GOLD Learning Tongue-Tie Symposium 2023 Lecture Pack
If you're looking to expand your tongue-tie knowledge or need more continuing education credits, the Tongue-Tie Symposium from 2023 is a great way to add to your GOLD Tongue-Tie experience. The symposium consists of 10 presentations covering both essential skills and bigger picture issues. Enhance your knowledge of assessment, counseling, post frenotomy care and bodily autonomy, optimizing oral function and creating a family centered care plan, You can also take a deeper dive into the topic of tongue-tie with a look at the vagus nerve and its impact, trauma informed and family centered care, the impact of tongue-tie on swallowing and the implications for starting solids, a closer look at the anatomy and physiology of the lingual frenulum and complex case studies and how to determine what to tackle first.
*Please note that this package is available on the GOLD Learning CE website. If you have previously purchased and viewed this series of lectures, you will not be able to claim another accreditation certificate again.
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Speakers & Presentations
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IBCLC, CSOMBiography Topic Info
Adrienne Guirguis, a board certified lactation consultant has over 25 years experience in helping breastfeeding infants and their families. She began her journey into the world of lactation after struggling to breastfeed her oldest son. She became an accredited La Leche League leader and was able to help babies breastfeed. Her experience with La Leche League led Adrienne to become an International Board Certified Lactation Consultant (IBCLC). She has been board certified for 20 years and has experience with a wide range of problems that may be experienced by new families. Adrienne has worked in hospital for over 10 years and then worked in community health for many years. She is a clinical practitioner, working hands on with families to improve feeding outcomes.
Adrienne continues her lactation education, constantly attending conferences and courses to stay up-to-date on the information and skills needed to benefit those who most need breastfeeding help. In 2022 Adrienne completed the Holistic Integrative/Functional Lactation course, a year long program followed by a residency. This course has increased her skills to provide the best care for the families with whom she works.
Adrienne also is an educator, working within the community to teach others the skills necessary to become lactation counselors and eventually board certified lactation consultants.
Topic: Navigating the Challenges of Tongue-Tie: Counseling and Anticipatory Guidance - [View Abstract]
Abstract:View Full Presentation InformationParents with infants who are having breastfeeding issues due to tongue tie, face a complicated journey of conflicting information and differing opinions, complicated care plans and challenging emotions. Providing anticipatory guidance about the education providers receive on tongue tie, the many faceted symptoms of tongue tie for both parent and infant, the functional assessment versus the appearance of tongue and compensatory behaviors are all important for the parents to be able to make informed decisions and successfully navigate their way back to successful breastfeeding. Learn more about how to provide necessary information in a compassionate and useful way to already overwhelmed parents.
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Biography Topic Info
Shana Quarrie is an Occupational Therapist for over 11 years and a Certified Lactation Counselor for 5 years. She has worked in the pediatric setting for over a decade and in one of the largest Level 4 NICUs in the United States. Shana is one of the Co-Founders of Baby B.L.I.S.S. Feeding Collaborative of Central Florida a private practice formed with two RN, IBCLC's. They help families prenatally, antepartum and post party navigate growth development and feeding journey. Shana specializes in the medically complex infant such as 23 week premies, brachial plexus injuries and any neurodevelopmental delays. Shana finds great improvement when combining neurodevelopmental techniques into her practice for optimal feeding and development outcomes. Her mantra is to help families thrive not just in her clinic during their sessions but in their natural environment.
Annette Leary is a registered nurse with over 35 years of experience working in Maternal Child Health (pediatrics, postpartum, home health care and level 2 nicu). She became an IBCLC in 1995. Annette owns a private practice providing home,office, and virtual visits: Orlando Lactation and Wellness Services. She formed a collaboration company Baby B.L.I.S.S. Central Florida Feeding Collaborative, with an occupational therapist and IBCLC. They help families prenatally, antepartum and post partum navigate the growth, development and feeding journey of their children. Annette began her Upledger Craniosacral therapy training in 2015, taking advanced maternal and pediatric specialty classes. She finds great improvement incorporating craniosacral therapy techniques with lactation consulting. Helping Families Latch onto Parenting has always been Annette's mantra.Topic: The Untethered Method Integrated: Team Approach to Assessment and Oral Habilitation - [View Abstract]
Abstract:View Full Presentation InformationParents are seeking answers to their baby’s feeding difficulties. They verbalize that they are confused by conflicting and contradicting information. They seek opinions from the internet, social media, friends and health care providers that further frustrate them. These families often have to self-navigate this feeding and oral health journey for their baby. They are seeking a functional assessment of the baby’s ability to organize the baby’s suck, swallow and breath pattern to get a differential analysis. Finding providers who can administer the assessment and provide lactation support to the feeding difficulties often means multiple appointments, different offices, and prolonged time. Collaborative practice models place a focus on co-evaluations, co-treatments and care plans to provide the parents with a comprehensive guide of solutions and tools. This allows them to facilitate their baby’s oral motor habilitation and improve their feeding abilities in a timely manner within a single location. These complete assessments, therapeutic modalities and care plans help families feel empowered to make the best decisions on whether to proceed with a frenotomy or not. This program will include 2 case reviews of a family who chose to do the frenotomy and one who did not and how the pre and post frenotomy support care assisted these decisions.
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MA, HDSE, CLEC, IBCLC, BCST, BFRPBiography Topic Info
Effath Yasmin is India's leading Biodynamic Craniosacral Therapist, an award winning International Board Certified Lactation Consultant & a Documentary Film Maker. She is also an International Speaker, an Author & a Bach Flower Practitioner. Her special interests lie in Infant Oral, Sucking & Airway Dysfunction, Tongue Tie, Birth Trauma, Craniofacial Development and a range of chronic physical and mental dis-eases & quantum energy phenomenon. She applies these sciences into Life Coaching, Inner Child Healing and Parenting. Her approach stems from fundamental truth of human organism is complete and self-regulatory and treatment & counselling approach is by deep listening & true empathy to mind body and spirit rather than by intervention. She currently sits on several national & international professional boards.
She has spear-headed & dedicated her life to many projects with a central mission of advocacy, education and awareness for integrative multidisciplinary wellness approach worldwide. Her work has been published in the International Journals & a textbook and she writes extensively on print and digital media on the subjects of Breastfeeding, Tongue Tie, Parenting & Health related subjects. Her international award winning film 'Untying Breastfeeding' exposes the glaring unseen obstacles to Birth & Breastfeeding & early parenting that can help restore motherhood and has been widely celebrated over 1500 Cities worldwide. She is currently pursuing her Ph.D. in Metaphysical Sciences.Abstract:View Full Presentation InformationThe most talked about discussions amongst parents or professional groups across the world is post frenotomy wound management. In the last 15-20 years of development, the field of oral restrictions has yet to see an evidence-based approach or even just a global consensus on approaches and their efficacy in wound management. Therefore lactation consultants, dentists, and surgeons have been using their clinical reasoning to choose the methods and protocols for individual breastfeeding dyads. Nevertheless, the current unregulated wound management protocols have been often reported as traumatic experiences for infants, parents, and care providers. Additionally, a physical oral examination of an infant during the assessment, evaluation, and treatment, and rehabilitation of oral restrictions is essential and vital in an IBCLC clinical practice. It's often seen as a ‘necessary evil’ in clinical work. Some infants may be at risk of reattachment and/or trauma which can have lifelong impacts such as triggers for past memories, anxiety, distress or discomfort, or even PTSD. This can lead to oral aversion symptoms, complete refusal to latch and breastfeed, turning away from food, and gagging, coughing, and choking. Therefore, a respectable trauma-informed approach to oral examination and wound management is based on the fundamental principles of respect for bodily autonomy ensuing a sense of safety, trust, and connection.
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BBA, IBCLCBiography Topic Info
Gina has been assisting breastfeeding mothers for over 20 years, and now through telehealth all over the world. She knows that while most pregnant mothers expect to breastfeed, very few receive proper preparation for the difficulties and the rollercoaster of emotions when there are problems. When Gina had her first baby, like many new mothers she was overwhelmed by conflicting information: at the hospital, the pediatrician's, and from well-meaning friends and family. Her appreciation of the volunteer support she received led her to want to "pay it forward" and help others. She first trained as a volunteer LLL Leader in Houston, Texas, then as a birth doula in Amsterdam, The Netherlands, and finally sat for the exam to become an IBCLC in Seville, Spain. She continues to lead monthly breastfeeding support meetings online and in-person.
Gina believes that all mothers deserve quality emotional and educational support. It should not be just a matter of good luck. She's dedicated to giving effective guidance and caring support with real results. Her greatest satisfaction is the joy of seeing that look on both mothers' and babies' faces that says: Just what I always wanted!Abstract:View Full Presentation InformationWhen tethered oral tissues (TOTS) are impacting feeding, a care plan must be tailored to the unique circumstances of the parent(s), the baby and the reality of their environment. Parents are often feeling overwhelmed and desperate and from the moment of our initial consult, our nurturing care and guidance provide safety and relaxation. When parents feel understood, they often cry and release a massive amount of stress. The flow of oxytocin and endorphins can soothe their emotional pain as they begin to trust that help is possible. We calmly identify areas needing attention, we prioritise them, and we find out what is most easily doable for the parent(s) among the top priorities. Each step of the care plan offers choices (in regards to feeding, positioning, milk supply, exercises, etc) that will positively impact both the wellbeing and the feeding experience. We help parents to understand that feeding is a whole body activity and that an improvement in any area gives ripples of improvement in the others. We make adjustments as needed, and the changes begin to flourish. We replace fear and confusion with confidence and flexibility. Parents understand “the why” of each step and begin to enjoy that they themselves are driving the positive change!
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MB ChB, FRCPCH, FRCPIBiography Topic Info
Justin is a Consultant Paediatrician who has worked in both the UK and Ireland. He has had an interest in Tongue Ties for over 15 years and has created multi-disciplinary pathways of care. He is Medical Director of the National Tongue Tie Centre in County Tipperary, Ireland which he established with Kate Roche, a Chartered Physiotherapist, in 2017. There he and the team provide comprehensive care for infants, children and adults with tethered oral tissues.
Topic: Beneath the Surface: Anatomy and Physiology and How These Influence the Approach to Frenectomy - [View Abstract]
Title: Beneath the Surface: Anatomy and Physiology and How These Influence the Approach to FrenectomyAbstract:View Full Presentation InformationThe management of tongue tie has many approaches. In this presentation we will explore the anatomy and physiology of normal tongue frenulae and that of ankyloglossia. How the structures affect function and how to manage them to optimise function. We will also discuss the problems that can be seen following incomplete release and reattachment. We will also cover complications during surgery and management options.
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MSN-Ed, BSPsy, RN, IBCLC, RLC, FILCABiography Topic Info
Kathy Parkes is a registered nurse, IBCLC, and Fellow of the International Lactation Consultant Association (FILCA) with over 30 years of experience in lactation management and education. She has been actively involved with breastfeeding coalitions at the local, state, and international levels. Now a published author, her first book, “Perspectives in Lactation: Is Private Practice for Me?”, sold out the first printing in only 48 hours. Kathy has worked in multiple lactation settings, including the hospital, private practice, education, home health care, and in the US-based Women, Infant, and Children (WIC) program. As a Certified Compassion Fatigue Educator, Kathy heads the Perinatal Loss Program at her hospital, and leads a Griefshare program in the community. Happily married for 39 years, she has 2 daughters, and 3 grandchildren, all breastfed.
Abstract:View Full Presentation InformationConservative estimations report that the number of frenotomies globally has tripled in the past 10 years. Breastfeeding/chestfeeding parents seek help on the internet, social media, support groups, lactation consultants, physicians, midwives, and other healthcare professionals and are frequently sent straight to a release provider without the care of the other providers. However, a tongue or lip tie is not always the cause of the feeding problems the dyad is experiencing. This session will provide information on assessment, diagnostic tools, comorbidities, treatments, and complicated case studies to broaden your knowledge about ankyloglossia.
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MS, IBCLCBiography Topic Info
Melissa Cole is a board-certified lactation consultant, neonatal oral-motor assessment professional and clinical herbalist in private practice. Melissa is passionate about providing comprehensive, holistic lactation support and improving the level of clinical lactation skills for health professional. She enjoys teaching, researching and writing about wellness and lactation-related topics. Her bachelor’s degree is in maternal/child health and lactation and her master’s degree is in therapeutic herbalism. Before pursuing her current path, Melissa’s background was in education and cultural arts, which has served her well in her work as a lactation consultant and healthcare educator. She loves living, working and playing in the beautiful Pacific Northwest with her 3 children.
Topic: Feeding is Movement: Activities for Supporting Optimal Infant Oral Function - [View Abstract]
Abstract:View Full Presentation InformationFeeding is movement and some babies need personalized help when it comes to oral function and skills. This presentation covers critical thinking strategies around basic activities to support optimal infant oral function. We will review available evidence, contraindications, and targeted activities. We will discuss when and why to consider a variety of activities for the jaw, cheeks, tongue, palate, lips, and tongue. Learners will also recognize oral function concerns that require referral and connection to other allied health professionals.
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MS.CCC-SLP, BCSS, CNT, IBCLC, NTMTCBiography Topic Info
Ramya Kumar is a certified Speech Language Pathologist specializing in infant and pediatric feeding difficulties. She currently works in a Level III NICU and a primary care office in Phoenix, Arizona. Ramya is a Board Certified Specialist in Swallowing and Swallowing Disorders (BCS-S), Certified Neonatal Therapist (CNT) and an International Board Certified Lactation Consultant (IBCLC). In addition, she has received the Developmental Care Specialist Designation through the National Association of Neonatal Nurses and is also certified in Neonatal Touch and Massage (NTMTC). Ramya is a certified Trauma Informed Professional and is passionate about creating long term mealtime successes for her patients and families. Her philosophy to patient care is deeply rooted in the belief that every patient – no matter how small, has a voice; and that families should be empowered to be active participants in their care plan.
Topic: Trauma Informed and Family Centered Care! Keeping the Family Unit at the Center of a Tongue-Tie Treatment Model - [View Abstract]
Abstract:View Full Presentation InformationResearch repeatedly tells us that families experience significant levels of stress, fear and fatigue when navigating challenges with feeding their infant. These experiences have a significant impact on their well-being, negatively affecting both physical and emotional health. Compound this with the need to navigate information and emotions that surround surgical intervention like tongue tie releases and the subsequent impact on their child’s comfort and pain as well as fear about success after a release is completed. Parental involvement in the care of their infant’s feeding plan is essential for protecting their identity roles, decreasing risk of depression and anxiety, and increasing parent confidence and competence in caring for their child (Obeidat,2009). Health professionals have a crucial role to play in understanding and implementing a trauma informed, family centered care model when planning the timing of a tongue tie release and supporting the family through the journey. This session will highlight the four core concepts of family centered care as well as tenets of trauma informed care and ways to utilize this during the various stages of a tongue tie evaluation. We will also cover strategies to minimize trauma recurrence and empowering parents and caregivers throughout the process.
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PhD, BSc, PGCert Higher Education Innovative Learning, CPSP, FHEABiography Topic Info
Dr. Sharon Smart is a dedicated and accomplished Lecturer in the Curtin School of Allied Health. With over a decade of experience, Dr Smart has a proven track record of coordinating and teaching undergraduate and postgraduate units in paediatric speech, language, feeding and swallowing disorders. Dr. Smart has made significant contributions to the study of infant feeding, swallowing disorders in children, tongue-tie, and paediatric speech and language development. Her passion for translating clinical problems into research topics has improved the lives of countless children and their families.
In addition to her research, Sharon is committed to educating the next generation of health professionals. She takes pride in teaching evidence-based assessment and intervention practices, empowering students and clinicians to become skilled and compassionate practitioners. Dr. Smart serves as a board member on two organisations: the Australasian Society of Tongue and Lip Tie (ASTLIT) and the International Consortium of Ankylofrenula Professionals (ICAP). As a board member, Sharon contributes her expertise and leadership to help guide these organisations in achieving their missions.Topic: The Impact of Tongue-Tie on Swallowing and the Implications for Breastfeeding and Starting Solids - [View Abstract]
Title: The Impact of Tongue-Tie on Swallowing and the Implications for Breastfeeding and Starting SolidsAbstract:View Full Presentation InformationInfants and children with tongue-tie can have difficulty swallowing, poor breastfeeding latch, and difficulty transitioning to solid foods. The impact of tongue-tie on these functions can have long-lasting effects on a child's development and well-being. This presentation will include discussion on the anatomy and physiology of swallowing and how it can be impacted by a restricted lingual frenulum. It will include discussion on the typical development of oral motor skills during breastfeeding and transition to solids, and the impact that tongue-tie can contribute to the introduction of solid foods, and challenges with chewing and swallowing. Overall, this presentation will aim to increase your understanding the impact of tongue-tie on feeding and swallowing which is crucial for healthcare professionals working with infants and young children to improve outcomes for both the child and family.
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DC, FICCPBiography Topic Info
Dr. Sharon A. Vallone is a graduate of Rutgers University and New York Chiropractic College She completed her Diplomate in Clinical Chiropractic Pediatrics (DICCP) at Palmer Chiropractic College and later received her appointment as Fellow in Clinical Chiropractic Pediatrics (FICCP). Dr. Vallone works in a collaborative practice in Connecticut and is currently the Chair of the Board of Kentuckiana Children's Center in Louisville, KY and past Vice Chair of the International Chiropractic Association's Council Pediatric Council. She is an international speaker, author, and editor of the Journal of Clinical Chiropractic Pediatrics. Sharon brings 36 years of pediatric chiropractic experience with a primary interest in pregnant and postpartum mommas, birth trauma, breastfeeding difficulties and problems with infant /toddler neurodevelopment.
Abstract:View Full Presentation InformationRegulation of the autonomic nervous system is critical for the successful breastfeeding relationship of the dyad. This 1 hour lecture will first, review the anatomy and physiology of the Vagus Nerve (Cranial Nerve X) as it might potentially influence breastfeeding. It will then explore the myriad of ways that the presence of ankyloglossia could potentially influence dysregulation of vagal tone resulting in a myriad of complaints often seen in both members of the dyad when the neonate has ankyloglossia.
Educational Credits
This Add-on Lecture Pack offers 10 hours of education. Approved for 10 L-CERPs, Nurse Contact Hours and CMEs. Credits are cross recognized for those requiring ACNM CE Credits, ASHA PDHs and Dietetic CPEUs. Learn more about the continuing education credits here.
GOLD Learning Tongue-Tie Symposium 2023 Lecture Pack Purchase Details
Registration: Now Open. Register today & join us online!
Presentations Available Online: Starting Sept. 10, 2024 & will be available to view until Nov. 29, 2024 (Dec. 20 for GOLD Annual Members)
Important: Please note that this package is available on the GOLD Learning CE website. If you have previously purchased and viewed this series of lectures, you will not be able to claim another accreditation certificate again.
Country Category, Group & Institutional Discount Pricing are available.
Looking to create a group? View our new Group Registration Benefits & Group Coordinator Tools.
Individual Registration
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Group Registration (10+)
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| ACountry Category | $170 | $150 |
| BCountry Category | $100 | $90 |
| C & DCountry Category | $50 | $45 |
| What is my Country Category?All Prices in $USD |
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Add-on Purchase Details
- Group Registration: Pricing above is per person. Group rates for the GOLD Learning Tongue-Tie Symposium 2023 Lecture Pack will be offered to members at the time of Main Conference Registration Only. As long as you have a group of 10+ members when you register for GOLD Tongue-Tie Conference, your members will have the option to purchase the add-on. Not all group members are required to purchase the add-on to qualify for group discount pricing. Groups members may choose to purchase the add-on after their conference registration however they will be charged the individual rate at that time.
Registering for the add-on is easy! You will be prompted to select this add-on package when registering for GOLD Tongue-Tie conference. You may also purchase this add-on lecture pack anytime during the time of the conference.
Should you have any questions about this special package, please contact us.
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If your computer does not pass the Technology Test, it is not advisable to register until the possible problem is resolved. Click here for more information or contact us for technical support at [email protected].Registration Categories
As an international conference, we are sensitive to the fact that not all countries are economically equal. As breastfeeding advocates we recognise that people in these countries generally have the most need for this information and limited resources, which is why in addition to our standard registration options, this year we are offering a special registration fee for residents from countries that fall in Cat. B, C & D. The Categories are based off of the World Bank Data. Please view our Reduced Rate Terms. Proof of residency maybe required.
Category A:
Andorra, Antigua and Barbuda, Aruba, Australia, Austria, Bahamas, Bahrain, Barbados, Belgium, Bermuda, British Virgin Islands, Brunei Darussalam, Canada, Cayman Islands, Channel Islands, Chile, Curacao, Cyprus, Czech Republic, Denmark, Estonia, Faroe Islands, Finland, France, French Polynesia, Germany, Gibraltar, Greece, Greenland, Guam, Hong Kong, Hungary, Iceland, Ireland, Isle of Man, Israel, Italy, Japan, Rep. Korea, Kuwait, Latvia, Liechtenstein, Luxembourg, Macao, Malta, Monaco, Netherlands, New Caledonia, New Zealand, Northern Mariana Islands, Norway, Oman, Palau, Poland, Portugal, Qatar, San Marino, Saudi Arabia, Seychelles, Singapore, Saint Maarten (Dutch part), Slovak Republic, Slovenia, Spain, St. Kitts and Nevis, St. Martin (French part), Sweden, Switzerland, Taiwan, Trinidad and Tobago, Turks and Caicos Islands, United Arab Emirates, United Kingdom, United States, Uruguay, Virgin Islands (U.S.). TOP
Category B:
Albania, Algeria, American Samoa, Argentina, Azerbaijan, Belarus, Belize, Bosnia and Herzegovina, Botswana, Brazil, Bulgaria, China, Colombia, Costa Rica, Croatia, Cuba, Dominica, Dominican Republic, Ecuador, Equatorial Guinea, Fiji, Gabon, Grenada, Guyana, Iran (Islamic Rep.), Iraq, Jamaica, Kazakhstan, Lebanon, Libya, Lithuania, FYR Macedonia, Malaysia, Maldives, Marshall Islands, Mauritius, Mexico, Montenegro, Namibia, Nauru, Panama, Paraguay, Peru, Romania, Russian Federation, Samoa, Serbia, South Africa, St. Lucia, St. Vincent and the Grenadines, Suriname, Thailand, Tonga, Turkey, Turkmenistan, Tuvalu, RB Venezuela. TOP
Category C:
Angola, Armenia, Bangladesh, Bhutan, Bolivia, Cabo Verde, Cambodia, Cameroon, Cote d'Ivoire, Djibouti, Egypt, Arab Rep., El Salvador, Georgia, Ghana, Guatemala, Honduras, India, Indonesia, Jordan, Kenya, Kiribati, Kosovo, Kyrgyz Republic, Lao PDR, Lesotho, Mauritania, Micronesia, Fed. Sts., Moldova, Mongolia, Morocco, Myanmar, Nicaragua, Nigeria, Pakistan, Papua New Guinea, Philippines, Sao Tome and Principe, Solomon Islands, Sri Lanka, Sudan, Swaziland, Timor-Leste, Tunisia, Ukraine, Uzbekistan, Vanuatu, Vietnam, West Bank and Gaza, Zambia. TOP
Category D:
Afghanistan, Benin, Burkina Faso, Burundi, Central African Republic, Chad, Comoros, Dem. Rep. Congo, Eritrea, Ethiopia, The Gambia, Guinea, Guinea-Bissau, Haiti, Dem. People's Rep. Korea, Liberia, Madagascar, Malawi, Mali, Mozambique, Nepal, Niger, Puerto Rico, Rep. Congo, Rwanda, Senegal, Sierra Leone, Somalia, South Sudan, Syrian Arab Republic, Tajikistan, Tanzania, Togo, Uganda, Rep.Yemen, Zimbabwe.TOP
Dr. Speakers Full Name
Speaker Credentials
Annet Mulder first became interested in breastfeeding in the year 2000, when she became a mother for the first time. During and because of her own breastfeeding experiences, in 2002 she became a volunteer with the Dutch breastfeeding Organization and in 2008 sat for and passed the exam administered by the International Board of Lactation Consultant Examiners. As an International Board Certified Lactation Consultant, she now
Annet Mulder first became interested in breastfeeding in the year 2000, when she became a mother for the first time. During and because of her own breastfeeding experiences, in 2002 she became a volunteer with the Dutch breastfeeding Organization text text text text more name mulder first became interested in breastfeeding in the year 2000, when she became.
Dr. Speakers Full Name
Speaker Credentials