A Hidden Epidemic: Complications of Insufficient Feeding in Healthy Term Breastfed Newborns
CE Information
1.0 CME creditCompletion Time
1 hourAvailable Until
March 7, 2026Posted By
Arkansas Academy of Physician AssistantsNavigate
Overview
Specialties
Family Medicine, Neonatal, Pediatrics, and Primary CareClinical Topics
Neonatal and PediatricsThe most common causes of hospital readmissions for previously healthy term neonates are for complications of insufficient feeding while exclusively breastfeeding, namely jaundice, dehydration, and hypoglycemia. This talk reviews the most recent evidence on the incidence of these complications and how to improve monitoring of breastfed neonates to prevent these brain-threatening complications of inadequate feeding.
Learning Objectives
- Discuss the basics of feeding, fasting, and dehydration, and how the latter two result in brain and vital organ injury.
- Discuss the incidence of starvation-related, jaundice, dehydration, hypoglycemia, The wrist factors with their development
- Discuss the signs of insufficient feeding and dehydration, weight loss threshold that predict medical complications, lab values that increase the risk of developmental disabilities.
- The cost of preventable readmissions, both short term and long-term.
- The medical legal risk to health professionals and hospitals and the cost to families and society
- How to prevent these complications with closer to monitoring, updated patient and health professional education, and hospital policy reforms.
Speakers

Dr. Christie del Castillo-Hegyi is a Board-Certified Emergency Physician, Cofounder of the Fed Is Beat Foundation, an organization dedicated to preventing neonatal brain injury and long-term disabilities from complications of inadequate feeding while exclusively breastfeeding. Dr. del Castillo-Hegyi studied the effects of glucose on neonatal brain injury at Brown University where she attended as an undergraduate. She subsequently studied HIV Immunology at the National Institutes of Health, where she co-developed and co-patented a novel therapeutic agent against HIV. She then attended medical school at the University of California, San Francisco and trained in Emergency Medicine at the University of New Mexico. She studies the scientific literature on brain injury from jaundice, dehydration, hypernatremia, and hypoglycemia related to failed and delayed breast milk production and insufficient infant feeding. Her organization provides families and health professionals with inclusive, evidence-based, judgment-free support to practice safe infant feeding with human milk, formula, or a combination of both. She is a Member of the Global Development Disability Research Collaborators, which has published data on global rates of neurological and developmental disabilities in children. She leads a group of parents, physicians, nurses, and lactation consultants who support the Foundation’s work to provide infant feeding education and patient safety recommendations through social media (with almost a million followers) and the Foundation’s website at fedisbest.org. She has published on and spoken nationally and internationally on the subject of brain injury from inadequate feeding including at the NIH U.S. Task Force for Pregnant and Lactating Women and the USDA Dietary Guidelines Committee meeting and continues to advocate for reforms in hospital policies to ensure safe and adequate infant feeding. She has also coauthored the book, “Fed Is Best: The Unintended Harms of the ‘Breast Is Best’ Message and How to Find the Right Approach for You and Your Baby.”
CE Information
This activity offers 1.0 CME credit to attendees.
Accredited by AAPA.
This activity has been reviewed by the American Academy of Physician Associates Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 22 AAPA Category 1 CME credits. Approval is valid from 3/26/2025 to 3/7/2026 . PAs should only claim credit commensurate with the extent of their participation. AAPA reference number: CME-2013092.
Disclosures
Dr. Castillo-Hegyi is the cofounder of Fed Is Best Foundation and coauthor of the Fed Is Best book and course. 100% of proceeds going to the Foundation. She earns no salary or any other monetary or non-monetary compensation from the Foundation, the book, or the course. The Foundation also has a strict policy of not accepting compensation from companies that produce and sell products or services from infant feeding companies.
Activity Content
Registration to this activity includes access to the following supporting materials.
- A Hidden Epidemic (Size: 4.73 MB)
Duration: about 1 hour | Quality: HD
11 questions
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