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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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