schedule ❘ program ❘ objectives

schedule

Friday, August 15, 2008

WELCOME—8:00  - 8:15 am                       
Lawrence Gartner, MD, FAAP, FABM, Program Moderator
Julie Wood, MD, IBCLC, FAAFP, FABM, Program Chair

SESSION 1—8:15 - 9:30 am
Vitamin D: Its Importance to the Breastfeeding Mother and Her Infant
Carol Wagner, MD, FAAP, FABM
In this talk, we will review how Vitamin D became the lost vitamin, how we became deficient as a society, health implications of that deficiency state, what the needs of the breastfeeding mother and her infant are, and recommendations for meeting those needs.

SESSION 2—9:30 - 10:30 am
Breastfeeding and Child Abuse: Is There a Connection?
Audrey Naylor, MD, DrPH, FAAP, FABM
In 2005, almost one million American children were victims of maltreatment. Children under age three had the highest rate of victimization with the majority under one year of age. The majority of the perpetrators were biological parents—usually the mother. This presentation will explore if and how breastfeeding might help prevent these episodes.
                                               
SESSION 3—10:45 am - 12:00 pm
Womb Service: Primary Elective Cesarean Delivery Decreases Breastfeeding Success
Ed Newton, MD, FACOG
Why are more women choosing Cesarean deliveries? Dr. Newton will discuss the special breastfeeding concerns associated with primary elective cesarean section.
           
LUNCH—12:00 - 1:00 pm           

SESSION 4—1:00 - 2:00 pm
Evidence Based Medicine—The Other EBM: Critically Appraising the Literature
David Meyers, MD, FAAFP
Participants will learn techniques for gauging the validity and usefulness of recent medical publications. Even if it has been awhile since you understood statistics, this session will give you tools for identifying and interpreting breastfeeding literature.
                                               
SESSION 5—2:00 - 3:00 pm
Hospital Policies, Physician Attitudes, and Making Your Hospital Baby Friendly
Lawrence M. Gartner, MD, FAAP, FABM
The growth of Baby Friendly Hospitals in developed nations has been slow and often resisted by physicians. This talk will review the current status of Baby Friendly Hospitals in the U.S. and will examine the barriers to the Ten Steps.
                                                                                               
SESSION 6—3:30 - 4:30 pm
The Epidemiology of Breastfeeding Among First-time Mothers in the United States
Julie Taylor, MD, MSc, IBCLC
Using secondary data analyses of the National Survey of Family Growth, Dr. Taylor will present the results of studies on the practices of first-time U.S. mothers with respect to the initiation and duration of breastfeeding.

SESSION 7—4:30 - 5:30 pm
Breastfeeding Advocacy at the State Level: The Rhode Island Example
Julie Taylor, MD, MSc, IBCLC
Dr. Taylor will describe the Physicians’ Committee for Breastfeeding in Rhode Island and discuss the group’s ongoing advocacy projects.
           
WELCOME RECEPTION—5:30 - 6:30 pm                       

MEDICAL ASSOCIATE'S DINNER—6:30 - 8:00 pm                       
By invitation only

Saturday, August 16, 2008

SESSION 8—8:00 - 9:00 am
Breastfeeding Emergencies
Lori Feldman-Winter, MD, MPH, FAAP
This presentation will highlight breastfeeding care in the Emergency Department setting. Topics from the pediatric perspective include: latch-on difficulties, hyperbilirubinemia, dehydration, and persistent weight loss. Maternal topics will include: engorgement, nipple pain, mastitis, low milk supply, and contraception.

SESSION 9—9:00 - 10:00 am
Managing Jaundice in the Breastfeeding Infant
Lawrence M. Gartner, MD, FAAP, FABM
How do good- and poor-quality breastfeeding affect the levels of bilirubin? A world-renowned expert on jaundice will advise on the management of jaundice in the breastfeeding infant based on understanding the mechanisms of jaundice. Recent guidelines on neonatal jaundice from the American Academy of Pediatrics will be reviewed.
                                           
SESSION 10—10:15 - 11:30 am
A Breastfeeding Evidence Update
David Meyers, MD, FAAFP
The evidence supporting the benefits and potential harms of breastfeeding for women and children continues to evolve and deepen. This presentation will review recent systematic reviews and meta-analysis highlighting what we know and still do not know about breastfeeding.
                                               
LUNCH—11:30 am - 12:30 pm           

SESSION 11—12:30 - 1:30 pm
Methicillin-resistant Staphylococcus aureus/Vancomycin-resistant Staphylococcus Epidermidis, Mastitis and Breastfeeding
Ed Newton, MD, FACOG
Dr. Newton will discuss the epidemiology, natural history, and treatment of mastitis associated with antibiotic-resistant microbes.

SESSION 12—1:30 - 2:30 pm
Human Milk and Its Effect on the Newborn Gut
Carol Wagner, MD, FAAP, FABM
The mechanisms by which human milk primes the newborn gut and sets the stage for optimal growth and development. The evolving literature of how human milk selectively provides immune stimulus and affords the GI tract important development signals and what occurs when the newborn gut is deprived of human milk.

SESSION 13—2:45 - 4:00 pm
Impact of the American Academy of Pediatrics' Residency Curriculum on Breastfeeding Outcomes in Academic Institutions
Lori Feldman-Winter, MD, MPH, FAAP
Why is physician education important? Dr. Feldman-Winder describes the AAP residency curriculum, and results from pilot testing the curriculum in academic medical centers. Results of the impact of education and training will include resident knowledge, confidence and practice patterns, and breastfeeding rates. A cost analysis will also be made.

SESSION 14—4:00 - 5:00 pm
WABA and USBC: What are they? Where do they come from? What do they do? And Who cares anyway?
Audrey Naylor, MD, DrPH, FAAP, FABM
Most American healthcare providers with interest in breastfeeding promotion have heard of WABA and USBC, but few have a clear idea about what they do. This presentation will review the history, structure, and current influence of WABA and USBC on the promotion of breastfeeding.

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2008 general objectives

 Participants will:

1. Acquire current evidence-based breastfeeding information and how to review existing and future breastfeeding literature.

2. Discuss updates regarding original breastfeeding research and how to apply the information to clinical practice.

3. Appraise the impact of mothers’ choice for a primary elective cesarean section on breastfeeding. How can healthcare providers improve breastfeeding outcomes for these mothers?  

4.  Discuss breastfeeding emergencies and how to intervene appropriately to improve outcomes.  

5.  Identify local, national, and international breastfeeding advocacy activities and how to become more involved to benefit mothers, babies, and society as a whole.

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