Friday March 27, 9:00-10:15

CE: Birth Weight, Bilirubin, and Blood Sugar: What do the Numbers Mean for Newborn Care Jennifer Thomas, MD, MPH, IBCLC, FAAP, FABM
Blood sugar, bilirubin and birth weight are among the most common reasons babies get supplemented with something other than their mother’s own milk.  But without context, they are nothing more than random numbers flying through the air.  In this session, learn why health care professionals should avoid acting on these numbers without first learning what they mean for each baby in context of their clinical picture.

CE: Intersectional Lactation and Bringing Everybody to the Table Lourdes Santaballa, IBCLC, IYCFS, BA
The concept of intersectionality means that there are many systems of oppression and, while none should be ranked above another, they can overlap and affect our lives in different way depending who we are. La Leche League has traditionally been an organization that was created by and for dominant culture, but the knowledge that we own could greatly benefit families who are the greatest risks from not breast or chestfeeding. We will discuss systems of oppression, inclusion, who is missing at our meetings, and how to do meaningful outreach and inclusion work.

Tongue Ties:  What are they and why we should be concerned about them Piya Gandhi, DDS
In recent years, there has been an increased awareness about tethered oral tissues, specifically tongue ties.  Infants and children with tongue ties face a myriad of associated health issues that are often misdiagnosed or left untreated.  It is important that healthcare professionals know how to identify tongue ties and refer patients with potential oral restrictions.

The Importance of the Breastfeeding Relationship Tina Castellanos, AAHCC, IBCLC, RLC
Breastfeeding has become more and more technical in nature. Where has the human relationship gone? We will discuss the importance of developing a breastfeeding relationship. Ways to support other parents in developing that relationship. The science behind it and how to bring a little humanity back into this amazing act.

Friday March 27, 10:30-11:45

CE: The Impact of Prenatal Breastfeeding Support Leah Jolly, BA, IBCLC, RLC

Many families seek prenatal breastfeeding education which has been shown to improve breastfeeding outcomes. There are many factors that influence the effectiveness of prenatal education and support. In this session the presenter will review:

  • Why is prenatal breastfeeding education so important and how does it impact breastfeeding outcomes
  • What can we do beyond group classes to positively impact breastfeeding outcomes
  • Techniques to foster self-efficacy
  • The importance of screening for and education about the risk factors associated with Lactation Dysfunction.

CE: Marijuana and Breastfeeding Teresa Baker, MD
Explaining the role of endocannabinoids and transport of Cannabis into breastmilk, the effects of Cannabis on a developing fetus and the pharmacokinetic aspects of marijuana

Transitioning from Partners to Parents Kim Jones, LPC, LMFT, Tori Prophet, LMFT-Associate, Lorissa Eichenberger, LMFT, PMH-C
Center for Postpartum Family Health discuss the emotional changes that partners experience as they become parents.

Avoiding Difficulties while Breastfeeding Heather Armenoff, BS, IBCLC, RLC
Breastfeeding can be such a beautiful and euphoric experience as a nursing parent looks down at their sweet baby suckling at their breast. But what happens when that tender moment turns into tender nipples?  There are many challenges parents may face throughout the course of their breastfeeding journey. Recognizing some common breastfeeding and lactation difficulties, as well as how to avoid and address them, can empower parents to feel confident in themselves to overcome some of these challenges.  This session will provide an overview on some common breastfeeding and lactation issues that parents may encounter, how to manage them and when to seek help.

Friday March 27, 12:00-2:00

CE: Lunch and Learn: Emergency Response to Families with Infants and Young Children During Disasters Lourdes Santaballa, IBCLC, IYCFS, BA
This session will focus on existing policy for response to families with infants and toddlers to preserve breast or chestfeeding, relactating, or reducing risk with human milk substitutes and complementary foods during a disaster.

Friday March 27, 2:15-3:30

CE: Working Together: Communicating with Physicians about Breastfeeding Jennifer Thomas, MD, MPH, IBCLC, FAAP, FABM
Many providers learned surprisingly little about the medical benefits of breastfeeding and the importance of helping breastfeeding mothers meet their breastfeeding goals.  Can well-intentioned but poorly-trained doctors actually derail a new mother’s breastfeeding efforts?  This session will examine how important a provider’s guidance is to new nursing mothers, especially during those difficult first weeks and months of breastfeeding.

CE: Patient Centered C-Section and Pain Control to Minimize Breastfeeding Difficulties Pamela Berens, MD, IBCLC
This lecture will review options to encourage patient engagement in cesarean delivery planning and ways to make cesarean delivery more patient and family centered. We will also review the options for postpartum pain control and how to limit adverse impact of pain control options on the breastfeeding infant while keeping mother comfortable. The metabolism of opioids will also be discussed.

Car Seat Safety Diana Martinez, CPST SafeKids
Diana Martinez from Safe Kids presents the latest information on car seat safety from birth to booster seat.

Returning to Work While Breastfeeding Heather Armenoff, BS, IBCLC, RLC
Many parents struggle with their return to work after welcoming their new baby’s into their lives. Maintaining a breastfeeding relationship and milk supply can often be a big part of this difficult transition. Addressing some common concerns and challenges can help families succeed with continuing their breastfeeding and lactation goals. In the session we will discuss techniques to optimize breast pump use, pumping while at work, tips to help maintain milk supply and how to preserve the breastfeeding relationship.

Friday March 27, 3:45-5:00

CE: Navigating the First Two weeks: The Normal Newborn and Appropriate Supplementation Jennifer Thomas, MD, MPH, IBCLC, FAAP, FABM
Every species has instinctual behaviors that allow the little ones to grow up to be big ones and keep the species going.  What is a normal term human infant supposed to do?  Our babies are born into the world needing protection — protection from disease and protection from predators.  This session examines and explains how a newborn baby at the chest gets both and why we need a good reason to supplement the newborn.

CE: Strategies to Support Pumping Families Leah Jolly, BA, IBCLC, RLC
Lactating parents choose to pump for a variety of reasons. Pumping can be periodic or exclusive. Pumping families benefit from working with breastfeeding helpers that have a thorough understanding of the unique support and guidance they need. The presenter will review:

  • Reasons families choose to pump
  • Types of pumps and selecting the right pump for each situation
  • Proper flange fitting
  • Techniques to help breastfeeding parents achieve comfortable efficient pumping
  • Techniques to increase milk production when pumping
  • Ways pumping can be used to help some breastfeeding situations
  • Reasons why mother’s may struggle with pumping
  • Counseling techniques to support a pumping family

Breastfeeding and Medications: Texas TIPS Kate Mowry
In this course, you will learn the definition of teratogen, basic information on lactational pharmacology (how medicines enter the breastmilk), and information on the safety of common exposures during breastfeeding, such as alcohol, cold medications, pain relievers, and other over the counter medications. Lastly, I will share information about our program MotherToBaby-TexasTIPS, a free texting service available to the public to ask questions about exposures during pregnancy as well as breastfeeding.

Importance of Milk Banking Kim Updegrove Mother’s Milk Bank of Austin
For some babies, human milk feedings make a life and death difference. According to the American Academy of Pediatrics, this includes Very Low Birthweight infants, and many agree that it also applies to those infants with significant cardiac and GI complications. No population is free from experiencing these issues, and African American infants have the greatest risk for prematurity. They are also least likely to have their mothers’ own milk. This suggests that African American babies are most likely to receive donor human milk, yet, statistics from the Mothers’ Milk Banks of Austin show that they are least likely as outpatients to be prescribed donor human milk. They are also least likely to be milk donors.

Breastfeeding is the gold standard for babies and mothers. Breastfeeding rates in the US are far below ideal, and most especially for the preterm and medically vulnerable infants. Donor human milk fills a gap for medically fragile babies who need human milk from a source other than their biological mother.

Milk banks are in the perfect position to positively affect breastfeeding rates and access to donor human milk. Likewise, lactation advocates play a critical role in advocacy and support for all aspects of breastfeeding, milk donation, and hospital policies that incorporate donor milk for ill — and well — babies. Disparities in breastfeeding rates begin with our messaging, and we have an opportunity and an ethical responsibility to advocate for donor human milk for everyone with a goal to breastfeed. Donor demographics and case studies of hospital well baby units using supplemental donor human milk in support of maternal breastfeeding shed light on how we collectively can ensure that all human babies have human milk feedings as an option.


Saturday March 28, 9:00-10:15

CE: Breast Complications During Breastfeeding Pamela Berens, MD, IBCLC
This lecture will review some of the common maternal breast complications that can occur during lactation. We will review common presentation and treatment strategies.

CE: Unique Characteristics of the Late Preterm Baby Jennifer Thomas, MD, MPH, IBCLC, FAAP, FABM
The late preterm infant is a challenging infant to care for. Often, we treat them as if they are term infants, and we run into complications. In this presentation, we define the late preterm and explore the important differences from term infants. We will explore the evidence in caring for these infants to determine the best practices to support breastfeeding while avoiding the potential problems we know they  have.

Healthy Teeth and Healthy Living from Infancy to Adulthood Dr. Jonathan Patrick, DDS
Dr. Jonathan Patrick, a pediatric dentist and father, shares a balanced and improved routine for a healthy mouth and a healthy life from infancy to adulthood. Questions welcomed.

Postpartum Backs, Bottoms, and Bellies Summer Mutombo, PT, DPT
This session will include education from a pelvic floor physical therapist on the common complaints from postpartum moms. It will include information and treatment options for incontinence, urgency/ frequency, diastasis recti, back pain, and pelvic pain. We will discuss the importance of posture, breathing, and the pelvic floor.

Saturday March 28, 10:30-11:45

CE: Infant Risk: New Info on Medications while Breastfeeding ​​​​​​​Teresa Baker, MD
Review of how drugs transfer into breastmilk, clinical application of relative infant dose and discussion about the major classes of drugs and new studies published about them

CE: Breastfeeding with Maternal Medical Conditions Pamela Berens, MD, IBCLC
This lecture will review some common maternal medical conditions and how these conditions and the medications used to treat these conditions can impact breastfeeding.

Enhanced Breastfeeding Support Roles for Fathers and FamiliesJonathan Patrick, DDS
Dr. Jonathan Patrick will discuss the important role a partner plays in meeting your breastfeeding goals.

Starting Solids Melissa Nealy, IBCLC
This session will focus on everything parents need to know about transitioning to starting complimentary solid foods, including discussion of myths that pervade our culture regarding solids.

Saturday March 28, 12:00-2:00

CE: Lunch and Learn: Breastfeeding the Baby with Special Needs: Babies with Down Syndrome Jennifer Thomas, MD, MPH, IBCLC, FAAP, FABM
We will learn first about normal muscle tone and see what a normal a swallow looks like, and then we will explore the challenges that infants with low muscle tone may face when feeding.  We will look particularly at the challenges faced by families feeding a baby with Down Syndrome and how we can help.

Saturday March 28, 2:15-3:30

CE: IBCLC Support for TOTS in Breastfeeding Dyads Leah Jolly, BA, IBCLC, RLC
(Tethered Oral Tissues) like ‘tongue tie’ or ‘lip tie’ are frequently found in infants struggling with breastfeeding. IBCLCs play a unique role when breastfeeding families are seeking breastfeeding assistance with an infant suspected of or diagnosed with TOTs. The presenter will review:

  • IBCLC’s scope of practice when TOTs are suspected
  • IBCLC’s vital role in functional assessment

CE: Postpartum Depression Teresa Baker, MD
Identifying risk factors and treatment options for PPD and reviewing the screening tools in use to diagnose it.

Baby Wearing Heather Williams
Learn the different types of carriers available and benefits of babywearing.  Try on various carriers and find the best carrier for you and your child(ren).

Matrescence, the process of becoming a mother Sheila Marie Ratcliffe RN, MSN, IBCLC
Just like other big transitions over a lifetime, like adolescence, the revived concept of Matrescence recognizes the transformation that occurs when women become mothers. This session will touch on some of the physical changes that occur due to pregnancy, postpartum recovery, & breastfeeding. It will explore common emotional responses to the parenting experience. And lastly, it will delve into the inner spiritual changes that may occur during important life transitions like motherhood, in becoming a new version of oneself. It also will consider the role of community in mothering. Recognizing that everyone’s journey is different, this session will provide opportunities to discuss and reflect on how Matrescence is unfolding in one’s life.


Saturday March 28, 3:45-5:00

CE: WHO Code: Understanding and Making the International Code Relevant Lourdes Santaballa, IBCLC, IYCFS, BA

After explaining the history and content of the World Health Organization International Code on Marketing of Breast [Human] Milk Substitutes, we will use mixed learning methods to identify situations where the Code applies and doesn’t. Additionally, we will also take objects that aren’t compliant with the Code and relabel them for everyday use in our work. The learners will be able to:

  1. Identify which products and situations are contemplated or not under the International Code.
  2. Integrate knowledge regarding the importance of relevance of all Code contemplated products as a method to promote lactation and prevent predatory marketing that undermines lactation.
  3. Relabel or visualize the relabeling of incompliant products so that they can be used with families when necessary without risk of violation of the Code.

CE: Marijuana and Breastfeeding Teresa Baker, MD
Explaining the role of endocannabinoids and transport of Cannabis into breastmilk, the effects of Cannabis on a developing fetus and the pharmacokinetic aspects of marijuana. REPEATED SESSION (this session is identical to the session offered Friday 10:30-11:45)

Creighton Model FertilityCare System Elizabeth Martinez
Elizabeth Martinez discusses natural methods of contraception.

Pumping for Preemies Katie Loxterman
During this talk I will share the story of my oldest daughter’s traumatic birth, where I was in my life at the time, and how I became one of the statistics for failed attempts at breastfeeding, lack of education or breastfeeding support, and even welfare. Walk with me through how I learned about the importance of breastmilk for medically fragile infants and why I was so determined to breastfeed my other children despite my own mother contributing to my failed attempts.