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Breastfeeding Symposium: Current Controversies in Infant Feeding

Location: Health Science Centre, St. John's

Date: 24 - 26 October 2018

Description

Main Auditorium, Health Science Center, St. Johns. NL

Lunch included with Registration

Key Note Speakers:

Dr. Fiona Dykes, PhD, MA, RM, ADM, FHEA, Professor of Maternal and Infant Health, University of Central Lancashire, UK
Dr. Gill Thomson, MSc, PhD, FHEA, Associate Professor of Perinatal Health, University of Central Lancashire, UK

Planning Committee:

Conference Co- Chairs

Dr. Leigh Anne Allwood Newhook, MD, MSc, FRCPC
- Associate Professor of Pediatrics, Memorial University
Dr. Laurie Twells, PhD,
- Associate Professor, School of Pharmacy and Faculty of Medicine, Memorial University

Committee Members:

Dr. Anne Drover, MD, MEd, IBCLC, FRCPC
- Associate Professor of Pediatrics, Faculty of Medicine, Memorial University
Dr. Amanda Pendergast, MD, CCFP, FCFP
- Assistant Professor of Family Medicine, Faculty of Medicine, Memorial University, Family Physician
Dr. Julie Emberley, MD, MHSC, FAAP, FRCPC
- Assistant Professor of Pediatrics, Faculty of Medicine, Memorial University, Staff Neonatologist, Janeway Children’s Health and Rehabilitation Center
Dr. Kevin Chan, MD, MPH, FRCPC, FAAP
- Chair, Pediatrics, Memorial University, Clinical Chief, Children’s Health, Eastern Health, Division Head, Pediatric Emergency, Janeway Children’s Hospital
Brenda Oldford, RN, MN
- Division Manager, Children and Women’s Health Program, Perinatal Program NL, Eastern Health
Christa McGrath, B.Ed, M.Ed
- Onsite CPD Programs, Professional Development and Conferencing Services, Memorial University
Sharon Smith, RN, MN
- Conference Coordinator, Department of Medicine, Memorial University

Accreditation

The Office of Professional Development (OPD), Faculty of Medicine, Memorial University, is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME), a subcommittee of the Committee on Accreditation of Canadian Medical Schools (CACMS). This standard allows OPD to assign credits for educational activities based on the criteria established by The College of Family Physicians of Canada, and the Royal College of Physicians and Surgeons of Canada. An application has been made for recognition of this continuing medical education activity for up to 5.5 credit hours for MAINPRO M-1 of the College of Family Physicians of Canada.

Application has also been made to the International Board of Lactation Consultant Examiners (IBLCE) for CERP’s recognition.

All fees are inclusive of HST.

Registration Fees

$200.00Physicians - 3 days
$150.00Physicians - Wednesday and Thursday
$75.00Physicians - Wednesday
$75.00Physicians - Thursday
$75.00Physicians - Friday
$125.00
Nurses, Allied Health Professionals and other Stakeholders - 3 days
$100.00Nurses, Allied Health Professionals and other Stakeholders - Wednesday and Thursday
$50.00Nurses, Allied Health Professionals and other Stakeholders - Wednesday
$50.00Nurses, Allied Health Professionals and other Stakeholders - Thursday
$50.00Nurses, Allied Health Professionals and other Stakeholders - Friday
$60.00
Students, Breastfeeding supports / Doulas, La Leche League - 3 days
$50.00Students, Breastfeeding supports / Doulas, La Leche League - Wednesday and Thursday
$25.00Students, Breastfeeding supports / Doulas, La Leche League - Wednesday
$25.00Students, Breastfeeding supports / Doulas, La Leche League - Thursday
$25.00Students, Breastfeeding supports / Doulas, La Leche League - Friday

Upon registration at the live event, students MUST provide a student ID in order to be eligible for the student rate.

Learning Objectives

At the end of this program, participants will be able to:

  • Explore current controversies in infant feeding and their impact on health care professionals and families.
  • Cultivate opportunities for collaboration among noted local, Canadian, and international researchers on important research areas related to infant feeding.
  • Connect practitioners and policy makers with valuable research and initiatives about infant feeding, such as the WHO Baby-Friendly Initiative and the influences of industry.
  • Identify innovative strategies and interventions to protect, promote and support breastfeeding in Newfoundland and Labrador.


Program Agenda

Wednesday, October 24, 2018
8:00 AM
Registration: Coffee/tea. Medical School Foyer
9:00 AM
Greetings from the Dept. of Children, Seniors and Social Development.
Welcoming Remarks
9:15 AM
Keynote
Presenter: Dr. Fiona Dykes
Global implications of the relaunched WHO and UNICEF BABY-FRIENDLY HOSPITAL INITIATIVE (BFHI)
10:15 AM
Nutrition Break
10:45 AM
2018 update on Provincial Breastfeeding Rates and Research in NL
Presenter: Dr. Leigh Anne Newhook
Presenter: Mrs. Brenda Oldford
11:05 AM
Implementing The WHO International Code in NL: A multi-pronged approach
Presenter: Mrs. Joanne Saunders
11:35 AM
Delay of First Bath and Effects on In-hospital Breastfeeding Rates, Thermoregulation and Glycemic Control
Presenter: Ms. Susan Warren
12:00 PM
Lunch and Poster Viewing (60 mins)
1:00 PM
Lessons from Labrador West Health Centre, First Hospital to Achieve BFI Designation in Atlantic Canada
Presenter: Ms. Colleen Rixon
Presenter: Mrs. Heather Gates
1:30 PM
Attitudes to Donor Milk in the NICU
Presenter: Dr. Julie Emberley
2:00 PM
Keynote
Presenter: Dr. Gill Thomson
Financial Incentives to Promote Breastfeeding – Evidence and Controversies
3:00 PM
Nutrition Break and Poster Viewing (15 mins)
3:15 PM
Ethical Dilemmas in the Donor Milk Crises in Canada
Presenter: Ms. Kathryn Hayward
Presenter: Ms. Nancy Harmon
4:15 PM
Summary of the day and closing remarks
6:00 PM
The Politics of Breastfeeding and Art Exhibition
Thursday, October 25, 2018
8:00 AM
Registration: Coffee/tea. Medical School Foyer
9:00 AM
Welcoming remarks
9:15 AM
The IIFAS in Research and Clinical Applications
Presenter: Dr. Laurie Twells
10:00 AM
Nutrition Break and poster viewing (15 mins)
10:30 AM
Knowledge and attitudes of medical students regarding Breastfeeding
Presenter: Dr. Amanda Pendergast
11:00 AM
Barriers to skin to skin after C-section
Presenter: Dr. Samantha Woodrow Mullett
11:30 AM
Breastmilk composition and childhood obesity
Presenter: Dr. Sukhinder Cheema
12:00 PM
Pediatric Grand Rounds
Presenter: Dr. Fiona Dykes
Cultural influences upon Infant and Young Child Feeding (IYCF) practices
1:00 PM
Lunch and poster viewing (45 mins)
1:45 PM
Infant feeding experiences of Canadian parents in disasters: the Fort McMurray Wildfire Evacuation
Presenter: Mr. Michelle Pensa Branco
2:15 PM
Breastfeeding and Child Protection Issues in NL
Presenter: Ms. Riley Moss
3:00 PM
Nutrition Break and poster viewing (15 mins)
3:15 PM
Top Breastfeeding Research Papers 2018
Presenter: Dr. Leigh Anne Newhook
Presenter: Dr. Laurie Twells
4:00 PM
Summary of Day, Awards and Announcements
Friday, October 26, 2018
8:00 AM
Registration: Coffee/Tea Medical School Foyer
8:45 AM
Welcoming remarks
9:00 AM
Keynote Presentation
Presenter: Dr. Gill Thomson
The Context and Implications of Birth Trauma on Postnatal Wellbeing
Session Learning Objectives:
  • Identify and raise awareness of the risk factors and social context of birth trauma.
  • Discuss the impacts of birth trauma on maternal, infant and family health and well-being.
  • Critically describe women’s support needs and interventions to ameliorate trauma related responses.

  • 9:45 AM
    Workshop 1
    Presenter: Dr. Anne Drover
    Getting started in breastfeeding
    Session Learning Objectives:
  • Identify the key features of a breast and nipple assessment.
  • Distinguish between an optimal and a suboptimal latch.
  • Identify and evaluate signs of adequate milk transfer.

  • 10:15 AM
    Nutrition Break and Poster Viewing (30 mins)
    10:45 AM
    Workshop 2
    Presenter: Dr. Amanda Pendergast
    Overcoming challenges in breastfeeding
    Session Learning Objectives:
  • Recognize the causes of a suboptimal latch, such as flat or inverted nipples, small mouth, large breast, preterm baby.
  • Discuss the use of reverse pressure softening.
  • Describe indications for the use of nipple shields.
  • Identify and manage breast engorgement.

  • 12:00 PM
    Lunch (60 minutes)
    1:00 PM
    Workshop 3
    Presenter: Dr. Jessica Bishop
    Tongue Tie
    Session Learning Objectives:
  • Define ankyloglossia, frenotomy and various types of tongue ties
  • Identify the role of tongue ties in the breastfeeding dyad
  • Describe how to evaluate infants for a tongue tie using an assessment tool
  • Discuss an appropriate management plan

  • Workshop 4
    Presenter: Dr. Anne Drover
    Overcoming challenges in breastfeeding continued
    Session Learning Objectives:
  • Explore ways to improve suck in babies who do not latch for 24 hours.
  • Describe how to assess milk production in lactating mother.
  • Explain the use of hand expression, pumping and alternative feeding methods to improve milk production.

  • 2:00 PM
    Safe Sleep and Safe Skin to Skin
    Presenter: Dr. Anne Drover
    Session Learning Objectives:
  • Describe sleep-related deaths
  • Discuss the importance of modifiable/non-modifiable risks
  • Discuss Harm Reduction opportunities for newborn sleep

  • 2:15 PM
    Cannabis, Illicit Drugs and Breastfeeding
    Presenter: Dr. Tiffany Lee
    Session Learning Objectives:
  • Describe the evidence for the safety of cannabis and Methadone/Suboxone in breastfeeding
  • Discuss the safety profile for the various for formulations and delivery methods of cannabis.
  • Identify opportunities for harm reduction in birthing parents who use illicit substances during pregnancy and breastfeeding

  • 2:30 PM
    Nutrition Break (15 mins)
    2:45 PM
    The Sly Fox: Effective techniques for countering industry influence on clinical practice and policy
    Presenter: Mr. Michelle Pensa Branco
    Session Learning Objectives:
  • Describe two persuasive techniques used to influence health care provider behavior.
  • Explain how the International Code of Marketing Breastmilk substitutes fits within the Baby-friendly Initiiative and broader conflict of interest considerations.
  • Identify and evaluate whether a document or other media component is information or marketing.

  • 3:30 PM
    Common Breastfeeding problems in mom and baby
    Presenter: Dr. Amanda Pendergast
    Session Learning Objectives:
  • Recognize challenges with breastfeeding management in the office.
  • Distinguish normal feeding patterns during the first few weeks of life from abnormal feeding patterns.
  • Identify resources to diagnose and manage: poor infant weight gain and painful breastfeeding.

  • 4:15 PM
    Conclusions and Evaluations

    Acknowledgements

    Funds in support of this Conference were provided by the Baby Friendly Council of NL; Memorial University Conference Fund and Public Engagement Fund; and the Janeway Foundation.

    The Office of Professional Development (OPD), Faculty of Medicine, Memorial University, is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME), a subcommittee of the Committee on Accreditation of Canadian Medical Schools (CACMS). This standard allows OPD to assign credits for educational activities based on the criteria established by The College of Family Physicians of Canada, and the Royal College of Physicians and Surgeons of Canada.