Marsha Walker – författare

Awarded Third Place in the 2 AJN Book of the Year Awards in the Maternal-Child Health Category!Breastfeeding Management for the Clinician: Using the Evidence, Fourth Edition is an essential and practical reference guide for clinicians. Using a research-based approach, it includes literature reviews while covering incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, and clinical algorithms. With a focus on the practical application of evidence-based knowledge, this reference offers a problem-solving approach to help busy clinicians integrate the latest research into everyday clinical practice.Completely updated and revised, the Fourth Edition includes a new discussion of the vitally important newborn gut microbiome. In addition, it features new and more effective techniques for addressing breastfeeding barriers, new research, and the latest guidelines.

Breastfeeding Management for the Clinician: Using the Evidence is the perfect tool for busy clinicians who need a quick, accurate, and current reference. It provides the essentials of breastfeeding management to support best outcomes for breastfeeding families. Now in an updated and modernized fifth edition, this unique resource features new information on the political and social landscape of breastfeeding, LGBTQI families, milk sharing, exclusive pumping, new breastfeeding products, breastfeeding in emergencies, additional feeding care plans, and access to downloadable Patient Care Plan Handouts to help both patients and clinicians navigate common breastfeeding challenges and questions.Breastfeeding Management for the Clinician: Using the Evidence, Fifth Edition includes literature reviews while covering incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, and clinical algorithms. With a focus on the practical application of evidence-based knowledge and a problem-solving approach, this reference helps busy clinicians integrate the latest research into their everyday clinical practice.

In the first part of this well-referenced monograph, Marsha Walker, RN, IBCLC describes the late preterm infant, discusses contributors to late preterm birth, and explains the importance of the last six weeks of gestation. She discusses the impact of birth interventions on breastfeeding the late preterm infant and explains why mothers of late preterm infants may be at increased risk of delayed lactogenesis II.In the second part of the monograph, Walker discusses breastfeeding management guidelines for the late preterm infant. This includes issues the late preterm infant may face, such as hypothermia, hypoglycemia, respiratory instability, hypotonia, and immature feeding skills, and their impact on breastfeeding. She covers how to provide latch assistance, assess feedings at the breast, when to supplement, how to use bottles and artificial nipples, how to help others initiate and maintain maternal milk supply, and ways to optimize milk production. Walker includes information on individualized feeding plans for moms to follow after discharge, including a sample plan. This monograph is full of pictures, graphs, and resources and is a must-have for all healthcare providers who help mothers breastfeed late preterm infants.

Are you working with a breastfed baby that needs to be supplemented? If you supplement with infant formula, what impact will the formula have on the baby, the mother, and the breastfeeding relationship? Does the baby really need to be supplemented with formula or are there better alternatives? Does the mother have plenty of milk, but just needs help with a breastfeeding problem, or does she need help to build her milk supply?Marsha Walker, RN, IBCLC, author of Supplementation of the Breastfed Infant: Criteria, Decisions, and Interventions, answers these questions and more! She describes why supplementation has become so commonplace, what it does to the gut flora of the breastfed baby, the future health problems caused by altering an infant's gut flora, and how supplementation impacts the breastfeeding relationship. Does giving the baby "just one bottle" really change gut flora? Walker describes research that has investigated this issue and the surprising results!But what if a baby really needs to be supplemented? Walker describes circumstances when supplementation of a breastfed infant might be necessary and how to supplement, doing as little damage to the breastfeeding relationship and the infant's gut flora as possible.If you are a health provider who routinely gives newborns supplemental formula, read this book and see if the evidence changes the way you practice. If you are a lactation professional who works to correct the "damage" done by "just one bottle," this book will provide you the evidence you need to discuss this issue with mothers, families, physicians, and hospital staff to change supplementation practices in your area.

In The Nipple and Areola in Breastfeeding and Lactation: Anatomy, Physiology, Problems, and Solutions, Marsha Walker, RN, IBCLC, provides an in-depth resource for clinicians on the structure, function, problems, and solutions of the nipple and areola in lactation. The nipple and areola are the crucial interface between the breast and the infant. Problems with these structures, particularly pain and trauma, represent one of the most frequent causes of early termination of breastfeeding. This book examines the nipple and areola through a thorough description of the structure of the nipple, how it functions, its problems, and suggested solutions. New techniques have allowed the three-dimensional reconstruction of the internal structures of the nipple to be visualized, helping clinicians gain a better understanding of the anatomy and physiology of this specialized feature of the breast. This book covers the newest data in the structure and function of the nipple and areola gathered from computer reconstruction of sectioned tissue, ultrasound, and other study modalities. Topics range from common problems with suggested solutions to newer thoughts on remedies for sore nipples, such as peppermint gel and ozonated olive oil. Practical and usable care plans are provided for problematic situations. Figures, tables, boxes, and charts help summarize and enhance the usefulness of the book. This unique reference is a departure from the standard information found in text books and is specially designed as a practical resource for the busy clinician. Key points include the following: -A look at the nipple and areola literally from the inside out -Information not found in standard textbooks -New potential remedies for sore nipples -Graphics that provide new insight on the structures within the nipple -Text summaries and care plans make the book of real practical value.

The number of working mothers in the workforce is growing, but few businesses provide lactation support in the workplace and employment has a profound effect on breastfeeding.A woman entering employment is three times more likely to stop breastfeeding than her stay-at-home counterpart. In Breastfeeding and Employment: Making it Work, author Marsha Walker, RN, IBCLC, not only describes the problem in depth, but gives practical solutions to help employers accommodate breastfeeding women.This book covers the following: -The effect of employment on mothers and babies -Current laws on breastfeeding in the workforce -The benefits to the employer of supporting breastfeeding mothers in the workforce -Current programs encouraging breastfeeding in the workplace -Making the case to employers to support breastfeeding mothers -Breastfeeding management for employed moms Resources for employers, childcare providers, and mothers are listed in the back of the bookWhether you are a mother returning to work, a breastfeeding advocate helping businesses set up onsite lactation programs, or a business owner hoping to make your business more mother-friendly, this book will help you navigate the issues and find a workable solution.

Are you a pregnant mom who will be going back to work after you have your baby? Are you worried about how to pump while working? Do you work with pregnant or breastfeeding women who plan to pump their milk after they go back to work? Do you need more information on pumps and pumping to increase duration of breastfeeding among your clients?Pumping breastmilk is a very personal behavior for most women. Surveys indicate women want a pump that works quickly, obtains a sufficient quantity of milk from each breast, and does not cause pain. A pump that works for one mom may not work as well for another mom for a variety of reasons. Many mothers have found interventions and techniques that make their pumps work better.In this three-part book, Marsha Walker, RN, IBCLC, shares information on the history and regulation of breast pumps, the mechanics of pumps, a review of the literature, types of pumps, ways to pump more effectively, flanges, how to choose a pump, pumping protocols, how to troubleshoot problems, and how to deal with low milk supply.If you want to know more about breast pumps and tips and techniques for pumping more milk, this is the book for you!

Tongue-tie has become one of the most controversial topics in lactation. Unfortunately, mothers, babies, and the IBCLCs who want to help are caught in the crossfire. How should tongue-tie be identified and treated? Do posterior ties exist? Are there alternatives to surgery? These are some of the issues lactation consultants face, as well as Scope of Practice issues and what their role should be in identifying and treating tongue-tie.This monograph features an expert roundtable answering these important questions. We assembled a panel of experts on tongue-tie who represented a wide range of disciplines including pediatrics, family medicine, dentistry, mental health, speech and language, and lactation. Members of this panel do not always agree, but the discourse is respectful and represents the state of the art in this field.