Case Details

Patient Information: A 41 year-old first-time mother with a history of breast surgery and her 3-day old son have been cleared for discharge. She wants to know what to expect in the coming week as she just learned that her prior breast surgery may negatively impact her ability to breastfeed exclusively. She is frustrated by the situation.

Setting: Well-mother-baby ward in the hospital

Try it Today!

Individual Telesimulation Tasks

Team Telesimulation Tasks

Learner 1

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.
3. Describe the reasons why breast surgery may negatively affect breastfeeding outcomes.
4. Provide education regarding the normal clinical changes associated with lactogenesis II.
5. Teach breast massage techniques to relieve breast engorgement.
6. Teach hand expression of breast milk.
7. Describe normal infant behavior and development during the first week of life.
8. Describe signs of inadequate breast milk intake by the infant.
9. Employ shared decision-making strategies for supplementation with donor milk or formula.
10. Practice empathetic counseling to establish a follow-up plan for the upcoming week

Learner 1

  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
  3. Describe the reasons why breast surgery may negatively affect breastfeeding outcomes.

Learner 2

  1. Provide education regarding the normal clinical changes associated with lactogenesis II.
  2. Teach breast massage techniques to relieve breast engorgement
  3. Teach hand expression of breast milk

Learner 3

  1. Describe normal infant behavior and development during the first week of life.
  2. Describe signs of inadequate breast milk intake by the infant
  3. Employ shared decision-making strategies for supplementation with donor milk or formula
  4. Practice empathetic counseling to establish a follow up plan for the upcoming week
  1. Obtain a comprehensive history of the lactating patient and her infant.
  2. Describe the reasons why breast surgery may negatively affect breastfeeding outcomes.
  3. Provide education regarding the normal clinical changes associated with lactogenesis II.
  4. Teach strategies to relieve breast engorgement associated with lactogenesis II.
  5. Describe normal infant behavior and development during the first week of life.
  6. Employ shared decision-making strategies for inclusive breast milk feeding.

Example Question:

Follow-up.

Describe the follow-up plan you provided to the patient during the telesimulation. Include when you would like to see (or check in) with this dyad (Eg. in the next 24 h, in two weeks).

View more case scenarios in Maternal Health
View all case scenarios