1.5 L-CERPs

IGT is not a Tragedy: Understanding and Treating Mammary Hypoplasia in Private Practice

Kristin Cavuto, LCSW, IBCLC
Course description
One of the major causes of low milk supply is Insufficient Glandular Tissue. However, this condition is misunderstood by many lactation and perinatal professionals. This course will describe IGT and teach differential assessment skills to identify IGT and distinguish it from other reasons for low supply. It will teach best practices for preserving the nursing relationship with IGT, and will focus on how to counsel the nursing parent with this condition. It’s entire framework and focus is that IGT does not need to mean lactation failure or provider fear. It is possible to nurse successfully with IGT!
Meet the Instructor

Kristin Cavuto, LCSW, IBCLC

Kristin is a Licensed Clinical Social Worker (since 2003) and IBCLC (since 2010) in private practice in central NJ, as well as a LLL Leader (since 2008). Her practice specialties are low supply, maternal and infant mental health, and the intersection of ethnicity, sexual orientation, and gender in the care of the new family. She has spoken on various lactation and mental health topics at LC in PP, the Lehigh Valley Breastfeeding Association Conference, and for LLL of the Garden State, and is active in several online lactation communities. 

She is the mother of two boys who nursed full term despite maternal IGT, and who are now 14 and 11. In her spare time, she attends adult Harry Potter conferences, where she speaks (and is writing a book on) sorting and parenting. She is an anti racist and LGBT+ activist, and a Gryffindor.
Patrick Jones - Course author

Learners say 

Supporting low milk supply moms is always a challenge. Knowing how to do a differential diagnosis for IGT was an amazing start. Then management of IGT parent was very helpful.

Katie Oshita, RN, IBCLC

LOVED this course! Kristen is an engaging speaker who provides valuable information, insight and resources to support those with IGT.

Barbara Zimmermann RN, BSN, IBCLC

Kristin's course is excellent and contains information that every IBCLC should have. I've taken several courses on IGT and Kristin's is by far the best in terms of clinical and counseling skills. 

Leah Segura, IBCLC

Start learning now!



Counseling the parent with IGT for a sense of empowerment, competence, and successobjective


Best Practices for long term breast/chest feeding in the lactating parent with IGT 


Identifying hypoplasia in the lactating parent
IBLCE Content Outline
I-B 1. Breast development and growth
I-B 2. Breast surgery
I-B 3. Composition of human milk
I-B 4. Maternal anatomical challenges 
II-3.Maternal metabolic and hormonal disorders (e.g., thyroid, Polycystic
Ovarian Syndrome) 
III 7 Infant acute disease (bacterial, viral, fungal, systemic)
III 8. Infant neurological disabilities
IV 4 Galactogogues
IV 7. Medicinal Herbs
V 6 Identifying support networks
V 7 Maternal mental health
VI 1 Effective milk transfer (including medically-indicated supplementation)
VI 4 Managing supply
VI 9 Test-weighing
VII A1 Feeding devices (e.g., tubes at breast, cups, syringes, teats)
VII B1 Active listening
VII B2 Anticipatory guidance
VII B5 Educating mothers and families
VII B7 Extending the duration of breastfeeding
VII B8. Emotional support
VII B9. Empowerment

Course Lessons

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