Reframing the Clinical Approach
Breastfeeding Assessment and Intervention for the Medically Fragile Infant
In this 4 hour, self-paced continuing education course, you’ll learn to establish, support, and maximize breastfeeding outcomes in the NICU, PICU, or high-risk follow-up clinic.
Human milk for medically fragile infants is critical.
This course covers the specific importance of breastfeeding for medically fragile infants, the establishment of the mother's milk supply (and how this is different when the infant is hospitalized), breastfeeding assessment within the intensive care units (including LATCH score and PIBBS), interventions to support medically fragile infants, and case studies to highlight strategies for successful implementation (including sequential videos marking the infant's progress and outcome).
Ready to get started?
Learning Objectives for NICU Feeding CEU:
Participants will be able to:
- Identify the difference in mother’s breastmilk composition between full-term infants versus pre-term infants
- Identify components of the Baby-Friendly Hospital Initiative specific to pre-term infants
- Identify the different components of the pre-term infant breastfeeding behavior scale (PIBBS)
- Identify breastfeeding positions that take into consideration the limitations the standard neonatal intensive care unit (NICU)
- Identify the benefits of skin-to-skin in the medically fragile infant
HERE'S WHAT'S INSIDE
RECORDED VIDEO Lessons
PDF Downloads
Recources
Let's Look Inside the Course
This is a complex area of practice and we know it takes time to absorb and apply new information in the NICU. We also know you’ll have a variety of medically fragile infants on your caseload. That’s why this CE course is self-paced and you can replay the videos as many times as you’d like for 6 months rather than trying to understand everything the first time through.
Module One (7 minutes)
Course Information
- Introduction
- Disclosures
- Learning objectives
-
Course overview
Module two (1 hour 14 minutes)
Establishing Breastfeeding in the NICU
- The Importance of Breastfeeding
- Establishing Milk Supply
Module three (1 hour 5 minutes)
NICU Assessment & Evaluations
- Breastfeeding Assessment
- Standardized Assessment (LATCH + PIBBS)
- Instrumental Evaluations of Swallowing at the Breast
Module four (1 hour 30 minutes)
Feeding Interventions for Fragile Infants
- Interventions
- Tools
- Case Studies
Module five (5 minutes)
CE Course Assessment & Feedback
- Conclusion
- Feedback survey and multiple choice assessment (untimed)
Breastfeeding Assessment and Intervention for the Medically Fragile Infant
Establish, support, and maximize breastfeeding outcomes in the NICU & PICU
Course Instructor
Kelly Andrasik McLeod OTD, OTR/L, BCP, IBCLC, CNT
Kelly has been an occupational therapist since 2008, practicing in both adult and pediatric settings. She specializes in feeding and swallowing rehabilitation for medically fragile infants in the neonatal intensive care unit. She has received her advanced practice certification in “Swallowing Assessment, Evaluation, and Intervention” and was within the first group of therapists to become a Certified Neonatal Therapist (CNT). Additionally, she is trained and certified as an International Board-Certified Lactation Consultant (IBCLC).
Kelly received her doctorate degree in occupational therapy (OTD) in 2019 from Kansas University Medical Center, where her focus was occupational therapy’s role in maximizing breastfeeding support and improving breastfeeding outcomes for medically fragile infants. In addition to her clinical passions focused in the NICU, Kelly is a passionate instructor, serving as an adjunct faculty member at Kansas University Medical Center’s post-professional occupational therapy doctoral program.
Instructor Disclosures
AOTA Approved Provider, ASHA CE Approved Provider, IBLCE Long-Term Provider
Enroll NowFrequently Asked Questions
What makes this course different from other pediatric feeding courses?
This course is specific to breastfeeding assessment and intervention strategies for medically fragile infants in the NICU, PICU, and high-risk follow-up clinics.
It brings in the therapist’s perspective on breastfeeding and optimizing outcomes for infants.
Who is this course intended for?
- Occupational Therapy Practitioners (OT & OTA)
- Speech Language Pathologist (SLP & SLP-A)
- Physical Therapy Practitioners (PT & PTA)
that desires to work or currently works in the NICU, PICU, or high-risk follow-up clinic. This course is excellent for NICU therapists who already have a CLC, CBS, etc.
Are there prerequisites for this course?
There are no required prerequisites.
Can I count this course towards my 90 hours of lactation-specific education?
Absolutely! This course is approved for 4.0 L-CERPs. To receive credit for completion, each participant will need to complete a post-assessment with a passing score of at least 80% to ensure all learning objectives are met.
Information about AOTA CEUs
This course is approved for 0.4 AOTA CEUs for occupational therapy professionals
Participants will be required to:
- Complete the course in its entirety (100% of the course watched)
- Complete a multiple-choice post-assessment with a passing score of at least 80% (untimed test)
Information about ASHA CEUs
This course is available for 0.4 ASHA CEUs for speech-language pathologists. To receive ASHA CEUs, participants will be required to:
- Ensure you are eligible to receive ASHA CEUs! Click here for more information
- Complete the course in its entirety (watch time is tracked by the learning management system)
- Complete the multiple-choice post-assessment with a passing score of at least 80% (untimed test, 3 retakes)
- There is no option for partial credit
Information for Physical Therapists
APTA does not approve individual companies and you will need to check with your individual state for online course requirements.
To best prepare you can save the following:
- The certificate of completion that will be provided
- List of references
- A copy of the assessment questions
How long will I have access to the course?
6 months from the purchase date.
What is your refund/cancellation policy?
Refunds must be requested within 14 days of purchase by emailing [email protected]. A full refund is available if no modules have been started. A partial refund is available once ANY portion of the course has been viewed. The amount refunded is at the sole discretion of The Lactation OT LLC. There is no refund available after 14 days of purchase OR if module one has been completed. Recipients will receive acknowledgment of refund requests within 3 business days. If the request is valid per the terms listed above, the refund will be processed within 7 business days. If for any reason the course is canceled by The Lactation OT before the course is started, a full refund will be provided.
How do I request special accommodation?
Please send us an email at [email protected] at least 14 days before starting the course with further details of your request.
IBLCE Long-Term Provider
4.0 L-CERPs
Working in the NICU or with medically fragile infants as a therapist can be intimidating.
Human milk is a critical piece that supports infant development, and breastfeeding can be established even in complex cases.
As you gain experience and deepen your knowledge of specific topics, your confidence will increase — and so will the outcomes of your most fragile clients.
Medically Fragile Infant bundle (14 hours)
- Breastfeeding Assessment and Intervention for the Medically Fragile Infant
- Failure to Thrive, Suboptimal Weight Gain, and the Lactation Savvy Therapist
- Tube to Breast: Navigating the Transition from Enteral Feeding to Breastfeeding
