The Milky Way: Supporting Babies at the Breast as a Feeding Therapist

We know as feeding therapists, the most impactful thing a caregiver can do is to feed, nurture, and grow their children. This is a foundation for bonding and relationship building. When that relationship goes awry due to feeding issues or difficulties, it can become overwhelming, if not even traumatic. Supporting the infant from the very beginning at the breast is important for building this caregiver/baby relationship.

Key Learning Outcomes:

  1. Describe the normal anatomy and physiology of the human milk making process.
  2. Explain how to troubleshoot common problems a breastfeeding dyad may encounter.
  3. List the positions and supportive measures a breastfeeding dyad may attempt and rationale for utilization.
  4. Develop a plan of action and provide guidance for a breastfeeding dyad after having collected and evaluated the objective data.


5 minIntroduction
10 minCLC vs. IBCLC certifications, Role Differentiation
20 minAnatomy and Physiology of Normal Breastfeeding
10 minSkin to Skin, Benefits, Implications
10 minGI implications and the Microbiome
20 minLatch examples, Positioning
10 minTroubleshooting the Problem
10 minGI implications and the Microbiome
20 minBaby Math
5 minConclusion/Questions


2 hours.    

About the Presenter:

Melanie Van Noy MS, CCC-SLP, CLC Melanie is a Speech Pathologist of 7 years, currently working in a level 4 NICU at University Hospital in San Antonio, TX. She is also a Certified Lactation Counselor, and her passion is helping families feed their babies in the most effective way. As a mother of 2 herself, she understands that feeding and nurturing a child is the most affirming act of parenthood. She strives to help others understand how to empower families so they can make the best decisions for their children and themselves.  


Presenter Disclosures:

Financial: Melanie Van Noy is currently a full-time employee at University Health System, San Antonio, TX, which is unaffiliated with this presentation. Non-financial: None.

Sponsor Disclosure:

This course is presented by CEU-Espresso, Inc.

Content Disclosure:

This presentation is not focused on any products and is not focused on any specific type of service delivery model.
Note: Participants must attend all sessions and complete all course requirements to receive a Continuing Education Certificate. No partial credit will be awarded.  
AOTA Approved Provider Logo
CEU Espresso is an Approved Provider for AOTA #11452 (OTs).
This course provides 0.2 AOTA CEUs.
AOTA Classification Codes:
Category 1 Domain of OT: Activities of Daily Living
Category 2 OT Process: Evaluation
Category 2 OT Process: Intervention
ASHA Brand Block for CEU Espresso
CEU Espresso, Incorporated is an ASHA Approved CE Provider #ABFO.
This course is offered for 0.2 ASHA CEUs (Introductory level, Professional area).
ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures.


  1. sialanis21 (verified owner)

    A great start to learn more about the foundation of breastfeeding and what to look for when assessing breastfeeding.

  2. lghess (verified owner)

    Content was very good as was knowledge of presenter. However, because the presentation was done in a home, the lighting was poor and slides were difficult to view.

    • Jim Meyer

      Thank you for your feedback! We are constantly striving to improve the quality of our courses and our presentations. We will work on these issues going forward.

  3. kmb1282 (verified owner)

    This was a great way to access CEUs for minimal cost and amazing convenience! I’d recommend taking a course, just be sure to check the time offered in your area so you aren’t early or too late!

  4. jselchow (verified owner)

    This is one of the best online ceu courses I have taken. The presenter is engaging and covered material at a great pace.

  5. bsemones (verified owner)

    Great course with wonderful information for both professional and personal use.

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