Podcasts about breastfeeding medicine

Does bedsharing have benefits for infant development or attachment? The quick answer is no. Systematic reviews (the highest form of scientific evidence) consistently show that bedsharing is associated with: 1️⃣ Longer breastfeeding duration 2️⃣ Increased risk of death 3️⃣ More frequent night waking Bedsharing might be your preference, and that's ok, but it's important to understand both the risks, and the reality - babies who sleep in cots are just as well attached to their parents, as those who share a bed with their parents. Drs Fallon & Laura (PhDs, Sleep Practitioners) dive head first in to the scientific literature on bedsharing, so you can make an informed decision for your little one ✅ Need additional support? Join our Sombelle Paediatric Sleep Clinic Programs, where we have an entire chapter dedicated to helping you resolve sleep pressure difficulties. Or visit our wonderful sleep clinic, via Telehealth or in person if you're local to Melbourne. ☕️ Love our work? Buy us a coffee! ❤️ Listen on Apple Podcasts❤️ Listen on Spotify❤️ Listen on Amazon Music

Breastfeeding can be an important part of a baby's health and development. But what about families who are affected by substance use disorder?  this episode, a partnership with Project CARA, Dr. Amy Marietta, MD, Family Medicine and Olivia Caron, Pharmacist Practitioner, and Georganna Cogburn IBCLC, will talk about how to support lactation and infant feeding in patients who use substances or are being treated for SUDs.  Using the Academy of Breastfeeding Medicine guidelines as a key resource, they will discuss the latest findings and what they mean in the real world of infant feeding. They will also dispel some of the common myths about SUDs and breastfeeding. This conversation will help you understand the risks and benefits of breastfeeding when working with families impacted by SUDs. They will also talk about a wide variety of  resources available for further reference and education.Resources:Academy of Breastfeeding MedicineDrugs and Lactation Database (LactMed®)American Academy of Pediatrics Breastfeeding PoliciesACOG Breastfeeding Program“Eat, Sleep, Console” reduces hospital stay and need for medication among opioid-exposed infantsMomtoBabyWIC North CarolinaWIC Nutrition and Health EducationLa Leche League of North CarolinaBaby Cafe USAInfant Risk CenterBreastfeeding in the Setting of Substance Use and Substance Use Disorder Updates 2024 Online CourseWe would love your feedback on our podcast!  Please take our listener survey to provide your comments.Follow us on FacebookFollow us on InstagramMusic credit: "Carefree" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 Licensehttp://creativecommons.org/licenses/by/4.0/Please provide feedback here:https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK

Send us a textIn this episode of the Pregnancy, Birth & Recovery Podcast, we're joined by Dr Nicole Gale, a General Practitioner and Lactation Consultant who works exclusively in Breastfeeding Medicine and Maternal/ Infant Health at Juno Specialists in Melbourne. Dr Nicole brings a thoughtful, evidence-based approach to supporting mothers through the often painful and stressful experience of mastitis and other lactation-related breast issues.Whether you're currently breastfeeding or still pregnant and preparing for the fourth trimester, this episode offers supportive, clear and practical advice you won't want to miss.In this episode, we cover:What is mastitis? – Understanding the spectrum from inflammation to infectionEarly signs of mastitis – How to spot it before it escalatesTreatment of mastitis – When to seek help, conservative care, and antibioticsMastitis prevention – Simple habits and positioning tips that make a differencePractical tips for managing symptoms – Ice, warmth, pain relief and moreInflammatory breast conditions – How mastitis differs from blocked ducts, engorgement, and moreMastitis vs. breast abscess – When to be concerned and what to look forMilk blebs – What they are and how they relate to blocked ducts or mastitisProbiotics and mastitis – The current research and how they may helpReverse pressure softening – A helpful technique to support milk flow and comfortBreastfeeding tips for pregnant women – What you can do now to feel more prepared postpartumDr Nicole's holistic approach to supporting new mums – When to see a GP, lactation consultant, or physioAbout Dr Nicole Gale:Dr Nicole Gale is a GP and lactation consultant with a deep passion for women's health, pregnancy, postpartum care, and infant feeding. She works at Juno Specialists, where she supports mothers with complex breastfeeding challenges, mastitis, and more, combining medical expertise with a warm, compassionate approach.

In this episode Katie Oshita and Karen Garcia discuss how bodywork and lactation work together.  As a practitioner of Osteopathic Manual Manipulation (OMM) and lactation, Dr Garcia is in a unique place to combine the two fields to help the dyad thrive.  From breast manipulation for mastitis to helping with body tension on tongue tied babies, Dr Garcia works with the whole dyad to achieve wellness.  Listen here for more details.Podcast Guest: Dr. García is Board Certified in Pediatrics through the American Board of Pediatrics and American Osteopathic Board of Pediatrics. She is also one of the first physicians Board-Certified by the North American Board of Breastfeeding and Lactation Medicine. She maintains her Board-Certification as a Lactation Consultant by the International Board of Lactation Consultant Examiners. She is an ongoing member of the American Academy of Pediatrics, American Osteopathic Association and Academy of Breastfeeding Medicine. She opened García Consulting and Lactation Services in 2023 to provide specialized care for more complex lactation related issues. Dr. García has been practicing pediatrics and newborn care in the Kalamazoo and Calhoun counties since 2012. Dr. García is hoping to support all of our communities that struggle with breastfeeding, and those communities with limited access to breastfeeding resources. Dr. García is collaborating with Milk Like Mine/Bellies Like Mine through our local Baby Café to further reach our Black, Brown and LBGTIA+ communities in Calhoun County. Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Submit your question and we'll answer it in a future episode!We never seem to get enough sleep – and we never seem to get enough episodes on sleep.This is a presentation from the Academy of Breastfeeding Medicine on bedsharing.  Listen up and learn what the medical professionals have to say.If you are a new listener, we would love to hear from you.  Please consider leaving us a review on itunes or sending us an email with your suggestions and comments to badassbreastfeedingpodcast@gmail.com.  You can also add your email to our list and have episodes sent right to your inbox! Things we talked about:Where this presentation came from [3:56]Message from the UK [6:34]Why human babies want to be close and feed often [8:57]We don't understand infant sleep [13:37]Does evolutionary biology change? [16:10]What sleeping like a baby really means [18:40]Poor sleep = breastfeeding cessation [23:30]Options given to parents [25:00]Babies in another room [27:40]Are you really someone who promotes breastfeeding if you discourage bedsharing? [30:30]“Never bedshare” messages prevent conversation about the issue [33:598]ABM protocol #6 on Bedsharing [39:44] Today's episode is brought to you by Silverette! Silverette silver nursing cups are your one-stop solution to soothe and protect your nursing nipples! Use code BADASS at www.silveretteusa.com for 15% off!Today's episode is brought to you by The Breastfeeding Shop! The Breastfeeding Shop supplies breast pumps, accessories & more through insurance. Visit www.thebreasfeedingshop.com. Links to information we discussed or episodes you should check out!https://www.bfmed.org/assets/Ball%20Helen.pdfhttps://badassbreastfeedingpodcast.com/episode/082-nighttime-breastfeeding-with-tracy-cassels-phd-evolutionary-parenting/https://www.basisonline.org.uk/about-us/Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/     Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Follow our Podcast~https://badassbreastfeedingpodcast.comHere is how you can connect with Dianne and Abby~Abby Theuring  https://www.thebadassbreastfeeder.comDianne Cassidy http://www.diannecassidyconsulting.com Music we use~Music: "Levels of Greatness" from "We Used to Paint Stars in the Sky (2012)" courtesy of Scott Holmes at freemusicarchive.org/music/Scott Holmes

In this episode, learn how Dr. Kimarie Bugg's lifelong dedication to lactation and health equity is transforming lives nationwide. Dr. Bugg is President of Reaching Our Sisters Everywhere (ROSE) and the first African American International Board Certified Lactation Consultant (IBCLC). Dr. Bugg shares her journey into the field of lactation, sparked by personal challenges breastfeeding her first set of twins in the late 1970s. She recounts the evolution of breastfeeding support, her groundbreaking work at Grady Hospital in Atlanta, and the founding of ROSE, a nonprofit addressing breastfeeding inequities in the African American community. Dr. Bugg discusses the systemic barriers to breastfeeding, including workplace challenges, access to lactation support, and the lack of consistent education for healthcare providers. She emphasizes the importance of policy change, workforce development, and healing generational trauma through initiatives like ROSE's "Breast Friend" and the Reaching Our Brothers Everywhere (ROBE) programs. Tune in for a conversation about the critical role of breastfeeding equity, the unique challenges faced by African American families, and the power of community-driven solutions.   (09:34) Empowering Black Nurses in Breastfeeding Support (8:08) Supporting Breastfeeding in African American Community (27:08) "Breast Friend Program: Reducing Breastfeeding Disparities" (28:22) Empowering Communities for Inclusive Breastfeeding Support (32:46) Reframing Breastfeeding Narratives in African American Community (34:54) Enhancing Breastfeeding Equity Beyond Hospital Stay (41:39) Community Transformers: Empowering Maternal Health Support   Explore ROSE's programs, including Breast Friends, Community Transformers, and more here. Learn about Boston Medical Center's Community and Hospitals Advancing Maternity Practices (CHAMPS), a Baby-Friendly hospital initiative, here. Learn more about the Academy of Breastfeeding Medicine here. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Send us a textHappy 2025! Sarah sits down with two incredible physicians in this episode--Dr. Laura Ward, MD, IBCLC, FAAP & Dr. Sheela Geraghty, MD, MS, IBCLC, FAAP, FABM. Both Dr. Ward & Dr. Geraghty are pediatricians who did additional training to become International Board Certified Lactation Consultants (IBCLCs) and practice breastfeeding medicine. They have insightful stories to share on why breastfeeding matters so much and how to help parents and babies reach their breastfeeding goals. Sarah can guarantee you'll learn something new in this episode--just like she did! Dr. Sheela Geraghty: sheela.geraghty@cchmc.orgDr. Laura Ward: laura.ward@cchmc.org

Dysphoric Milk Ejection Reflex (D-MER) is an abrupt emotional "drop" that occurs in some women just before milk release and continues for not more than a few minutes. Although research is still evolving, one study Published in 2019 (Breastfeeding Medicine) states that up to 9% of breastfeeding women may experience dysphoric milk ejection, although the true incidence is still unknown. The brief negative feelings range in severity from wistfulness to self-loathing. In Arch Gynecol Obstet, in July 2024, authors published, “Dysphoric milk ejection reflex – a call for future trials”. This is gaining interest in the published literature. The etiology of this is unclear but a new (soon-to-be-released) publication in the AJOG provides some interesting insights into this. This was just accepted for publication on September 18, 2024 and the official release is pending. Haven't heard about D-MER? Due to a lack of awareness, this phenomenon is easily misdiagnosed as postpartum depression and aversion by many healthcare professionals. A July 2024 Harvard Review in Psychiatry publication called D-MER, “A Novel Neuroendocrine Condition with Psychiatric Manifestations”. This condition is a physiologic tale of oxytocin, milk- let down, dopamine and prolactin, and the fight and flight response. Listen in for details.

Link to “Evidence-Based Updates on the First Week of Exclusive Breastfeeding Among Infants >35 Weeks” from ABM published in Pediatricshttps://doi.org/10.1542/peds.2018-3696Link to Academy of Breastfeeding Medicine protocolshttps://www.bfmed.org/protocolsNo content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

Submit your question and we'll answer it in a future episode!Join our Patreon Community!https://www.patreon.com/badassbreastfeedingpodcast Listen in today as Abby talks with Lyndsey Hookway about Breastfeeding the Brave.  You don't want to miss this important and eye opening episode If you are a new listener, we would love to hear from you.  Please consider leaving us a review on iTunes or sending us an email with your suggestions and comments to badassbreastfeedingpodcast@gmail.com.  You can also add your email to our list and have episodes sent right to your inbox!Things we talked about:Who is Lyndsey Hookway? [5:00]Limited research for breastfeeding in the pediatric setting [14:22]The goal of the research [19:32]Staying involved in the care of babies [25:00]Negative vs positive breastfeeding experiences [33:35]Professionals who are nurturing and supportive [43:32]The Academy of Breastfeeding Medicine [46:20]Being met with hostility [49:33]How has working with the families affected work as a lactation consultant [50:55]How does breastfeeding affect older children? [52:49]How many studies focus on breastfeeding children with cancer? [54:50]What would happen if we support children through illness? [1:00:15]The support group [1:02:19]Where to find Lyndsey [1:06:00]Website https://lyndseyhookway.com/Instagram https://www.instagram.com/lyndsey_hookway/Facebook https://www.facebook.com/LyndseyHookwayBreastfeeding the Bravehttps://lyndseyhookway.com/product/breastfeeding-the-brave/SPONSORToday's episode is brought to you by CoBoo's Organic, 100% Natural Breast Pumping Spray! Just one quick spray on each flange perfectly lubricates your breast so they can slide smoothly in the flange. Use Code BADASS for 15% off your total order on their website CoBooMom.com. Links to information we discussed or episodes you should check out!https://badassbreastfeedingpodcast.com/episode/why-dont-babies-sleep-through-the-night/https://badassbreastfeedingpodcast.com/episode/benefits-of-breastfeeding-for-parents-and-babies/  Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/      Check out Dianne's blog here:https://diannecassidyconsulting.com/milklytheblog/Follow our Podcast:https://badassbreastfeedingpodcast.comHere is how you can connect with Dianne and Abby:AbbyTheuring ,https://www.thebadassbreastfeeder.comDianne Cassidy @diannecassidyibclc,  http://www.diannecassidyconsulting.com  Music we use:Music: "Levels of Great

At some point in our lives we've probably all felt like we've settled into a groove where everything is comfortable enough and there's nothing standing in the way of life going on like this for a while. But what if you know deep down that you want to change something about your life? It can be EXTREMELY hard to make that decision to make a change when you know that you might be straying away from comfort and stepping into the" unknown". But you also know that if you don't make a change, you might have regrets or feel unfulfilled.This is called miserable discomfort, and it's what we're going to be talking about this week on the Ending Physician Overwhelm Podcast. As you listen, I encourage you all to dream big and consider what is possible beyond your current circumstances. I'll share stories of incredible physicians breaking free from the traditional mold of medicine to embrace their passion and find professional freedom. We'll reflect on areas of our lives that might be holding us back, and discuss ways in which we can side-step them to take the first step forward to a life that aligns more with what we dream of.So enjoy, and to see what other badass Women Physicians are building, follow these folks on IG:Dr Rachel Rubin, Sexual Medicine and Menopause Specialist @drrachelrubin Dr Funke Afolabe-Brown, Sleep Medicine Physician and Coach for families @restfulsleepmd Dr Sadaf Lodhi, Sexual Health and Menopause @drsadafobgynDr Andrea Wadley, Breastfeeding Medicine @breastfeedingmedicinedoc Support the showTo learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.

Co-Hosts: Leyla Warsame, MD and Davina Zamanzadeh, PhD Guest: Dr. Victoria Nichols Johnson, MD, retired Associate Professor and Physician from Southern Illinois University School of Medicine in Obstetrics and Gynecology. She is the founder and past president of the Academy of Breastfeeding Medicine, and past chair of the Ethical, Legal, and Social Issues Work Group of AMIA. Description: This latest installment of the Forgotten No More Series perfectly intersects with the observance of Black History Month and the start of Women's History Month as we focus on Henrietta Lacks. Listen and share this storytelling and historical perspective of the no longer forgotten, Henrietta Lacks.

  Today's episode is featuring Lara Proud, RN, who is joining HeHe to discuss the signs + symptoms of Mastitis, what professionals can help & what options you have for remedying it! We also dive into preventative measures and what to consider when it comes to antibiotic use with Mastitis!    Lara's Bio:  Beyond The Bump was started when Lara Proud went on maternity leave with her son in 2018. As a Registered Nurse, Lara was blown away by the lack of local resources for prenatal classes, postpartum support, and didn't want anyone else to have to struggle like she did with breastfeeding. Beyond The Bump is located on the East Coast of Canada in Fredericton, New Brunswick serving all across Canada virtually and in-person locally. Her biggest goal is to empower parents in their decisions surrounding all things birth and parenting and help them feel prepared and supported along the way!   Connect with Lara on IG   Connect with HeHe on IG   Join HeHe's FREE CLASS that shares How to Avoid a C-Section & Reduce Tearing in Labor here!   Resources: ACOG: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2021/02/breastfeeding-challenges   Breastfeeding Medicine: https://www.bfmed.org/assets/ABM%20Protocol%20%2336.pdf Le Leche League: https://lllusa.org/mastitis-updated-la-leche-league-usa-resource-page/

In this episode of the MamasteFit Podcast, hosts Gina and Roxanne invite Dr. Sibyl Knight, a doctor of osteopathic medicine based in Monterey, California, to discuss the nature and benefits of osteopathic medicine. Dr. Knight explains the key differences between osteopathic medicine and traditional medicine, elaborating on the holistic approach osteopaths take toward treatment. She covers various topics including the role of osteopathic manipulations in alleviating pregnancy discomfort, aiding patients' postpartum recovery, and supporting breastfeeding. Dr. Knight also reveals the treatment techniques applicable for babies and their significance.  In This Episode: 00:00 Introduction to the MamasteFit Podcast 00:17 Meet the Hosts: Gina and Roxanne 01:07 Introducing Dr. Sybil Knight 01:35 Understanding Osteopathic Medicine 03:06 Differences between Osteopathy and Chiropractic 04:39 Experiences with Osteopathic Medicine 05:15 Benefits of Osteopathy for Pregnant Women 13:16 Osteopathy for Babies and Children 28:32 Osteopathy and Breastfeeding 34:25 Closing Remarks and Contact Information 35:39 Sponsorship and Additional Resources ----- More about Dr. Knight: Dr. Knight has had an interest in musculoskeletal medicine ever since she did a Yoga Teacher Training prior to medical school. When she went to medical school she immediately fell in love with Osteopathic Manipulation as a way to treat the body with the hands. Throughout her training she has constantly been amazed at the power of this modality to treat everyone from the elderly to newborns. Dr. Knight found osteopathic manipulation particularly helpful during her pregnancy and throughout the growth of her children. Osteopathic Manipulation has really allowed her children to thrive and she hopes to someday have every newborn receive treatment shortly after they are born. She has a special interest in Breastfeeding Medicine and helping infants and toddlers who have latch issues with breastfeeding. Find an osteopathic doctor near you: americanacademyofosteopathy.com Find Sibyl's practice on Instagram here: https://www.instagram.com/theosteopathicway/?hl=en Find Sibyl's website here: TheOsteopathicWay.com ----- This podcast is sponsored by Needed, a nutrition company focused on optimal nourishment for your perinatal journey. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Use code MAMASTEPOD for 20% off your first order or three months of subscription.⁠ ⁠⁠⁠⁠⁠⁠⁠⁠ 

Crystal Nightingale from The Mama Coach joined us a few months ago and is back again today diving deeper into postpartum and breastfeeding than we've ever gone before!Did you know that new research is showing that cold compresses are more effective in helping clogged ducts than warm compresses or showers?Crystal shares her valuable insight gained as a registered nurse and IBCLC of over 10 years. Meagan and Crystal discuss everything from appropriate newborn weight loss to all types of infant feeding to how to have a successful breastfeeding journey starting even before birth. As we kick off 2024, we promise to bring new topics, deeper discussions, and exciting changes that will empower you even more to continue to have better birth AND postpartum experiences.  Additional LinksCrystal's WebsiteThe Mama CoachThe Lactation NetworkHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello you guys. It's 2024. I cannot believe that 2023 went so stinking fast and we're already here. I think the new year is super fun because I think about all of the exciting things that we want to do for the year and we have this extra motivation. Today, we're actually going to be talking about something that we don't talk about a lot on the podcast. This is going to be postpartum. I'm excited to talk about postpartum because, with The VBAC Link, we are all Women of Strength. You are all preparing for birth. You're all preparing for pregnancy sometimes. We're so focused on the birth, but we forget about what comes after the birth. So we have our friend, our dear, dear friend, Crystal. Hello, Crystal. Crystal: Hello, good morning. Happy New Year. Meagan: Good morning. I am so excited to have you on today. Crystal: I'm excited. Thank you. Meagan: Yes. You are a registered nurse, an international board-certified lactation consultant which is an IBCLC and for everyone who has never seen an IBCLC, you guys, I have three babies and I breastfed with all three of them. I've seen an IBCLC with each baby because I've found that each baby is so different. Crystal: Yes. Meagan: If you haven't seen an IBCLC before, I would highly suggest it. They can help so much. But Crystal is from The Mama Coach and she is going to be talking with us today about postpartum and mood stuff and breastfeeding and so many powerful things. So hold on tight. We're going to do a review and dive right in. Review of the WeekThis review is from– I don't even know how to say it– miralamb04 on Apple Podcasts and it says, “A Must Resource During Pregnancy.” It says, “The VBAC Link was most helpful and encouraging during my TOLAC (trial of labor after Cesarean) preparation. I used all of the episodes to everyone's different expectations and outcomes to help me prepare for my VBAC. Finding out I was pregnant six months postpartum after a planned C-section due to a breech baby was frightening at first.”We have talked a lot about this close duration. It says, “I knew immediately I wanted to VBAC and started doing my research. The VBAC Link was constant during my stroller walks with my baby and helped me mentally prepare for my second pregnancy. I used the resources provided to help open up conversation during my prenatal appointments and ultimately advocate for myself and my baby for a planned, hospital TOLAC. I successfully had my second baby via VBAC a few days ago and I'm so happy that I did. Everything I could have wanted and so much more. Thank you, Julie and Meagan.” I love that so much. You guys, this is what this platform is for. It's for you to have the education, the information, and the empowerment to go on and make the best decision for you no matter how that is and what your birth outcome looks like. I love how she said, “To advocate for me and my baby.” Right? Crystal: Yes. Love it. Meagan: I love it. That is so cool.Crystal: Very, very. Meagan: Thank you so much for that review. They touch me from the bottom of my heart and if you haven't, please drop us a comment. Drop us a review. Let us know what you think about The VBAC Link. Crystal Nightingale Meagan: Okay, cute Crystal. Welcome, welcome. Crystal: Hi. Thank you for having me. Meagan: Absolutely. I'm so honored that you are here and taking the time out of your very busy day to talk more about that topic that we just don't talk about. It's not even that we don't talk about it. I think it's just that we don't think about it. Crystal: Yeah, yeah. Meagan: It's so far over there because we have such an event to get through. Birth is an event. Crystal: Yeah, it's huge. Meagan: It's such an event to get through that we can't think about what we're doing here or over here because we are right here in this moment preparing for this event. Crystal: Yeah. Yeah. Meagan: I mean, I have ridden tons of bike rides, races, long distances, and ran half marathons. I'm telling you that at mile 10, the only thing I was thinking about was where that finish line was, not where the next starting line was or that next experience. So I'm excited that you are here with us to talk more about this next journey because it is a whole other journey that leads us down a path through life in general and it can impact us for our next birth. Right? Crystal: Yes. Right. Meagan: It's a circle. It all goes together. Let's talk about it a little more. Let's talk about your professional background. What got you into this? What got you into your passion for postpartum and serving moms and babies through postpartum and through breastfeeding? Crystal: Yeah, so I always knew that I wanted to work as a nurse or in the nursing field. I was just fascinated with labor and delivery and women's health. Of course, being a woman and all of the amazing things that we can do. I had my oldest children younger so I was very naive. After I became a nurse, I really got into postpartum and mother and baby and just seeing new babies come into the world and helping the parents, the whole family, with breastfeeding and helping them take care of their newborn baby and just all of that fascinates me. It's just incredible to me. I've been working with mothers and children as a nurse for a little over 10 years now and you know, just through my time in the hospital and the clinic, I have seen a trend. A lot of parents have the best intentions. They want to breastfeed and they want to do this, but then there is not a lot of support. The WHO, World Health Organization, and CDC all recommend breastfeeding for at least six months, but what? Then parents go back to work at six to eight weeks maybe? Some even sooner. I've seen some moms who have to go back to work within two or three weeks. So just seeing that lack of support postpartum for families just triggered, “Okay.” It's very frustrating to be in a hospital or a large health organization setting and not be able to do as much as I want to because of all of the policies and regulations and things like that. So I teamed up with The Mama Coach to start my own private practice and being part of The Mama Coach has been awesome. We are a group of registered nurses and some nurse practitioners all around the world helping parents to make parenting easier through education, evidence-informed solutions, support, assessment, individualized plans, and all of the stuff to help support parents from the prenatal period to postpartum to feeding and starting solids, all the way up to five years of age with sleep and CPR and things like that. So yeah. That's a little bit of my background. I have four kids and I did not get to breastfeed my older two because again, I was young and naive. I didn't know anything. I “tried” to breastfeed not knowing that cluster feeding was normal. I just thought, “Oh no. I need to give formula because they sent me home with formula.” Then all of a sudden, my milk dried up and I was like, “Oh well. I guess I'll just formula feed.” That wasn't what I wanted to do. I just didn't know how to continue the breastfeeding journey. Meagan: Yeah. This isn't like anything that we talked about, but I kind of am wondering if you know the answer to this. We are talking about how all of these organizations– big organizations– encourage breastfeeding. We talk about how we don't necessarily have the support but not only do we not have the support, but we have the alternatives given to us so easily which I think is great. I'm not saying it's a bad thing, but it makes it easier or if we don't know. Like with cluster feeding, you think you're baby is starving. You think, “I'm not giving my baby enough. They are always hungry, always hungry and I have to supplement with formula,” when that's not necessarily the case. Why do you think these companies are providing so much formula right out of the gate?Crystal: You know, I'm not sure. I can say it probably is because they are not thinking of the long-term effects of starting formula. If it's needed, how I always was taught especially working in the hospital is that really, formula should be used and treated as a medication. Use if absolutely needed. But, when some staff or doctors or whatever see that a mother is struggling maybe, they don't automatically think, “Let's support her and see how we can help her reach her goal. Let's just feed the baby and deal with it later,” not knowing that that can negatively impact the breastfeeding relationship down the road. You know, like you said, that is there for a reason, and if a baby really needs it, of course, use it. I think the organizations are getting better, but they can still be better. Meagan: Yeah. Do you know what I would like to see more? I know that this can be tricky because of all of the things that are put into our bodies and in this world, but I would love to see milk bank donations more. Crystal: Yes. Meagan: There are certain countries that are literally like Winder Dairy and they bring breastmilk to your porch for people who are struggling. It's so awesome and there are parents out there. There are moms out there who have an insane overproduction, but their baby isn't necessarily using it and it could go to a preemie baby or to a mom that may have a little bit of a rough start or have had a Cesarean under general anesthesia and isn't able to really even be present in that moment. I would love to see that happen more. I don't even know. There are all of the things out there. There are all of the apples off of the tree that I would like to grab and make happen. Crystal: That would be so amazing. Meagan: But they are out there too. So if you are struggling in your breastfeeding journey, it doesn't hurt to ask, “Hey, is there a breastmilk donation in our area or in this hospital?” because there are situations where some hospitals– it's not talked about and it's not big enough yet, but there are banks where people who donate. And because of the craziness in this world, they are really, really strict on who can donate. My cousin did one and you have to check a million boxes to be able to donate. So anyway. Crystal: It makes sense. Meagan: It could be weird to people like, “Someone else's milk, what?” Crystal: I've definitely encountered that before. Everyone has their feelings, beliefs, and opinions, so it's like, “Well, it's there.” I am seeing more hospitals in my area up in northern California have donor breastmilk available in the hospital, but the problem with that is they give the donor milk in the hospital, but when they go home, there is still not that support or continuation of care because now, mom's milk maybe is not quite sufficient yet and how do we help them when they go home? Meagan: Right. Crystal: That's another thing that we're seeing too. Meagan: Okay. So that is a question right there even. We can go home, but I'm going to go back and talk about breastfeeding with that. What do we need to not forget about the postpartum journey during the birth preparation? What are some things that people who are pregnant, preparing for birth, and preparing for their birth– they are so excited. They are figuring out if birth is right for them. What do we need to focus on and not forget about during that pregnancy journey? Crystal: Yeah, so of course, like we were saying earlier, getting ready for birth and preparing for birth is a huge event. We prepare for that and all of that, but then we don't think about like we were saying, the postpartum. Think that postpartum can last a year or two years, sometimes even longer depending on how long you breastfeed if you plan to breastfeed. It takes 9-10 months for your hormones to increase and grow this baby and things like that, then of course, it can take– to me, this is my thinking– at least nine months for it to go back down to somewhat normal levels. If you're breastfeeding, you've still got all kinds of hormones going on. So think about that. Babies have to be fed, so how are we going to feed them? Are you going to breastfeed? Do you know what to expect? Do you know what kind of bottles and what kind of formula to use? Do we know what to expect with just newborns in general and newborn care and diapers? Because babies' poops look funky. They are different from ours, so it's like, okay. All of these things, I feel like if parents are a little bit more prepared, then they will have less anxiousness for one because it's a whole new thing whether you are a first-time parent or even if it's your third or fourth baby– even with me for my fourth baby, I was like, “Wait. Is this normal?” I'm a nurse and I work in the field, but it's so different when you're on the other side. So just to be prepared for that so that way you have the expectations and you know, “Okay, what's normal? What's not normal?” Have somewhat of an idea of how to manage some things and know that there is support out there when you need the support. Meagan: Absolutely. Something that I– with my first baby, I ended up going back to work at 12 weeks postpartum. I already wasn't prepared for a Cesarean, so then I was recovering from that, but when it came to feeding my baby and even my emotional status, I really wasn't prepared for all that was happening in such a short period of time and then to shift. As soon as I started feeling like I was kind of getting the hang of it and things were in control or I had a routine, it was like my feet got swooshed underneath me and it was changing again. I was all of a sudden in a back storage room pumping every three hours. I was storing my milk in a fridge where everyone stored their lunch and then trying to figure out that and trying to get enough production for my baby while they were with the babysitter. It was so much. Crystal: It's a lot, yeah. Definitely, going back to work after having a baby, no matter how soon whether it's six weeks or six months is definitely a big change as well. That's something that a lot of parents aren't really thinking about or prepared for which is totally fine. There is so much more going on at the moment, but knowing that, “Okay. I need to prepare and be ready before I go back to work so I know what to expect.” And like I said, getting some support on how to manage that. Get a plan together. Get a schedule together. Meagan: Yeah. So as a doula, I work a lot with my clients right before pregnancy and sometimes they are a little caught off guard when I'm like, “What's your postpartum plan?” They're like, “Huh? Aren't you a birth doula?” I'm like, “Yeah. I am a birth doula, but I know a lot about postpartum and I didn't plan for it either. Let's talk about it. How are you going to eat so you can feed your baby? How are you going to get sleep?” because just like you were talking about before, a lot of moms have to go back 12 or so weeks after. Some of them two weeks after. We also have an issue with our paternity leave– Crystal: Paternity leave for the fathers or the partners. Meagan: Yeah. We have one week. Especially if you have multiple kids, we have one week a lot of the time and then they're gone and we're like, “What are we going to do?” Get your meal trains. Get your support. Rally up together. Have your birth team. Have your postpartum team. Have a plan. We know plans change no matter what– birth, postpartum, everyday life. I sometimes plan to go to Costco and then I don't go to Costco that day because something happened. Plans change, but if we can have a baseline of an idea, I will be like, “Okay.” I have a friend who gets mastitis with every baby. Crystal: Oh gosh. Meagan: With her third baby, she was like, “I'm going to do everything.” She had her IBCLC to go to the hospital on day one to get a good, established latch. She met with her as soon as she left the hospital. By day four, she was meeting with her again to make sure. You guys, she was on sunflower lecithin. I don't know how you feel about that, but that helped her personally to not be so sticky. She was like, “I have got to get this under control. I have two other kids. I cannot be sick with mastitis.” Then she would end up getting thrush after that so she took a probiotic. Crystal: Oh my gosh. Meagan: There are things we can do and it's really hard to focus on that in the pregnancy stage. Crystal: Yeah, yeah. Meagan: But there are things. We can get on those probiotics. We can contact those IBCLCs. We can have a plan in place so we are not just thrown into the fire. Especially in my case, where I did have a Cesarean and a repeat Cesarean, those were just things that were unexpected so prepare the best you can. I love that. I love your advice. This is so important and get that support. Crystal: Yeah, for sure. I just thought of something because I talked a lot about breastfeeding and feeding your baby, but you brought up a good point. As mothers, we for sure neglect ourselves all of the time so like you were talking about with eating, make sure you eat and hydrate. Moms are recovering too from birth so whether it's vaginal or a Cesarean, planned or an emergency Cesarean, your body is doing a lot postpartum. It's just crazy. Meagan: We're amazing. We are amazing human beings. We are incredible.Crystal: Yes. We are. We are. We so are, but then we have to remember to take care of ourselves as much as possible. That's where the support and village come in because you can't do it all yourself. I guess you could. I'm sure some women have, but you shouldn't have to do it by yourself. Meagan: No, and I think like you are saying, we shouldn't have to but for some reason, we do. Crystal: Yeah. I know. I know. Meagan: We don't ask for help. We struggle asking for support. We struggle spending money on ourselves. We struggle getting postpartum doulas or going to an IBCLC because it costs so much and insurance doesn't cover it. You guys, you are worth it. You are worth it. You are amazing. You grew a human. You birthed a human. You are now taking care of a human. You are feeding a human. There is so much to it. It's okay to get that support and give back to yourself. Crystal: Totally, totally. I 1000% agree. Meagan: Yes and sometimes, that is finding a coach and just getting some advice or talking to someone and just being heard. Maybe you don't physically need anything, you just need to be heard. Crystal: Yeah, yeah. Meagan: Yes. Okay, so now we've had our baby and everything. What can we look for in the first few weeks to know that maybe we need to ask for more help or get more resources or take care of ourselves? What are some things that we can look for in those first few weeks with nursing and postpartum just in general? Crystal: Yeah, yeah. So for moms, I have spoken to a lot of moms who weren't aware that there would still be bleeding afterward so there is that. Meagan: That is a thing. Crystal: Yes, that is a thing. You are still bleeding. That is normal, but obviously, from a nursing standpoint, if there is excessive blood or you are filling a pad every hour, then for sure, you want to reach out. A lot of women tend to swell postpartum. Some are like, “No, I didn't have any swelling during the pregnancy,” then all of a sudden postpartum, you just blow up. Your feet are swollen and things like that. That could be due to some IV fluids or other stuff going on, but for sure, you want to reach out to your provider with that. Contractions and cramping afterward are still a thing, especially with breastfeeding. Some women are just like, “Oh my gosh. I did not know about this.” Some women feel great after delivering. They are like, “Yeah. I don't need to take my meds. I'm feeling okay,” but once they start breastfeeding and they start feeling these contractions, it's like, “I'm in labor again.” That is normal. I know it's uncomfortable, but that is definitely normal. If you still feel that when you're not breastfeeding or it's not relieved with pain meds, then for sure, I would highly recommend reaching out to the provider. Meagan: That can also get worse with each baby, right? Crystal: Yes. Yes, it can get stronger. Meagan: It can last a little longer and be a little bit more intense, yeah. Crystal: I know which is like, “Why? We already went through this. Why do we have to make it worse?” Meagan: Our uteruses have to shrink down. Crystal: I know. It's a good thing. The cramping is a good thing. It's a normal thing. We want that. It controls bleeding. It gets the uterus back down to the normal size and all of that. Engorgement. Even if a mom is not breastfeeding, the body's natural, physiological response is to bring in milk. With the delivery of the placenta, your hormones drop and that triggers, “Oh, okay. Baby has been born. Let's make milk.” Meagan: We have to feed it. Crystal: Yes. So whether you breastfeed or not, if you don't breastfeed, you may not get as much engorgement, but there is still stuff going on there. If you are breastfeeding, you will almost 100% get engorged in the first few days anywhere from day three to five. Sometimes it is a little bit longer, but around there, your breasts will feel really full. Some women say their breast sizes double or triple. Meagan: Mhmm. Crystal: They can get really rock hard. That's pretty normal because your milk is coming in. Getting support with latching well so the baby can empty it or if you need to, maybe you have to pump a little bit, but like I said, of course. Reach out for lactation support because depending on the situation or what's going on, the lactation consultant can further guide you on how to manage that. But lumps, you may feel little lumps in the breast. That is pretty normal. Those are just basically milk ducts that are swollen or filling with milk because of the postpartum period with increased swelling and things like that. After engorgement, I'm thinking of the progression of things, a lot of parents see clogged ducts, but now we know that it's called ductile narrowing instead of clogged ducts. Meagan: Oh. Crystal: Yes. Before, we thought that the milk was getting clogged. Meagan: Getting sticky. Crystal: Yes, then we had to somehow remove this milk plug, but the new research by the Academy of Breastfeeding Medicine is saying that it's not that. It's inflammation and swelling of the milk duct itself that causes the narrowing of the channel or the passageway that milk goes through and that makes it back up. It backs up the milk. Management for that beforehand was warm compresses and massage, massage, massage, dangle feeding or something like that. Now, they are saying that we should be using cold compresses. Meagan: Oh, okay to reduce inflammation. Crystal: Exactly, to reduce inflammation. I always tell parents that if we have a swollen ankle and the breasts are swollen, we wouldn't put a hot or a warm compress on it. Meagan: No. Okay, I'm noting it. Crystal: You would do the ice or the cold compress to reduce the inflammation and when we reduce the inflammation in those milk ducts, now that passageway opens up, everything can calm down, and milk can flow a little bit easier. Meagan: Mind blown!! Crystal: I know. Meagan: That is amazing. That would have been nice to know a long time ago. Crystal: I know. When I see moms say, “Oh my gosh, I have this lump and my breasts don't feel empty even with breastfeeding or pumping. I've been doing hot showers and massaging it.” I'm like, “No. Try cold.” Almost always, it helps. Meagan: I am totally adding this to my doula toolbox. Crystal: Yes. Yes. Meagan: This is really good information. Crystal: It is. It's so amazing when parents come back and they are like, “Oh my gosh. It worked. I can't believe it.” Also, breast tissue is very delicate. It's soft tissue. Some moms are just aggressively massaging their breasts like, “Oh my god. I have to get this out.” You don't want to do that because you can further damage and cause trauma to the breast tissues. Meagan: More inflammation. Crystal: Yes, more inflammation, exactly. Light massage. If you need to, cold compresses for that. For moms, I'm going on and on right now. This episode is going to be forever. It's going to be hours long. That's kind of the basics of the immediate thing that we need to look for in mom physically. Emotionally and mentally, parents are sleep-deprived so we definitely want to make sure, like you said, have those meal trains. I even suggest adding this to the baby registry when you are pregnant like meal cards, Door Dash cards, a postpartum doula even. It's like, “Whoa. Instead of giving me all of this, this is what I'm going to need help with in the first couple of weeks.” I know for me, I guess I'm thinking of myself and my baby, but I'm also thinking of everything else in the house that I need to do like, “Oh my gosh, I need to do the laundry. Oh my gosh. The other kids need to get rides to school,” or what have you. If there is anything, you know how friends and family are always saying, “Let me know if I can do anything to help,” please ask for help because moms and parents need sleep definitely. That helps because, for one, sleep is just a human need. Two, for sanity, and three, because the more rest that we can get as mothers, as a breastfeeding and lactating parent, the better our milk supply will be too. Meagan: Yeah, 100%. Like we were talking about, we are not thinking of drinking and that helps our breast supply. That helps our healing physically and keeps us in our minds. On that topic, Be Her Village– I'm sure you've heard us talk about it. Check out Be Her Village. You guys can create a registry just like Crystal is describing where you can go and register for a doula or childbirth education or money for an IBCLC or pelvic floor health or mental health. All of these things, if this is your registry– Crystal: Pelvic floor health, oh my gosh, is another thing. We don't know about that. Most mothers are just– not that we don't care, we just don't know. There are just so many things going on down there that for sure you need some kind of pelvic floor rehabilitation afterwards even if you have a C-section. Meagan: 100%. It's aggravating. I'm not going to spiral off on this tangent. It's aggravating to me that so many insurance companies do not cover this as a standard part of postpartum. But they're not covering postpartum pelvic floor issues. They're not covering this. Crystal: Yeah. Meagan: I went and it was $250 per visit and as a new mom, especially if we invested in a doula and an IBCLC and a photographer or whatever. Crystal: All of those things, yeah. Meagan: It's like, “Oh, whatever,” and now we have a newborn that has to have diapers at $50/box. It's really hard. Crystal: Right and that's where we neglect ourselves again. Not that we want to, but I don't even know who to blame. Healthcare or insurance or whatever is preventing us from getting the proper care or support. I did the same thing. I just wanted to touch on that. I did the same thing. I was having issues holding my bladder and I asked for a referral from my doctor for pelvic floor health because doing our own research, we're like, “Okay. I think I need to see a pelvic floor therapist.” They did not. They were like, “Well, normally we don't do that.” I'm like, “Why?”I did the same thing. I tried to look into it myself to pay out of pocket and it was expensive and I just kind of gave up and was just like, “Okay. I'll just do my own research and find out some exercises on my own and just do it on my own,” which is sad. We shouldn't have to do that. Meagan: I agree. I agree. Crystal: But okay, so on to what to expect because there are still a couple of other things. There is so much, but I just want to touch on the emotional and the mood disorders because that is very, very important and huge. I always recommend that when moms take classes prenatally they have a partner or a birth partner or something that is along for the ride with them who comes to the classes and things like that. I really recommend that postpartum too. Any time of postpartum class, newborn class, or breastfeeding class, the partner or caregiver should definitely be involved as well as the birthing parent because as moms, we don't initially see that there is something more going on with us for postpartum anxiety, postpartum depression, and things like that. It's usually a close family member who notices things going on first. Definitely, I feel like the whole family should be involved in that and if parents are just struggling with coping and with new life as a parent breastfeeding and all of the things, then definitely reach out for support because that can definitely happen with all of the hormones going on and the stress. Meagan: Lack of support. Crystal: Lack of support. Meagan: Lack of sleep. Crystal: Lack of sleep, yes. That's definitely something big. Meagan: I want to talk just slightly about this. It's really hard as a new mom to and I hope this isn't triggering, pass your baby to someone so you can take care of yourself. We had a client years ago that was really struggling. She had a series of things and was really struggling. One of the things that we ended up coming up with was for her to go to her mom's for the night. We came up with a good plan and had help with dad and the kids for baby. She ended up pumping and coming up with a supply and for one night– she did wake up engorged– she slept all night. All night. She went to bed at 8:30. She pumped before and went to bed. She woke up. I think she said it was at 6:30 which is still early, but 8:30 to 6:30 is a good stretch. She was probably so engorged that she had to wake up, but you guys, she was a new person. She said that. She was like, “Whoa. It's like my funk was just sucked out of me just by getting that sleep.” That was really hard for her to do that. Crystal: Of course, I'm sure. Meagan: It was really hard for her to be like, “I'm giving up my baby who is four days old overnight.” It's not ideal. It wasn't ideal, but she spiraled quickly and she got to a place where that's ultimately what she thought was going to be best. Anyway, it was amazing. She still had trials to get through because the next night, she had lack of sleep but she was able to build up that foundation a little bit more by getting a good night's rest. Crystal: Of course. Exactly. Meagan: Her mom seriously had all of these broths and all of this high-protein food and all of these amazing things to fill her being with all of the good things. Crystal: Yeah, because as mom, we are filling everybody else's cup usually, but we aren't filling up our cup. Meagan: Yeah. You don't have to leave your baby with anyone overnight, but going back to that, have someone fill your cup. Have someone fill your cup. Food, all of those things. Crystal: Everything. I've heard of some parents when they finally get three or four hours of sleep straight, they're like, “Oh my gosh. That was amazing.” Same thing. “I feel like a new person.” Just because sleep is a human need, so we need that and if we're just constantly days upon days upon days of getting only 1-2 hours at a time of sleep, that's definitely not sustainable and not enough. Meagan: Yeah. Yeah. She started resenting her baby. Crystal: Yeah. Yeah. I've heard of that too. Meagan: She started having anxiety at nighttime. Crystal: Yeah. Yeah. I could definitely see how that can come about for sure especially if you're breastfeeding, especially with that. We all know that of course, breast is best. Breastmilk is best, but we also have to think of the whole picture. I always tell this to all of my clients and patients that I work with. Mental and sleep health is very important. Very. I know breastmilk is too, but you do the best that you can. Meagan: It's like when we're on the airplane and they talk about if we're in an emergency and the masks fall down, prepare your mask on you first before you help someone else. Crystal: Yes. Meagan: It's a similar concept to me where if we cannot fuel ourselves with the oxygen and the sleep and these things, we cannot 100% take care of this baby. Crystal: Right, yeah. Meagan: We can't make milk. Crystal: Right. Meagan: Because our body is going to protect us and sometimes we will see a milk dip with stresses and things like that. I have clients who are nursing really, really well and then a stressful event happens in their life and they're like, “I'm losing my milk. I'm losing my milk. Is my baby not eating enough?” It's crazy how just mentally our body can do that. It can stop making as much milk. Have you seen that?Crystal: Yeah. I have. I have actually. A stressful event or if mom starts a new medication, especially birth control. They don't know. They just don't know. When I talk to my doula consultation, I say, “Any new medications?” They say, “Well, I just started taking birth control but my doctor said it should be fine and won't affect my milk supply.” I'm like, anything new can. It can. Meagan: Hormones. Crystal: It's not to say that we can't get the milk supply back up, but at least being aware of it. Okay, this is why. It's not because of something else or whatever. So yeah. I've seen that. Meagan: Yeah. Crystal: Periods, too. Moms starting their period again, it can–Meagan: Throw it off. Crystal: Every month during your cycle, yeah. It throws it off. Lots of different things that could happen and will happen, so just something to have in the back of your mind like, “Okay. This is what I remember Crystal, The Mama Coach, saying or whoever saying that this can happen, but there are ways to work around it.” Meagan: This next question is a did-you-know. I feel like this is something actually that a lot of people do not know and that is that babies lose weight in the first few days. They can lose even more than the recommended loss if there was an induction, or a lot of fluids, or a surgery. Can we talk about that? Crystal: Yes. Yes. Correct. Meagan: Can we talk about what is normal? Because I feel like again, mentally, there is so much stress on feeding the baby, getting enough, cluster feeding, and all of these things, then we have this baby that weighed in at 7lb, 12 oz and is now weighing in at 6lb, 15oz, and we are like, “Whoa. This is a big loss.” We've got providers freaking out about it, suggesting supplements, and things like that. What's normal? What is the average loss just without induction and things like that? Can we talk a little bit about that so we can offer some comfort to these mamas who might have a baby that's losing weight? Crystal: Yeah, yeah. So babies can lose up to 10% of their birth weight within the first three to four days or so. Normal weight loss is about 2-3% per day. So with that being said, when babies are in the womb, they are swallowing amniotic fluid. They are swallowing, swallowing, swallowing, so technically, they are born full and their first stool is that sticky, black, tarry meconium that is just getting rid of all of that amniotic fluid that they were swallowing while they were in the womb. So that's some weight loss because they are probably pooping five or six times within the first one or two days and it's super sticky. Then, like you said, if mom was inducted or induced or got a lot of IV fluids, antibiotics, and a Cesarean, then they got extra fluids. Anything that mom gets during labor, baby gets some of it too. Really, some providers are saying that a newborn's true weight can be seen 24 hours after birth versus one or two hours right after birth. That weight loss takes into account that. Fluids, getting rid of the meconium, and things like that, and then anything more than 10%, then we get kind of concerned. Like you said, some providers are like, “Oh my gosh. Let's do all of this.” Me, as the lactation consultant, I am less freaked out because I know that especially if a mom is breastfeeding, babies'– we're getting to probably one of our next questions– bellies are really small, so in the first couple of days, they are only taking 2-10 milliliters per feeding which is less than half of a teaspoon up to two teaspoons per feeding. That is the colostrum that they are receiving from mom, that yellow, thick, first milk that is expressed from mom's breast and although it's smaller in volume, it's really packed with a lot of nutrients and antibodies and things like that. It is nutritionally–Meagan: I say dense. Crystal: Dense, yeah. Nutritionally dense. So baby is getting what they need, it's just a smaller volume because it makes up for the fact that it takes a couple of days for mom's milk to increase and increase in volume and things like that. Babies are losing all of this excess fluids, pooping out all of this meconium, and then they're just getting smaller, frequent amounts of colostrum. All of that are factors in weight loss. And then when mom's milk starts to increase around day three to seven, they start taking in more volume and then we start to see some weight gain there. Now of course, as a lactation consultant, we look at the whole picture. What happened with the mom's labor and delivery experience? Is this baby number one or two or multiple for them? Do they have any medical background that might be a factor in milk increasing or milk coming in? All things like that and when I look at that, I'm like, “Okay. Maybe we need to supplement just a little bit if we need to.”And then I will tell moms, “Let's maybe have you pump or hand express. Any extra colostrum or transitional milk that you can express, give that to baby first and we will see how that goes,” especially if they are not wanting to start formula. Every baby and family is different so I look at the whole picture, look at their goals, and see how best I can help them. But obviously, if a baby loses a significant amount of weight like 13-15%, then we are like, “Yes. We probably need to supplement.” So like I said in the beginning, formula is used when we need it if we need it, not just automatically, “Oh my gosh. Baby is at 9 or 10% weight loss. We need to give formula.” I definitely disagree with that. And it's all the parent's choice as well. I give them the options and they decide what they want to do and then I support them in whatever they decide. Meagan: Right. So as we are kind of working on getting our milk to come in and recovering and things like that, we talked about sleep, mental health, food, water, and things like that. That's all going to help our breastmilk. But are there other things that we could be doing or should be doing to help our milk to come in quicker or once it comes in, to help it be more– savory comes to my mind, but really rich for the baby? You just talked about how some babies do lose up to 13% and then I guess a side question is, do we know why some babies lose a little bit more? Is there a reason or is there something that we as parents could do or should we just be like, supply and demand? Nurse your baby. Your milk will come in. Your milk is great. Just because your baby is not gaining as much weight doesn't mean you should shame yourself or your milk is not good enough, because there is a lot of that too. Is there anything you would give us tip-wise to help milk come in? There are a lot of questions within this one question so I'm just going to turn the time over. Crystal: Okay. So yes. The best thing we can do is early hand expression. Typically, after birth, during the first 24 hours, babies are super sleepy. Super sleepy that it's hard to get them to latch or want to nurse frequently. Thinking about how breastmilk supply works, the more you demand on the breast or remove milk, the more milk you will make. So if the baby is sleeping the first 24 hours, the baby is not expressing as much milk and that is where hand expression is important. Frequently, newborns tend to eat at least 8-12 times in a 24-hour period, so if we break it down by hours, it is just so much easier. Every 2-3 hours or so, attempt to put baby to the breast. Do what you can. If the baby is too sleepy or not latching well, then hand express. Hand expression and get out that colostrum. You can spoon-feed that to baby or cup-feed or syringe-feed that to baby, and then you're still stimulating your supply. Sometimes, I hear parents say, “Oh my gosh, the first day or two, my baby was just so good and slept for four hours.” I'm like, “Did you hand express or pump at that time?” We just don't know. They were like, “No, I didn't. I slept too.” I'm like, “I'm glad you got sleep,” but to help your milk supply increase for baby, it is very, very important to express milk every few hours whether it's hand-expressed, latching, or pumping. I'm trying to think what was the other question you had. Oh, how we can make it more savory. I always recommend doing breast massage prior to any breastfeeding or pumping or expressing session. That's just because especially in the first couple of days, colostrum is very thick, so by massaging– and light massage. Not too hard, not too aggressively. You're basically unsticking or loosening up that milk so that way it can be expressed and you can collect that good, sticky, fatty, colostrum or milk. That's for even at any time. You might have heard of a foremilk and a hindmilk type of thing. That's basically when you express, you see a little fat layer in the bottle or in the milk and to increase that, some researchers say that you can't do anything to increase that, but we can help it to come out a little bit more. That's by hand-expressing or doing what we call a breastmilk shake. I've done this myself with my last baby is just doing the breast massage before breastfeeding or nursing. I have seen a thicker fat layer on the milk, so you can do that. Meagan: That's really good to know. With my son, he was kind of small to begin with, but when I would pump, I was like, “Oh my gosh. There is this much fat in this milk.” All of it separated and I had someone kind of suggest that, but it was a warm compress, not a cold compress. It was a warm compress, slight massage, and then nurse or even hand-express for just a second, and then nurse. Crystal: Yeah, yeah. Yeah. You can do that too. You can breastfeed or even hand-express a little bit too just to help that milk supply especially if baby didn't have a good feeding or wasn't quite latched very well just to ensure we stimulate the breast properly to give that signal of, “Okay, make the milk. Bring the milk in,” and things like that. I just wanted to say as a side note, all breastmilk is beneficial for baby whether you have a thin fat layer or not. Meagan: Good to know. Crystal: Your body still tailors and makes the breastmilk to your baby's needs. Meagan: Awesome. So hand-expressing during pregnancy, we were talking about postpartum, but is it suggested to do a little bit during pregnancy? Crystal: You can, but you have to be considered at least term which is about 37-38 weeks or so, and of course, check with the OB provider because it depends on what risk factors you have. Meagan: Yeah, because it can stimulate. Crystal: It can stimulate because it does with the hand expression, the same hormone is released when you are having a contraction which is oxytocin so it can cause some cramping or contractions so you definitely want to get cleared by the OB first before just starting the hand expression, but yes. Once you get cleared, you can start antenatal hand expression and start collecting. It may be nothing or you might get drops. I've actually tried it on myself before and I didn't get anything. I was kind of discouraged, but I was like, “No, knowing what I know, it's fine,” but it's good practice, too for hand expression postpartum. So practice, collect drops, and then you can freeze it and then bring it to the hospital if for some reason baby needs to be supplemented if they have low blood sugar or jaundice or whatever, so yeah. Meagan: So good to know. Okay, and then last but not least, we have different types of feeding. Bottles, paced bottle feeding, we talked a lot about breastfeeding. Can we talk about all of the different types of feeding?Crystal: Yeah, yeah. So of course, you can do exclusive breastfeeding and that's just feeding baby at the breast, or you can do breastfeeding and pumping so feeding breastmilk in some type of vessel whether it's a bottle or syringe. I typically see bottle and syringe usually especially when the milk volume increases or you could do combo feeding which is breastfeeding, pumping, and formula feeding so you can do a combination of all three. Some moms do exclusively pumping. They don't put baby to the breast at all for whatever reason. It could be their own preference or they were just struggling with latch and it just was not working out for them, or sometimes it takes a long time to breastfeed, 30-45 minutes, so some moms feel like that works better for them to just pump for 15-20 minutes and bottlefeed. Or some, whether it's their own personal preference or medical reasons, exclusively formula feed. With that, when you do any type of feeding other than breastfeeding and you bottlefeed, you want to pace bottlefeed. We do that for several reasons. For one, sometimes, newborns don't really know how to pace themselves and they will just take that whole bottle. Meagan: Chow it down. Crystal: Chow it down in one minute flat and we don't want that because I always tell parents to think about how we eat. We don't just shove food in our mouths. Meagan: Chew your food. Crystal: Yes, chew your food and things like that. One, it can help baby learn how to slow down their feeding and then learn their own hunger cues like signs of fullness which in turn can help in the longer term as they get older knowing their hunger cues and knowing when they're full and not overeat. Then three, it can help with digestive issues. Gulping too much too fast or drinking too fast, they can take in more air which means they will be more gassy and more fussy and then we are like, “What's going on? Why is my baby so fussy?” It's because they are gassy most of the time. A lot of the time, babies are just not very comfortable when they have gas and they definitely express it and communicate that they are uncomfortable, so we want to prevent that. By pace bottle-feeding, we help to remedy that. Meagan: That makes total sense. Sometimes, I feel like when they are gasping all of that air, then they spit up a lot. This is not really one of the questions we talked about, but when a baby spits up, a lot of the time we see it, and it looks like a lot and we are like, “I can't believe I just fed my baby and it's right here on this blanket or all over myself.” Is there a rule of thumb to be like, “Okay, really, that is true. Every little ounce of that just came out?” Or is it like, “Okay, your baby still got quite a bit.” Crystal: That's kind of hard to say because like you said, it does visually look more than it is which is why pace bottle-feeding is important because we want to take frequent breaks, little, quick breaks of a couple of minutes or so to burp, let that move down their belly, and get that excess air out, and then continue feeding. I always recommend that if your baby spits up and it looks like a lot, see how they're doing and go by their cues. If it seems like they are looking for food again, try and give a little but maybe a smaller amount just to see how it goes. Meagan: Mhmm. That's a good rule of thumb. Crystal: Keeping babies upright after feeding, if you can,  will help to lessen the chance of spit-up, but then again, sometimes babies spit up out of nowhere an hour after feeding. Parents are like, “I don't know what's going on. He spit up.” If that happens and you are burping your baby and keeping them upright after feedings, I would definitely talk to a provider because sometimes it can be the formula if they are drinking formula or something to that effect. Meagan: Mhmm. Yeah. Awesome. We've gone over so much. Crystal: I know. Meagan: I want to just end on The Mama Coach. How can people find you? What do you guys offer? How does The Mama Coach? I mean, I know how. It's in amazing ways and who is a good, qualifier to go and find a Mama Coach?Crystal: Yeah, like I mentioned earlier, The Mama Coach is a group of registered nurses all over the world. I am the owner here in Vacaville, California which is in Northern California. Our goal is just to help make parenting easier. Like I mentioned, we do have prenatal services. We have postpartum services and newborn services, helping with any type of feeding even if you are not breastfeeding. Meagan: Sleep?Crystal: Sleep, yes. We have sleep. We help with newborn sleep, toddler sleep, potty training, CPR and choking classes, starting solids as well as one-on-one services here. For me, locally, I do home visits and home lactation visits. I can do any of the workshops one-on-one in home or virtually. My niche is breastfeeding– prenatal breastfeeding education and consultations as well as postpartum of course, newborn care, and sleep because those are all important things. Meagan: Very, very important things. Crystal: Very important. Meagan: You guys make it really, so easy. You just go to themamacoach.com. There is a “Find a Mama Coach”. You can search what you are looking for or you can type in your zip code and you can pull up all of the Mama Coaches near you and go over all of their services. I don't think there is a single one that only does one thing. Crystal: No, we all pretty much do a lot. Yes, correct. Yep. For sure. If you are a new or expecting parent or even a parent of a three-year-old– any parent that is struggling and your baby is five years old or under, we can help you. I am on Instagram. My Instagram is crystal.night.themamacoach. We also have a website like you were saying. The main website is themamacoach.com. We each have our own individual sites as well and I'm sure we'll post that information somewhere, but yeah. Reach out to any one of us and myself if you are in Northern California in the Vacaville area. We, like I said, almost all do virtual and then also locally in person too. I do ongoing workshops and that's always posted on my website in the classes or on my Instagram. Meagan: So amazing. You guys are doing so much. You even have a blog where you can look specifically at pregnancy, newborn, sleep schedules, and parenting in general. I mean, these guys have amazing things so make sure to go follow. We'll make sure to tag you today on our Instagram and our Facebook so you can go and find it. We're going to have the website in the show notes. We'll have all of the things we have talked about and seriously, thank you so much for helping our community because like I said, we don't talk about postpartum as much. We don't focus on it as much. We don't focus on feeding and all of the things, so thank you so much for kicking off the 2024 season with a new type of topic. Crystal: Yes. Yes. Awesome. I was so happy to be on here. Thank you. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link. Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Got mastitis? Learn all about the new protocol to help you get through this holiday season while breastfeeding. When you're traveling and you and your baby are eating and sleeping differently, it's easy for mastitis to come along. Have you ever dealt with mastitis or clogged ducts? Did you know that the Academy of Breastfeeding Medicine updated their clinical guidelines on Mastitis treatment this year? Let your favorite cohosts update you on all the big changes in a 2 part series.This first episode focuses on our new understanding of the physiology of mastitis, aka what the heck is happening in there! Join Heather and Maureen as they explore the real cause of mastitis and talk about the latest research into clogged ducts, milk blebs, and more! Then tune in next week for a dive into the updated treatment options, with a focus on first-line, at home treatments! Stay current and let the Milk Minute help you use the latest and greatest clinical guidelines.We're still on a break over here at the Milk Minute, so please enjoy one of our most impactful episodes, especially this time of year. Please consider supporting us by subscribing on Apple Podcasts or on our Patreon at Milk Minute Podcast | Patreon. Work With Us!Book a Lactation Consult with Heather! Click HERE for the deets.Book a Lactation Consult with Maureen! Click HERE to get started.THANK YOU TO THIS EPISODE'S SPONSORSHighland Birth Book a Lactation Consult today! Booking a virtual consult with Maureen is now easier than ever. Click HERE to get started!Click HERE to save 25% off and free shipping on all Liquid IV products with the code MILK_MINUTEAeroflow –  The easiest way to order your breast pump through your insurance. Click HERE to order today!Click HERE to order your Evivo! Use code MILKMINUTE for 15% off your purchase!Listener question: Can you get rid of an oversupply? I have one breast that produces a lot more milk and I want it to be even with the other one.Mentioned in this episode:Ep. 87- Oversupply…What It Means and How to Handle It!Ep. 83- Up-Regulating and Down-Regulating SupplySources:Physician Guide to BreastfeedingAcademy of Breastfeeding Medicine Clinical Protocol #36:The Mastitis Spectrum, Revised 2022Click HERE to read the full transcriptSupport the showCheck out Milk Minute Podcast's website here!Become a VIP Click here to get exclusive access and more!Send us an e-mail! MilkMinutePodcast@gmail.comFacebook | Instagram | TikTok

Event Objectives:Understand why knowledge of breastfeeding medicine is vital to providing care to pediatric patients and their families.Discuss common scenarios in which caregivers are often inappropriately advised to stop breastfeeding/providing breast milk AND true contraindications.Identify breast feeding/breast milk resources available to clinicians.Claim CME Credit Here!

Dr Jack Newman has been working with breastfeeding mothers for over 4 decades! His knowledge of breastfeeding medicine is expansive, and his passion for helping breastfeeding mothers never wavers.  In this episode Katie Oshita and Dr Newman discuss inducting lactation, at breast versus bottle supplementation and much more.  If you want to learn about lactation from one of the leaders in Breastfeeding Medicine ins the world, listen to this episode now.Podcast Guest: Dr. Jack Newman graduated from the University of Toronto medical school in 1970 and completed his residency at Vancouver General Hospital. Following this, he trained in pediatrics in Quebec City and then at the Hospital for Sick Children in Toronto from 1977-1981. In 1981, Dr. Newman became a Fellow of the Royal College of Physicians of Canada, as well as Board Certified by the American Academy of PediatricsDr. Newman was a staff paediatrician at the Hospital for Sick Children emergency department from 1983 to 1992, and acted as Chief of Emergency Services for a short period. During his time at the Hospital for Sick Children, he founded the first hospital-based breastfeeding clinic in Canada in 1984. He has been a consultant for UNICEF for the Baby Friendly Hospital Initiative, where he evaluated the first candidate hospitals in Gabon, the Ivory Coast, and Canada. In 2013, Dr. Newman was awarded the Queen's Jubilee Medal for service to the community.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Tongue ties are such a vast, controversial, and often misunderstood topic that we brought in pediatric otolaryngologist (ENT) surgeon Dr. Elise Graham to help us wade through the topic. She is also a mom to two boys with a complex breastfeeding journey of her own, which has brought her to shine a postpartum lens onto her field which she admits can gain from providing more support to patients, especially as information about tongue ties can vary greatly and specialized support can be hard to find. In addition to being a pediatric surgeon, Dr. Graham is also a certified lactation consultant (IBCLC) and earning a fellowship through the Academy of Breastfeeding Medicine, which is why we're very excited to have her guide us through the evidence-based truth about tongue ties. Resources: Academy of Breastfeeding Medicine Protocols: https://www.bfmed.org/protocols JAMA Otolaryngology - Head & Neck Surgery: What Is a Tongue Tie? IG: Dr. Elise Graham @elisegmd Feedback: Please take a moment to fill out this very short anonymous survey (>1 minute). We want to optimize Pregnancy for Professionals to suit your needs, so any feedback is very valuable and much appreciated!

The following resorces were discussed on today's episode:https://www.positivemed.com/2012/10/27/the-breastfed-baby/https://lacted.org/https://www.infantrisk.com/infantrisk-center-resourceshttps://trashthepumpanddump.org/https://www.bfmed.org/protocolshttps://www.cmqcc.org/resources-toolkitshttps://physicianguidetobreastfeeding.org/

This just in! The guidelines around the treatment of mastitis, a common complication of breastfeeding, have largely changed! On today's episode, Drs. Sarah and Alicia provide an overview of the updated clinical protocol from the Academy of Breastfeeding Medicine - and let us (possibly) be the first to tell you that the new guidelines are almost the exact opposite of what was previously recommended. A must listen! For clarification, the probiotics we were referring to are called limosilactobacillus fermentum ligilactobacillus salivarius. Additionally, this Pregnancy for Professionals Podcast episode on Intrusive Thoughts, while intended for providers, is a great deeper dive into postpartum mental health. And last but not least, our friends at Happy Health Eaters have offered our listeners 15% off of their great course on Starting Solids Confidently, using this link and the code SFH15! Super helpful for new parents everywhere!

This just in! The guidelines around the treatment of mastitis, a common complication of breastfeeding, have largely changed! On today's episode, Drs. Sarah and Alicia provide an overview of the updated clinical protocol from the Academy of Breastfeeding Medicine - and let us (possibly) be the first to tell you that the new guidelines are almost the exact opposite of what was previously recommended. A must listen! For clarification, the probiotics we were referring to are called limosilactobacillus fermentum ligilactobacillus salivarius. Additionally, this Pregnancy for Professionals Podcast episode on Intrusive Thoughts, while intended for providers, is a great deeper dive into postpartum mental health. And last but not least, our friends at Happy Health Eaters have offered our listeners 15% off of their great course on Starting Solids Confidently, using this link and the code SFH15! Super helpful for new parents everywhere!

In this episode, Cara and Missi are joined by Jenna Erickson, CNM, IBCLC for an important clinical update on the 2022 mastitis guidelines from the Institute for Breastfeeding Medicine.  This episode is a must listen to learn to stop the ice, treat the inflammation, feed naturally, and get down to the real causes of mastitis.  Jenna give us her IBCLC take on things to do, not to do, how to care for the breast, and products that we should be recommending to our patients.  https://physicianguidetobreastfeeding.org/ https://www.bfmed.org/assets/ABM%20Protocol%20%2336.pdfhttps://www.amazon.com/Improved-Medihoney-Wound-Dressing-Sciences/dp/B007EBRA6Ahttps://www.motherlove.com/?gclid=CjwKCAjw4ZWkBhA4EiwAVJXwqRuMkcQNaaQ42eGxLfXlJjP0x_vNkG7G4QXmh_oOhkcVTe6yoqnF1xoCLBwQAvD_BwE

Have you dealt with jaundice and wondered if the information you were given regarding your baby's care matched the evidence? Today on The Milk Making Minutes IBCLC Lo Nigrosh shares about the different types of jaundice and how breastmilk impacts the baby in those situations. On this episode you will learn: The clinical definition of pathological jaundiceThe clinical definition of physiological jaundice How to distinguish between suboptimal intake jaundice and prolonged jaundice associated with breast milk feedingVarious treatments for jaundiceTo read more about jaundice download the Academy of Breastfeeding Medicine's Clinical Protocol #22: https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/22-jaundice-protocol-english.pdfTo get delicious home cooked meals delivered right to your door go to the Feast and Fettle Website and use the code MILK for $30 off your first week! To book a lactation consultation with me, visit my website: www.quabbinbirthservices.com. In many cases I can bill your insurance, or create a superbill for you to submit for reimbursement. I offer virtual consults for clients outside of my service area! Make your voice heard on The Milk Making Community Group on Facebook!To learn about modern influences that make breastfeeding challenging, purchase The Big Let Down How Medicine, Big Business and Feminism Undermine Breastfeeding from my Milk Making Minutes Bookshop here!To purchase other books about breastfeeding, birth, or parenting that I love and help support the show, go here. Head to Apple Podcasts or Spotify for more Milk Making Minutes episodes!Listen to Episodes of The Milk Making Minutes on Amazon Music too!Follow me on IG https://www.instagram.com/lonigrosh_ibclc_podcast_host/ to laugh about baby feeding (so you don't cry) and to see photos of guests. Follow me on TikTok to answer questions of the day and ponder systemic inequities together: htttps://www.tiktok.com/@lonigroshibclc This show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/5834691/advertisement

Living a healthy lifestyle can be challenging, and can be even harder when you are dealing with an eating disorder. This can affect one's physical and emotional state and can impose great health risks. Dr. Rebecca Berens, a board-certified Family Medicine Physician and International Board Certified Lactation Consultant, brings her expertise in eating disorders, focusing on their diagnosis, treatment, and prevention. She discusses the three most common eating disorders which are anorexia, bulimia nervosa, and binge eating. These involve disrupted eating patterns and an intense preoccupation with weight, body shape, and food. Conditions such as PCOS and ADHD can act as triggers for eating disorders, as PCOS can cause hormonal imbalances and weight gain, while ADHD may impact impulse control and emotional regulation, increasing vulnerability to disordered eating. If you or someone you know is struggling with an eating disorder, don't hesitate to seek help. Remember, support and treatment can make a significant difference in your journey towards recovery and health.   Episode Highlights: About Dr. Rebecca Berens The three common eating disorders Why PCOS and ADHD can trigger eating disorders Where should people with eating disorders go for help Making healthy lifestyle changes without triggering their disordered eating behavior About intuitive eating and how people can utilize this tool Relapses for people with eating disorders  Advice for people who are suffering with eating disorders   Connect with Dr. Rebecca Berens: Website | www.vidafamilydpc.com Facebook | www.facebook.com/vidafamilymedicine Instagram | @rebeccaberensmd   About Dr. Rebecca Rebens Dr. Rebecca Berens is a board-certified Family Medicine Physician and International Board Certified Lactation Consultant (IBCLC) with expertise in Women's Health and Breastfeeding Medicine. She serves patients from newborns to the elderly, focusing on both the physical and mental well-being of each family member - perfect for patients looking for a lifetime of care and support. She treats each patient as an individual and tailors prevention and treatment plans to the needs of each patient rather than using a one-size-fits-all approach. Her office is welcoming to all, and her care is trauma-informed and weight-inclusive. Dr. Berens grew up in the Houston area and received her undergraduate degree in Biochemistry and Cell Biology from Rice University. She continued her studies at Baylor College of Medicine where she earned her MD. She completed her residency training at Providence Hospital, affiliated with Georgetown University in Washington, DC. She graduated residency as the program's first obstetrics scholar with additional training in women's health and obstetrics. She went on to serve as Associate Clinical Director at Carl Moore Health Center in Philadelphia, PA before returning home to Houston. She was an Assistant Professor in the Family and Community Medicine department at Baylor College of Medicine where she taught medical students and residents while continuing to practice full-spectrum family medicine before she decided to open her own practice.   Resource: Project HEAL offers Free Clinical assessment, Cash Assistance program, Treatment placement program, and Insurance navigation program  for treatment of Eating Disorders. People can apply for their different programs. If you're interested click the link www.theprojectheal.org !   Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)

The proliferation of tools and devices designed to be used during lactation has occurred without an accompanying body of research to support it. Parents are receiving hundreds to thousands of marketing messages for these products during pregnancy and lactation, a time when they are especially vulnerable to being influenced about making buying decisions that they are told can impact their ability to breastfeed. In fact, any tool or device designed to support lactation can have a negative impact if used improperly or without indication. Much like the "cascade of interventions" terminology used to describe how labor interventions accumulate, parents can also experience a cascade of lactation interventions. Lactation support providers in every setting need to keep up with the use and indications for these products and understand how to recognize when their use is becoming problematic so that they can educate parents prenatally and provide appropriate lactation care and referrals to a higher level of clinical lactation care or medical care as needed.Evolve Lactation with Christine Staricka IBCLC is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.In this session, we'll talk about how we can help simplify lactation for so many by ensuring the basics are always in place. Thank you for listening! I appreciate your support. Here's a link to a handout that goes with this session. When you share my posts, it helps this information reach more people, and that's my goal:) References for this sessionAlibhai, K. M., Murphy, M. S., Dunn, S., Keely, E., O'Meara, P., Anderson, J., & El-Chaâr, D. (2022). Evaluation of a breastmilk hand expression toolkit: the MILK survey study. International Breastfeeding Journal, 17(1), 8.Çınar, N., Karakaya Suzan, Ö., Kaya, Ö., Karataş, H., & Duken, M. E. (2021). Investigation of the Effect of Human Milk Expression Techniques on Milk Content: A Systematic Review. Journal of Tropical Pediatrics, 67(6), fmab108.Johnson, H. M., Eglash, A., Mitchell, K. B., Leeper, K., Smillie, C. M., Moore-Ostby, L., ... & Academy of Breastfeeding Medicine. (2020). ABM Clinical Protocol# 32: management of hyperlactation. Breastfeeding Medicine, 15(3), 129-134.McCue, K. F., & Stulberger, M. L. (2019). Maternal satisfaction with parallel pumping technique. Clinical Lactation, 10(2), 68-73.McGuire, M. K., Seppo, A., Goga, A., Buonsenso, D., Collado, M. C., Donovan, S. M., ... & Van de Perre, P. (2021). Best practices for human milk collection for COVID-19 research. Breastfeeding Medicine, 16(1), 29-38.Mitchell, K. B., Johnson, H. M., Rodríguez, J. M., Eglash, A., Scherzinger, C., Widmer, K., ... & Academy of Breastfeeding Medicine. (2022). Academy of Breastfeeding Medicine Clinical Protocol# 36: The Mastitis Spectrum, Revised 2022. Breastfeeding Medicine, 17(5), 360-376.Moorhead, A. M., Amir, L. H., Forster, D. A., & Crawford, S. B. (2022). ‘Is there any point in me doing this?'Views and experiences of women in the Diabetes and Antenatal Milk Expressing (DAME) trial. Maternal & Child Nutrition, 18(2), e13307.Shehata Ibrahim, S., El-Shabory, M. E. S., El-Hoda, N., Abdel–Fatah Mohamed Shehata, A., Mansour Moustafa Mohamed, S., & Osman, A. R. (2023). Effect of Hand Expression and Lactation Support on Self-Efficacy of Primiparous Mothers and Quality of Breast-feeding. Egyptian Journal of Health Care, 14(1), 34-44.Witt, A. M., Bolman, M., & Kredit, S. (2016). Mothers value and utilize early outpatient education on breast massage and hand expression in their self-management of engorgement. Breastfeeding Medicine, 11(9), 433-439.Witt, A. M., Bolman, M., Kredit, S., & Vanic, A. (2016). Therapeutic breast massage in lactation for the management of engorgement, plugged ducts, and mastitis. Journal of Human Lactation, 32(1), 123-131. Get full access to Evolve Lactation with Christine Staricka IBCLC at ibclcinca.substack.com/subscribe

It's not uncommon for many of us to find passion in a particular niche, but how many of us pursue it? Today I'm speaking with Dr Sadaf Lodhi, OB-GYN, Sexual Health Coach and host of The Muslim Sex Podcast. After experiencing burnout and deciding that she needed a change, Dr Lodhi became a coach, focusing her expertise on helping women have a better understanding of their bodies and intimacy. We talk about factors that have led to so many of us being ignorant of much of Sexual Health and Menopause Health, and how she decided to pursue her interests and build a new pathway for herself.For all my listener-clients with a passion for Breastfeeding Medicine, this episode is for you!Dr Sadaf Lodhi is a board-certified OB-GYN, as well as a Sexual Health Coach and host of The Muslim Sex Podcast. Dr Sadaf has over 22 years of experience in Clinical Medicine, as well as Coaching Certification with Rutgers University and a Sexual Counseling and Education Certificate from the University of Michigan. She practices in New York and is opening her new practice, providing Sexual and Menopause telehealth for patients in New York and Michigan. In addition to this, she also works as a Boards Examiner for the DO oral exams and writes test questions for the written components.To learn more about Dr Lodhi and her work, find her in these places:Website: Drsadaf.com (Online confidential intimacy/sex coaching for women to help with sexual confidence so that they can find more pleasure in their relationships)Instagram: @drsadafobgyn/ TikTok: @drsadafobgyn Facebook: handle: @drsadaf LinkedIn: https://www.linkedin.com/in/sadaf-lodhi-2018 To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.

In this episode of BS Free MD, Dr. Susan Landers, a retired neonatologist with over 35 years of experience, talks about her career and her book "So Many Babies". May, Tim and Dr. Landers discuss the challenges of burnout and overwhelm faced by women in the workplace, not just physicians. Dr. Landers shares her experience of getting to retirement and the struggle with burnout. She also talks about the rewarding aspects of practicing neonatology, and how she got to know patients and their families very well. After retiring, Dr. Landers wrote a book based on her NICU stories, "So Many Babies". About Susan Landers: Dr. Landers is a retired neonatologist who practiced in the NICU for thirty-four years. When she joined a practice of nine males in 1997 she slowly brought them into the modern medical world by changing schedules to be more family friendly, talking about coping with sick children, and proved the benefits of hiring other women physicians. Dr. Landers volunteered for the AAP and served on the Section on Breastfeeding's executive committee for six years. She took a slight detour in her career and worked as the medical director of the Mother's Milk Bank at Austin and joined the Academy of Breastfeeding Medicine. After she retired she wrote a memoir, “So Many Babies.” Are there any specific questions/talking points you would like to include?: What is a family friendly medical practice? How do women physicians accommodate breastfeeding after return to work? How do women physicians handle the demands of medical practice and burnout differently from men? Links! Https://susanlandersmd.com Https://instagram.com/drsusanlanders Www.linkedin.com/in/susan-landersmd Https://www.facebook.com/SLandersMD Looking for something specific? Here you go! [00:02:07] Rewarding NICU Specialist Career.  [00:04:33] Career moms and parenting struggles.  [00:09:05] Women in male-dominated fields.  [00:16:13] Balancing family and career.  [00:17:30] Working remotely during pandemic.  [00:21:26] Working mothers and burnout.  [00:26:05] Dealing with injuries as athletes.  [00:31:35] Importance of Support System.  [00:38:35] Donor milk sharing online.  [00:39:05] Contaminated donor milk.  [00:44:25] Pumping laws in the US.  [00:49:28] Breastfeeding guilt and shame.  [00:54:51] Breastfeeding controversies.  [00:57:20] Working moms and children's health.  [01:02:05] Tough ethical issues in medicine.  [01:05:40] Electronic Medical Record problems.  [01:10:00] A.I. in medicine. Our Advice! Everything in this podcast is for educational purposes only. It does not constitute the practice of medicine and we are not providing medical advice. No Physician-patient relationship is formed and anything discussed in this podcast does not represent the views of our employers.  The Fine Print! All opinions expressed by the hosts or  guests in this episode are solely their opinion and are not to be used as specific medical advice.  The hosts,  May and Tim Hindmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice. Thanks for joining us! You are the reason we are here.  If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG. Please check out our every growing website as well at  bsfreemd.com (no www) AND sign up for our WEEKLY NEWSLETTER at bsfreemd.com/truthserum ! And don't forget our new weekly DOCTALES livestreaming on Facebook and YouTube where you get to be part of the party! GET SOCIAL WITH US! Website: bsfreemd.com YouTube:https://www.youtube.com/channel/UCiQ5Rm4eBWqbK5hSQ05--mw Rumble: https://rumble.com/search/video?q=bsfreemd Instagram:: https://www.instagram.com/bsfreemd/ Facebook: https://www.facebook.com/bsfree Newsletter: https://www.bsfreemd.com/truthserum

In this episode of Breastfeeding Talk, host Jacqueline Kincer engages in a thought-provoking conversation with guest Dr. Susan Landers, whose impressive background includes working full-time as a neonatologist while serving as a speaker for the Texas Department of State Health Services, Medical Director of the Mothers' Milk Bank at Austin, a Fellow in the Academy of Breastfeeding Medicine, and also contributing to the Section on Breastfeeding for the AAP for six years.Together, Jacqueline & Dr. Landers delve into the critical role of breast milk in the NICU and the challenges faced in advocating for its use. They explore the importance of donor milk, the need for informed consent, and the significance of maternal support in making breastfeeding work.The episode also addresses the struggles of working mothers, the cultural shifts required to create a supportive environment, and the essential role of healthcare providers in empowering breastfeeding mothers. With personal stories and practical advice, this episode sheds light on the journey of breastfeeding mothers, fostering understanding and offering valuable insights for both healthcare professionals and new moms alike.In this episode, you'll hear:NICU changes and advancements in the field of breastfeeding medicine over the last 30 yearsSupport mothers in the NICU need to breastfeed & provide milk to their babiesThe role of fortifiers to promote healthy growth in NICU babiesResistance and challenges faced when advocating for human milk feedings in the NICU, including biases and prejudice against breastfeeding.Addressing the concerns and potential dangers of online donor milk sources.Emphasizing the crucial role of maternal support in making breastfeeding work, with practical tips and advice for new moms during the challenging fourth trimester.Shedding light on the prevalence of postpartum depression and the importance of support systems for new mothersDr. Landers' own breastfeeding experiences 30 years ago and her journey supporting her own daughters in breastfeedingStruggles faced by working mothers in balancing breastfeeding and professional responsibilitiesNeeded cultural shifts required to foster a more supportive environment for breastfeeding and the role of healthcare providers, including lactation consultants, in empowering mothers with the necessary knowledge and resources.Burnout among working mothers and the importance of self-care and taking breaks to maintain mental health and sustain breastfeeding journeys.A glance at this episode:[5:00] Breastmilk in the NICU[13:25] Resistance that Dr. Landers encountered when she started advocating for human milk[19:04] Why donor milk is so important [26:48] Why maternal support is crucial to making breastfeeding successful[38:04] Dr. Landers' advice for other healthcare providers to help support their communities[46:53] The importance of support in breastfeedingRelated Links:Dr. Landers' WebsiteDr. Landers' InstagramDr. Landers' FacebookABM Find a Physician DirectoryAAP Find a Pediatrician toolDr. Landers' Book on Amazon

Join Dr. Rubin to discuss the essential role of Breastfeeding Medicine. Learn what sets it apart from other lactation support and why it matters. Dr. Rubin is a pediatrician and breastfeeding medicine specialist practicing in the Western Suburbs of Chicago. She did her undergrad at Stanford University, medical school at Georgetown, and pediatrics residency at the University of Chicago. She worked as an outpatient general pediatrician at Loyola University Medical Center for 13 years before opening her new practice, In Touch Pediatrics and Lactation.  In Touch is a Direct Pediatric Care practice offering general pediatrics services and breastfeeding medicine consults. Dr. Rubin is thrilled to be able to provide these services in patients' homes when and where they need them most! She continues to teach medical students as the adviser for her Breastfeeding and Lactation 4th Year Elective. She serves as the Co-Chair for the Committee on Breastfeeding for the Illinois chapter of the AAP and is a board member of the North American Board of Breastfeeding and Lactation Medicine. Contact Dr. Rubin. https://www.facebook.com/InTouchPeds https://www.instagram.com/intouchpeds/ https://www.youtube.com/channel/@intouchpeds www.linkedin.com/in/cindyrubinmd https://twitter.com/drcindyrubin --- Send in a voice message: https://podcasters.spotify.com/pod/show/urcaringdocs/message

At the age of 101, my grandmother, Beverly's, dementia is really starting to show. I'm over at her house one day when her new social worker comes by. I hear him talking to one of her caregivers in the other room. She says to him, “Sometimes Beverly says she wants to go home. Yet, she's in her own home. So when Beverly says that, we just tell her, ‘You ARE home.' But it doesn't really register.” He responds, “Beverly is simply looking for a safe space. So rather than trying to battle with her, all you need to do is remind Beverly that she is 100% safe and everything is fine.” As I listen to this conversation, I find myself smiling and feeling happy that she has someone besides myself advocating for her... and someone helping the caregivers too, offering them a different perspective instead of telling them that they're doing it wrong. My guest today, Dr. Karen Federici, also advocates on behalf of others. She's an award-winning family physician and an expert in breastfeeding. In this episode of the Storytelling School Podcast, you'll hear all about her story on advocating for others and answers to questions like: How is your Talk enhanced when you use story versus when you don't? What role does storytelling play in the work that doctors do, and how can healthcare professionals integrate it into their own work? And what can you do to redirect the story you're hearing from those you serve in your profession to better help them? What you will learn in this episode: How a story not going to plan can set you up for a new (and even better) story How other people's unhelpful advice can hinder your emerging story Why sometimes the real story isn't where the main focus is Who is Dr. Federici? Inspired by her own experience as a new mother, Karen Federici, MD saw a genuine need for doctors who championed breastfeeding. So she became that doctor, leaving her career as an actuary behind. Now, she's an award-winning physician and breastfeeding expert.  Dr. Federici founded Family First, a practice centering around primary care for women and children and breastfeeding medicine, after completing her residency in 2006. Recently, she founded TeleLact which provides expert lactation support through telehealth to expand access to quality care for breastfeeding moms. Last year, she opened the first and only donor human milk dispensary in her region. As part of the Academy of Breastfeeding Medicine and with a certification in family medicine, Dr. Federici volunteers as a clinical preceptor, teaching breastfeeding medicine to students and fellow physicians. Not enough families have access to a doctor with knowledge on breastfeeding. So she likes to direct them to her TEDx Talk to help spread the word so that they can positively impact breastfeeding, advocate for themselves, and encourage their doctors to seek more education on the subject. Links and Resources: TeleLact Family First Dr. Federici's TEDx Talk @dr.karen.federici on Instagram @telelact247 on Facebook Dr. Federici on LinkedIn Storytelling School Website @storytellingschool on Instagram @storytellingSchool on Facebook

New Mastitis protocol? Yes, the Academy of Breastfeeding Medicine has added a new protocol, #36, the Mastitis Protocol. Actually, it is updated but the ideas in it are so revolutionary, it may as well be new! Dr. Katrina Mitchell was a major force behind these changes. She had noticed in her clinic as a Breastfeeding… The post appeared first on The Breastfeeding Center of Ann Arbor.

In this episode, Rich has a conversation with Dr. Susan Landers.Get to know Dr. Susan Landers, an accomplished neonatologist. She holds BS degrees in Biology and Chemistry from Auburn University and an MD degree from the Medical University of South Carolina. Dr. Landers completed her pediatrics residency at the University of Texas Southwestern Medical School hospitals, and her neonatology fellowship at Baylor College of Medicine hospitals. As an academic neonatologist, Dr. Landers conducted clinical research and published twenty-three peer-reviewed papers. On top of that, she also served as a speaker for the Texas Department of State Health Services, Medical Director of the Mothers' Milk Bank at Austin, and on the board of directors of the milk bank. She continued to publish papers and work for the American Academy of Pediatrics (AAP), becoming a Fellow of the Academy of Breastfeeding Medicine in 2002. Dr. Landers also contributed to AAP policy statements and clinical guidelines, serving on the Executive Committee of the Section on Breastfeeding from 2008 until 2014. Her contributions didn't go unnoticed, as she was awarded a national award for "Outstanding Accomplishments in Quality Improvement" in 2008.Thank you to Dr. Susan Landers for the conversation. Here are some links for Dr. Landers:Website:

Dr. Rubin is a general pediatrician and breastfeeding medicine specialist practicing in the Western Suburbs of Chicago. She worked at a large academic center as an outpatient general pediatrician for 13 years before opening her new Direct Pediatric Care practice, In Touch Pediatrics and Lactation. Dr. Rubin loves providing pediatrics, breastfeeding medicine, and 4th-trimester care services in patients' homes, when and where they need them most! She continues to be involved in teaching medical students as the adviser for her Breastfeeding and Lactation 4th Year Elective, and she serves as the Co-Chair for the Committee on Breastfeeding for the Illinois chapter of the AAP and is a board member of the North American Board of Breastfeeding and Lactation Medicine. www.intouchpediatrics.comFind the youtube video interview here!For more from Cappella, follow us on all social media channels:Website | Instagram | Facebook | Linkedin | Twitter | YoutubeTo get in touch with us, send us an email at hello@cappella.io! --- Send in a voice message: https://podcasters.spotify.com/pod/show/cappella/message

Description:   Carrie Bruno, Registered Nurse and IBCLC lactation consultant, made it her life's work to support families as they move through all of parenting's challenges. She is empathetic to parent's journeys with breastfeeding and evidence based so you will be getting the most up to date advice in this interview! Some of this new information may come as a surprise, so Carrie breaks it down and shares advice on how to navigate your breastfeeding journey.  Carrie Shares: New research and guidelines about breastfeeding from the Academy of Breastfeeding Medicine - hint, it's probably not what we've been taught!  New information on plugged ducts and mastitis and how to treat them D-MER, breastfeeding anxiety, and postpartum mental health When to start pumping, how much to feed, and how often  How to avoid oversupply and undersupply - plus, how to know if your supply is “good”  How formula can play in (and how that's okay)  Your experience will look different than what you see others doing, this is your journey! Show Notes:  For more of Carrie, please visit instagram.com/the.mama.coach  on Instagram and themamacoach.com on the Web For more of We Go There Podcast, please visit instagram.com/wegotherepodcast on Instagram and wegotherepodcast.com on the Web *Warning- this podcast is completely unfiltered. If you are around young children, we suggest headphones.*  

In this episode, Arya Pretlow, CNM, IBCLC shares her knowledge and recommendations about lactation. Many moms have questions about breastfeeding, lactation, when to pump, how to increase supply, etc. This episode touches on some of those hot-button topics and offers resources that new moms (and experienced moms) can tap into for guidance, peer support, and lactation resources.Contact Arya:https://www.apwellnessservices.com/Here are some of the resources mentioned in the episode:The Academy of Breastfeeding Medicine bfmed.orgUSLCA find a lactation consultanthttps://uslca.org/resources/find-a-lactation-consultant-map/ILCA find a lactation consultanthttps://ilca.org/why-ibclc-falc/La Leche Leaguehttps://www.llli.org/la-leche-league-online-support-resources/WIC Breastfeeding Supporthttps://wicbreastfeeding.fns.usda.gov/ Coaching offerSupport the showConnect with Kelly Hof at kellyhof.comMedical Disclaimer:This podcast is intended as a safe space for women to share their birth experiences. It is not intended to provide medical advice. Each woman's medical course of action is individual and may not appropriately transfer to another similar situation. Please speak to your medical provider before making any medical decisions. Additionally, it is important to keep in mind that evidence based practice evolves as our knowledge of science improves. To the best of my ability I will attempt to present the most current ACOG and AWHONN recommendations at the time the podcast is recorded, but that may not necessarily reflect the best practices at the time the podcast is heard. Additionally, guests sharing their stories have the right to autonomy in their medical decisions, and may share their choice to go against current practice recommendations. I intend to hold space for people to share their decisions. I will attempt to share the current recommendations so that my audience is informed, but it is up to each individual to choose what is best for them.

We never seem to get enough sleep – and we never seem to get enough episodes on sleep.This is a presentation from the Academy of Breastfeeding Medicine on bedsharing.  Listen up and learn what the medical professionals have to say.If you are a new listener, we would love to hear from you.  Please consider leaving us a review on itunes or sending us an email with your suggestions and comments to badassbreastfeedingpodcast@gmail.com.  You can also add your email to our list and have episodes sent right to your inbox! Things we talked about:Where this presentation came from [3:56]Message from the UK [6:34]Why human babies want to be close and feed often [8:57]We don't understand infant sleep [13:37]Does evolutionary biology change? [16:10]What sleeping like a baby really means [18:40]Poor sleep = breastfeeding cessation [23:30]Options given to parents [25:00]Babies in another room [27:40]Are you really someone who promotes breastfeeding if you discourage bedsharing? [30:30]“Never bedshare” messages prevent conversation about the issue [33:598]ABM protocol #6 on Bedsharing [39:44] Today's episode is brought to you by Silverette! Silverette silver nursing cups are your one-stop solution to soothe and protect your nursing nipples! Use code BADASS at www.silveretteusa.com for 15% off!Today's episode is brought to you by The Breastfeeding Shop! The Breastfeeding Shop supplies breast pumps, accessories & more through insurance. Visit www.thebreasfeedingshop.com. Links to information we discussed or episodes you should check out!https://www.bfmed.org/assets/Ball%20Helen.pdf https://badassbreastfeedingpodcast.com/episode/082-nighttime-breastfeeding-with-tracy-cassels-phd-evolutionary-parenting/https://www.basisonline.org.uk/about-us/Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/     Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Follow our Podcast~https://badassbreastfeedingpodcast.comHere is how you can connect with Dianne and Abby~Abby Theuring  https://www.thebadassbreastfeeder.comDianne Cassidy http://www.diannecassidyconsulting.com Music we use~Music: "Levels of Greatness" from "We Used to Paint Stars in the Sky (2012)" courtesy of Scott Holmes at freemusicarchive.org/music/Scott Holmes

The latest and most up-to-date protocol for clogged ducts, engorgement, mastitis and abscesses from the Academy of Breastfeeding Medicine. Learn how to take care of your breasts, so they can take care of you (and your baby!)Love the show? Buy Bri an ice creamCheck to see if your insurance will cover 6 consults with Breezy Babies (for free!)Join Bri's crew so we can stay in touch.*This podcast is not "medical advice". Please consult with your Healthcare Provider about your specific situation.This episode appeared first on the Breezy Babies website. Follow along @breezy__babies on Insta for more tips and tricks.Support the showLove the show? Buy Bri an ice creamCheck to see if your insurance will cover 6 consults with Breezy Babies (for free!)Join Bri's crew so we can stay in touch.This podcast is not "medical advice". Please consult with your Healthcare Provider about your specific situ...

Did you hear about all the major changes with mastitis?This year the Academy of Breastfeeding Medicine updated their protocols for the treatment of Mastitis, clogged ducts, and milk blebs! We have made some serious progress in our understanding of why and how these things happen and we now have much better methods to treat them. Tune into the Milk Minute and let your favorite cohosts give you the low down on the updates. Heather and Maureen want you to have the best information available to manage your own health!This information is crucial to both self care  and healthcare provider management of these conditions, so don't miss it!Work With Us!Book a Lactation Consult with Heather! Click HERE for the deets.Book a Lactation Consult with Maureen! Click HERE to get started.Listener Question: Would it be bad to dry up my supply with Sudafed?THANK YOU, PATRONS!Amanda from Waterville, Ohio, Nancy B & Mandy, G from Morgantown, West VirginiaTHANK YOU TO THIS EPISODE'S SPONSORSGet your breastfeeding journey BACK ON TRACK with a Lactation Consult with Heather! Telehealth available and some insurance accepted. Click HERE for the deets. If you have Blue Cross Blue Shield, Anthem, Cigna PPO or Provider Network of America– you can fill out a short form to get pre-approval to get your visits with Heather 100% approved! Click HERE to access the form.Ceres Chill - Click HERE and enter promo code MILKMINUTE15 for 15% off!Click HERE to get HappiTummi and enter code MILKMINUTE10 for 10% off your order!Dairy Fairy - Click HERE and use Promo Code MILKMINUTE for free domestic shipping on any of our itemsMentioned in this episode:Ep. 43 - Cold and Flu Medications while BreastfeedingEp. 84- Let's Talk Nipple Shields!The bathroom bird episode: Getting Baby Back to the Breast: Nursing strikes and breast refusalPrefer to read the transcript? Click Here to read the edited version of this episode! All of the resources cited in this episode are available on our professional transcript.Support the showCheck out Milk Minute Podcast's website here!Become a VIP Click here to get exclusive access and more!Send us an e-mail! MilkMinutePodcast@gmail.comFacebook | Instagram | TikTok...

Have you ever dealt with mastitis or clogged ducts? Did you know that the Academy of Breastfeeding Medicine updated their clinical guidelines on Mastitis treatment this year? Let your favorite cohosts update you on all the big changes!This first episode focuses on our new understanding of the physiology of mastitis, aka what the heck is happening in there! Join Heather and Maureen as they explore the real cause of mastitis and talk about the latest research into clogged ducts, milk blebs, and more! Then tune in next week for a dive into the updated treatment options, with a focus on first-line, at home treatments! Stay current and let the Milk Minute help you use the latest and greatest clinical guidelines.Work With Us!Book a Lactation Consult with Heather! Click HERE for the deets.Book a Lactation Consult with Maureen! Click HERE to get started.THANK YOU, PATRONS!Blair from Indiana, PA and Erin KeyTHANK YOU TO THIS EPISODE'S SPONSORSHighland Birth Book a Lactation Consult today! Booking a virtual consult with Maureen is now easier than ever. Click HERE to get started!Click HERE to save 25% off and free shipping on all Liquid IV products with the code MILK_MINUTEAeroflow –  The easiest way to order your breast pump through your insurance. Click HERE to order today!Click HERE to order your Evivo! Use code MILKMINUTE for $10 off of your purchase!Listener question: Can you get rid of an oversupply? I have one breast that produces a lot more milk and I want it to be even with the other one.Mentioned in this episode:Ep. 87- Oversupply...What It Means and How to Handle It!Ep. 83- Up-Regulating and Down-Regulating SupplyCheck out Milk Minute Podcast's new website here!Become a Milk Minute VIP: Click here to get behind-the-scenes-access and exclusive merch!Contact us: To send us feedback, personal stories, or just to chat you can send us an email at milkminutepodcast@gmail.comGet Community Support: Click Here to Join our Free Facebook Community!Stay up to Date: Find us on INSTAGRAM @milk_minute_podcastStare at us on TikTokPrefer to read the transcript? Click Here to read the edited version of this episode! All of the resources cited in this episode are available on our professional transcript.Support the show

New "gender inclusive" language guides from the Academy of Breastfeeding Medicine are making their way into US hospitals. Plus, the Biden Administration now says sex and gender ARE the same.Get exclusive content here!: https://thepetekalinershow.com/See omnystudio.com/listener for privacy information.

Article in question: https://www.liebertpub.com/doi/pdf/10.1089/bfm.2021.29188.abm _______________________________________ If you appreciate my work and would like to support it: https://subscribestar.com/the-saad-truth https://patreon.com/GadSaad https://paypal.me/GadSaad _______________________________________ This clip was posted earlier today (July 30, 2022) on my YouTube channel as THE SAAD TRUTH_1432: https://youtu.be/WV5kLQx88h4 _______________________________________ The Parasitic Mind: How Infectious Ideas Are Killing Common Sense (paperback edition) was released on October 5, 2021. Order your copy now. https://www.amazon.com/Parasitic-Mind-Infectious-Killing-Common/dp/162157959X/ref=tmm_hrd_swatch_0?_encoding=UTF8&qid=&sr= https://www.amazon.ca/Parasitic-Mind-Infectious-Killing-Common/dp/162157959X https://www.amazon.co.uk/Parasitic-Mind-Infectious-Killing-Common/dp/162157959X _______________________________________ Please visit my website gadsaad.com, and sign up for alerts. If you appreciate my content, click on the "Support My Work" button. I count on my fans to support my efforts. You can donate via Patreon, PayPal, and/or SubscribeStar. _______________________________________ Dr. Gad Saad is a professor, evolutionary behavioral scientist, and author who pioneered the use of evolutionary psychology in marketing and consumer behavior. In addition to his scientific work, Dr. Saad is a leading public intellectual who often writes and speaks about idea pathogens that are destroying logic, science, reason, and common sense. _______________________________________

Hi Dolls! Thanks so much for coming back for our 33rd episode. We are so happy you are here. Each week I will be joined by different guests to answer your questions as best we can. 

Matt was inspired by Gill Tietz's Sober Powered episode, Staying Sober During the Holidays.  The episode is much less staying sober during the holidays, and more staying sober at events where booze is available.  Practicable advice for those in recovery for anytime.BBQsWork partiesConcertsEctJohn, Matt and Steve talked about their experience being on guard for the unguarded moment.  In this episode we talk about:Keeping your drink in your hand.  If you put it down, get anotherTell a bartender you are not drinking and stick with that person (thanks Gill)Our thoughts on non-alcoholic versions of an alcoholic drinkHow people put booze in food and to watch out.This is great advice for anyone looking at sobriety, new or old.Deep MC'sMental Health, Crazy Stories, Viral Videos, and Big YouTube Guest. What more do you need?Listen on: Apple Podcasts Spotify Katie The Traveling Lactation ConsultantTongue Tie, Breastfeeding Medicine, Breastmilk allergy & more as Katie travels the countryListen on: Apple Podcasts SpotifyWe wanted to alert you that you may hear some ads inserted into the show. We've carefully selected each ad to be sure it's recovery appropriate. We are not looking to make a profit, only looking to get enough help to make this expense neutral. We'd love your feedback. You can email at matt@soberfriendspod.comSupport the show

Live with Canadian Trucker Chad Metz!Sandy K Nutrition - Health & Lifestyle QueenYour Aging Better Advocate midlife & beyond through biohacking & alternative wellness.Listen on: Apple Podcasts Spotify Katie The Traveling Lactation ConsultantTongue Tie, Breastfeeding Medicine, Breastmilk allergy & more as Katie travels the countryListen on: Apple Podcasts SpotifySupport the show

Live with Canadian Trucker Chad Metz!Sandy K Nutrition - Health & Lifestyle QueenYour Aging Better Advocate midlife & beyond through biohacking & alternative wellness.Listen on: Apple Podcasts Spotify Katie The Traveling Lactation ConsultantTongue Tie, Breastfeeding Medicine, Breastmilk allergy & more as Katie travels the countryListen on: Apple Podcasts SpotifySupport the show

My name is Ernest Ramirez, I was a single parent who lost my son a few days after he received the shot. My son Ernesto received the shot and following his death, the only explanation that was given to me was an enlarged heart. My son was in good health and regularly played baseball since he was 7 years old. Advertising claimed that the vaccine is safe for adolescents, and this convinced me to book Ernesto Jr. for the jab on April 19th. Five days later, he died. I need to spread my story so that, hopefully, no one else will go through what I'm going through. Ernesto Jr was my world, and I feel I need to fight for him and others that are also suffering It kills me to come home to an empty house. We need to yell, we need to fight, we need to do something. His life was worth much more than what the Government or anybody else thinks, I love the hell out of my country, but I do not trust my Government anymore.” According to his autopsy, Ernesto died of an enlarged heart five days after the jab, which showed his heart was double the normal size. Support Ask The Nurses Podcast1. https://www.patreon.com/AskTheNursesPodcast2. buymeacoffee.com/AFLN              Sandy K Nutrition - Health & Lifestyle QueenYour Aging Better Advocate midlife & beyond through biohacking & alternative wellness.Listen on: Apple Podcasts Spotify Katie The Traveling Lactation ConsultantTongue Tie, Breastfeeding Medicine, Breastmilk allergy & more as Katie travels the countryListen on: Apple Podcasts Spotify The Zen (ish) Mommy Educate Empower Laugh Connect. A place for real information you want to know.Listen on: Apple Podcasts Spotify There is a Method to the MadnessThis is a podcast where I will be discussing all aspects of physical fitness. I am an...Listen on: Apple Podcasts SpotifySupport the show

I am Dr. Bryan Ardis, D.C.In early 2020 I lost my Father-in-law because of ill-advised hospital protocols. Since that time, I have been on a mission to help educate the public about the dangers to Americans, in many of our "institutes of health".I am passionate about exposing corruption of the medical system and the powers that be in this country. My focus is on medical freedom, education, and waking up the world with the truth.I hope to inform, inspire and empower those who are struggling with personal health issues. I promise to deliver real research and applicable information that can free people from emotional despair and fear, created by symptoms of disease and disinformation.Ardis Labs and the Ardis Healing Center have helped thousands of patients from all over the world, including, from countries as far away as the Philippines, Taiwan, Australia, Barbados, Italy, Scotland and many more.I am the CEO of ArdisLabs and Host of The Dr. Ardis Show.I sold the Ardis Healing Center in October of 2018, and now consult the three practitioners who have taken over the practice, which now carries the name, North Texas Healing Center.I co-founded TruLabs LLC and formulate all of the hydration products we make.You can find my podcast, "The Dr. Ardis Show", on vokalnow, rumble and right here on the site.You can find all our healthy and natural Ardis Labs products right here on the site.For more information about our hydration products please visit www.trulabs.comSupport Ask The Nurses Podcast1. https://www.patreon.com/AskTheNursesPodcast2. buymeacoffee.com/AFLN                Sandy K Nutrition - Health & Lifestyle QueenYour Aging Better Advocate midlife & beyond through biohacking & alternative wellness.Listen on: Apple Podcasts Spotify Katie The Traveling Lactation ConsultantTongue Tie, Breastfeeding Medicine, Breastmilk allergy & more as Katie travels the countryListen on: Apple Podcasts Spotify The Zen (ish) Mommy Educate Empower Laugh Connect. A place for real information you want to know.Listen on: Apple Podcasts Spotify There is a Method to the MadnessThis is a podcast where I will be discussing all aspects of physical fitness. I am an...Listen on: Apple Podcasts SpotifySupport the show

Live with Canadian Trucker Chad Metz!Sandy K Nutrition - Health & Lifestyle QueenYour Aging Better Advocate midlife & beyond through biohacking & alternative wellness.Listen on: Apple Podcasts Spotify Katie The Traveling Lactation ConsultantTongue Tie, Breastfeeding Medicine, Breastmilk allergy & more as Katie travels the countryListen on: Apple Podcasts SpotifySupport the show

Happy Friday Friends!My next guest has shared her story in the medical field juggling being a mother. I love her openness and her vulnerability about witnessing some very hard cases being in the Neonatal ICU. Please welcome PREMIERE guest Dr. Susan Landers. Susan has 34 years of experience in the neonatal intensive care unit (NICU). She practiced in academic medicine (on faculty of two medical schools) and in private practice. She found her work in the demanding environment of the NICU rewarding & managed to postpone burnout until the end of her career. She and her physician husband raised three children (now all young adults) while they both practiced medicine full time. She recently wrote a memoir called "So Many Babies: My life Balancing a Busy Medical Career and Motherhood." Susan enjoys recounting some of her best, and worst, experiences of being a working mother, and how she managed to stay resilient. She shares with other working mothers many things she learned along her journey as a busy mother and successful doctor.She attended medical school at the Medical University of South Carolina in Charleston and completed her pediatrics residency at University of Texas Southwestern Medical School and Parkland Hospital in Dallas. She completed her neonatology fellowship at Texas Children's Hospital and Baylor College of Medicine in Houston. She has special expertise in breastfeeding medicine, and human donor breastmilk banking. She previously worked for the American Academy of Pediatrics as a leader in the Section on Breastfeeding Medicine. She currently is retired and lives in Austin, Tx.https://www.linkedin.com/in/susan-landersmd/https://www.instagram.com/drsusanlanders/https://www.facebook.com/drsusanlandershttps://twitter.com/susanlandersmdhttps://susanlandersmd.comSupport for Label Free Podcast is brought to you by ​MANSCAPED™​, who is the best in men's below-the-waist grooming.  ​ @MANSCAPED offers precision-engineered tools for your family jewels. They obsess over their technology developments to provide you the best tools for your grooming experience. MANSCAPED is trusted by over 2 million men worldwide! We have an exclusive offer for my listeners - 20% off + free shipping with the code: LabelFree20 at   https://www.manscaped.com​ As always thank you for the support, to contact me directly follow the link below: https://www.labelfreepodcast.com​ Stay Healthy, Stay Ready- Deanna Marie Kuempel #ad​​ #sponsor​ #publishedauthor #neonatal #ICU