Functional Lactation Care - dhhs.nh.gov · Objective #3:Objective ##33::#3: CompilCompile at least...

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5/21/2018

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FUNCTIONAL LACTATION CARE: DIGGING DEEPER FOR BETTER OUTCOMES

JESSICA ALTEMARA, IBCLC, RLC

NO DECLARATIONS AT THIS TIME

Objective #1:Objective #1:Objective #1:Objective #1: Utilize the biologicaUtilize the biologicaUtilize the biologicaUtilize the biological norm as a blul norm as a blul norm as a blul norm as a blueprint for eprint for eprint for eprint for

optimizing breastfeeding optimizing breastfeeding optimizing breastfeeding optimizing breastfeeding successsuccesssuccesssuccess

Objective #2:Objective #2:Objective #2:Objective #2: Examine the differExamine the differExamine the differExamine the difference between ence between ence between ence between normal and normal and normal and normal and

common common common common function function function function

Objective Objective Objective Objective #3:#3:#3:#3: CompilCompilCompilCompile at least e at least e at least e at least 3 3 3 3 tools to addretools to addretools to addretools to address root ss root ss root ss root causescausescausescauses

for lasting resolution for lasting resolution for lasting resolution for lasting resolution of of of of issuesissuesissuesissues

FORMALFORMALFORMALFORMAL

ObjectivesObjectivesObjectivesObjectives

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SUPERFICIALSUPERFICIALSUPERFICIALSUPERFICIAL

GoalsGoalsGoalsGoals

The Bridge to Breastfeeding

GoalsGoalsGoalsGoals

Who_____

What_____

Where____

When ____

Why _____

How_____

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FUNCTIONAL MEDICINE MINDSET:

“FUNCTIONAL MEDICINE ADDRESSES THE UNDERLYING CAUSES

OF DISEASE, USING A SYSTEMS-ORIENTED APPROACH AND

ENGAGING BOTH PATIENT AND PRACTITIONER IN A

THERAPEUTIC PARTNERSHIP. …FUNCTIONAL MEDICINE

ADDRESSES THE WHOLE PERSON, NOT JUST AN ISOLATED SET

OF SYMPTOMS.”

WWW.FUNCTIONALMEDICINE.ORG

What

UNIVERSAL TROUBLESHOOTING PROCESS Copyright © 1996-2014 by Steve Litt

1. Prepare

2. Make damage control plan

3. Get a complete and accurate system description

4. Narrow it down to the root cause

5. Repair or replace the defective component

6. Prevent future occurrence of this problem

UTP

How

(3)SYSTEM DESCRIPTION

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SYSTEM DESCRIPTION

The Bridge to Breastfeeding

WE DO NOT CREATE THE SYSTEM!

HALF THE EQUATION

Provide environment to start process

Respond with milk production

Sustain production

GET OUT OF THE WAY

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HALF THE EQUATION

Initiate the breastfeeding relationship

Sustain stimulation

INATE ABILITIES

THE EQUATION

ALL ONE SYSTEM Who

Baby Suckles

Nipple Receptors to hypothalamus

Hypothalamus to Pituitary to

release oxytocin

Oxytocin acts on lining of alveoli to contract

Milk Flows to Baby

Prolactin

Satiation

Factor

©Tongue Tie Doula©Tongue Tie Doula©Tongue Tie Doula©Tongue Tie Doula

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Normal

Common

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Engagement&

Regulation

EMOTIONAL AVAILABILITY

THE TRIBE

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EXPECTATIONS

THEIRS

EXPECTATIONS

YOURS

EXPECTATIONS

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WHAT ARE BABIES CAPABLE OF?!

Where

BREAKS IN THE BRIDGE

(Repairing)

(2) MAKE DAMAGE CONTROL PLAN…

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KEYSTONEWhy

(4)Narrow it down to the root cause

NIPPLE PAIN

Who is in pain?

Where is the pain?

When does the pain happen?

What can be done immediately?

Why is there pain?

How do we treat the root cause?

POOR WEIGHT GAIN

Who is in not providing?

Where is the lapse?

When did this originate?

What can be done immediately?

Why is there poor weight gain?

How do we treat the root cause?

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LOW MILK SUPPLY

Who is in not stimulating?

Where is the lapse?

When did this originate?

What can be done immediately?

Why is there low milk supply?

How do we treat the root cause?

BREAST REFUSAL

Who is disengaged?

Where does it happen?

When did this start?

What can be done immediately?

Why is there refusal?

How do we treat the root cause?

DEEP DIVE!Why

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StandardsStandardsStandardsStandards

The Bridge to Breastfeeding

What does biologically normal breastfeeding look like?

Normal

Comfortable

Comforting

SustainableThe foundation for a lifetime of

health and wellbeing

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