Learning objectives  

1. Obtain a focused history relevant to the presenting concerns (eg. medical, surgical, family, social, pregnancy, peripartum, breastfeeding)
2. Obtain a focused medical history of a neonate whose mother has delayed lactogenesis II
3. Perform a focused breast examination for a lactating patient presenting with breast engorgement (Note: the standardized patient will be wearing a realistic breast model)
4. Teach a lactating patient appropriate breast massage techniques to resolve breast engorgement
5. Teach a lactating patient how to hand express her breast milk
6. Communicate a management plan to lactating patient with breast engorgement caused by lactogenesis II

Topics: Gestational diabetes, intrapartum IV fluids, breast pain, newborn jaundice, excessive newborn weight loss, early term/late preterm

Learning objectives  

1. Counsel a lactating patient regarding expectations of breast milk provision to a hospitalized infant born preterm
2. Teach a lactating patient how to hand express colostrum
3. Teach a lactating patient how to use a double-electric breast pump (multi- or single-user) and a “hands-free” breast pump (either a Willow or Elvie)
4. Teach a lactating patient effective and “hands-on” pumping techniques
   Propose solutions for breast pump-induced trauma to the nipple-areolar complex
5. Teach a lactating patient how to store expressed breast milk

Topics: Preterm delivery, multiples (Twins), NICU, hand expression, hands-on pumping, double electric (hospital grade) pump, Willow/Elvie use

Learning Objectives:

Learning Objectives for Scenario 1 (First 15 minutes)

1. List the neonatal and maternal health complications associated with suboptimal breastfeeding.
2. Explain how much it costs to train hospital staff in clinical lactation.
3. Elaborate how hospital staff training in clinical lactation will improve patient safety and care.
4. Describe what the return on investment for the hospital would be if hospital staff were trained in clinical lactation

Learning Objectives for Scenario 2 (Last 15 minutes)

1. Describe federal laws and regulations that employers must follow when a lactating mother returns to work.
2. List why employee lactation support would affect employee satisfaction and employee turnover.
3. Outline how to implement accessible lactation spaces throughout the hospital for hospital staff use.
4. Explain why supporting hospital staff with their lactation needs will translate to better patient care.

Topics: Baby-Friendly Hospital Initiative, breastfeeding and lactation advocacy, public health, hospital staff education in clinical lactation, lactation support and rooms for employees, 1uality improvement project, cost-effectiveness

Learning Objectives:

1. Obtain a comprehensive history of the lactating patient and her infant 
2. Perform a breast assessment
3. Describe normal sleep patterns for infants between 0 and 6 months of age
4. Describe conservative management strategies for inflammatory mastitis
5. List clinical signs associated with infectious mastitis 
6. Describe when it is necessary to avoid breastfeeding or to “pump and dump” following medication, recreational drug, tobacco, and alcohol use
7. Propose a management and follow up plan

Topics: Lactational mastitis, plugged duct, breast pain, pumping and dumping, alcohol, marijuana and lactation, starting solid foods, infant sleep patterns

Learning Objectives:

1. Obtain a comprehensive history of the lactating patient and her infant
2. Recognize ineffective newborn positioning and attachment while observing a breast feed
3. Teach a lactating patient how to position a newborn in a cross-cradle hold
4. Teach a lactating patient how to differentiate between a deep and shallow latch while in a cross-cradle
5. Provide a breastfeeding plan to the lactating patient

Topics: Newborn positioning and attachment, sore nipples, bleeding/cracked nipples, cross-cradle hold, cradle hold, shallow latch, deep, asymmetric latch

Learning objectives  

1. Obtain a pregnancy, peripartum, and breastfeeding history of a lactating patient presenting with bloody nipple discharge
2. Obtain a focused medical history of a neonate whose mother has bloody nipple discharge
3. Perform a breast assessment
4. Instruct the patient to elicit discharge from the nipple
5. Create a management plan based on the history and physical assessment
6. Communicate the management plan to the patient

Topics: Breast cancer, green, white, and red nipple discharge, comprehensive breast assessment, breast pump use, healthy term newborn, bloody/”strawberry” milk

Learning objectives  

1. Obtain a pregnancy, peripartum, and breastfeeding history from the patient
2. Obtain the infant’s medical history from the patient
3. Communicate the potential negative health consequences of breast milk oversupply to the patient
4. Communicate a concise management strategy for breast milk oversupply
5. Screen the patient for clinical signs of maternal perinatal mood and anxiety disorder
6. Provide recommendations for a breastfeeding patient with perinatal mood and anxiety disorder

Topics: Perinatal mood/anxiety disorder, hyperlactation/oversupply, triple-feeding, nipple vasospasm, green stool in diaper, frequent spit ups

Learning Objectives:

1. Obtain a comprehensive maternal history
2. Describe normal infant behavior and development during the first week of life
3. Recognize maternal risk factors for low milk production
4. Provide education regarding the clinical changes associated with lactogenesis II
5. Teach the patient how to relieve breast engorgement
6. Employ shared decision-making strategies for inclusive breast milk feeding

Topics: Breast surgery, sore nipples, hand expression, breast massage for engorgement, delivering difficult news to a patient, infant formula supplementation, human donor milk supplementation

Learning Objectives:

1. Obtain a comprehensive history of the pregnant patient
2. Describe characteristics of benign and malignant lesions on the nipple-areolar complex that present during the peripartum period
3. Discuss a follow up plan for a rapidly enlarging lesion on the nipple of a pregnant patient
4. Provide anticipatory guidance regarding breastfeeding and lactation for a pregnant patient 
5. Practice building a trusting patient-provider relationship that ensures the pregnant patient will seek continued care from you

Topics: Anticipatory lactation education to a pregnant person, exclusive breast pump use, breast changes during pregnancy, normal and abnormal skin findings, breast assessment, intimate partner violence and abuse

Learning Objectives:

1. Obtain a comprehensive history of the lactating patient and her infant
2. Describe a safe weaning plan for a lactating patient who is exclusively pumping
3. Counsel a lactating, heterosexual female person about options for improving physical intimacy with her male partner
4. Provide a management plan for dyspareunia secondary to hypoestrogenism of lactation

Topics: Pain during vaginal intercourse, vaginal atrophy and estrogen, sexual health and intimacy, exclusive pumping, safe weaning plan, complicated maternal medical history, recurrent plugged ducts, milk blebs, mastitis

Learning Objectives:

1. Obtain a comprehensive history of the lactating patient and her infant
2. Identify risk factors for contact dermatitis on the nipple-areolar complex
3. Propose a management strategy for contact dermatitis on the nipple-areolar complex
4. Identify risk factors for low milk production
5. Describe strategies for increasing milk production

Topics: Nipple thrush, contact dermatitis, nipple rash, low milk production, insufficient glandular tissue, infant formula feeding, introduction of solids

Learning Objectives:

1. Obtain a comprehensive history of the lactating patient and her infant
2. Recognize ineffective newborn positioning and attachment while observing a breast feed
3. Teach a lactating patient how to position a newborn in a cross-cradle hold
4. Teach a lactating patient how to differentiate between a deep and shallow latch while in a cross-cradle
5. Provide a breastfeeding plan to the lactating patient

Topics: clinical lactation, NICU, pediatrics, hospital-based care, out-patient, telehealth

Coming Soon!