Case Scenarios
The On-Demand Telesimulation™ Lactation QBank Canvas site is the platform from which learners can access remote, on-demand simulation-based training in maternal-child care! Through unfolding case scenarios and telesimulations, the platform is a convenient training tool for a variety of learners:
IBCLC candidate clinical practice hours
Lactation specific Continuing Education Recognition Points (CERPS) for IBCLC recertification*
Virtual OSCE simulation training
- Baby-Friendly hospital staff training
- WIC staff training
*LiquidGoldConcept is an approved provider of CERPS (IBCLE Verification #C2002262)
We have designed cases to teach healthcare professionals and trainees how to provide lactation support in telehealth and in-person settings.
On-Demand Telesimulation™ Case Scenarios:
Case 1.
Learning objectives
- Obtain a focused history relevant to the presenting concerns (eg. medical, surgical, family, social, pregnancy, peripartum, breastfeeding)
- Obtain a focused medical history of a neonate whose mother has delayed lactogenesis II
- Perform a focused breast examination for a lactating patient presenting with breast engorgement (Note: the standardized patient will be wearing a realistic breast model)
- Teach a lactating patient appropriate breast massage techniques to resolve breast engorgement
- Teach a lactating patient how to hand express her breast milk
- Communicate a management plan to lactating patient with breast engorgement caused by lactogenesis II
Topics: clinical lactation, pediatrics, breast pump use, out-patient setting, telehealth, urgent and emergency care
Case 2.
Learning objectives
- Obtain a pregnancy, peripartum, and breastfeeding history of a lactating patient presenting with bloody nipple discharge
- Obtain a focused medical history of a neonate whose mother has bloody nipple discharge
- Perform a breast assessment
- Instruct the patient to elicit discharge from the nipple
- Create a management plan based on the history and physical assessment
- Communicate the management plan to the patient
Topics: clinical lactation, breast surgery, exclusive pumping, out-patient setting, telehealth
Case 3.
Learning objectives
- Obtain a pregnancy, peripartum, and breastfeeding history from the patient
- Obtain the infant’s medical history from the patient
- Communicate the potential negative health consequences of breast milk oversupply to the patient
- Communicate a concise management strategy for breast milk oversupply
- Screen the patient for clinical signs of maternal perinatal mood and anxiety disorder
- Provide recommendations for a breastfeeding patient with perinatal mood and anxiety disorder
Topics: clinical lactation, maternal mental health, breast pump use, NICU, out-patient setting, telehealth
Case 4.
Learning objectives
- Counsel a lactating patient regarding expectations of breast milk provision to a hospitalized infant born preterm
- Teach a lactating patient how to hand express colostrum
- 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)
- Teach a lactating patient effective and “hands-on” pumping techniques
Propose solutions for breast pump-induced trauma to the nipple-areolar complex - Teach a lactating patient how to store expressed breast milk
Topics: clinical lactation, pediatrics, exclusive pumping, hospital-based care, NICU
Case 5.
Learning Objectives:
Learning Objectives for Scenario 1 (First 15 minutes)
- List the neonatal and maternal health complications associated with suboptimal breastfeeding.
- Explain how much it costs to train hospital staff in clinical lactation.
- Elaborate how hospital staff training in clinical lactation will improve patient safety and care.
- 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)
- Describe federal laws and regulations that employers must follow when a lactating mother returns to work.
- List why employee lactation support would affect employee satisfaction and employee turnover.
- Outline how to implement accessible lactation spaces throughout the hospital for hospital staff use.
- Explain why supporting hospital staff with their lactation needs will translate to better patient care.
Topics: clinical lactation, hospital-based care, public health and policy
Case 6.
Learning Objectives:
- Obtain a comprehensive maternal history
- Describe normal infant behavior and development during the first week of life
- Recognize maternal risk factors for low milk production
- Provide education regarding the clinical changes associated with lactogenesis II
- Teach the patient how to relieve breast engorgement
- Employ shared decision-making strategies for inclusive breast milk feeding
Topics: clinical lactation, breast surgery, breast health, pediatrics, in-patient setting
Case 7.
Learning Objectives:
- Obtain a comprehensive history of the lactating patient and her infant
- Perform a breast assessment
- Describe normal sleep patterns for infants between 0 and 6 months of age
- Describe conservative management strategies for inflammatory mastitis
- List clinical signs associated with infectious mastitis
- Describe when it is necessary to avoid breastfeeding or to “pump and dump” following medication, recreational drug, tobacco, and alcohol use
- Propose a management and follow up plan
Topics: clinical lactation, pediatrics, in-patient setting, urgent and emergency care
Case 8.
Learning Objectives:
- Obtain a comprehensive history of the pregnant patient
- Describe characteristics of benign and malignant lesions on the nipple-areolar complex that present during the peripartum period
- Discuss a follow up plan for a rapidly enlarging lesion on the nipple of a pregnant patient
- Provide anticipatory guidance regarding breastfeeding and lactation for a pregnant patient
- Practice building a trusting patient-provider relationship that ensures the pregnant patient will seek continued care from you
Topics: clinical lactation, breast/chest surgery, health, and cancer, breast pump use/exclusive pumping, maternal mental health, out-patient/ambulatory/clinic setting, pregnancy/prenatal, telehealth
Case 9.
Learning Objectives:
- Obtain a comprehensive history of the lactating patient and her infant
- Describe a safe weaning plan for a lactating patient who is exclusively pumping
- Counsel a lactating, heterosexual female person about options for improving physical intimacy with her male partner
- Provide a management plan for dyspareunia secondary to hypoestrogenism of lactation
Topics: clinical lactation, breast pump use/exclusive pumping, telehealth
Case 10.
Learning Objectives:
- Obtain a comprehensive history of the lactating patient and her infant
- Identify risk factors for contact dermatitis on the nipple-areolar complex
- Propose a management strategy for contact dermatitis on the nipple-areolar complex
- Identify risk factors for low milk production
- Describe strategies for increasing milk production
Topics: clinical lactation, breast pump use/exclusive pumping, out-patient, telehealth
Learning Objectives:
- Obtain a comprehensive history of the lactating patient and her infant
- Recognize ineffective newborn positioning and attachment while observing a breast feed
- Teach a lactating patient how to position a newborn in a cross-cradle hold
- Teach a lactating patient how to differentiate between a deep and shallow latch while in a cross-cradle
- Provide a breastfeeding plan to the lactating patient
Topics: clinical lactation, NICU, pediatrics, hospital-based care, out-patient, telehealth
Cases by Topic:
- Case 1. Breast engorgement in the setting of delayed onset of lactogenesis II
- Case 2. Bloody nipple discharge in a lactating patient
- Case 3. Breast milk production and maternal mental health
- Case 4. Effective breast pump use and management of breast pump-induced trauma
- Case 8. Anticipatory breastfeeding guidance for a pregnant woman with a growth on her nipple
- Case 9. Exclusively pumping patient with pain during sexual intercourse is ready to wean
- Case 10. Low milk production despite “trying everything” with worsening nipple rash
- Case 1. Breast engorgement in the setting of delayed onset of lactogenesis II
- Case 2. Bloody nipple discharge in a lactating patient
- Case 3. Breast milk production and maternal mental health
- Case 4. Effective breast pump use and management of breast pump-induced trauma
- Case 5. Advocating for breastfeeding education and lactation support in the hospital
- Case 6. Providing anticipatory guidance and supporting inclusive breastfeeding after breast surgery
- Case 7. Sudden-onset breast pain after the newborn sleeps through the night
- Case 8. Anticipatory breastfeeding guidance for a pregnant woman with a growth on her nipple
- Case 9. Exclusively pumping patient with pain during sexual intercourse is ready to wean
- Case 10. Low milk production despite “trying everything” with worsening nipple rash
- Case 11. First time parent wants to learn how to breastfeed their baby without pain
- Case 4. Effective breast pump use and management of breast pump-induced trauma
- Case 5. Advocating for breastfeeding education and lactation support in the hospital
- Case 6. Providing anticipatory guidance and supporting inclusive breastfeeding after breast surgery
- Case 7. Sudden-onset breast pain after the newborn sleeps through the night
- Case 11. First time parent wants to learn how to breastfeed their baby without pain
- Case 3. Breast milk production and maternal mental health
- Case 8.Anticipatory breastfeeding guidance for a pregnant woman with a growth on her nipple
- Case 1. Breast engorgement in the setting of delayed onset of lactogenesis II
- Case 2. Bloody nipple discharge in a lactating patient
- Case 3. Breast milk production and maternal mental health
- Case 8.Anticipatory breastfeeding guidance for a pregnant woman with a growth on her nipple
- Case 9. Recurrent plugged ducts in an exclusively pumping patient
- Case 10. Low milk production despite “trying everything” with worsening nipple rash
- Case 11. First time parent wants to learn how to breastfeed their baby without pain
- Case 1. Breast engorgement in the setting of delayed onset of lactogenesis II
- Case 4. Effective breast pump use and management of breast pump-induced trauma
- Case 6. Providing anticipatory guidance and supporting inclusive breastfeeding after breast surgery
- Case 7. Sudden-onset breast pain in a lactating patient
- Case 11. First time parent wants to learn how to breastfeed their baby without pain
- Case 5. Advocating for breastfeeding education and lactation support in the hospital
- Case 8. Anticipatory breastfeeding guidance for a pregnant woman with a growth on her nipple
- Case 1. Breast engorgement in the setting of delayed onset of lactogenesis II
- Case 2. Bloody nipple discharge in a lactating patient
- Case 3. Breast milk production and maternal mental health
- Case 9. Exclusively pumping patient with pain during sexual intercourse is ready to wean
- Case 10. Low milk production despite “trying everything” with worsening nipple rash
- Case 11. First time parent wants to learn how to breastfeed theri baby without pain
