More on lllcollective.org.uk
A Scottish Charitable Incorporated Organisation SC053899
- briefing elected members/cabinet on importance of best start in life
- making corporate leadership team aware of how this delivers our strategy
- influence the wider health and care community
- enjoy the opportunity to be positive & hold this up as a model for change
- updated BfN guidance Pain: if breastfeeding hurts www.breastfeedingnetwork.org.uk/breastfeedin...
- NICE updated some CKS pages
- education for HCPs & lactation workers key!
- collaborative working, accessible info, clear & consistent messaging
You can be part of this!
End 👋
- updated BfN guidance Pain: if breastfeeding hurts www.breastfeedingnetwork.org.uk/breastfeedin...
- NICE updated some CKS pages
- education for HCPs & lactation workers key!
- collaborative working, accessible info, clear & consistent messaging
You can be part of this!
End 👋
- lactation suffers from severe under-investment
- change is difficult, especially of clinical practice
- around 17 years from knowledge gained to being embedded in practice 😭
Getting a clinical innovation into practice Kirchner et al 2019 pubmed.ncbi.nlm.nih.gov/31488332/
- lactation suffers from severe under-investment
- change is difficult, especially of clinical practice
- around 17 years from knowledge gained to being embedded in practice 😭
Getting a clinical innovation into practice Kirchner et al 2019 pubmed.ncbi.nlm.nih.gov/31488332/
- Candida infection of the nipple or breast doesn't make biological sense, not supported by research
more like to be:
- P&A/pumping trauma
- nipple dermatitis
- vasospasm
- neuropathic pain
- breast dysbiosis
- Candida infection of the nipple or breast doesn't make biological sense, not supported by research
more like to be:
- P&A/pumping trauma
- nipple dermatitis
- vasospasm
- neuropathic pain
- breast dysbiosis
- lactating woman/parent w nipple changes and/or breast pain
- baby may/may not have oral thrush (usually not)
- nipple or oral swab may/may not be +ve for Candida
- antifungals may seem to improve symptoms for some (often temp)
- BUT /= *infected* with Candida!
- lactating woman/parent w nipple changes and/or breast pain
- baby may/may not have oral thrush (usually not)
- nipple or oral swab may/may not be +ve for Candida
- antifungals may seem to improve symptoms for some (often temp)
- BUT /= *infected* with Candida!
- can be caused by hyperlactation, pumping, medications eg. antibiotics
- overgrowth of coagulase -ve Staph forms thick biofilm inside ducts -> shooting pain & blebs
Mammary Dysbiosis connect.springerpub.com/content/sgrc...
- can be caused by hyperlactation, pumping, medications eg. antibiotics
- overgrowth of coagulase -ve Staph forms thick biofilm inside ducts -> shooting pain & blebs
Mammary Dysbiosis connect.springerpub.com/content/sgrc...
- nociceptive pain [frm physical damage to the body] vs neuropathic pain [frm nervous system not working correctly]
- differing pathology
- differing symptoms
- differing management
See nerohttps://physicianguidetobreastfeeding.org/mythbusters/horrible-nipple-pain-dnss-dmer/
- nociceptive pain [frm physical damage to the body] vs neuropathic pain [frm nervous system not working correctly]
- differing pathology
- differing symptoms
- differing management
See nerohttps://physicianguidetobreastfeeding.org/mythbusters/horrible-nipple-pain-dnss-dmer/
-> start with P&A and/or pumping assessment
Nipple Dermatitis
- can affect anyone
- risk increased postpartum to pro-allergenic substances eg. lanolin
- equipment causing maceration eg. shells, cups
- mechanical trauma eg. pumps, dysfunctional suck
-> start with P&A and/or pumping assessment
Nipple Dermatitis
- can affect anyone
- risk increased postpartum to pro-allergenic substances eg. lanolin
- equipment causing maceration eg. shells, cups
- mechanical trauma eg. pumps, dysfunctional suck
- untreated pain
- psychological distress (esp around hygiene measures)
- unnecessary medication
- premature cessation of lactation
wrong diagnosis
wrong treatment
ongoing symptoms
- untreated pain
- psychological distress (esp around hygiene measures)
- unnecessary medication
- premature cessation of lactation
wrong diagnosis
wrong treatment
ongoing symptoms
Do NOTE swab nipples to diagnose infection (only exception is for suspected herpes simplex virus HSV)
- both intact skin & wounds will always have microbes
- nipple swabs may be +ve for Candida because of oral transmission
- skin/wound infection is a clinical diagnosis
Do NOTE swab nipples to diagnose infection (only exception is for suspected herpes simplex virus HSV)
- both intact skin & wounds will always have microbes
- nipple swabs may be +ve for Candida because of oral transmission
- skin/wound infection is a clinical diagnosis
From Oral Candidiasis: A Disease of Opportunity pubmed.ncbi.nlm.nih.gov/31963180/:
"changes in the host microenvironment can promote the transition from one of commensalism to pathogen"
From Oral Candidiasis: A Disease of Opportunity pubmed.ncbi.nlm.nih.gov/31963180/:
"changes in the host microenvironment can promote the transition from one of commensalism to pathogen"
- definitely a thing! ...but hugely over diagnosed
- up to 80% of the general population carry Candida in their mouth as a commensal
- Candida isolated from nipples is v likely to have come from infant's mouth
- definitely a thing! ...but hugely over diagnosed
- up to 80% of the general population carry Candida in their mouth as a commensal
- Candida isolated from nipples is v likely to have come from infant's mouth
- 7% of Candida found in blood samples in the US are now resistant to fluconazole
- over-use of antifungals is a major contributor to this issue
- we need antifungals for our sickest and most vulnerable
- 7% of Candida found in blood samples in the US are now resistant to fluconazole
- over-use of antifungals is a major contributor to this issue
- we need antifungals for our sickest and most vulnerable
Next year the conference will be back online. See again you in person in two years! #BFConf
Next year the conference will be back online. See again you in person in two years! #BFConf
@vicky-thomas.bsky.social, @jameskinross.bsky.social, @philbakernz.bsky.social, @drnaomidowibclc.bsky.social, Illiyin Morrison, @ndzitina.bsky.social, Matt Lenny from North Somerset Council, Gill Thomson & Victoria Hall Moran & Anne Woods & Shereen Fisher #BFConf 🙏🏿🙏🏾🙏🏽🙏🏽🙏🏼🙏🏻
@vicky-thomas.bsky.social, @jameskinross.bsky.social, @philbakernz.bsky.social, @drnaomidowibclc.bsky.social, Illiyin Morrison, @ndzitina.bsky.social, Matt Lenny from North Somerset Council, Gill Thomson & Victoria Hall Moran & Anne Woods & Shereen Fisher #BFConf 🙏🏿🙏🏾🙏🏽🙏🏽🙏🏼🙏🏻
@profamcf.bsky.social, Philip Goodwin from
@unicef-uk.bsky.social, Anna Byrom from @all4maternity.bsky.social,
@aaloysius.bsky.social, Vicky Sibson from
@1stepsnutrition.bsky.social Yafa Ajweh & Reem Al Soufi from GINA & Brittal Stordal #BFConf
@profamcf.bsky.social, Philip Goodwin from
@unicef-uk.bsky.social, Anna Byrom from @all4maternity.bsky.social,
@aaloysius.bsky.social, Vicky Sibson from
@1stepsnutrition.bsky.social Yafa Ajweh & Reem Al Soufi from GINA & Brittal Stordal #BFConf
Reflections on the Conference > 1100 delegates, applause for everyone who have achieved or are working towards accreditation 👏🏿👏🏾👏🏽👏🏼👏🏻
Reflections on the Conference > 1100 delegates, applause for everyone who have achieved or are working towards accreditation 👏🏿👏🏾👏🏽👏🏼👏🏻
- unpacking negative experiences - parent and staff perspectives
- skin-to-skin - lack of parent-related interventions
- conversations on close & loving relationships
- supply insufficiency
- colostrum harvesting
- social media
- unpacking negative experiences - parent and staff perspectives
- skin-to-skin - lack of parent-related interventions
- conversations on close & loving relationships
- supply insufficiency
- colostrum harvesting
- social media
- pumping - downsides time-consuming, painful, demoralising
- dangers/risk to milk supply
- pumping - downsides time-consuming, painful, demoralising
- dangers/risk to milk supply