Vermont Lactation Consultant Association, Inc. Seventeenth Annual Professional Lactation Conference

Faculty
Peter Hartmann, Ph. D. completed his Ph. D at the University of Sydney in 1967. After postdoctoral positions at NIRD in the UK, University of Pennsylvania, and University of Sydney, he was appointed to a lectureship in biochemistry at The University of Western Australia in 1972. He has been Head of Department of Biochemistry and Dean of the Faculty of Science at The University of Western Australia. His initial research interest was in lactation in dairy animals, and in 1973 commenced studies on the biochemistry and physiology of lactation in women. Peter has published extensively on the synthesis and secretion of milk over the entire lactation cycle of women - from conception to weaning. Over the last 39 years he has published 150 papers in peer-reviewed journals, 21 book chapters, and 62 review papers and he has supervised 34 successful PhD students. Currently his research is directed towards understanding a) breastmilk synthesis and composition, milk ejection and breastmilk removal by either the suckling infant or electric breast pumps; b) influence of infant appetite and breastmilk composition on infant breastmilk intake, gastric emptying, growth and body composition; and c) investigation of alternate methods for pasteurization of donor breastmilk. In addition he is developing clinical protocols for the assessment of the normal function of the lactating breast. The La Leche League International (LLLI) Board of Directors selected Professor Hartmann to receive the 2007 LLLI Award of Excellence, the ISRHML presented him with the Macy-Gyorgy award in 2006 and the Australia Breastfeeding Association awarded him the Elizabeth Mills Award in 1995. He is a Fellow of the Nutrition Society of Australia, will receive the Rank Prize in Nutrition in the UK in 2010, and is currently President elect of ISRHML and a Visiting Professor, Kagawa Nutrition University, Sakado, Japan. He is co-editor of a Hale & Hartmann’s Textbook of Human Lactation 1st ed 2007.
Peter and Robyn have a daughter, Melinda and a son, Ben and two grandsons.

Diana West, BA, IBCLC is an international board-certified lactation consultant (IBCLC) in private practice, author of the 8th edition of "The Womanly Art of Breastfeeding," "Making More Milk: A Nursing Mother's Guide to Milk Supply," "Defining Your Own Success: Breastfeeding After Breast Reduction Surgery," and ILCA's popular "Clinician's Breastfeeding Triage Tool." She is a La Leche League Leader and administrator of the popular BFAR.org, LowMilkSupply.org, and LactSpeak.org websites. To top it all off, she and her family raise German Shepherd guide dog puppies for the Seeing Eye. Most importantly, though, Diana mothers her three charming, breastfed sons in partnership with her husband Brad in their home in New Jersey, which she has discovered is much nicer than the way it looks on the Sopranos.

Objectives
Thursday (Peter Hartmann)

*Describe methods used to research the evolution of lactation.
*Describe the potential importance of protection in the development of lactation.
*Describe the relationship between the protective and nutritional components of milk.
*Explain the growth of the human breast during pregnancy and lactation.
*List the hormones essential for the initiation and maintenance of lactation in women.
*Describe the differences between autocrine and endocrine control of lactation in women.
*Review evidence for infant appetite controlling milk transfer to the breastfed infant.
*Explain the difference between non-infective and infective mastitis.
*Explain the defense mechanisms of the breast against microbial invasion.
*Describe physiological indicators for mastitis.
*Discuss biochemical and bacteriological indicators in milk, blood and urine during inflammation of the breast.
*Be aware of the importance of experience-based medicine and the care of the lactating breast.
*Compare the difference between the application of evidence based medicine to the function of the lactating breast and to other organs in the body.
*Discuss the consequences of a lack of evidence base to the clinical care of human lactation.

Friday (Diana West)

*Identify physical and psychological reasons women choose to have breast reduction and augmentation surgery.
*Identify eight most common breast reduction surgical techniques and the four most common breast augmentation surgical techniques and their probable lactation outcomes.
*Describe common scenarios of breastfeeding after breast reduction and augmentation surgeries.
*Describe the processes of recanalization and reinnervation in the context of breast reduction and augmentation surgeries.
*Explain the concepts of secondary and primary causes for low milk intake and low milk production.
*Identify two criteria to accurately assess a baby's milk intake.
*Explain a strategy to target treatment for low milk production or low milk intake to the cause.
*Explain the concepts of secondary and primary causes for low milk intake and low milk production.
*Identify at least four primary causes and four secondary causes of low milk supply.
*Describe two methods to maximize milk production capability.
*Explain why targeting the treatment to the cause of low milk production results in better outcomes.
*Identify three methods to increase milk production and explain when they would be appropriately used.
*Identify two characteristics in the way each Generation X and Millennial mothers relate to authority figures, such as health care providers.
*Identify three successful communication methods when counseling a Millennial Generation mother.
*Describe two problem-solving methods to develop a breastfeeding solution with a Millennial Generation mother.