If you want to know why some baby poops look like spinach and others like bacon grease, or if you want to find out all about the different pathologies that can affect the infants digestive system, then this course is for you!
Lactnerd(TM) Shondra Mattos has developed seven full hours that will equip you to support families from normal digestion through the most complicated unicorn conditions.
I learned more than I ever thought could be known about digestion in a fun and interactive way.Joy Hunt Johnson RN, BSN, IBCLC
Guts and Butts is well worth your time. You will gain a great deal of information about digestion and stooling. Shondra is a delight and very knowledgeable. Thank you!Mindy Werth, CLC, CLE
The anatomy and physiology section will be a basic review of the gross anatomy of the digestive tract, the systems that innervate the Gi tract, and an overview of the physiology of digestion. This section serves to ensure all learners have the same basic knowledge for future parts of the course, as well as to highlight the importance of the Enteric Nervous system of the Gi tract, which is important for IBCLCs to understand. Additionally, it will set the foundation for understanding of the various reflexes and preprogrammed phases introduced later in the course that may influence stooling frequency.
This section aims to address the frequency of which infants stool. Learners will develop an understanding of the Gastrocolic reflex and how it changes as baby’s age, the impact of the gut microbiome on stooling frequency, and how fat structure impacts stooling. By the end of this section, learners will be able to explain the mechanisms that result in stooling frequency changes based on age and diet which will improve their counseling and clinical skills. IBCLCs will have the knowledge to work collaboratively with the health care team when adjustments to supplemental feeds are introduced that will best support feeding goals, as well as have the knowledge provide reassurance to parents who may be concerned by the changes to stooling frequency.
Continuing on with the focus on pooping frequency, this section aims to focus on the causes of infrequent stooling. The learners will understand why gestational age plays an important role in stooling frequency, why premature infants often stool less frequently, and how inadequate intake results in decreased stooling output. Furthermore, we will continue the discussion on gut health, and introduce the basics and set the foundation of gut dysmotility issues and underlying health conditions that would result in infrequent stooling. In a later section we will look at each of the conditions/disorders more in depth.
Identifying abnormal stooling patterns in breastfeeding infants is quite challenging. This section aims to provide clarity based on the tools available today (such as the Brussels Infant and Toddler Stool Scale) that will help the clinician identify normal stool consistency. The learner will also become familiar with the ROME IV and amsterdam stool charts classification of diarrhea and constipation. Finally, we will discuss patterns found in available studies which set a framework for identifying too frequent and too infrequent stooling.
This section provides more in-depth information on the various Functional motility disorders that affect infants, as well as health conditions that the IBCLC should be aware of that impacts stooling frequency. It looks at the digestive tract as a whole, so includes GER- a functional Motility disorder of the upper GI tract- as well as conditions that the IBCLC may be unfamiliar with such as Infant rumination syndrome. Hirschprung’s disease, a condition the IBCLC may encounter in practice, be it in hospital or private practice, is covered as well.
Using the most recent studies researching breastfed baby’s stool color and consistency, the learner will have a deeper understanding of what is normal for exclusively breastfed, formula fed, and combo-fed infants. . They will also get familiarized with abnormal stool appearance and what conditions influence stool color and consistency- such as liver issues, food allergies, and cystic fibrosis.
The final lesson of this course will arm the IBCLC with strategies they can discuss and counsel parents on, in alignment with any care plans provided by care providers, to support infant stooling. The learner will understand how the physiology and function of the GI system discussed over the course of the class is influenced by strategies such as tummy time, when and how bodywork modalities can have an impact on infant stooling, as well as manual evidence based strategies such as belly massage to influence stooling ease and frequency. The most important points mentioned throughout the course will be reiterated to ensure retention of the content covered in the course.Infant Guts & Butts: Stooling and Digestion for Lactation Consultants (7 L-CERPs + 7 CPEUs)
As an entrepreneur, Shondra Mattos IBCLC does more than support owners of tricky nips. With over six years of experience in implementing business fundamentals in her own private practice, she is obsessed with finding innovative ways for budding lactation practices to build strong foundations. While by day Shondra does Marketing, Branding, SEO, and Website Dev, she moonlights as a mom to her 5-year-old daughter and wife to her husband. Her passion includes drowning in lactation studies, binging youtube, and overeating cookies, most times simultaneously.
Infant Guts & Butts: Stooling and Digestion for Lactation Consultants (7 L-CERPs + 7 CPEUs)
I loved that this course went into the science and anatomy and physiology of digestion. I loved learning the “what’s normal” and “what’s not”. We don’t get much education on this, so I loved learning about this information, especially since so many other health profs say it’s normal to go 10+ days without having a stool! I definitely recommend this course so we can better help families navigate infrequent stools and digestion issues.Allegra Gast, RD, IBCLC