Nutrition & Feeding in Infants and Toddlers Conference Agenda

Day 1  – Thursday, Sept. 27, 1 p.m. – 5:30 p.m.

10:00 a.m. – 1:00 p.m. – Registration

1:00 p.m. –  Welcome and Introduction

Nutrition Lab & Breast Milk – Plenary Session

1:15 p.m. –  Best Practices for Handling Human Milk and Formula in Healthcare Facilities – Caroline Steele, MS, RD, CSP, IBCLC, FAND

Outcomes

1. Understand and discuss specific regulatory considerations and best practices with regards to human milk and formula handling within the healthcare setting.
2. Implement evidenced-based guidelines on the handling and preparation of human milk and formula.
3. Implement technology including bar code scanning and bead bath thawing to improve safety and efficiency.

2:15 p.m. –  Lactoengineering  – Sharon Groh-Wargo, PhD, RD, LD

Outcomes

1. Understand and discuss different methods of lactoengineering from simple techniques that may be done at home to complex methods used within the healthcare setting.
2. Implement lactoengineering techniques for appropriate clinical conditions.

3:00 p.m. – Break

3:15 p.m. – Breast Milk Analyzer Panel Discussion

Overview, Initiating Use, Challenges faced – Sue Freck, RD, CSP, CNSC, CLEC

Case Presentations

• Keto – Jessica Brown, RD, CSP, CNSC, CLEC
• Chylothorax – Janelle Sanchez RD, CLEC
• NICU – Gina O’Toole, MPH, RD, CNSC, CLEC

Outcomes

1. Evaluate human milk for specific nutritional content to guide clinical interventions and/or fortification decisions.

4:30 p.m. – Break

4:45 p.m. – Breakout Sessions
Participants will have an opportunity to visit one of the three sessions.

A. Nuts & Bolts of Setting Up a Centralized Human Milk and Formula Preparation Room – Emily Collins, MHA, RD, CNSC

Outcomes

1. Create a proposal for the centralization of human milk and formula preparation.
2. Create an operational plan for the implementation of centralized human milk and formula handling.

B. Food Additives and Inflammation in the GI Tract – Dale Lee, MD, MSCE

Outcomes

1. Identify food additives that have been associated with GI tract inflammation and understand the implications on human disease.
2. Counsel patients and families on appropriate food choices to limit exposure to potentially harmful food additives.

C. Lactation – Rachelle Lessen, MS, RD, IBCLC

Outcomes

1. Counsel families on how to problem solve common breast feeding/pumping issues in both the inpatient and ambulatory setting.
2. Identify when to refer a mother to an IBCLC for more complex issues and understand resources available.

5:30 – 7:00 p.m. –  Cocktail Reception

7 – 8 a.m. – Breakfast/Registration/Vendors

Keynote

8 a.m. –  The Impact of diet on the Human Microbiome
Jssef Neu, MD

Outcomes

1. Understand how early life events can affect the microbiome and its relation to health and disease.
2. Understand and implement dietary principles in your practice as a potential therapeutic modality that can be used to alter the composition and function of the gut microbiome.

NICU – Plenary Session

9:00 a.m. – Changing Culture to Increase Breast Milk in the NICU – Christine Bixby, MD

Outcomes

1. Understand the comorbidities associated with the premature infant and why breast milk is the gold standard for feeding this high-risk population.
2. Learn the physiology of breastmilk (how breasts make milk).
3. Establish and maintain breast milk supply and move towards more breastfeeding in your NICU.

9:45 a.m. – Break

10:00 a.m. –  In the OR with Dr. Yu: Surgical Cases in the Neonate – Peter Yu, MD

Outcomes

1. Discuss anatomy of patients with common surgical diagnoses including TEF, CDH, abdominal wall defects, and intestinal atresias.
2. Implement best practices for peri-operative management of the surgical neonate in the NICU setting.

10:45 a.m. – Nutrition for the Surgical Infant – Gina O’Toole, MPH, RD, CNSC, CLEC

Outcomes

1. Review the nutritional management of surgical patients in the neonatal intensive care focusing on early nutrition support for healing, immunity and preservation of lean body mass.
2. Implement strategies to optimize parenteral nutrition support while minimizing long term TPN associated cholestasis.
3. Incorporate feeding guidelines into the surgical NICU to improve the care and outcomes of neonates.

11:30 a.m. – Sham feedings – Karin Mitchell, MA, CCC-SLP

Outcomes

1. Manage the introduction of oral feeds in the high risk surgical infant using sham feedings.

12:00 p.m. – Lunch/Vendors

Allergy – Plenary Session

1:00 p.m. – Diagnosis, Medical and Nutritional Management of Food Protein-Induced Enterocolitis Syndrome (FPIES) – Marion Groetch, MS, RDN, & Matthew Greenhawt, MD, MBA, MSc

Outcomes

1. Define different clinical phenotypes of food protein-induced enterocolitis syndrome.
2. Incorporate clinical management strategies for patients diagnosed with FPIES including acute episodes due to the ingestion of a culprit food, introduction of at-risk foods, nutritional management, and development of tolerance through review of clinical vignettes.
3. Counsel families on appropriate introduction of solid foods considering risk of allergic reaction, nutritional adequacy of the diet, and development of age appropriate feeding skills.

2:00 p.m. –  Appropriate Timing & Content of Complementary Feeding to Reduce the Risk of Allergic Disease – Sean McGhee, MD

Outcomes

1. Follow the updated guidelines for allergy prevention and describe the evidence supporting them.
2. Counsel families on appropriate introduction of complementary foods in low-risk and high-risk infants.

3:00 p.m. – Break

3:15 p.m. – Breakout Sessions

Participants will have an opportunity to visit one of the three sessions.

A. Designer/Homemade Formulas: A Case-based Discussion – Stephanie Lauri, RD, CLEC

Outcomes

1. Counsel families on risks, benefits and safe use of homemade infant formulas.
2. Manage complications of inappropriate use of homemade infant formulas through case study review.

B. Elimination Diet for Breastfeeding – Marion Groetch, MS, RDN

Outcomes

1. Identify when a trial of an elimination diet for a breastfeeding mother is warranted.
2. Counsel breastfeeding mothers on elimination diets avoiding unnecessary removal of foods and assuring nutritional needs are met.

C. Feeding Issues in the Post-NICU Grad – Erin Karavedas, MS, OTR/L, SWC, PAMS & CHOC RD

Outcomes

1. Manage the feeding challenges of premature infants by utilizing evidenced-based strategies to promote success after discharging home from the NICU.
2. Oversee progression of feeding and nutritional prescription in a NICU graduate (changing flow, increasing breastfeeding sessions, and modifying nutrient composition).
3. Identify resources available and how to refer to a feeding therapist/rehab program when needed.

4:00 p.m. – Break

4:15 p.m. – Medical and Nutritional Management of Eosinophilic Esophagitis in Infants and Toddler – Ellen Schonfeld, CPNP

Outcomes

1. Recognize the clinical presentation of infants and toddlers with EoE and associated complications of the disease.
2. Manage eosinophilic esophagitis by appropriately prescribing evidenced-based medical and nutritional therapeutic treatment options that aim to reduce clinical symptoms, biopsy-based eosinophil counts and associated visual and histologic tissue changes while optimizing the patient’s nutrition and quality of life.