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30th Annual Conference on BreastfeedingMarch 11-12, 2019
Emory Conference Center, Atlanta, Georgia
By registering for this conference you acknowledge and agree to the cancellation policy stated in this brochure.
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PAYMENT MUST ACCOMPANY THE REGISTRATION FOR IT TO BE PROCESSED
REGISTRATION FEES Early Bird Fees Regular FeesRegistrations may not be shared. Received on or by Received on or by On-site Fees* February 8, 2019 March 1, 2019
Confirmation will be sent via email only.
Both Days $345 $395 $445Monday only (March 11) $245 $270 $295Tuesday only (March 12) $245 $270 $295
*No pre-registration will be accepted after March 1, 2019. After this date please contact the registrar to see if space is still available.
REGISTRATION FORM
REGISTRATION METHODS
QUESTIONS?
• Mail registration form with check made out to “Emory Division of Neonatology” to: Breastfeeding Conference, Emory Division of Neonatology, 49 Jesse Hill Jr Drive SE, Atlanta, GA 30303• Online: Visit www.pediatrics.emory.edu/divisions/neonatology/ Only MasterCard and Visa are accepted. Administrative fee of $0.99 plus 3.5% of the ticket price will be charged
Contact Terry Strode by phone 404-778-1464 or [email protected]
Meeting Space: All lecture sessions will be held in the Lullwater Ballroom located on the Garden Level of the Emory Conference Center Hotel.
Attire: Attire is business casual. Temperatures in the hotel can fluctuate so please dress accordingly. A jacket or sweater is recommended.
Buffet Lunch: Only paid registrants displaying an official conference name badge will be allowed free entrance to the dining room for the complimentary daily luncheon.
Little Participants: Quiet infants-in-arms are welcome but we regret that we cannot allow babies older than 6 months or any strollers in the conference room. As a courtesy to other participants, we ask moms to sit near an exit and attend immediately to any situation that may distract others, including happy noises. If attempts to quiet your baby are unsuccessful, please leave the session and return when the infant is settled. In order to fully participate in the educational sessions, some mothers find it easier to bring a support person along to provide care for their children outside the meeting room.
Lactation Lounge: A room with comfortable seating will provide privacy to express milk (bring your own pump). Stop by the conference registration desk for location information.
Special Needs: Attendees who have dietary restrictions or anticipate physical barriers based on disability or pregnancy should call the meeting registrar at 404-778-1464 or attach a note to your registration.
Registration: Special group rates start at $165.00 single or double plus 15% tax. A limited number of guest rooms have been reserved and are being offered on a first come, first serve basis. The room block will be held until February 15, 2019, however the room block may be filled prior to this date. In such a case, neither the group rate nor guest room availability can be guaranteed. Therefore, we recommend you make your reservations as soon as possible.Reservations can be made by calling the hotel directly and identifying yourself as being a participant in this meeting.
Directions: Please refer to the Emory Conference Center website listed above.
Parking: Self-parking is complimentary.
Airport Shuttle: Transportation from Hartsfield-Jackson International Airport is available through Atlanta Superior Shuttle which is located at ground transportation center-green 5 & 6 (across from taxi stand).Advance registrations are requested. Phone: 770-457-4794.
Emory Regional Perinatal Center seeks to ensure balance,independence, objectivity, and scientific rigor in its educationalactivities. Conference directors, planning committee members,speakers, and all others who are in a position to control the content ofthis educational activity are required to disclose all relevant financialrelationships with any commercial interest related to the subjectmatter. A process to resolve conflicts of interest and commercial biashas been implemented. Speakers also will disclose any off label and/or investigational use of pharmaceuticals or instrumentsdiscussed in their presentation. A summary of disclosures is posted onthe conference website and will be provided in writing on site so participants may formulate their own judgement regarding thepresentation.
Commercial Support: No funding, donations, nor support of any kindwill be accepted from sources that do not comply with theInternational Code of Marketing of Breastmilk Substitutes.
Once registration has been processed, a confirmation letter will beemailed. NOTE: Your registration is not complete until you receive a confirmation letter. If you do not receive a letter within ten (10)business days of sending your registration, please call 404-778-1464 or email [email protected]
Please present the confirmation letter when checking in at themeeting registration desk.
Cancellation requests received by February 22, 2019 will receive a fullrefund less a $50 processing fee. No refund will be given forcancellations received after this date. However, you may transfer yourregistration to a colleague by calling 404-778-1464 or [email protected]
If this meeting is canceled for any reason, including labor strikes oracts of God, liability is limited to a full refund of registration fees.
Breastfeeding ConferenceEmory Division of Neonatology49 Jesse Hill Jr Drive, SEAtlanta, GA 30303
IMPORTANT DATES TO REMEMBER
February 8, 2019Last day for early bird registration
February 15, 2019Last day for discounted hotel rate
February 22, 2019Last day to cancel
March 1, 2019Last day for pre-registration
Handouts available online for download
March 11-12, 201930th Annual Conference on Breastfeeding
In an effort to contain registration cost, a printed syllabus will not be provided. Handouts will be available for download beginning one week prior to the conference for registered attendees. The login instructions for accessing the handouts will be included in your confirmation e-mail.
Emory Conference Center Hotel1615 Clifton Road, Atlanta, GA 30329
404-712-6565800-933-6679
www.emoryconferencecenter.com
GENERAL INFORMATION HOTEL & TRAVEL
ELECTRONIC SYLLABUS
DISCLOSURES
CONFIRMATION CANCELLATIONS & SUBSTITUTIONS
NONPROFITU.S. POSTAGE PAID
STONE MOUNTAIN, GAPERMIT NO. 1176
Annual Conference on
Breastfeeding Promoting and Protecting Babies’ Health
March 11-12, 2019
Emory Conference Center 1615 Clifton Road Atlanta, Georgia
Presented by
Emory Regional Perinatal Center EMORY LOGO Division of Neonatal-Perinatal Medicine ERPC LOGO
Emory University School of Medicine
Breastfeeding Conference Emory Division of Neonaology 49 Jesse Hill Jr Drive, SE Atlanta, GA 30303 IMPORTANT DATES TO REMEMBER
February 10, 2017
Last day for early bird registration
February 17, 2017 Last day for discounted hotel rate
February 24, 2017 Last day to cancel
March 3, 2017
Last day for pre-registration Handouts available online for download
March 13-14, 2017
28th Annual Conference on Breastfeeding
Annual Conference on
Breastfeeding Promoting and Protecting Babies’ Health
March 12-13, 2018
Emory Conference Center 1615 Clifton Road Atlanta, Georgia
Presented by
Emory Regional Perinatal Center EMORY LOGO Division of Neonatal-Perinatal Medicine ERPC LOGO
Emory University School of Medicine
Breastfeeding Conference Emory Division of Neonaology 49 Jesse Hill Jr Drive, SE Atlanta, GA 30303 IMPORTANT DATES TO REMEMBER
February 10, 2017
Last day for early bird registration
February 17, 2017 Last day for discounted hotel rate
February 24, 2017 Last day to cancel
March 3, 2017
Last day for pre-registration Handouts available online for download
March 13-14, 2017
28th Annual Conference on Breastfeeding
March 11-12, 2019Emory Conference Center
1615 Clifton RoadAtlanta, Georgia
30th Annual Conference
30th Annual Conference on
Breastfeeding Promoting and Protecting Babies’ Health
March 11‐12, 2019
Emory Conference Center
Atlanta, Georgia
SPECIAL GUEST SPEAKERS!
Elizabeth C. Brooks, JD, IBCLC, FILCCA
Owner/Private Practice IBCLC Wyndmoor, Pennsylvania
Maryanne T. Perrin, PhD, MBA, RDN Assistant Professor of Nutrition University of North Carolina Greensboro, North Carolina
Molly M. Pessl, BSN, IBCLC, FILCA
Owner/Manager Evergreen Perinatal Education
Bellevue, Washington
Diane L. Spatz, PhD, RN‐BC, FAAN Professor of Perinatal Nursing & Helen M.
Shearer Professor of Nutrition University of Pennsylvania Philadelphia, Pennsylvania
30th Annual Conference on
Breastfeeding Promoting and Protecting Babies’ Health
March 11‐12, 2019
Emory Conference Center
Atlanta, Georgia
SPECIAL GUEST SPEAKERS!
Elizabeth C. Brooks, JD, IBCLC, FILCCA
Owner/Private Practice IBCLC Wyndmoor, Pennsylvania
Maryanne T. Perrin, PhD, MBA, RDN Assistant Professor of Nutrition University of North Carolina Greensboro, North Carolina
Molly M. Pessl, BSN, IBCLC, FILCA
Owner/Manager Evergreen Perinatal Education
Bellevue, Washington
Diane L. Spatz, PhD, RN‐BC, FAAN Professor of Perinatal Nursing & Helen M.
Shearer Professor of Nutrition University of Pennsylvania Philadelphia, Pennsylvania
30th Annual Conference on
Breastfeeding Promoting and Protecting Babies’ Health
March 11‐12, 2019
Emory Conference Center
Atlanta, Georgia
SPECIAL GUEST SPEAKERS!
Elizabeth C. Brooks, JD, IBCLC, FILCCA
Owner/Private Practice IBCLC Wyndmoor, Pennsylvania
Maryanne T. Perrin, PhD, MBA, RDN Assistant Professor of Nutrition University of North Carolina Greensboro, North Carolina
Molly M. Pessl, BSN, IBCLC, FILCA
Owner/Manager Evergreen Perinatal Education
Bellevue, Washington
Diane L. Spatz, PhD, RN‐BC, FAAN Professor of Perinatal Nursing & Helen M.
Shearer Professor of Nutrition University of Pennsylvania Philadelphia, Pennsylvania
30th Annual Conference on
Breastfeeding Promoting and Protecting Babies’ Health
March 11‐12, 2019
Emory Conference Center
Atlanta, Georgia
SPECIAL GUEST SPEAKERS!
Elizabeth C. Brooks, JD, IBCLC, FILCCA
Owner/Private Practice IBCLC Wyndmoor, Pennsylvania
Maryanne T. Perrin, PhD, MBA, RDN Assistant Professor of Nutrition University of North Carolina Greensboro, North Carolina
Molly M. Pessl, BSN, IBCLC, FILCA
Owner/Manager Evergreen Perinatal Education
Bellevue, Washington
Diane L. Spatz, PhD, RN‐BC, FAAN Professor of Perinatal Nursing & Helen M.
Shearer Professor of Nutrition University of Pennsylvania Philadelphia, Pennsylvania
CONFERENCE DESCRIPTIONMONDAY, March 11, 2019
SPEAKERS
PLANNING COMMITTEE
CONTINUING EDUCATION
Elizabeth C. Brooks, JD, IBCLC, FILCAOwner/Private Practice IBCLC: Elizabeth C. Brooks IBCLC JD (LLC)Wyndmoor, Pennsylvania
Maryanne T. Perrin, PhD, MBA, RDNAssistant Professor, Department of NutritionUniversity of North Carolina GreensboroGreensboro, North Carolina
Molly Pessl, BSN, IBCLC, FILCAOwner/DirectorEvergreen Perinatal Education, LLCBellevue, Washington
Diane L. Spatz, PhD, RN-BC, FAANProfessor of Perinatal Nursing & Helen M. Shearer Professor of NutritionUniversity of PennsylvaniaPhiladelphia, Pennsylvania
Tarayn Fairlie, MD, MPH, IBCLCPediatrics, Kaiser Permanente, Duluth, GeorgiaChair, EPIC Breastfeeding ProgramGeorgia Chapter, American Academy of PediatricsAtlanta, Georgia
Jada Wright Nichols, MS, OTR/L, IBCLCLactation ConsultantChildren’s Healthcare of AtlantaAtlanta, Georgia
Beth Allen, BSN, IBCLC, RLCManager, Lactation Center, Northside Hospital Women’s Center
Tiffany Avera, MS, RD, LD/NNICU Clinical Nutritionist, Children’s Healthcare of Atlanta at Egleston
Julie R. Duncan, RN, CCE, CLCPerinatal Educator, Atlanta Women’s Healthcare Specialists
Ranita Hare, RN, MSN, IBCLC, RLCLactation Consultant, Emory University Hospital Midtown
Jackie Jackson, RN, BSN, IBCLC, RLCUnit Director, Special Care Nursery (NICU), Grady Health System
Heidi E. Karpen, MD, FAAPAssistant Professor, Pediatrics, Emory University School of Medicine
Linda L. McCollum, PhD, APRN, NNP-BCRegional Outreach Coordinator, Emory Regional Perinatal Center
Bonnie Miller, RN, IBCLC, RLCLactation Consultant, WellStar Health System
Sowmya S. Mohan, MD, FAAPAssistant Professor, Pediatrics, Emory University School of Medicine
Katie Smillie, CNM, IBCLCLactation Consultant, Emory Decatur Hospital
Arlene Toole, BS, IBCLC, RLCEPIC Breastfeeding Program Director, Georgia Chapter AAP
Nancy Wagner, RNC-NIC, IBCLC, RLCClinical Nurse 5, Children’s Healthcare of Atlanta at Egleston
Lactation Consultants: Application for CERPS has been submitted to the International Board of Lactation Consultant Examiners (IBLCE).
Medicine: Emory Regional Perinatal Center is accredited by the Medical Association of Georgia to provide continuing medical education for physicians.
Emory Regional Perinatal Center designates this live activity for a maximum of 13.3 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses: Emory Regional Perinatal Center is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
This activity has been designated for a maximum of 13.3 contact hours. Nurses licensed in other states are advised to check with that state regarding reciprocity.
Dietitians: Application has been submitted to the Commission on Dietetic Registration (CDR), the credentialing agency for the Academy of Nutrition and Dietetics, for 13.3 Continuing Professional Education Hours (CPEUs). Learning Codes: 4130 Pregnancy; 4140 Lactation; 5060 Neonates; 6000 Education, Training & Counseling. CPE Level: 2
Successful Completion: To obtain credit, participants must be registered for the conference, verify the sessions attended, and complete an evaluation form. A signed Attendance Verification Form MUST be turned in at the close of the conference. Certificates will be distributed by e-mail 4-6 weeks after the event.
The 30th Annual Conference was specifically designed to broaden perspectives and increase competence of those working in the area of breastfeeding and human lactation. Opportunities abound for caregivers, clinical experts, and researchers to interact with one another making it a brisk, lively forum for learning and sharing.
Purpose: To protect, promote, and support breastfeeding by providing up-to-date information and evidence-based strategies for those working with breastfeeding families.
Objectives: At the conclusion of this conference, participants should be able to achieve the objectives listed under each topic. The conference will be presented in lecture format with question and answer sessions.
Who Should Attend? This interdisciplinary meeting is for anyone involved in the care of the breastfeeding family including lactation consultants, physicians, nurses, nurse practitioners, midwives, dietitians, and others involved in perinatal care.
7:00-7:45 Registration & Continental Breakfast
7:45-8:00 Welcome
8:00-9:30 Common Hurdles in Early Breastfeeding: When early feedings don’t go the way we plan Molly Pessl, BSN, IBCLC, FILCA Objective: Discuss ways to assist new mothers and their babies when early breastfeeding is challenging or difficult. Abstract: When is it appropriate to get more aggressive about feedings? Do we ever “take charge” in helping babies feed? Does everyone need a breast pump or equipment to breastfeed? This session will examine some of the difficulties and possible solutions when babies are excessively sleepy, mother’s nipples are challenging, or when feedings aren’t going smoothly and mother and baby are “falling apart”.
9:30-10:00 Break
10:00-11:30 Predictable Early Patterns of Breastfeeding: Have we made this more complicated than it needs to be? Molly Pessl, BSN, IBCLC, FILCA Objective: Discuss how research numbers about early breastfeeding can cause confusion when applied to an individual mother and baby. Abstract: Why do we hear the world-wide complaint, “Everyone tells me something different about breastfeeding!?” Could it be there aren’t always clear answers to the early questions parents ask? Many expectations of newborn feeding behaviors and maternal responses are based on confusing research numbers and an assumption that all babies fit into statistical averages. How often do new- borns eat? How much do they need? How long does a feeding take? This session will look at the importance of individualizing our care for each mother and baby, based on the research, but also using critical thinking and some good, old-fashioned common sense.
11:30-12:30 Buffet lunch (included)
12:30-1:30 There’s Nothing Average About Human Milk Maryanne T. Perrin, PhD, MBA, RDN Objective: Identify sources of variability in human milk composition and discuss implications as it relates to feeding the preterm infant. Abstract: Human milk is the gold standard of infant feeding, but little attention has been paid to the variability in human milk nutrients. This presentation will examine the role of various factors on the nutrient composition of human milk including maternal diet and stage of lactation. Implications for feeding the preterm infant will also be discussed.
1:30-2:30 Do I Have Enough Milk? Appropriate growth in breastfed infants Tarayn Fairlie, MD, MPH, IBCLC Objective: Determine if maternal milk supply is adequate for appropriate growth. Abstract: Through a case-based, interactive presentation, participants will be able to determine if a breastfed infant’s growth is adequate at different ages/stages of development, and will be able to determine if growth issues can be attributed to low or insufficient maternal milk supply. Participants will also learn common risk factors for low supply and how to screen mothers prenatally and postpartum for these risk factors. There will also be a brief discussion of typical next steps for improving low supply. 2:30-3:00 Break
3:00-4:00 Milk Banking, Milk Sharing, Milk Selling, Oh My! Maryanne T. Perrin, PhD MBA, RDN Objective: Differentiate between various methods of milk exchange and discuss current evidence regarding the issues within these exchange systems. Abstract: This session will explore the emerging human milk market in the United States. We will review the current evidence regarding participants, milk quality, and outcomes of various models of milk exchange and discuss the role of health care providers in supporting families seeking human milk outside the maternal-infant dyad. 4:00-5:00 Racial and Ethnic Disparities in Breastfeeding Jada Wright Nichols, MS, OTR/L, IBCLC Objective: Identify the unique barriers to breastfeeding for mothers and families in the African-American community and gain a better understanding of how to help mothers of color reach their breastfeeding goals. Abstract: Families of color face unique barriers to breastfeeding due to social, political, and economic factors. This presentation will discuss how to help African-American mother-baby dyads meet their breastfeeding goals.
5:00 Recess
7:00-7:45 Registration & Continental Breakfast
7:45-8:00 Welcome
8:00-9:10 Electronic Ethics! How to avoid getting shocked when using text and cloud-based sharing Elizabeth C. Brooks, JD, IBCLC, FILCA Objective: Identify the privacy and confidentiality protections required by the mandatory IBLCE Code of Professional Conduct, Scope of Practice, and voluntary ILCA Standards of Practice. Abstract: Can you text on your cell phone with your client about the progress of the lactation care plan, and still meet IBCLC ethical requirements for privacy and confidentiality? Will you be able to meet the extra-added obligations required of USA-based practitioners, under the HIPAA/HITECH laws? In the 21st century, all over the globe, we use Internet-based means of sharing and storing documents. Our client-families insist on using text messaging or even social media networks to communicate. And yet our practice-guiding documents and legal obligations were drafted in the 20th century, when such technology was not even envisioned. This session will
TUESDAY, March 12, 2019
offer real-world, use-them-today suggestions, allowing the IBCLC practitioner to ethically and legally use texting, social media and cloud-based document sharing in clinical care. HIPAA/HITECH will be explained for USA-based practitioners, but the privacy/confidentiality concepts — and the tips! — will be useful for anyone, from any country.
9:10-9:30 Break
9:30-10:30 Human Milk and Breastfeeding for the Vulnerable Infant: Establishment and maintenance Diane L. Spatz, PhD, RN-BC, FAAN Objective: Discuss the sense of urgency about pumping early and often and assessing mothers coming to full milk volume. Abstract: This presentation will focus on the first 4 steps of the Spatz 10 step model for human milk and breastfeeding in the vulnerable infant (not just preterm). Step 1 focuses on how to help families make an informed feeding choice and the use of prenatal intervention to achieve this goal. Step 2 focuses on the initiation and maintenance of milk supply and assessing mothers coming to volume. These two steps will be the bulk of the presentation. Dr. Spatz will briefly touch on Step 3-Human Milk Management and Step 4-Oral care and feeding of milk.
10:30-11:30 Human Milk and Breastfeeding for the Vulnerable Infant: Discharge and follow-up Diane L. Spatz, PhD, RN-BC, FAAN Objective: Utilize evidence-based strategies to ensure human milk and breastfeeding at discharge from the NICU and beyond. Abstract: This presentation will focus on the last 6 steps of the Spatz 10 step model for human milk and breastfeeding in the vulnerable infant (not just preterm). The speaker will address how to set the mother-infant dyad up for positive breastfeeding outcomes prior to discharge. The presentation will address the different needs of vulnerable infants (preterm, surgical, late preterm) for follow-up care post-discharge from the hospital.
11:30-12:30 Buffet lunch (included)
12:30-1:40 Avoiding Legal and Ethical Jeopardy: A game show for breastfeeding helpers Elizabeth C. Brooks, JD, IBCLC, FILCA Objective: Identify the mandatory and voluntary professional practice documents that guide legal and ethical care by the IBCLC/health care provider and how to incorporate key phrases that promote collaboration, and defuse confrontation, when in discussion with collegues. Abstract: Your hospital has placed a “gag order” on IBCLCs, preventing them from discussing tongue-tie and injectable hormonal birth control with patients. The pediatrician told your client the IBCLC’s concern is “alarmist;” that a breastfeeding baby below birth weight at 2 weeks will “catch up” if the breast/chestfeeding parent just “keeps it up!” The grandmother at your in-home consult repeatedly interrupts to say to the new mother “You are NOT going to keep doing THAT [breastfeeding]!” You wonder if you need to report to child protective services the family that just brought a 6-monther to your clinic who is 1.5 pounds over birth weight. Dad walks into the room, reeking of cigarette smoke, and scoops up the baby to offer a wonderful hug and belly tickle with his nose. Same sex parents tell you they are getting human milk donations, off the Internet, for their baby, for its anti-infective properties, since neither is feeding at chest. The neonatologist at your facility goes to your boss and accuses you of slander when, in an evidence-based consultation with a methadone-regimen parent, you caution that the NICU personnel may disallow use of pumped human milk from that parent. Midwife reads your report, and tells your client there is no such thing as insufficient glandular tissue; all breasts make milk, but to limit timing of feeds so the fatty milk builds up. Your IBCLC colleague tells you it is a violation of the WHO Code to show a parent with low milk supply how to use a bottle to safely feed the baby … and then takes to Facebook to tell everyone else of your scandalous behavior. Ads show up in your neighborhood paper for “lactation consultations,” at more than you charge, from someone who took a one-week class for breastfeeding counselors. That same counselor now calls you and asks to shadow you for a few days, to pick up pointers about how to do a clinical consult. What would YOU do? Yes, these are all real-life scenarios, that happened to real-life IBCLCs. This session gets everyone involved in a Jeopardy-style game show … where we apply the practice-guiding and policy-guiding documents that shape IBCLC practice, and figure out which will help in ethics-cloudy scenarios like those described above. Attendees will walk away (with prizes!, and) empowered with a checklist of documents to cite, and phrases of diplomacy to use. They will know how better to protect themselves (as allied healthcare professionals), and how better to advocate for the families in their care.
1:40-2:00 Break
2:00-3:00 Human Milk and Breastfeeding for Adoptive and LGBTQ Families Diane L. Spatz, PhD, RN-BC, FAAN Objective: Describe the unique lactation needs of adoptive and LGBTQ families. Abstract: This presentation will discuss current research and clinical practice considerations for adoptive & LGBTQ families. Induced lactation will be described. Findings from an on-going research study on same sex mothers will be presented. 3:00-4:00 LGBTQIA+: Ethics of inclusive care for all families Elizabeth C. Brooks, JD, IBCLC, FILCA Objective: Describe three non-traditional family arrangements where a breastfeeding child is not receiving breastmilk directly from a birth parent. Abstract: It’s not just a married couple who self-identify as “mother” and “father” anymore: Modern families reflect our changing societal customs and mores. Babies are conceived using procedures to overcome (in)fertility issues. Gestational carriers and adoption allow families to raise babies with some, all, or none of the intended parents’ gene pool. Families today may have single parents, same-sex parents, blended parenting arrangements, grandparents as primary caregivers, and shared custody and visitation. Breast/ chestfeeding, lactation, and human donor milk are a part of all of it! A full range of clinical and counseling skills may be needed for the IBCLC/Healthcare provider (HCP) to offer evidence-based information and support to the primary parent. Consultations may be clinically complex, given the physiologic history at play. Culturally-relevant counseling skills are needed if parent does not have a reliable “circle of support” in their extended family and community. And because folks suffer harassment and discrimination due to their personal attributes/appearance — yes, even from IBCLCs/HCPs — they may delay obtaining healthcare. The IBCLC/HCP may find all of this dis- concerting, and wonder if any of this is “right.” This session will describe the many manifestations of the modern family, and the expertise and support the IBCLC/HCP can bring to bear.
4:00 Adjourn
