal Online Conference false DD/MM/YYYY

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Research in neuroscience and interpersonal neurobiology sheds light on the need for parents/caregivers to act as their child's external regulator during states of dysregulation as the child learns how to self-regulate. When activated, children need to borrow the parent's regulatory capacity as their own regulatory system is developing. Without an understanding of what regulation is and what it isn't and the importance of parents knowing how to regulate their own arousal states, parents may inadvertently be increasing the child's dysregulation instead of helping to modulate it for integration. Over time, this can significantly impact the parent's ability to stay attuned and present to the child, as well as themselves. It can also lead to a child's regulatory system not being patterned to its optimal potential. In this discussion, Lisa Dion will discuss what regulation is and is not helping participants understand what it really takes to create a deep connection.

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01-02-2022 08:00 01-02-2022 09:00 35 The Neuroscience of Connection: Understanding Regulation for Ourselves and Others Research in neuroscience and interpersonal neurobiology sheds light on the need for parents/caregivers to act as their child's external regulator during states of dysregulation as the child learns how to self-regulate. When activated, children need to borrow the parent's regulatory capacity as their own regulatory system is developing. Without an understanding of what regulation is and what it isn't and the importance of parents knowing how to regulate their own arousal states, parents may inadvertently be increasing the child's dysregulation instead of helping to modulate it for integration. Over time, this can significantly impact the parent's ability to stay attuned and present to the child, as well as themselves. It can also lead to a child's regulatory system not being patterned to its optimal potential. In this discussion, Lisa Dion will discuss what regulation is and is not helping participants understand what it really takes to create a deep connection. GOLD Perinatal Online Conference false DD/MM/YYYY

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This session invites early childhood professionals to learn more about the science of infant development, particularly the impact that early trauma and stress can have on the brain, behaviour, learning and relationships throughout the lifespan. Attachment, attunement, co-regulation, sensory processing and creating optimal interpersonal relationships between infants and caregivers are highlighted. While an infant may inherit challenges trans-generationally, from developmental disability, from an early life event or a chaotic home, how their closest caregivers interact with them has direct and significant impact on their well-being both mentally and physically. Enhancing trauma-sensitive caregiving in the earliest years is critical as a foundation for children to become their best selves.

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01-02-2022 08:00 01-02-2022 09:00 35 Trauma-Sensitive Care in the Early Years This session invites early childhood professionals to learn more about the science of infant development, particularly the impact that early trauma and stress can have on the brain, behaviour, learning and relationships throughout the lifespan. Attachment, attunement, co-regulation, sensory processing and creating optimal interpersonal relationships between infants and caregivers are highlighted. While an infant may inherit challenges trans-generationally, from developmental disability, from an early life event or a chaotic home, how their closest caregivers interact with them has direct and significant impact on their well-being both mentally and physically. Enhancing trauma-sensitive caregiving in the earliest years is critical as a foundation for children to become their best selves. GOLD Perinatal Online Conference false DD/MM/YYYY

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Breastfeeding is a human act, typical of our species and as biopsychosocial beings, it is surrounded by obstacles inherent to the experience and determined by our environment.

Breastfeeding in western societies is challenging under normal circumstances; when everything goes as expected. However, in cases where complications such as abscessed mastitis arise, which seem to be the maximum expression of everything that can go wrong in a breastfeeding history: pain, frustration, surgical interventions, use of antibiotics, slow weight gain, etc ; It is where the medical indication to do without breastfeeding frequently arises, as if it were just a practice that could be easily replaced by another feeding method.

In this presentation you will learn the expanded perspective, the challenges and fears of a family that breastfed, through complicated mastitis and managed to restore their Lactation history, through the informed accompaniment of a pro-lactation team of obstetrician and IBCLC pediatrician.

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01-02-2022 08:00 01-02-2022 09:00 35 Breastfeeding Beyond All Obstacles: Breastfeeding Families and Complicated Mastitis Breastfeeding is a human act, typical of our species and as biopsychosocial beings, it is surrounded by obstacles inherent to the experience and determined by our environment. Breastfeeding in western societies is challenging under normal circumstances; when everything goes as expected. However, in cases where complications such as abscessed mastitis arise, which seem to be the maximum expression of everything that can go wrong in a breastfeeding history: pain, frustration, surgical interventions, use of antibiotics, slow weight gain, etc ; It is where the medical indication to do without breastfeeding frequently arises, as if it were just a practice that could be easily replaced by another feeding method. In this presentation you will learn the expanded perspective, the challenges and fears of a family that breastfed, through complicated mastitis and managed to restore their Lactation history, through the informed accompaniment of a pro-lactation team of obstetrician and IBCLC pediatrician. GOLD Perinatal Online Conference false DD/MM/YYYY

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Developing a step-by-step care plan is arguably the most important part of patient care. Without it, necessary treatments may be neglected. As lactation providers, it is our role to set proper expectations for our clients, as well as measure clinical improvement and patient outcomes. When working with infants that struggle with sucking or other oral function issues, there is a process and a timeline we can put together that will guide the care we are giving. In this presentation you will learn how to provide guidance to your clients as you help them work through their infant’s oral function challenges.

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01-02-2022 08:00 01-02-2022 09:00 35 Care Plan Design for Treating Infant Oral Dysfunction Developing a step-by-step care plan is arguably the most important part of patient care. Without it, necessary treatments may be neglected. As lactation providers, it is our role to set proper expectations for our clients, as well as measure clinical improvement and patient outcomes. When working with infants that struggle with sucking or other oral function issues, there is a process and a timeline we can put together that will guide the care we are giving. In this presentation you will learn how to provide guidance to your clients as you help them work through their infant’s oral function challenges. GOLD Perinatal Online Conference false DD/MM/YYYY

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This session will focus on common concerns regarding infant digestive health and useful support strategies that care providers can incorporate into their work with families. We will discuss what's normal and what's not in regard to stooling, spit up/reflux, colic/fussiness, food sensitivities, and more. Many parents are coping with babies that are uncomfortable and unhappy due to digestive health concerns. Dealing with a fussy, uncomfortable baby is emotionally and physically draining. Having a basic understanding of infant gut health and care strategies can be useful tools for any type of practitioner working with infants.

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01-02-2022 08:00 01-02-2022 09:00 35 Common Infant Digestive Health Concerns and Useful Support Strategies This session will focus on common concerns regarding infant digestive health and useful support strategies that care providers can incorporate into their work with families. We will discuss what's normal and what's not in regard to stooling, spit up/reflux, colic/fussiness, food sensitivities, and more. Many parents are coping with babies that are uncomfortable and unhappy due to digestive health concerns. Dealing with a fussy, uncomfortable baby is emotionally and physically draining. Having a basic understanding of infant gut health and care strategies can be useful tools for any type of practitioner working with infants. GOLD Perinatal Online Conference false DD/MM/YYYY

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Pumping can be a choice or a necessity and the role of Lactation Professionals is to meet the parents where they are at. There are endless reasons for parents to use a breast pump, including prematurity, maternal-infant separation, low milk supply, return to work. Pumping can also be a choice for parents that do not wish to directly latch their baby, called Exclusive Pumping. Pumping parents deserve the same kind of evidence-based care as their exclusively breastfeeding counterparts but are often marginalized. During this workshop, you will learn how to best support a pumping parent: the importance of proper flange sizing, pumping schedules, exclusive pumping, the emotional toll of triple feeding, and how to help parents set realistic goals based on their own values.

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18-10-2021 08:00 18-10-2021 09:00 35 Putting a Plan in Place for Pumping Pumping can be a choice or a necessity and the role of Lactation Professionals is to meet the parents where they are at. There are endless reasons for parents to use a breast pump, including prematurity, maternal-infant separation, low milk supply, return to work. Pumping can also be a choice for parents that do not wish to directly latch their baby, called Exclusive Pumping. Pumping parents deserve the same kind of evidence-based care as their exclusively breastfeeding counterparts but are often marginalized. During this workshop, you will learn how to best support a pumping parent: the importance of proper flange sizing, pumping schedules, exclusive pumping, the emotional toll of triple feeding, and how to help parents set realistic goals based on their own values. GOLD Perinatal Online Conference false DD/MM/YYYY

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Helping families determine if an infant is gaining weight appropriately in the first months after birth is an important part of a lactation consultants work. Being able to assess for the signs of a healthy, well-fed infant is critical to this work. If an infant is not gaining appropriately, calculating how much extra food the infant needs to grow properly, what this infant will be fed, identifying why this is happening, and providing possible solutions allows families to work on preserving breastfeeding while improving the breastfeeding relationship.

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01-02-2022 08:00 01-02-2022 09:00 35 The Baby's Not Gaining Weight! Now What? Helping families determine if an infant is gaining weight appropriately in the first months after birth is an important part of a lactation consultants work. Being able to assess for the signs of a healthy, well-fed infant is critical to this work. If an infant is not gaining appropriately, calculating how much extra food the infant needs to grow properly, what this infant will be fed, identifying why this is happening, and providing possible solutions allows families to work on preserving breastfeeding while improving the breastfeeding relationship. GOLD Perinatal Online Conference false DD/MM/YYYY

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To graduate from the Neonatal Intensive Care Unit (NICU) infants are required to be adequate feeders. Feeding is a learned skill for NICU babies that is expected to “be there in waiting” after a long medical and or surgical admission. Effective feeding and subsequent weight gain in the NICU are the measures and skill to which a discharge ticket home is granted. Feeding can sometimes be overlooked in regards to its role in infant well being and parental confidence. Infants are admitted to surgical level 3 NICUs for many reasons, including prematurity, necrotising enterocolitis, intestinal perforations, gastroschisis, duodenal atresia, omphaloceles, therapeutic hypothermia, seizures, and oesophageal atresia /fistulas including genetic or metabolic abnormalities. Many of these illnesses have a very long course toward healing and recovery before oral feeding is introduced.

Lactation Consultants in the NICU are well positioned to ensure support of the family and medical team along the way, to optimize successful oral feeding upon discharge home.

This talk will look at some of the ways that parental presence and mom’s milk is therapeutic in the NICU, and how the progression of breastfeeding can be the ticket to going home.

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01-02-2022 08:00 01-02-2022 09:00 35 Walking with NICU Families Through Their Infant Feeding Journey To graduate from the Neonatal Intensive Care Unit (NICU) infants are required to be adequate feeders. Feeding is a learned skill for NICU babies that is expected to “be there in waiting” after a long medical and or surgical admission. Effective feeding and subsequent weight gain in the NICU are the measures and skill to which a discharge ticket home is granted. Feeding can sometimes be overlooked in regards to its role in infant well being and parental confidence. Infants are admitted to surgical level 3 NICUs for many reasons, including prematurity, necrotising enterocolitis, intestinal perforations, gastroschisis, duodenal atresia, omphaloceles, therapeutic hypothermia, seizures, and oesophageal atresia /fistulas including genetic or metabolic abnormalities. Many of these illnesses have a very long course toward healing and recovery before oral feeding is introduced. Lactation Consultants in the NICU are well positioned to ensure support of the family and medical team along the way, to optimize successful oral feeding upon discharge home. This talk will look at some of the ways that parental presence and mom’s milk is therapeutic in the NICU, and how the progression of breastfeeding can be the ticket to going home. GOLD Perinatal Online Conference false DD/MM/YYYY

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