Jack Newman, MD, Fellow of the Royal College of Physicians and Surgeons of Canada
Expertise
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Adoptive Nursing
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Allergies/Intolerances and Breastfeeding
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Birth Interventions and Breastfeeding
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Birthing Practices and Breastfeeding
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Breast Surgery and Breastfeeding
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Breastfeeding Dyad Assessment
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Colic and Breastfeeding
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Domestic Violence and Breastfeeding
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Extended Breastfeeding
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Formula Feeding Issues
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Hospital Practice/Policy and Breastfeeding
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Immune Factors in Human Milk
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In-Patient Lactation Management
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Induced Lactation
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Infant Assessment for Breastfeeding
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Infant Nutrition and Breastfeeding
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Jaundice and Breastfeeding
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Latching Theory and Techniques
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Low Milk Production
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Medications and Breastfeeding
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Premature Breastfeeding Babies
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Relactation
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Supplementation of the Breastfeeding Infant
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Yeast and Breastfeeding
About the Speaker
I am a paediatrician. Since 1984, I have worked in a breastfeeding clinic which I founded. Since 1992, I have not done any general paediatrics but worked only with breastfeeding mothers and babies. I have spoken at conferences around the world including every province of Canada and every state in the United States. I can speak in English or in French. I have several talks on power point. I also have worked with mothers and babies on the postpartum ward or in breastfeeding clinics if this is allowed.
Official Bio for Brochure
Dr. Jack Newman graduated from the University of Toronto medical school in 1970, interning at the Vancouver General Hospital. He did his training in pædiatrics in Quebec City and then at the Hospital for Sick Children in Toronto from 1977-1981 to become a Fellow of the Royal College of Physicians of Canada in 1981 as well as Board Certified by the AAP in 1981. He has worked as a physician in Central America, New Zealand and as a paediatrician in South Africa (in the Transkei). He founded the first hospital based breastfeeding clinic in Canada in 1984. He has been a consultant for UNICEF for the Baby Friendly Hospital Initiative, evaluating the first candidate hospitals in Gabon, the Ivory Coast and Canada.
Dr Newman has several publications, both books and articles in peer review journals.
His website www.breastfeedinginc.ca contains information sheets as well as video clips accompanying explanatory texts in English, French, Spanish, Italian, Portuguese, Chinese Arabic, German, Romanian, Romanian, Slovenian and Indonesian.
Bio for Introduction
Dr Newman is a paediatrician, graduate of the University of Toronto medical school in 1970. He became a paediatrician in 1980 (Canada) and 1981 (USA). He has travelled the world speaking at conferences and helping evaluate candidate baby friendly hospitals. He has published two books and many peer reviewed articles on breastfeeding as well as general paediatrics. He once worked as a staff paediatrician at the Hospital for Sick Children emergency department.
Presentations
This speaker is pleased to provide presentations on the following topics to professional and parenting conferences. Presentations on other topics may be available upon request and subject to sufficient development lead-time. (For CERP topics, required paperwork will be provided promptly to meet CERP deadlines.)
Breastfeeding the premature and sick baby
Includes prematures, cardiac problems, PKU. Could also include cleft palate, cystic fibrosis and others
The importance of Kangaroo Mother Care (KMC). Do all premature babies need fortifiers? How soon can babies go to the breast? Is it true that premature babies don't get nipple confusion? Breastfeeding with cardiac problems, PKU, cystic fibrosis. Others possible.
Starting solid food
A logical, carefree approach to starting solids.
When and how to start solids. Without rules, dependant of the babies readiness, not the calendar. What solids to give babies. Use of solids rather than formula to supplement breastfeeding.
Colic in the breastfed baby.
What is colic? How to deal with colic. What else is called colic and how do we deal with that?
Discusses not only what is traditionally thought of as colic, but also slow down in milk flow "disguised" as colic, reflux and what it is and why it isn't usually the cause of colic. Also stratagems for dealing with the various issues.
Controversies in Breastfeeding
Overview of several topics. Examples, there is no such thing as "nipple confusion", is formula almost the same as breastmilk, it's okay to supplement formula in the first few days, premature babies cannot breastfeed until 34 weeks gestation and several others.
Other controversies can also be added. A good topic for physician grand rounds. Other grand rounds topics may include Evaluation of Breastfeeding + drugs and breastfeeding or jaundice or hypoglycemia, Drugs and Breastfeeding alone. 3.5 hours for the entire list of 18 controversies. Controversies discussed include:
- Formula=breastmilk?
- Early initiation of breastfeeding is not important?
- Breastfeeding either works or it doesn’t?
- It’s okay to supplement formula in the first few days?
- There is no such thing as nipple confusion?
- The birth control pill does not affect breastfeeding?
- Babies should be fed on a schedule?
- Premature babies all need fortifiers?
- Premature babies cannot start breastfeeding until 34 weeks gestation?
- Jaundice requires supplementation or interrupting breastfeeding?
- Hypoglycemia. We need to test all babies and need to treat with formula?
- Don’t make mothers feel guilty for not breastfeeding?
- Tongue tie does not interfere with breastfeeding?
- When a baby doesn't gain the only thing to do is supplement with formula?
- Breastfed babies need vitamin D supplements?
- Breastmilk has no value after 6 months?
- Nipple shields are good tools?
- It’s okay to give out formula company literature and samples?
Other possibilities which are not now present in the talk: late onset slow weight gain, "allergy" to breastmilk. Of course, controversies in one place may not be controversies in another. You may have your own, which are not included, but it is no problem to include if you wish. To discuss, even briefly, all the preceding topics, takes 120 minutes, so pick and choose or add and subtract as your requirements dictate. Generally, depending on the length of the topic, 6 or 7 controversies should be picked for a 50-60 minute talk. (Premature babies and fortifiers, Breastfeeding and guilt are longer than most, Breastfed babies should be fed on a schedule, shorter than most).
The First Hour
Birth practices and how they affect breastfeeding. Also hypoglycemia.
Birth practices and how they affect breastfeeding. Also hypoglycemia. What is hypoglycemia? Do we need to check every baby for low blood sugar? How to prevent hypoglycemia and treat it?
The first few days
Birthing practices + norms for the first few days (similar to the norms in the first few days in the Numbers on Demand talk) + hypoglycaemia + jaundice.
Birthing practices + norms for the first few days (how often should babies feed, how long, what's normal, how to deal with the sleepy baby, how to deal with the baby who never settles)+ hypoglycaemia (what is hypoglycemia, do we need to check every baby for low blood sugar, how to prevent and treat without undermining breastfeeding) + jaundice (what's the panic?, what is dangerous, how to deal with jaundice without undermining breastfeeding).
What they didn't teach you about breastfeeding in your training.
Observation of video clips and discussion of what they mean. Particularly good for grand rounds for physicians.
The video clips show how to know a baby is drinking, or not and the implications of this information for managing breastfeeding issues. One video clip shows why the commonly held notion that "breastfeeding is tiring" is just not true.
Norms for the Breastfeeding Baby (also called Numbers on Demand).
Why breastfeeding by the numbers does not work, causes problems and results in mothers failing at breastfeeding.
Deals with weight gain, stools, urine output, jaundice and hypoglycemia (a topic on its own) and other issues. 90 minutes minimum. In fact, if includes jaundice and hypoglycemia as well as the 3 parts (numbers and why they are messing us up, the first few days, and after the first few days), 120+ minutes is better and 3 hours good. An essential talk, as we need to move away from imposing numbers on breastfeeding. It is divided into three parts:
i) The folly of depending on numbers (“feed every three hours”, “10% weight loss”, “20 minutes on each side”; etc.). This part alone can take a full 75-90 minutes.
ii) Norms for the first few days. This part takes a good 30 minutes without hypoglycemia and jaundice which would add another 45 to 60 minutes
iii) Norms after the first few days. This part takes a good 30 minutes.
Just one bottle: How can it hurt?
Why bottles cause problems.
How the introduction of bottles in the first few days can cause problems. Can one drink of formula be harmful? Two parts (problems with bottles and problems with artificial milk).
Poor weight gain: approach and case studies
How to deal with "not enough milk" + case studies.
Why babies don't gain. What can be done about it. 90 minutes, but as long as desired as I have many case studies. Without case studies could be done in 60 minutes.
