EMPower Provider Training Part 2 - UPMC Learning

Breastfeeding education is not routinely a part of provider training. More than 80% of parents express a desire to breastfeed/breast milk feed their infants and providers may lack the knowledge and understanding of how to guide and support with common breastfeeding/breast milk feeding management topics. Providers may lack the awareness of how office and hospital practice and how effective communication can impact informed infant feeding choices and create disparities.

This training is developed to support optimal infant feeding practices and effective communication with all healthcare team members will help improve continuity of care for meeting feeding goals and help reduce disparities.

The course content for this training is hosted on The UPMC Learning website, which is only accessible to those who are directly employed by UPMC.   

Target Audience

This course is designed for Nurses, Nurse Practitioners, Physicians and Physician Assistants. 

Learning Objectives

Upon completion of this activity, participants should be able to:

Section 4: Lactation Basics 

  • Identify anatomical parts of the breast/ chest involved in lactation
  • Describe physiology of lactation hormones
  • Explain physiology of milk production and flow
  • List the contraindications to providing parent's own milk
  • List credible resources to reference when inquiring about the safety of a medication for use during lactation
  • Describe at least 2 parental and 2 infant risk factors associated with delayed lactogenesis II
  • Describe at least 1 professional medical reference or resource for identifying medications that are safe/compatible for use during lactation

Section 5: Discuss the Importance and Management of Breastfeeding with a Pregnant Woman and Their Families

  • Engage in a conversation with a pregnant person on 3 aspects of the importance of feeding human milk
  • Assess at least 3 aspects of a pregnant person’s knowledge about lactation to fill in the gaps and correct inaccuracies
  • Engage in a conversation with a pregnant person about at least 4 care practices a parent/infant dyad will experience at the birthing facility that will support lactation
  • Engage in a conversation with a pregnant parent regarding at least 3 reasons why effective exclusive feeding of human milk is important

Section 6: Facilitate Immediate and Uninterrupted Skin-to-Skin Contact 

  • Explain 3 reasons why immediate and uninterrupted skin-to-skin is important for the birthing parent
  • Explain at least 3 reasons why immediate and uninterrupted skin-to-skin is important for the infant
  • List at least 3 reasons why skin-to-skin should NOT be interrupted
  • Explain at least 2 reasons when skin-to-skin could be interrupted for medically justifiable reasons
  • Explain how to maintain skin-to-skin during transfer of birthing parent and infant to another room or other recovery area
  • Demonstrate at least 3 points of how to routinely implement immediate, uninterrupted skin-to-skin between birthing parent and infant regardless of method of birth
  • Demonstrate at least 3 safety aspects to assess during skin-to-skin during the first 2 hours postpartum, regardless of method of birth
  • Engage in a conversation with a breastfeeding/chestfeeding parent, including at least 3 reasons why suckling at the breast in the first hour is important, when the baby is ready
  • Demonstrate at least 3 aspects of safe care of the newborn in the first 2 hours post-birth
  • Describe to a parent at least 3 prefeeding behaviors babies show before actively sucking at the breast/ chest

Section 7: Support Mothers to Initiate and Maintain Breastfeeding and Manage Common Difficulties

  • Describe at least 6 essential issues that every lactating parent should know or demonstrate.
  • Describe at least 2 maternal and infant risk factors associated with delayed lactogeneis II
  • Engage in a conversation with a parent regarding 2 elements related to infant feeding patterns in the first 36 hours of life
  • Describe to a parent at least 4 signs of adequate transfer of milk in the first few days.
  • Examine a full breastfeeding/ chestfeeding session observing at least 5 points
  • Demonstrate at least 3 aspects of how to help a parent achieve a comfortable and safe position for breastfeeding within the first 6 hours after birth and later as needed during the hospital stay.
  • Demonstrate how to help a parent achieve an effective and comfortable latch, noting at least 5 points.
  • Demonstrate to a lactating parent how to hand express human milk, noting 8 points.
  • Help a parent achieve a comfortable and safe position for breastfeeding/chestfeeding with a preterm, late preterm, or weak infant noting at least 4 points
  • Engage in a conversation with a breastfeeding/chestfeeding parent of a preterm, late preterm, or low-birth-weight infant not sucking effectively at the breast, including at least 5 point
  • Engage in a conversation with a parent regarding at least 4 different ways to facilitate breastfeeding to prevent or resolve most common conditions of the lactating breasts (sore nipples, engorgement, parent who thinks she doesn’t have enough milk, infants who have difficulty sucking)

Section 8: Coordinate Discharge so that Families Have Timely Access to Ongoing Support

  • Describe at least 2 locally available sources for timely infant feeding information and problem management
  • Describe at least 2 ways the health care facility engages with community-based programs to coordinate messages about infant feeding and offer continuity of care
  • Describe at least 3 postpartum/parental warning signs for a parent to contact a health care professional after discharge
  • Engage in a conversation with a parent regarding at least 4 different ways to facilitate breastfeeding in order to prevent or resolve most common conditions of lactation (sore nipples, engorgement, parent who thinks they don't have enough milk, infants who have difficulty sucking)
  • Develop individualized discharge feeding plans with a parent to include at least 6 points
  • Describe to a parent at least 4 warning signs of infant undernourishment or dehydration that warrants contact with a health care professional after discharge

 

Course summary
Available credit: 
  • 4.00 AAPA Category I CME
  • 4.00 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 4.00 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 4.00 Attendance
Course opens: 
05/31/2024
Course expires: 
05/31/2027
UPMC Learning
United States

Planning Committee:

  • Alison Keating, MSN, RN, IBCLC - International Board Certified Lactation Consultant, Altoona Regional Health System
  • Courtney Goettel, MD - Assistant Director, Family Medicine Obstetrics, UPMC St. Margaret Hospital/Medical Education Department UPMC
  • Bethany Stiffey, PA-CObstetrics and Gynecology, UPMC Presbyterian and UPMC Magee-Womens Hospital.

Course Director:

Natalie McCullen, BSN, RN, IBCLC – Registered Nurse, International Board Certified Lactation Consultant, UPMC Williamsport

No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.


Disclaimer Statement

The information presented at this CME program represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine.  Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician (CME)

The University of Pittsburgh School designates this enduring activity for a maximum of 4.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 4.0 contact hour.

Physician Assistant (AAPA)

The University of Pittsburgh has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 4.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation. 

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

 

    Available Credit

    • 4.00 AAPA Category I CME
    • 4.00 AMA PRA Category 1 Credit™
      The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
    • 4.00 ANCC
      UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
    • 4.00 Attendance
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