Karen Gromada, MSN, RN, IBCLC, FILCA


  • Anatomy and Physiology of the Nipple
  • Breast and Nipple Assessment
  • Breastfeeding Dyad Assessment
  • Colic and Breastfeeding
  • Communication Skills for Breastfeeding Specialists
  • Complementary and Alternative Breastfeeding Treatments
  • Counseling Methods for Breastfeeding Specialists
  • Depression in Breastfeeding Mothers
  • Ethics of Breastfeeding Counseling/Practice
  • Formula Feeding Issues
  • In-Patient Lactation Management
  • Work - life balance
  • Co-Sleeping, Bed-Sharing, and Breastfeeding
  • Infant Assessment for Breastfeeding
  • Maternal Assessment for Breastfeeding
  • Domestic Violence and Breastfeeding
  • Lactation Management for the Health Care Professional
  • Oversupply / Overactive Milk Ejection
  • Stress & Burnout in professionals
  • Parenting Techniques
  • Professional Education for Breastfeeding
  • Multiples and Breastfeeding
  • Psychology of Breastfeeding
  • Suck Dysfunction
  • SIDS and Breastfeeding
  • Supplementation of the Breastfeeding Infant
  • Weaning
  • Working and Breastfeeding

Previous Conferences

About the Speaker

Karen currently works as a hospital-based lactation consultant at Cincinnati's TriHealth Hospitals where she serves as a Lactation Consultant Team Leader. She holds a Masters of Science degree in mental health nursing from the University of Cincinnati. Although best known for her expertise regarding breastfeeding multiple-birth infants, her recent presentations have included: Bottle Nipple Flow Rates: Supporting Safe Infant Oral Behaviors and Breastfeeding; Facilitating Breastfeeding in the Near-Term Newborn; Sexual Abuse: Potential Effects on Breastfeeding; and a comprehensive two-day workshop Clinical Management of the Breastfeeding Dyad: An Evidence-Based Approach. She developed a several-day course for TriHealth employees that is being introduced in 2007.

Official Bio for Brochure

Karen Kerkhoff Gromada, MSN, RN, IBCLC, has worked in various perinatal settings, including L&D, OB early discharge homecare, and as a private practice and hospital-based lactation consultant. She leads a La Leche League group for mothers of multiples and is the author of Mothering Multiples: Breastfeeding and Caring for Twins or More and related articles for professional and parent publications. She served as President of the International Lactation Consultant Association from 1994-1996.


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 Twins and Higher-Order Multiples

60 - 180 minutes

Helping mothers initiate and maintain breastfeeding/lactation with full-/preterm multiple-birth infants.

Multiple births have increased and so has the desire of their mothers to breastfeed, yet in addition to managing breastfeeding with two or more different babies, many mothers are also transitioning two or more preterm or compromised newborns to breast.

Facilitating Breastfeeding in the Late Preterm Newborn

60 - 90 minutes

The number of late preterm (near-term) births is increasing. Initiating breastfeeding with these infants often poses a challenge, and mothers may turn to childbirth educators for breastfeeding information and support.

Safe and Breastfeeding Compatible Oral Behaviors for the Infant Receiving a Bottle (Or Why's a Nice Lactation Consultant Like You Talking About Bottle-Feeding?!)

60 - 120 minutes

A newborn or young infant may receive supplementary feedings for a variety of reasons. Determining the “best” method of supplementation can be controversial, although definitive evidence favoring any particular method is lacking. A transition to full, long-term breastfeeding and early bottle-feeding supplementation are not mutually exclusive. This session examines the risks or disadvantages of bottle-feeding for supplemental feedings and discuss how bottle-feeding may be used to reinforce breastfeeding oral behaviors.

Maternal History of Sexual Abuse: Implications for Breastfeeding

90 - 120 minutes

Breastfeeding may help heal or seem to hinder healing in the mother with a history of sexual abuse. This session looks at the sociological factors and the maternal behaviors associated with a history of childhood/adult sexual abuse. Also discussed are verbal and nonverbal communication techniques that facilitate assessment of and intervention with these breastfeeding clients

Breastfeeding Problem Solving: A Solution-Oriented Approach

75 - 90 minutes

Solution-oriented techniques were designed to meet the breastfeeding mother where she is. In addition to maximizing maternal strenghts, solution-oriented techniques also minimize care provider bias. This session examines the role of a solution-oriented approach as it pertains to the therapeutic relationship with breastfeeding clients and it provides examples of applying solution-oriented concepts to breastfeeding/lactation issues or problems.

Codependence as an Issue for Lactation Consultant Care Providers

60 - 90 minutes

Ever care so much or want breastfeeding for a baby so much that you'd breastfeed the baby yourself if you could? Over-involvement in breastfeeding dyads' issues/problems is not unusual. This session helps care providers recognize when they are in too deep and how to more effectively assist the breastfeeding dyad.

The Multiple Birth Experience: One Size Does NOT Fit All

60 - 120 minutes

Multiple pregnancy comes with a “high risk” tag. Although this label requires a flexible approach to birth, every multiple pregnancy and birth is unique and should be treated as such, especially when breastfeeding is the goal after birth.

Contact Info

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+1 (513) 325 2550

Speaking Services

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Nearest Airport: 
Cincinnati (CVG)
Willing To Travel To: 
Northeast - US
Mid-Atlantic - US
Southeast - US
Northern Mid-West - US
Central Mid-West - US
Southern Mid-West - US
Northwest - US
Mid-Pacific - US
Southwest - US
East Canada
Central Canada
West Canada
South America
West Europe
East Europe
United Kingdom
Middle East