Updates on Evidence-Based Management of Breast and Nipple Inflammatory and Infectious Conditions (Sheila Kredit, MD, IBCLC, NABBLM-C, FAAFP)

This presentation will review the clinical manifestations and treatment of the primary causes of breast and nipple inflammation and infection during lactation, as well as the uncommon but serious causes of inflammation and tissue changes that should remain on the differential diagnosis until excluded.

Learning objectives:

1. Review breast anatomy and physiology
2. Review causes of mastitis and their pathophysiology and clinical manifestations
3. Treatment of mastitis, engorgement, and oversupply
4. Develop differential diagnosis for nipple pain and lesions, review usual workup, and the learn the treatment plan for each.

CERPs

This session was approved for 1.5 L-CERPs in the area of Pathology.

The Washington State Lactation Collaborative (WLC) has been accepted by the International Board of Lactation Consultant Examiners® (IBLCE®) as a Preferred Provider for the listed Continuing Education Recognition Points (CERPs) programme. Determination of CERPs eligibility or CERPs Provider status does not imply IBLCE’s endorsement or assessment of education quality. As a Preferred Provider, WLC attests that it complies with the WHO Code and subsequent WHA resolutions.

PCOS & Lactation: Best Practices and Support for Milk Making (BreAnne Marcucci)

This 60-minute presentation explores the complex relationship between Polycystic Ovary Syndrome (PCOS) and lactation. Designed for IBCLCs and lactation professionals, this session will review the hormonal and metabolic impacts of PCOS on lactogenesis, common lactation challenges faced by affected parents, and evidence-based and science-based strategies to support milk production. Participants will gain practical tools and counseling techniques to provide compassionate, individualized care to families navigating PCOS and breastfeeding.

By the end of this session, participants will be able to:

1. Describe how the hormonal and metabolic features of PCOS can impact lactation, including potential effects on milk supply and lactogenesis stages.
2. Identify common clinical presentations and lactation challenges in clients with PCOS.
3. Apply evidence-based and science-based strategies and supportive interventions to assist clients with PCOS in achieving their infant feeding goals.

Beyond PCOS: Uncovering Potential Causes of Low Milk Supply (Jennifer Millich)

Low milk supply is a common concern among breastfeeding parents, yet its causes are often misunderstood or oversimplified. This 60-minute presentation explores the wide range of factors that can lead to low milk production, excluding polycystic ovary syndrome (PCOS). Participants will gain insight into anatomical, hormonal, medical, and behavioral contributors to low supply, as well as strategies for accurate identification and individualized support. This evidence-based session is ideal for lactation consultants, pediatric providers, and birth workers seeking to deepen their clinical understanding and improve outcomes for breastfeeding families.

By the end of this session, participants will be able to:

1. Identify and explain at least three non-PCOS-related physiological or anatomical causes of low milk supply.
2. Describe how perinatal complications, medications, and infant feeding behaviors can influence milk production and impact lactation outcomes.
3. Apply a systematic approach to evaluating low milk supply that includes thorough history-taking, assessment, and collaborative care planning.

CERPs

This session was approved for 2.0 L-CERPs in the area of Physiology and Endocrinology.

The Washington State Lactation Collaborative (WLC) has been accepted by the International Board of Lactation Consultant Examiners® (IBLCE®) as a Preferred Provider for the listed Continuing Education Recognition Points (CERPs) programme. Determination of CERPs eligibility or CERPs Provider status does not imply IBLCE’s endorsement or assessment of education quality. As a Preferred Provider, WLC attests that it complies with the WHO Code and subsequent WHA resolutions.