FACULTAD DE CIENCIAS BIOSOCIALES Y ESCUELA GRADUADA DE SALUD PÚBLICA PROGRAMA DE SALUD DE LA MADRE Y EL NIÑO DIVISIÓN DE EDUCACIÓN Y ALCANCE A LA COMUNIDAD
CERTIFICADO EN LACTANCIA MATERNA
A. TITLE OF COURSE : Basic concepts of Breastfeeding B. CODE : CLMA 6501
C. NUMBER OF CONTACT
HOURS : 30 (2.5 trimester credits)
D. PROFESSORS : Ana M. Parrilla-Rodríguez, MD, MPH, FABM José J. Gorrín-Peralta, MD, MPH, FACOG, FABM E. DATES : August 9, 2004 – September 20, 2004
F. PRE-REQUISITES : None G. JUSTIFICATION :
Human lactation is the most effective health promotion strategy for improving the health of mothers and children. National and international organizations which monitor maternal and child health stress the nutritional, immunologic, psychosocial and economic benefits of breastfeeding. Knowledge of the physiologic, anatomical and biochemical aspects of breastfeeding is fundamental in order to understand breastfeeding kinetics and the impact of biological and social aspects on its success. It is also vital to know and understand the basic aspects of promotion and counseling to breastfeeding mothers.
H. COURSE DESCRIPTION :
This course is oriented towards providing the students of the Professional Certificate for Breastfeeding Management with the fundamental elements of human lactation and breastfeeding necessary for understanding the management of different potential situations related to breastfeeding. The principal components of human milk and its immunology, the differences between human milk and artificial milk, and the risks of artificial feeding are discussed. Moreover, the anatomy and physiology of human lactation, the synthesis and
secretion of human milk, and the way the baby suckles are examined. The course offers students the necessary scientific basis for the development of strategies which lead to the efficient promotion, protection and support of breastfeeding.
H. COURSE OBJECTIVES:
Through active participation in the planned educational activities the students will:
1. Describe the ways in which human milk and breastfeeding protect mother and baby from diseases.
2. Recognize the mother’s and the child’s anatomical structures which play an important part in human lactation.
3. Describe the physiological aspects which regulate human lactation and breastfeeding.
4. Identify the immunologic and biochemical components in human milk.
5. Recognize the importance of the promotion of breastfeeding during pregnancy and supporting the mother during labor, delivery, and the postpartum period.
6. Identify the factors to be considered when selecting a drug or medication to treat a condition in a breastfeeding mother.
7. Analize the impact of maternal nutrition during pregnancy and lactation.
8. Describe the importance of breastfeeding beyond six months of age for the health of the mother and the child.
J. DISTRIBUTION OF CONTENTS AND HOURS:
Unit Topic Hours
1. Epidemiology of Human Lactation 3
2. Maternal and Infant Anatomy 3
3. Physiology and Endocrinology 3
4. Biochemistry of Human Milk 3
5. Immunology of Breastfeeding and Human Milk 3
6. Pharmacokinetics 3
7. Promotion and Support of Breastfeeding during
8. Promotion and Support of Breastfeeding in the
Postpartum Period 3
9. Maternal Nutrition during Pregnancy and Breastfeeding 3
10. Breastfeeding beyond six months 2
TOTAL 30
K. INSTRUCTIONAL STRATEGIES
The course will be offered totally online through the Blackboard Platform. Once registered, the student will receive email information with his code of access and the electronic address to enter the course. Group discussions will be used through a bulletin board and electronic mail. Reading and instructional materials will be made available through the course’s page.
L. REQUISITES
Students must have electronic mail and access to Internet. Active student participation is required, as well as completion of assigned reading materials, and work in the evaluation exercises. Weekly student participation in the course bulletin board is required. The student must have computer skills, including knowledge of the Windows, Word, PowerPoint, Microsoft Explorer and Microsoft Outlook Express platforms.
M. EVALUATION STRATEGIES
The learning experience will be evaluated through the following mechanisms: Unit – 1 Postest ………. 6% Discussion ……… 2% Unit summary ……… 2% Unit – 2 Postest ……….. 7% Discussion ……….. 1% Unit summary ……….. 2% Unit – 3 Postest ………. 7%
Discussion ……… 1% Unit summary ……….. 2% Unit – 4 Postest ………. 7% Discussion ……… 1% Unit summary ……….. 2% Unit – 5 Postest ………. 7% Discussion ……… 1% Unit summary ……….. 2% Unidad – 6 Postest ………. 7% Discussion ……… 1% Unit summary ……….. 2% Unit – 7 Postest ………. 9.3% Discussion ……… 2% Resumen unidad ……….. 2% Unidad – 8 Postest ………. 7% Discussion ……… 1% Unit summary ……….. 2% Unidad – 9 Postest ………. 7% Discussion ……… 1% Unit summary ……….. 2% Unidad – 10 Postest ………... 4.7% Discussion ………. 1% Unit summary ………... 1%
The student will have access to information on his(her) academic progress. He(She) will participate in the evaluation of the course content, the methodology and the professor. This will be performed through the course page and the evaluation will be anonymous.
N. GRADING SYSTEM
Final grade will be assigned as per the following scale:
80– 100 Passed
79 or less Failed O. BIBLIOGRAPHY:
American Academy of Pediatrics Commmitte on Drugs. (2001). Transfer of drugs and other chemicals into human milk. Pediatrics, 108, 776-89. American Academy of Pediatrics, Work Group on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics, 100, 1035-1039. Briggs, G. G., Freeman, R. D., & Yaffe, S. J. (1998). Drugs in pregnancy
and lactation. (5th edition). Baltimore: Williams & Wilkins.
Department of Health and Human Services – Office on Women’s Health. (2000). HHS Blueprint for Action on Breastfeeding. Washington,
DC:Author.
Gorrín-Peralta, J. J. & Parrilla-Rodríguez, A. M. (2000). The Management of Labor and Delivery and its Implications for Breastfeeding. Puerto Rico
Health Sciences Journal, 19, 375-381.
Hale, T. (2000). Clinical Therapy in Breastfeeding Patients. Amarillo, Texas:Pharmasoft Medical Publishing.
Hale, T. (2004). Medications and Mothers’ Milk. (13th edition). Amarillo,
Texas: Pharmasoft Medical Publishing.
Jansen, R. G. (1995). Handbook of Milk Composition. San Diego, California: Academic Press, Inc.
Lawrence, R. A. (1997). A review of medical benefits and contraindications
to breastfeeding in the United States. (Maternal and Child Technical
Information Bulletin.) Arlington, VA.: National Center for Education in Maternal and Child Health.
Lawrence, R. A. & Lawrence R.M. (1999). Breastfeeding: A Guide for the
Newman, J. & Pitman, T. (2000). The Ultimate Breastfeeding Book of
Answers. Roseville, California; Prima Publishing.
OMS/UNICEF. (1989). Protección, promoción y apoyo de la lactancia natural:
la función especial de los servicios de maternidad. Ginebra, Suiza:
Author.
Parrilla Rodríguez, A. M. (2001). Guía Práctica para una Lactancia Exitosa. San Juan: Editorial Universidad de Puerto Rico.
Riordan, J. & Auerbach, K. (1999). Breastfeeding and Human Lactation. (2nd
ed.). Sudbury, Massachusetts: Jones and Bartlett Publishers.
Schanler, R. J. (ed). (2001). Breastfeeding 2001, Part I: The Evidence for Breastfeeding. The Pediatric Clinics of North America, 48,1.
Stuart-Macadam, P. & Dettwyler, K. (eds). (1995). Breastfeeding –
Biocultural Perspectives. New York: Aldine de Gruyer.
Tully, M. R. (2000). Recommendations for Handling of Mother’s Own Milk.
Journal of Human Lactation, 16(2): 149-51.
United States Breastfeeding Committee. (2001). Breastfeeding in the United
States: A national agenda. Rockville, MD: US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Bureau.
Walker, M. (ed). (2002). Core Curriculum for Lactation Consultant Practice. Salbury, MA: Jones and Barlett Publishers.
