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Trish Wierenga, FNP-BC, IBCLC, RLC, PMH-C
Feeding Difficulties and Perinatal Mental Health- Is there a Place for the Ankyloglossia Team in the Screening and Referral for Perinatal Mood and Anxiety Disorders (PMADs)?
Abstract: Symptoms of depression and anxiety can occur in up to 1 in 7 mothers and 1 in 10 fathers during pregnancy or during the first year after the birth of a baby. Feeding difficulties are well-known as a contributing factor in perinatal mood and anxiety disorders (PMADs). This lecture will discuss the signs and symptoms of PMADs, introduce providers to validated screening tools, identify resources available for referral, and provide support for efficient treatment and habilitation of ankyloglossia that can potentially impact the mental well-being of our patients.
Objectives: By the end of this lecture, attendees will:
1. Recognize signs and symptoms of perinatal mood and anxiety disorders (PMADs) and understand how feeding difficulties can contribute to PMADs.
2. Familiarize themselves with validated screening tools and referral resources for perinatal mood and anxiety disorders (PMADs).
3. Understand the role of the ankyloglossia team in improving functional feeding and the potential positive impact on the mental well-being of families.
Speaker Bio: Trish Wierenga works as a private practice IBCLC with her business, Total Lactation Care, LLC and as a nurse practitioner and IBCLC at The Birth Center of Bloomington-Normal in Illinois. Trish has been a nurse since 1998, a lactation consultant in the central Illinois area since 2011, and she became a board-certified family nurse practitioner in 2021. She was also certified in perinatal mental health by Postpartum Support International in 2021.
Trish is a member and the current Chairperson of the International Affiliation of Tongue Tie Professionals (IATP), a member of the International Lactation Consultant Association (ILCA), a member of the United States Lactation Consultant Association (USLCA), a member and a Co-Chairperson of the Central Illinois Breastfeeding Task Force (CIBTF), and a board member of the Illinois chapter of Postpartum Support International (PSI). She has spoken at conferences locally and internationally, including several times for IATP on the role of the IBCLC and in the assessment and management of tongue and lip tie issues in relation to breastfeeding challenges, airway, and other facets of wellness. She lives in central Illinois with her husband, Brian and four children.
Eyal Botzer DMD
Lip-tie, Teeth and Maxillary Development: What do we know about it?
Dr. Botzer graduated from the Hebrew University School of Dental Medicine in 1990 and the Post Graduate program in Pediatric Dentistry in 1995. Between 1995 and 1996, Dr. Botzer was a Research Fellow at the NYU Dental School. He spent time learning a new technique in the treatment of cleft lip and palate at the NYU Medical Center with the Institute of Craniofacial Reconstructive Plastic Surgery. Since 1997, he has been the director of the Pediatric Dentistry Clinic at the Tel Aviv Sourasky Medical Center.
Dr. Botzer’s specialty is pediatric dentistry and treatment of neonates with craniofacial anomalies. Since 2000, Dr. Botzer has been involved with tongue tie research and has participated in all IATP summits as a founding member of the IATP.
Dr. Botzer has co-authored several articles on Tongue Tie and has performed several thousand frenotomies on newborns with breast feeding difficulties.
Management of “The Dash”: Professional Guidance During a Delay in Ankyloglossia Treatment
Whether a delay in treatment due to a “sheltering-in-place” order or a potentially normal delay between an assessment and release, practitioners can support the family with safety plans and preparations for the time when treatment can occur. Trish will present a modified 2020 version of her 2016 IATP Summit presentation to help us manage this time of adjustment in our care.
The Family Impact of Tethered Tissues: Personal and Professional Case Studies
The implications of tethered tissues can extend past feeding, speech, and breathing to include altered family dynamics and coping strategies. In this bonus webinar, Trish will present a personal case study of her third child and his transition from a struggling young child to a thriving teenager as well as present a set of cases within a single family.
Recognizing Trauma in the Breastfeeding Dyad: A Global, Generational and Specific Perspective
This presentation offers a brief overview of Global, Generational and Specific Trauma and the impact on the Breastfeeding Dyad.
The participants will gain an Overview of Signs and Symptoms of Trauma, Tools to Identify Trauma
- Integrating Trauma identification into the Dyad intake
- Referrals for identified positive trauma markers
- Specific connections to babies born with Oral Akyloglossia and the Frenectomy Release process
- Application to Dentists / Dental offices who treat infants / Dyads expressing trauma responses
- The participant will be offered concrete ways/tools to screen for trauma in their practice
- Participants will be given various views and strategies on making referrals for the positive identification of trauma markers.
- Dentists / MD’s treating Oral Frena will receive specific sequencing of care and resources for referral for families expressing trauma
Trish Wierenga BSN, RN, IBCLC, RLC
Trish Wierenga works as a private practice IBCLC with her consulting business, Total Lactation Care, LLC. Trish has been a nurse since 1998 and a lactation consultant in the central Illinois area since 2011.
Trish is the acting chairperson of IATP, attended the 2014 summit in Montreal, and was a speaker for two sessions at the 2016 summit in Denver, Colorado. She lives in central Illinois with her husband, Brian and four children.
What is Tongue Tie?
The lingual frenulum (or frenum), is a remnant of tissue in the midline between the undersurface of the tongue and the floor of the mouth. When it interferes with normal tongue function it is called “symptomatic tongue-tie” or “symptomatic ankyloglossia”. Tongue-tie can thereby adversely affect breastfeeding. Research is urgently needed to elucidate the implications that tongue-tie and other oral restrictions may have on chewing, swallowing, regurgitation, digestion, speech and breathing disorders.