#USLCA2016 Walker showing “Hierarchy of Supplements” for #Breastfeeding baby #IBCLC

#USLCA2016 Walker: #mothers are being set up for #infantformula use by hospital visitation policies allowing constant stram of visitors

#USLCA2016 Walker: #parents are not being told that effects of #infantformula on #baby are long-term, not short-term #IBCLC

#USLCA2016 Walker:Mothers have right to know what happens when they put #infantformula in their #baby’s gut #IBCLC

#USLCA2016 Walker: why do we allow all of the interruptions in #hospital #postpartum unit? Baby should be #breastfeeding #IBCLC

#USLCA2016 Walker: #infantformula with genetically-modified #soy can contain residue of levels of #glyphosate -> endocrine distrubances

#USLCA2016 Walker imploring #WIC staff in attendance to encourage nutritious, organic, non-processed food diet in #pregnancy

#USLCA2016 Walker: intestinal barrier dysfunction conditions/illnesses more common in ppl who were formula-fed as #babies #IBCLC

#USLCA2016 Walker defining #microbiome - totality of microorganisms, genetic elements, & environmental reactions #IBCLC #Epigenetics

#USLCA2016 Walker: #IBCLC fundamentals - poor latch leads to “supplementation” with formula #breastfeeding

#USLCA2016 Walker: breastfed infants who are “supplemented” with formula receive lower levels of leukocytes, increases risk of #infection

#USLCA2016 Walker: Formula companies work hard to encourage #breastfeeding #mothers to “supplement” with formula

#USLCA2016 Walker: unfounded #marketing claims from #infantformula mfrs convince moms that formula fdg has no effects

#USLCA2016 Walker published @ILCA1985 “Inside Track” yrs ago w/guideline for #Breastfeeding in hospital, satisifes #BFHI requirements

#USLCA2016 Walker: supplementation of breastfed babies dates back to ancient times #IBCLC

#USLCA2016 Next up: Marsha Walker, RN, IBCLC - The Mother/Baby Microbiome and Do We Really Want to Put Formula In There? #IBCLC

#USLCA2016 Walker: never cut #nippleshield away as a method of weaning baby from it #IBCLC

#USLCA2016 Walker: lg study in 2015 showed 2-fold increase in #mastitis when using #nippleshield #IBCLC

#USLCA2016 Walker citing Case Report published 2015 re: high intraoral vacuum (Perrella et al) and #nippleshield use #IBCLC

#USLCA2016 Walker: mothers using #nippleshield shd check all areas of breast for plugged ducts, poor drainage, maybe need to pump after fdg

#USLCA2016 Walker showing photos of proper vs incorrect latch on #nippleshield #IBCLC

#USLCA2016 Walker: no data on effects of #nippleshield on infant’s olfaction at breast #Breastfeeding #IBCLC

#USLCA2016 Walker: citing study which showed mfrs make pacifiers of varying stiffness, shields could also have this much variation #IBCLC

#USLCA2016 Walker: no measurements are available on stiffness of #nippleshield, mfrs not providing that info #IBCLC

#USLCA2016 Walker: discussing specifics about sizing #nippleshield properly - different shapes, lengths, number of openings #IBCLC

#USLCA2016 Marsha Walker on #nippleshield use

#USLCA2016 Walker: talking about possible indications for nipple shield use - none are absolute because we don’t have clinical algorithm

#USLCA2016 Walker: nursing on shield is not the same as nursing without it - watch weight, watch milk production closely #IBCLC

#USLCA2016 Walker: Your clinical judgment is necessary to help mother to determine if a nipple shield will help #IBCLC

#USLCA2016 Walker: could faulty suck imprinting contribute to lack of resolution of #Breastfeeding problem? #IBCLC