TONGUE-TIE CLIPS: CONSULT WITH AN IBCLC PRIOR TO RELEASE!

UPDATED 1.22
There are still so many ENTs and dentists who perform tongue-tie releases with no preparation, no IBCLC referral and no follow-up in place. When no referral is required, parents are misled into believing the release is a silver bullet. It is not. In fact, while the skill of the release practitioner is very important, the ability of that practitioner to understand their role as the member of a collaborative team is just as important. This is because the release only allows the bodywork and the lactation support to be effective. In and of itself, the release cannot solve feeding problems. 

No other surgical procedure is performed with such frequency, yet primed to fail due to inadequate preparation and follow-up. I see far too many dyads suffering the consequences of a surgical procedure that can't possibly deliver on expectations, because the release itself cannot resolve issues. 

If you imagine the analogy of someone who has learned to hobble along with their shoelaces tied together, never having walked any other way, you can imagine what that looks like: short, unstable, inefficient steps. Untying those laces (similar to releasing the ties) is only one step in preparing to walk with comfort and ease. The laces will need to be tied properly so that the person doesn't trip over themselves in all new ways, the weakened muscles that have never been used properly (or perhaps at all) will need to be strengthened, muscles that may have been overused will need to be softened, quieted, new pathways between the brain and muscles need to be established, a new sense of balance must become normal. 

All of this is accomplished in a tied baby when the IBCLC functionally assess the infant as the first step. While the release provider will perform a structural assessment, they must rely on the functional  assessment done by the IBCLC, because functional means while feeding. So, the IBCLC makes an oral assessment, using proper positioning of the baby to gain necessary visual information, as well as tension in the baby, reaction to reflex triggers, tongue mobility, range of motion, stamina and so on. In addition, the IBCLC makes a functional assessment, taking into account many variables, such as how old the baby is, impact of factors such as birth and intra-uterine positioning, how the baby is being fed, whether supplemented and by what means, whether there is pain with feeding, whether baby is hungry or full at time of assessment, whether baby us feeding passively, milk supply, milk transfer, growth trajectory, positioning, latch, postural stability and more. A brief visual inspection and baby's suck on a finger is not a functional assessment. 

The skilled IBCLC is not in a hurry to send a baby off for release, even when restriction is evident. The skilled IBCLC knows a baby needs to be prepared for release, that reflexes need to be supported, the nervous system organized and neuromuscular rewiring begun prior to release. The IBCLC will support the parents in this process, by providing tools such as movements and oral exercises customized to their baby, that parents can do at home to prepare the baby for release. 

We need to be careful not to hyperfocus on the baby, over the dyad however. We cannot think the goal is to "fix" the baby, rather than to bring function to the dyad. For this reason, the IBCLC (who is the only practitioner who cares for both members of the dyad) will simultaneously develop a plan to support ongoing breastfeeding where possible, as well as implementing appropriate interventions to support milk supply, ensure the baby is growing well and the dyad develops skills for efficient and functional feeding. 

In addition, the skilled IBCLC can guide the parents in collaborating with a bodyworker (chiropractor, osteopath, CFT, CST, Bowen therapist, rolfer, etc) who can correct structural misalignments that typically accompany ties. The IBCLC should communicate with the bodyworker and together with the parents, determine when the baby is ready for referral to a release provider.

In my practice I frequently see families who have paid $600-1600 for releases, yet their babies still cannot nurse effectively, if at all. You cannot take a baby, release the ties and expect that baby to know how to feed, especially to feed functionally. But, how the baby is fed is just as important. If the baby is fed in the same compensatory way as prior to release, the release will fail, and those changes need to be planned for and begun prior to release. 

Unfortunately, I frequently see families in my practice after failed releases, sometimes because the release was not done well, but much more often because the timeline and management of the release was not guided by a skilled IBCLC, the bodywork was not sufficient, the release was done too soon, there was insufficient follow-up with the IBCLC or other issues such as food intolerances or gut issues were not addressed. Not only is the stress much higher the second time around, but the risk of breastfeeding failure is higher and in the end, the cost in time and money is much higher. 

It can be understandably tempting to rush off to release ties. It can be frustrating when you find practitioners who refuse to listen to clearly lack knowledge and skills. But, as in every profession, there will be a range of skills, experience and focus. While it was once very difficult to find skilled IBCLCs, it's become much easier as so many of us work remotely. I see as many as 80% of my clients on-line and have done so for a decade. Many other IBCLCs now do as well. The trick is to find someone skilled in functional assessment and habilitation, who also collaborates with other providers. That way, you have access by referral to competent bodyworkers as well. Ask questions about the IBCLC's education specific to oral anatomy and function, whether they collaborate and how they prepare for and follow-up after the release. 

Click here for a list of North America/US IBCLCs who have taken a three day MasterClass that includes learning the process as I've described. Rest of North America Asia Australia South America

The bottom line: An IBCLC should guide the process and ensure that all issues are addressed, not only baby issues. In addition to bodywork, oral exercises, reflex assessment and integration, postural stability, nutritional/gut issues, milk supply, metabolic issues, positioning and latch, nutritional/gut issues, supplementing, appropriate use of feeding tube, bottles, and so on need to be addressed.

Ultimately successful release of oral restrictions is all about a properly managed timeline resulting in fully functional breastfeeding. 

TONGUE-TIE CLIPS: REATTACHMENT

Many parents mistakenly believe their babies' ties have reattached when in fact they have simply not had adequate lactation and bodywork support to eliminate compensations. When feeding is compensatory, the new frenum is frequently just as short as the previous one, but it has not "reattached". A new frenum is normal, but mobility is necessary to ensure it is long and functional, rather than short and restricted.

Examples of compensatory breastfeeding:Many babies feed in a way that may not cause damage to the mother, but is passive, relying on a robust milk supply, tandem nursing or pumping as they cannot drive a supply themselves. Other babies may manage to drive supply, but are structurally compromised, and come to the breast in a flexed position that mothers tend to inadvertently compensate for (frequently by side-lying, but it can be done in other positions as well). These babies often look like they have their shoulders up to their ears or they have no neck. Nursing passively or in this flexed position that limits range of motion will often cause the new frenum to be as short as the previous one. Placing babies in containers for long periods of time can have the same result. 

This is why it's important that parents work w an IBCLC who understands whole body function and knows how to "see" babies structurally and functionally, as well as how to communicate and collaborate with the bodyworker and release provider. And why both an IBCLC and skilled bodyworker are necessary pre and post-release.

World Breastfeeding Week

It's World Breastfeeding Week. You know how I know? Because all the apologists are out in force trying to make sure no one thinks that their support for breastfeeding is really just a thinly-veiled attack on someone who tried to breastfeed, did not breastfeed, supplemented, mixed-fed, pumped, used donor milk, etc. Support for breastfeeding is not a disguise for anything nefarious. It is not a take-down on any individual parent. It is not a commentary on parenting. That we need to celebrate World Breastfeeding Week is a commentary on cultural biases that normalize artificial-feeding, corrupt governing and regulatory bodies, appalling family leave policies, the power of BIGPharma and its marketing machine, poorly educated health professionals and a prevailing mythology that undermines parents who wish to breastfeed their babies. We need to tell the truth. Breastfeeding matters. Supporting breastfeeding matters. World Breastfeeding Week requires no apology. #normalizebreastfeeding #WBW2016 #breastfeedingmatters #holisticIBCLC #HolisticLactation Tweet #HolisticLactation Tweet #holisticIBCLC

Heal the Mother, Heal the Baby: Epigenetics, the Human Microbiome & Breastfeeding: Jennifer Tow, BFA, IBCLC, RLC, OMT

Saturday, December 13, 2014, Bini Birth. Sherman Oaks, CA, 9:30AM-4:30PM
co-sponsored by BreastfeedLA and Intuitive Parenting Network, LLC

Attendance limited to 25: Register TODAY!
Registration: Use this link to make your payment via paypal.
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=G8VTS57ZLSTCS
Details

Bini Birth, 13743 Riverside Dr., Sherman Oaks, CA 91423  www.binibirth.com.  Plentiful street parking available. 9:30-4:30 pm, registration at 9am-9:30am

Cost: $100, approved for 6.0 LCERPs and 7.2 BRN contact hours for RNs

Bring your own lunch or plan to order with us. 

Session description:

The internal terrain reflects itself in the external terrain in a myriad of ways that may well explain many breastfeeding problems. Gut health and integrity drives the nature of the enteric nervous system, thus the implications for well-being are significant. When the maternal body’s reaction to imbalance results in a pro-inflammatory response, a cascade of disease processes may result. Maternal health and well-being, post-partum depression, food allergies, milk supply, PCOS, tongue-tie, reflux, "high-need" infant behavior, slow growth, failure to thrive and numerous feeding difficulties may all find origins in the integrity and vitality of the mother’s internal terrain. In attending to the health of the maternal gut, while supporting the infant in his own healing, we may find that many breastfeeding problems are resolved both acutely and chronically. In a discussion of maternal gut health, the function of the enteric nervous system and the implications for infant gut integrity, we will come to a deeper understanding of why healing the mother's gut may well be integral to successfully addressing a wide array of breastfeeding difficulties. 

1. The Co-Evolution of Humans & Microbiota--Epigenetic Implications for Breastfeeding
Participants will develop a basic understanding of:
 Epigenetic language and principals
 The influence of nutritional and environmental factors on the maternal-infant microbiome
 The influence of breastfeeding on infant gut health
2. Breastfeeding: Cultivating the Infant's Internal Terrain
Participants will learn about:
 The importance of cultivating a healthy microbiome for long-term health and well being
 Optimising maternal nutrition to support the human microbiome
 The impact of paternal gut health on children
 Birth practices and the microbiome
3. Heal the Mother, Heal the Baby: Gut Healing in the Breastfeeding Dyad
Participants will learn about:
 The indications of gut dysfunction in the breastfed baby
 How nutritional support for the mother optimises gut function in the dyad
 Additional tools that support healing the gut in the mother-baby dyad
4. Supporting the Maternal/Infant Gut: Holistic Breastfeeding Practices that Preserve the Microbiome
Participants will:
 Learn holistic options for common breastfeeding problems
 Be able to differentiate amongst various holistic modalities

"Overflowing with both information and practical application, this workshop manages to pull together the macrocosm and the microcosm - the global significance of what's going on with our environment and culture, and how it is reflected in the breastfeeding dyad. This presentation is packed with one revelation after the other. Jennifer's material is profound, insightful, and accessible; any time you are able to spend with this brilliant thinker is worth liquid gold. If every lactation consultant were able to take this workshop, we would truly be on our way to transforming the world through our profession."

Jennifer Tow, IBCLC, RLC, OMT has practiced holistic lactation for 18 years. While residing between the US & France, she established an international client base and now sees most of her clients via Skype. Her reputation for guiding parents through complex breastfeeding issues stems from her ability to integrate holistic modalities such as nutrition, homeopathy, herbs, home remedies and myofunctional therapy into her practice. She offers workshops internationally and on-line on breastfeeding & epigenetics, gut health & healing, tongue-tie & airway development and holistic breastfeeding practices. She is a founding member of IATP, is developing a Master’s in Holistic Lactation and writing a book on the subject. Jennifer is the mother of three children born at home in 1988, 1992 and 1998 and a granddaughter born at home in 2009. Contact through her blog at: http://holisticibclc.blogspot.com/
or email at iparentLLC@aol.com.

RN: BreastfeedLA is an approved provider by the California Board of Registered Nursing. This course offers 7.2 contact hours of continuing education. BreastfeedLA’s provider number isCEP16435. Licensee must maintain certificate for a period of four years.

IBCLC: BreastfeedLA is an approved Long-Term Provider by the International Board of Lactation Consultant Examiners #CLT113-36.
6.0 LCERPs will be awarded for this seminar.

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Tongue-tie, Epigenetics and the Microbiome: the best webinars on these emerging topics are available here!

From the FOUR-PART series:
Emerging Topics in Breastfeeding: 
Thinkers on the Leading Edge (presented live from 2013-2014)

"I thought all the speakers were amazing. My brain cells were pulsating after each speaker, especially Mat Boule and Ben Lynch! Loved Motherfood, too! I liked how although each speaker had quite profound concepts to convey, they presented in a way that anyone could understand and apply then to their practice."

PART ONE: $137 all 4 webinars, Approved for 6.0 L CERPS

Breastfeeding on the Leading Edge: Connecting the Dots: Epigenetics, Gut Healing and Tongue-tie, All presented by: Jennifer Tow, IBCLC, RLC, OMT

1. The Co-evolution of Humans and Microbiotia: Epigenetic Implications for Breastfeeding.

2. Heal the Mother, Heal the Baby: Microbes, Gut Health, the Enteric Nervous System & Breastfeeding

3 & 4. Epigenetics & Maternal Gut Health: Implications for the Midline, Oral Structure,Tongue-tie and Airway Development 

From a previous presentation of this material:

"..totally mind blowing."

"16 pages of notes. And I should have taken more!"

"Overflowing with both information and practical application, this workshop manages to pull together the macrocosm and the microcosm - the global significance of what's going on with our environment and culture, and how it is reflected in the breastfeeding dyad. This presentation is packed with one revelation after the other. Jennifer's material is profound, insightful, and accessible; any time you are able to spend with this brilliant thinker is worth liquid gold. If every lactation consultant were able to take this workshop, we would truly be on our way to transforming the world through our profession."

PART TWO: $137 all 4 webinars. Approved for 6.0 L CERPS,
Tongue Posture: An Evolutionary Perspective, Kevin Boyd, DDS

Ontogenesis, Occlusion, Motor Patterns: A Whole Body Perspective to Breastfeeding, Mat Boule, DO, Posturologist

The History, Politics and Practice of the Lactogenic Diet, Hilary Jacobson, CH.HU.SI., C.HT.

Methylation, Tongue-tie and the Breastfeeding Dyad, Ben Lynch, ND

Tongue Posture: An Evolutionary Perspective, Kevin Boyd, DDS

Abstract:

Archaeological evidence indicates that modern-day humans (Homo sapiens) have been in their present anatomic form (Anatomically Modern Human-AMH) for at least 200,000 + years. Observations from pre-historic skeletal and fossil records reveal that H. sapiens has walked the planet for nearly their entire existence with well-aligned teeth and jaws. Even though soft tissues don’t get preserved within the fossil record, anthropologists can nonetheless, with a reasonable degree of scientific certainty, still infer brain sizes from the cranial volumes of fossilized skulls. So, given that the resting tongue should occupy the palatal vault in much the same manner as how the brain occupies the cranial vault, and, that well-aligned jaws and teeth are a symptom of healthy rest oral posture, it can also be inferred with a similar degree of certainty that AMH’s lived with well-postured tongues for hundreds of thousands of years.

In spite of the fact anthropologists have long reported that human craniofacial volume has been diminishing since the advent of agriculture in the Middle East some 10-12,000 years ago, there is no evidence to suggest that the currently prevalent narrowing of jaws and facial bones, with associated crowding and misalignment of teeth (malocclusion), appeared appreciably in humans until around the early/mid-17th Century. Since the early/mid-18th-Century malocclusion prevalence appears to have greatly increased and accelerated in Western Europe. Furthermore, consistent with these observations, there is very little evidence of malocclusion in contemporary indigenous societies that have little or no exposure to modern Western dietary habits.

A connection appears to exist between the prevalence of malocclusion and dietary feeding behaviors, especially during the first years of life. An ancestral pattern of infant and early childhood feeding (IECF), is typically characterized by exclusive and on-demand breast-feeding for at least 6 months, followed by continued on-demand breast-feeding and weaning (with fresh and minimally-processed foods) period into the 3rd year of life; evidence supports that this is the pattern practiced by AMH’s since their first appearance in the fossil record. The combined efforts of being suckled with breastmilk and chewing firmly textured weaning foods appears to provide protection against human malocclusion. Conversely, Modern IECF regimens typically comprised of cow milk-based commercial infant formulas and weaning with highly processed pureed baby foods, seem to be associated with malocclusion etiology.

Certain types of malocclusion are now shown to be associated with Sleep Disordered Breathing (SDB)/Obstructive Sleep Apnea (OSA), and often other associated systemic illnesses related to childhood obesity and/or impaired neurological development in children of all ages. Pediatric Obstructive Sleep Apnea (p-OSA) is a breathing disorder that has only recently been shown to negatively impact brain development in children. The disorder is positively linked to increasing prevalence of Attention Deficit/Hyperactivity Disorder (ADD/ADHD) and other disruptive childhood behaviors; and, p-OSA is also now known to be closely associated with a child's inability to consistently sleep and breathe properly during infancy and/or early childhood. Healthy sleep was also likely vital to the survival and reproductive fitness of our ancestors in much the same manner as regular physical activity and ancestral-type feeding regimens were.

Conclusions

Highly prevalent malocclusion is a common finding among children raised in industrialized societies; malocclusion is a rare finding in the pre-Industrial skeletal and fossil records. Many children diagnosed with SDB/OSA have also been diagnosed with ADD/ADHD and/or malocclusion. Changed dietary regimens and feeding behaviors during infancy/early childhood seem to have played a role in the observed increased prevalence of malocclusion since the Industrial Revolution. We suggest that ancestral-type IEC feeding regimens are essential for optimum development of the jaws, teeth, face and airway, thus, such regimens also seem to provide protection against development of p-OSA, ADD/ADHD, and childhood obesity.

An argument will be developed in this presentation to support the author’s hypothesis (currently being investigated in Chicago at Northeastern Illinois University, Dept. Anthropology and Lurie Children’s Hospital) that ancestral regimens of IECF confer significant health advantages to children when compared to modern IECF regimen, and that this is best explained by the ability of the former to confer a foundation for a lifetime of optimal rest oral tongue posture and associated nasal breathing….especially during sleep.

"Kevin's lecture was worth the whole fee. Ben's lecture was worth the whole fee."

Ontogenesis, Occlusion, Motor Patterns: A Whole Body Perspective to Breastfeeding, Mat Boule, DO, Posturologist:

This workshop is intended for lactation consultants interested in thinking outside of the mouth as they explore the links between ontogenesis and breastfeeding for optimal neuro motor development. Sensori motor development in humans in divided into 4 stages between the ages of 0-1 year of age. The senses feed movement and the mouth is located between the two main body parts that contribute to this development: the feet and the eyes.

"Wonderful information - well put together, definitely want to listen to the recording again! "

The History, Politics and Practices of the Lactogenic Diet, Hilary Jacobson, CH.HU.SI., C.HT.

A brief review of tribal people’s understanding of the medicinal effects of diet in the postpartum, including its effect on lactation.

A review of the perception of low supply mid-1800s based on the work of Charles Henry Felix Routh, author of “Infant Feeding and Its Influence on Life,” 1860, as well as records from his colleagues in the BMJ.

A review of the analysis of Ignaz von Bunge, professor of natural medicine, as pertains to Europe-wide surveys on low milk supply, and correlations to the work of Weston A. Price.

Understanding conflicting trends in nutritional guidelines and the bias against “lactogenic foods” especially in the latter half of the 20th century and today.

Understanding mechanisms of lactogenic foods and herbs, based on the work of Bingel and Farnsworth and others.

Understanding the larger dietary principles that support mothers regardless of their personal dietary preferences, so as to balance blood sugar, support hormonal balance, reduce inflammation, and support the immune system.

Methylation, Tongue-tie and the Breastfeeding Dyad, Ben Lynch, ND

In this presentation, Dr. Lynch, a naturopathic physician specializing in methylation defects, discusses potential genetic and environmental risk factors for tongue-tie, including the MTHFR mutation. A discussion of interventions pre-conception and during pregnancy that may reduce the risk of tongue-tie is also included.

"Thank you Dr. Ben Lynch! You are A True trailblazer who is keeping up with the evolutionary curve. The information in this presentation is invaluable on so many levels." 

Kevin Boyd is a board-certified pediatric dentist with over 20 years experience delivering outstanding dental healthcare to infants, children, adolescents, and young adults with physical and/or mental disabilities, and other special needs. After graduating from Loyola University's Chicago College of Dentistry in 1986, he attended the University of Iowa for his advanced residency training in Pediatric Dentistry. Dr. Boyd also holds an advanced degree (M.Sc.) in Human Nutrition and Dietetics from Michigan State University where he participated in research projects related to unhealthy eating and how it contributes to tooth decay, obesity and Type 2 Diabetes. His strong academic background in nutritional biochemistry has been instrumental in motivating the importance he places on nutrition as being a key component of each child's dental health plan. He has received specialty training in Pediatric Dentistry from the University of Iowa Hospitals and Clinics and further advanced continuing education and clinical training by Gnathos, a prestigious institute of advanced education in orthodontics and dentofacial orthopedics for growing children. He is recognized as a leading clinician in the Chicago area for diagnosing and treating interferences to normal growth of the teeth, jaws and face.

http://www.dentistry4children.net/chicago-orthodontist-dr-boyd-dds

Mat Boulé is an osteopath, posturologist and educator. His main interest lies in how applied neurosciences contribute to human development and the optimization of the nervous system for improvements in the fields of biomechanics and cognition.

"Breastfeeding and learning disabilities: can there be a link?"

http://matboule.com/breastfeeding-and-learning-disabilities-can-there-be-a-link/

Hilary Jacobson, is a certified Swiss holistic lactation consultant and author of "Mother Food: A breastfeeding diet guide with lactogenic foods and herbs." Jacobson is a founding member of the non-profit MOBI Motherhood Intl, an online resource for mothers facing extreme breastfeeding challenges, especially low milk supply. She says that she researched "Mother Food" when she experienced persistent and severe low milk supply with each of her four children. "When I saw how 'lactogenic' foods and herbs helped me make more milk I began to study mother-food traditions from around the world.

   Women have always been aware of foods that help them breastfeed, and these same foods were the preferred diet in the postpartum. "The more I learned, the more strongly I felt about creating a resource that would encapsulate and preserve our mother-food heritage. Once passed down from mother to daughter, now this knowledge was in danger of being lost."

   Today, Hilary Jacobson lives in Oregon where she works as a writer, speaker, and nutritional mentor for pregnant and breastfeeding mothers.

http://www.mother-food.com/

Ben Lynch, received his Cellular and Molecular Biology, BS from the University of Washington and his ND from Bastyr University. His passion for identifying the cause of disease directed him towards

nutrigenomics and methylation dysfunction. Currently, he researches, writes and presents nationwide

on the topic of MTHFR and methylation defects. You may learn more about Dr Lynch and his work

at www.MTHFR.Net. Dr. Lynch is also the President & CEO of Seeking Health, Inc., a company oriented towards disease prevention and health promotion.  http://mthfr.net/

PART THREE: $137 all 4 webinars, Approved for 6.0 L CERPS

The Role of Bodywork in the Treatment of the Breastfed Baby, Including Treatment as Part of an Integrative Approach to Support the Tongue-tied Baby, Sharon Vallone, DC, FICCP

Breastfeeding & the Airway: Development, Function and Recovery,
Jennifer Tow, IBCLC, RLC, OMT & Lenny Kundel, DDS

Nutrition for Breastfeeding: Eating for a Healthy and Happy Baby, Paul Jaminet, PhD

The Impact of Birth on Breastfeeding, Sarah Buckley, MD

The Role of Bodywork in the Treatment of the Breastfed Baby, Including Treatment as Part of an Integrative Approach to Support the Tongue-tied Baby:

In this session, Sharon Vallone, a pediatric chiropractor specializing in neuromusculosketal issues that interfere with breastfeeding will assist us in learning the language of the bodyworker as well as present the lens by which a thorough biomechanical assessment is made. She will address the relationship between structure and function in the breastfeeding dyad, supporting the attendee in learning to make appropriate lactation assessments and referrals. Dr Vallone will utilize case presentations that outline specific biomechanical issues and address neonatal compensations associated with impaired function, paying special attention to the tongue-tied baby. This session will also offer some instruction to empower parents to support their infant’s progress.

...'brilliant' - I was left rather speechless. Beautifully presented talk that realising how little I know about anatomy and function. The videos and accompanying commentary were illuminating and easy to follow. The comments on listening to the baby's cry and distinguishing between terror and the baby talking, were really interesting, and could be applied to other situations as well.

Nutrition for Breastfeeding: Eating for a Healthy and Happy Baby, Paul Jaminet, PhD

Great information - makes me want to research nutrition for pregnancy and beyond even more!

The Impact of Birth on Breastfeeding, Sarah Buckley, MD 

"Nothing short of excellent!"

Dr. Sharon Vallone is a graduate of Rutgers University (AB Microbiology 1978) and New York Chiropractic College (1986). She completed her Diplomate in Clinical Chiropractic Pediatrics in 1996 through Palmer College and received her appointment as Fellow in Clinical Chiropractic Pediatrics in 2003. Dr. Vallone has a private practice limited to high-risk pregnancies and challenged children in Connecticut and is currently the Chair of the Board of Kentuckiana Children’s Center in Louisville, KY and the 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 25+ years of pediatric chiropractic experience with a primary interest in pregnancy, birth trauma, breastfeeding and problems with infant /toddler neurodevelopment.

Paul Jaminet, Ph.D., is author of Perfect Health Diet: Regain Health and Lose Weight by Eating the Way You Were Meant to Eat (Scribner, 2012), and editor-in-chief of the Journal of Evolution and Health. Paul, a former astrophysicist and software entrepreneur, and his wife Shou-Ching, a molecular biologist and cancer researcher, turned to diet and nutrition to heal their own health problems. Seven years of research led to the Perfect Health Diet, which has helped thousands of readers (and moms) cure diseases, normalize weight, and optimize their own and their baby’s health. More information about Paul and the Perfect Health Diet can be found at www.perfecthealthdiet.com.

Sarah J Buckley is a New-Zealand-trained GP/family physician with qualifications in GP-obstetrics and family planning. She is the mother of four home-born children, and currently combines full-time motherhood with her work as a writer on pregnancy, birth, and parenting,

    Dr Buckley’s work critiques current practices in pregnancy, birth, and parenting from the widest possible perspectives, including scientific, anthropological, cross-cultural, psychological, and personal. She encourages us to be fully informed in our decision-making; to listen to our hearts and our intuition; and to claim our rightful role as the real experts in our bodies and our children.

    Her bestselling book Gentle Birth, Gentle Mothering: A Doctor’s Guide to Natural Childbirth and Gentle Early Parenting Choices, published by Celestial Arts (US, 2009), builds on her acclaimed first edition, published in Australia as Gentle Birth, Gentle Mothering: The Wisdom and Science of Gentle Choices in Pregnancy, Birth, and Parenting One Moon Press, Brisbane, 2005).

http://www.sarahbuckley.com/

PART FOUR: $137, All 4 webinars, Approved for 6.0 L CERPS

Fat Soluble Vitamins and the Breastfeeding Dyad, Chris Masterjohn, PhD

A New Wellness Paradigm for Comprehensive Care of the Breastfeeding Infant that Supports Normalizing Oral Function Beginning in Infancy & Throughout the Lifetime

Part One: An Introduction to Orofacial Myofunctional Therapy, Joy Moeller, BS, RDH, Myofunctional Therapist

Part Two: Observation Skills for Assessment of Myofunctional Disorders in the Breastfed Infant (including tongue-tie) with Strategies for Normalizing Function, Michale C Fetzik, BSN, OMT, Orofacial Myofunctional Therapist

Craniofacial Origins of Optimal Sleep and Breathing, Steven Park, MD

Chris Masterjohn, Ph.D. obtained his degree in Nutritional Sciences from the University of Connecticut. He currently works as a Postdoctoral Research Associate at the University of Illinois, Urbana-Champaign studying interactions between vitamins A, D, and K. Since 2004, he has written for Wise Traditions, the quarterly journal of the Weston A. Price Foundation. He has developed unique ideas and scientific hypotheses about the importance of the fat-soluble vitamins and how they interact with each other. He created and maintains Cholesterol-And-Health.Com, where he publishes his blog, The Daily Lipid.

Joy Moeller, BS, RDH, is a Registered Dental Hygienist and is a former associate professor at the Indiana University School of Dentistry, and has been practicing orofacial myofunctional therapy for over 30 years. She is an on-going guest lecturer at USC, UCLA, Loma Linda University, West Coast University, and Cerritos College to ortho, perio, and pedo dental residents and hygiene students. She is currently holding a position at the Sleep Medicine Mini Residency Program at NYU. She received her dental hygiene degree from Prairie State College in Chicago Heights, Illinois with the Sigma Phi Alpha award. She attended the Myofunctional Therapy Institute in Coral Gables, Florida with an extended internship in 1980 and the Coulson Institute in 2003 in Denver, Colorado.

     Joy is currently a speaker of the Academy of Orofacial Myofunctional Therapy (AOMT) and has taught courses in OMT at the venues of USC, UCSD, UBC, UCSF, NYU, Columbia University, University of Sydney, Australia, the Guttenberg University in Mainz, Germany, Freiberg University in Freiberg, Germany, Louvain, University in Brussels, Belgium, and many other locations around the world. She has worked with Children’s Hospital, was a consultant for a sealant program for indigent children, worked in the Super Tooth Program, and in public schools as a health educator in the Smiles Program where she developed a preventive orthodontic program. She is currently in the exclusive practice as  myofunctional therapist in Pacific Palisades, California and Beverly Hills, California.

Michale Fetzik, BSM, OMT received her Bachelors degree in Nursing from the University of Mississippi and has experience in Gastroenterology, Oncology and Toxicology. She has been married to Dr. Stephen Fetzik, a general dentist, for 25 years and has five beautiful children ages 20 to 12. Michale has been involved with Dentistry for over 15 years working as a chairside dental assistant, orthodontic assistant and treatment coordinator.

     For years, Michale suffered from TMJ issues that were expressed as Migraines, extreme fatigue and debilitating neck and back pain. Diagnosed as having a “Tongue thrust swallow”, Michale completed Myofunctional Therapy. By becoming a Therapist, Michale was empowered and empassioned to help others gain the same benefits of Orofacial Myofunctional Therapy.

     Orofacial Myofunctional Therapy has been a complete life game-changer for her life. A combined treatment of Orthotropic dental treatment, Myofunctional Therapy, Buteyko Breathing and posture strengthening yoga has made Michale pain free.

Dr. Steven Y. Park is an author and surgeon who helps people who are always sick or tired to  once again reclaim their health and energy. For the past 10 years in private practice, he has helped thousands of men and women breathe better, sleep better, and live more fulfilling lives. His passion is to identify and empower people to overcome sleep-related breathing problems, which most people don’t realize is the real reason for many of their common medical ailments.

Dr. Park is a native of New York City, where he attended Stuyvesant High School. He received his undergraduate degree from The Johns Hopkins University and his medical degree from Columbia University’s College of Physicians & Surgeons. His otolaryngology residency training was completed at Albert Einsten/Montefiore. He is:

• a fellow of the American Academy of Otolaryngology – Head & Neck Surgery

• a member of the American Academy of Sleep Medicine

• board-certified in Otolaryngology (ear, nose, throat) – Head & Neck Surgery

• board-certified in Sleep Medicine

• actively involved in teaching residents and other surgeon in cutting-edge surgical techniques.

Dr. Park practices integrative medicine and surgery, with a firm belief that other models of health and disease can complement traditional, Western medicine. He provides monthly live tele-seminars with experts not only related to his field, but also professionals in other areas—he has interviewed an acupuncturist, dietician, and a neuro-linguistic programming and hypnosis expert in the past. He firmly believes that one must treat the whole person first, including addressing his or her diet, lifestyle, stresses and emotional states, rather than focusing on one simple symptom or area of the body.

He is a published author of the book, Sleep, Interrupted: A physician reveals the #1 reason why so many of us are sick and tired. It was endorsed by numerous New York Times best-selling authors such as Dr. Christiane Northrup, Dr. Dean Ornish, and Mary Shomon.

In his spare time, he loves to cook Latin food. Dr. Park is also an avid runner with the Van Cortland Track Club in the Bronx. He is happily married to his wife, Kathy, and adores his three boys Jonas, Devin, and Brennan.

PAYMENT OPTIONS:

Part One: $137: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=BUW82SBFWE5B2
Part Two: $137: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=RNV9ZKASG9SAQ
Part Three: $137: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=JM84HCMXVGE8Y
Part Four: $137: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=LFT7CRAWXLHNQ

Entire series: $427: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6SQSFKWF3GL5A

If you have a particular interest in one of the threads (Epigenetics/Gut Healing or Structure/Function/TT) weaving through the WEBINAR SERIES: Emerging Topics in Breastfeeding: Thinkers on the Leading Edge series, you may now purchase the webinars by topic category for $217

Paypal links below:

EPIGENETICS PACKAGE (9 webinars): $217 
The Co-evolution of Humans and Microbiotia: Epigenetic Implications for Breastfeeding.
Heal the Mother, Heal the Baby: Microbes, Gut Health, the Enteric Nervous System & Breastfeeding
Epigenetics & Maternal Gut Health: Implications for the Midline, Oral Structure,Tongue-tie and Airway Development
Tongue Posture: An Evolutionary Perspective, Kevin Boyd, DDS
The History, Politics and Practice of the Lactogenic Diet, Hilary Jacobson, CH.HU.SI., C.HT.
Methylation, Tongue-tie and the Breastfeeding Dyad, Ben Lynch, ND
Nutrition for Breastfeeding: Eating for a Healthy and Happy Baby, Paul Jaminet, PhD
The Impact of Birth on Breastfeeding, Sarah Buckley, MD
Fat Soluble Vitamins and the Breastfeeding Dyad, Chris Masterjohn
LINK:
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=9PRE4SVC3Y4QG

STRUCTURE/FUNCTION/TT PACKAGE (9 webinars): $217
Epigenetics & Maternal Gut Health: Implications for the Midline, Oral Structure,Tongue-tie and Airway Development
Tongue Posture: An Evolutionary Perspective, Kevin Boyd, DDS
Ontogenesis, Occlusion, Motor Patterns: A Whole Body Perspective to Breastfeeding, Mat Boule, DO, Posturologist
Methylation. Tongue-tie and the Breastfeeding Dyad, Ben Lynch, ND
The Role of Bodywork in the Treatment of the Breastfed Baby, Including Treatment as Part of an Integrative Approach to Support the Tongue-tied Baby, Sharon Vallone, DC, FICCP

Breastfeeding & the Airway: Development, Function and Recovery,Jennifer Tow, IBCLC, RLC, OMT

& Lenny Kundel, DDS

A New Wellness Paradigm for Comprehensive Care of the Breastfeeding Infant that Supports Normalizing Oral Function Beginning in Infancy & Throughout the Lifetime, Part One: An Introduction to Orofacial Myofunctional Therapy, Joy Moeller, BS, RDH, Myofunctional Therapist, Part Two: Observation Skills for Assessment of Myofunctional Disorders in the Breastfed Infant (including tongue-tie) with Strategies for Normalizing Function, Michale C Fetzik, BSN, OMT
Craniofacial Origins of Optimal Sleep and Breathing, Steven Park, MD
LINK:
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=LH86RYQBMH7U4

These individual webinars, 1.5 CERPs each:

The Co-evolution of Humans and Microbiotia: Epigenetic Implications for Breastfeeding. Jennifer Tow, IBCLC, RLC
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6EN3TJXGKMYKW

Heal the Mother, Heal the Baby:
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=LNUJ4QQQWK5NQ

Tongue Posture: An Evolutionary Perspective, Kevin Boyd, DDS
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=WC4BQSSQ2YAFN

Ontogenesis, Occlusion, Motor Patterns: A Whole Body Perspective to Breastfeeding, Mat Boule, DO, Posturologist
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=EFDUYKNT8QBTN

The History, Politics and Practice of the Lactogenic Diet, Hilary Jacobson, CH.HU.SI., C.HT.
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=Z28XNJQD7HKSC

Methylation, Tongue-tie and the Breastfeeding Dyad, Ben Lynch, ND
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=C7SKAVYCCEYU4

The Role of Bodywork in the
Treatment of the Breastfed Baby, Including Treatment as Part of an Integrative Approach to Support the Tongue-tied Baby, Sharon Vallone, DC, FICCP
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=FAMH6HENS3BS4


Nutrition for Breastfeeding: Eating for a Healthy and Happy Baby, Paul Jaminet, PhD
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=JUN2WHFL4BHBC

The Impact of Birth on Breastfeeding, Sarah Buckley, MD
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=RZ6WWUFVHTKDE

Craniofacial Origins of Disease, Steven Park, MD
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=NX7YHV2TYCERS

Breastfeeding & the Airway: Development, Function and Recovery,Jennifer Tow, IBCLC, RLC, OMT & Lenny Kundel, DDS
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=4P3LMQS9UVYHN

Fat Soluble Vitamins and the Breastfeeding Dyad, Chris Masterjohn
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=J2G3UQFJZTXE6

2 parts: $57 2.5 CERPs
A New Wellness Paradigm for Comprehensive Care of the Breastfeeding Infant that Supports Normalizing Oral Function Beginning in Infancy & Throughout the Lifetime, Part One: An Introduction to Orofacial Myofunctional Therapy, Joy Moeller, BS, RDH, Myofunctional Therapist, Part Two: Observation Skills for Assessment of Myofunctional Disorders in the Breastfed Infant (including tongue-tie) with Strategies for Normalizing Function, Michale C Fetzik, BSN, OMT 
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=RU87AKSNYCEFG

30 CERPS IN 30 DAYS: SUMMER CERPS by WEBINAR! Emerging Topics in Lactation Series.

Take up to 30 CERPS IN 30 DAYS: SUMMER CERPS by WEBINAR! Emerging Topics in Lactation Series. All recorded and available now.

Don't just fill in your missing CERPs--make them count with cutting edge information from brilliant and forward-thinking speakers on: Epigenetics. Gut Function. Methylation. Airway Function. Myofunctional Disorders. Tongue-tie. Nutrition. Vitamin D. Posture. Bodywork. Birth Practices. These webinars may well change the way you think and the way you practice as they have for many others!

Register NOW!!! Take as few as 1.5LCERPs or as many as 30LCERPS--as many as you need.
 
 NOW THROUGH AUGUST 31, 2014
Take as many as 30.0 LCERPs this Summer or choose individual webinars from the EMERGING TOPICS IN LACTATION and the TONGUE-TIE 2 day webinars.

FIIRST TWENTY REGISTRANTS: $477. (link below)

The following webinars are included.

The Co-evolution of Humans and Microbiotia: Epigenetic Implications for Breastfeeding, Jennifer Tow, IBCLC
Heal the Mother, Heal the Baby: Microbes, Gut Health, the Enteric Nervous System & Breastfeeding, Jennifer Tow, IBCLC
Epigenetics & Maternal Gut Health: Implications for the Midline, Oral Structure,Tongue-tie and Airway Development (2 parts) Jennifer Tow, IBCLC
An Integrative Approach to Tongue-tie, Lip-tie & Breastfeeding: the Interdependent Roles of the Lactation Consultant, Surgeon & Bodyworker—presented in 2 parts Jennifer Tow, IBCLC in collaboration with Larry Kotlow, DDS
Tongue Posture: An Evolutionary Perspective, Kevin Boyd, DDS
Ontogenesis, Occlusion, Motor Patterns: A Whole Body Perspective to Breastfeeding, Mat Boule, DO, Posturologist
The History, Politics and Practice of the Lactogenic Diet, Hilary Jacobson, CH.HU.SI., C.HT.
Methylation, Tongue-tie and the Breastfeeding Dyad, Ben Lynch, ND
The Role of Bodywork in the Treatment of the Breastfed Baby, Including Treatment as Part of an Integrative Approach to Support the Tongue-tied Baby, Sharon Vallone, DC, FICCP
Nutrition for Breastfeeding: Eating for a Healthy and Happy Baby, Paul Jaminet, PhD
The Impact of Birth on Breastfeeding, Sarah Buckley, MD
Making Breast Milk the Best Milk With a Rich and Balanced Supply of Fat-Soluble Vitamins, Chris Masterjohn, PhD
A New Wellness Paradigm for Comprehensive Care of the Breastfeeding Infant that Supports Normalizing Oral Function Beginning in Infancy & Throughout the Lifetime
Part One: An Introduction to Orofacial Myofunctional Therapy, Joy Moeller, BS, RDH, Myofunctional Therapist
Part Two: Observation Skills for Assessment of Myofunctional Disorders in the Breastfed Infant (including tongue-tie) with Strategies for Normalizing Function, Michale C Fetzik, BSN, OMT, Orofacial Myofunctional Therapist
Craniofacial Origins of Optimal Sleep & Breathing, Steven Park, MD
Breastfeeding & the Airway: Development, Function and Recovery, Jennifer Tow, IBCLC & Lenny Kundel, DDS

SUMMER PRICING:
FIIRST TWENTY REGISTRANTS: $477. Use this link:
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=RNVRB8MW7WCSC

REGULAR PRICING: $517. Use think link:
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=HG3CDX4L5BKQ6

Individual Webinars: $37 (1.5 LCERPs),
The Co-evolution of Humans and Microbiotia: Epigenetic Implications for Breastfeeding. Jennifer Tow, IBCLC, RLC
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=T63YRPYVSY4HU

Tongue Posture: An Evolutionary Perspective, Kevin Boyd, DDS
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=WC4BQSSQ2YAFN

Ontogenesis, Occlusion, Motor Patterns: A Whole Body Perspective to Breastfeeding, Mat Boule, DO, Posturologist
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=EFDUYKNT8QBTN

The History, Politics and Practice of the Lactogenic Diet, Hilary Jacobson, CH.HU.SI., C.HT.
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=Z28XNJQD7HKSC

Methylation, Tongue-tie and the Breastfeeding Dyad, Ben Lynch, ND
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=C7SKAVYCCEYU4

The Role of Bodywork in the
Treatment of the Breastfed Baby, Including Treatment as Part of an Integrative Approach to Support the Tongue-tied Baby, Sharon Vallone, DC, FICCP
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=FAMH6HENS3BS4

Nutrition for Breastfeeding: Eating for a Healthy and Happy Baby, Paul Jaminet, PhD
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=JUN2WHFL4BHBC

The Impact of Birth on Breastfeeding, Sarah Buckley, MD
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=RZ6WWUFVHTKDE

Fat Soluble Vitamins and the Breastfeeding Dyad, Chris Masterjohn
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=J2G3UQFJZTXE6

Craniofacial Origins of Optimal Sleep & Breathing, Steven Park, MD
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=NX7YHV2TYCERS

Except as noted below:
Breastfeeding: the Interdependent Roles of the Lactation Consultant, Surgeon & Bodyworker—presented in 2 parts Jennifer Tow, IBCLC in collaboration with Larry Kotlow, DDS: $145

A New Wellness Paradigm for Comprehensive Care of the Breastfeeding Infant that Supports Normalizing Oral Function Beginning in Infancy & Throughout the Lifetime
Part One: An Introduction to Orofacial Myofunctional Therapy, Joy Moeller, BS, RDH, Myofunctional Therapist
Part Two: Observation Skills for Assessment of Myofunctional Disorders in the Breastfed Infant (including tongue-tie) with Strategies for Normalizing Function, Michale C Fetzik, BSN, OMT, Orofacial Myofunctional Therapist: $57 (both sessions)
use this link: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=RU87AKSNYCEFG

WEBINARS are all recorded for view at your leisure (they may not be downloaded) and are available through August 31, 2014.

Descriptions:
http://holisticibclc.blogspot.com/

And as always, I will offer a discount to those who register early. FIIRST TWENTY REGISTRANTS: $477.

COMMENTS FOR ATTENDEES:

"16 pages of notes. And I should have taken more!"

"Overflowing with both information and practical application, this workshop manages to pull together the macrocosm and the microcosm - the global significance of what's going on with our environment and culture, and how it is reflected in the breastfeeding dyad. This presentation is packed with one revelation after the other. Jennifer's material is profound, insightful, and accessible; any time you are able to spend with this brilliant thinker is worth liquid gold. If every lactation consultant were able to take this workshop, we would truly be on our way to transforming the world through our profession."

"Just want everyone to know about this! Thank you both for presenting."

"This subject needs to be part of pediatric training curriculum as well as IBCLC's!"

"Great info, not easily found or heard about!"

"Joy is a pioneer in the modern era of Orofacial Myofunctional Therapy. She is an eagle eye for the evolutionary and anthropological changes that have occurred in her career. Please take advantage of her wealth of knowledge and her deep experiences."

"I had no idea how synergistically fat soluble vitamins functioned. Fascinating. I always glean information from your webinars, Jennifer, that I not only can use with my clients, but also with my family. Thank you."

"Kevin's lecture was worth the whole fee. Ben's lecture was worth the whole fee."

"Wonderful information - well put together, definitely want to listen to the recording again! "

"Thank you Dr. Ben Lynch! You are A True trailblazer who is keeping up with the evolutionary curve. The information in this presentation is invaluable on so many levels."

"..'brilliant' - I was left rather speechless. Beautifully presented talk that realising how little I know about anatomy and function. The videos and accompanying commentary were illuminating and easy to follow. The comments on listening to the baby's cry and distinguishing between terror and the baby talking, were really interesting, and could be applied to other situations as well."