Podcasts about lactmed

Neurologic care during pregnancy and menopause requires careful attention to the dynamic interplay between hormonal transitions, evolving evidence on diagnostic and treatment safety, and the lifelong risks associated with neurologic complications of pregnancy. In this episode, Katie Grouse, MD, FAAN, speaks with Sara C. LaHue, MD, author of the article "Neurologic Complications of Pregnancy and Menopause" in the Continuum® February 2026 Neurology of Systemic Disease issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California, San Francisco in San Francisco, California. Dr. LaHue is an assistant professor of neurology for the Weill Institute for Neurosciences in the Department of Neurology at the University of California, San Francisco School of Medicine in San Francisco, California Additional Resources Read the article: Neurologic Complications of Pregnancy and Menopause Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Full episode transcript available here Dr Grouse: Despite the high prevalence of neurologic conditions in women, critical gaps remain in training, research, and clinical guidelines on sex and gender specific considerations across the lifespan. Today, I have the opportunity to speak with an expert on neurologic complications of pregnancy and menopause and coauthor of the and women's neurology curriculum core competencies, Dr Sara LaHue about the latest issue of Continuum on neurology of systemic disease. Dr Jones: This is Dr Jones, editor in chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Grouse: This is Dr Katie Grouse. Today I'm interviewing Dr Sara LaHue about her article, Neurologic Complications of Pregnancy and Menopause, which appears in the February 2026 Continuum issue on Neurology of Systemic Disease. Welcome to the podcast and please tell us more about yourself. Dr LaHue: Well, thanks so much for having me. I'm really excited to talk about this topic. So, I'm Sara LaHue. I'm a neurologist at UCSF, assistant professor of neurology, and a neurohospitalist. So much of my role is taking care of people who are coming into the hospital with urgent and emergent neurologic conditions. And so that's very much a framing that I come to this chapter with. Dr Grouse: I just want to start by congratulating you on your article, which is such a phenomenal compendium of important neurologic issues related to pregnancy and menopause, which I think I really needed and a lot of us really need and was missing, I think, in all of the literature out there. This article will be such an important clinical resource. I know for me, and I'm sure for many of our listeners, this may be a difficult question to answer because of how comprehensive the article is. But what do you hope will be the main takeaway for those who read your article? Dr LaHue: So, I really hope that listeners walk away with understanding that pregnancy and menopause are not contraindications to providing excellent neurologic care. I think too often we default to withholding treatment, pseudo-assumed risk, rather than actual evidence of harm. And so, I think that the key message here is that protecting maternal health is protecting fetal health, and that under-treating neurologic conditions during pregnancy can harm both mother and baby. Dr Grouse: You did say specifically in your article that I thought it was so important that presumption of harm from medications during pregnancy, due to lack of evidence rather than evidence of harm, was something that we really had to be aware of, of that bias. And how do you recommend neurologists listening to this podcast approach situations where diagnostic or management strategies become less certain due to safety considerations in pregnancy? Dr LaHue: Yeah, that's such an important question. I really frame it as a risk-benefit calculation with a patient, and I'm very transparent about what we know and what we don't know. And I emphasize that untreated disease may also impact fetal health. I use resources like LactMed and pregnancy registries that can help provide some of the more latest data. And then when evidence is limited, I document our discussion thoroughly, and I'll often involve maternal-fetal medicine colleagues for their multidisciplinary input. So, the goal is really to have an informed, shared decision-making process rather than a reflexive avoidance of all treatments. Dr Grouse: I think that's really important to reiterate, and I think something that we're all I think working on as we try to manage these difficult situations and conditions. Now, I want to switch gears a little bit and ask. Your article was so comprehensive and so helpful, but what isn't in the article that you wanted to put in? Dr LaHue: There was a fair amount that I ended up having to take out. So, this is a question that's near and dear to my heart. So, I would have liked to include more on the neurodevelopmental outcomes for children who are exposed to various neurologic medications in utero. And I also wanted to discuss more about transgender and non-binary individuals who are experiencing pregnancy and menopause, as they're often underrepresented in research. They've faced unique challenges accessing care. Dr Grouse: Now, I was really struck by one statistic in your article, specifically that intimate partner violence is a leading cause of head injury during pregnancy, and that actually homicide is a leading cause of death during pregnancy in the postpartum period in the US, which was absolutely a surprising statistic to me. What does this mean for our listeners caring for pregnant patients with concussions and head injuries? What should we be doing differently? Dr LaHue: This is also something that really struck me when I first encountered it. I think that the statistics should really fundamentally change how we approach head injuries in pregnant patients. I think we need to screen everyone routinely and privately for violence in the home and in the relationships, and to document injuries very carefully. But we also need to be prepared if someone does screen positive. And so, it's important to be familiar with what's available in terms of resources within your community, where you work, and also to remember that that strangulation in particular is something that can cause dissection and stroke. And so, to maintain a high index of suspicion for any kind of vascular injury in these cases. So not just thinking about head injury itself, but also thinking about complications of strangulation as well. Dr Grouse: Really a great reminder of the role that we can play in our own careers and our own clinical settings when we see cases like this. So, I really appreciate that this point was made, and I hope this will change people's practice. Now switching gears to stroke in pregnancy. Could you walk us through your evaluation and management of a patient who comes in with acute stroke in the peripartum period? Dr LaHue: This is such an important topic, and I think the first thing I'd like to emphasize is that time is brain. Whether or not you're pregnant. It's important to get whatever imaging modality is going to be fastest. Get the CT or get the MRI as soon as you can. Don't delay for fetal concerns. The radiation risk is minimal compared to missing a treatable, disabling stroke. In terms of treatment, thrombolysis and mechanical thrombectomy should be considered just as in a non-pregnant person, when the benefits outweigh the risks. And so, I think the key is involving obstetrics early for shared decision making, and being very transparent with what treatment options are available for the individual, and to not let pregnancy alone stop you from offering standard stroke therapies. Dr Grouse: Definitely a helpful resource, and I think the resources that you put in specifically around the considerations and differentials in these various populations. Postpartum, while still pregnant during the period of period, I think is all just so helpful and a great review. So, I encourage our listeners to check that out. Now switching over to the topic of menopause. I have to say, I really appreciated your coverage of neurologic issues related to the perimenopause period. What do you think is the biggest debate or controversy in this area? Dr LaHue: I think this has to be our understanding of the use of menopausal hormone therapy. The pendulum, when using menopausal hormone therapy, has really swung dramatically. So, we went from routine use to predominantly avoidance. After the Women's Health Initiative was published in 2002, and now we're finding that we're starting to come more to a middle ground. I think there's still great debate when it comes around timing of initiation, formulation of the different therapies, a route of administration and also the dosing, as well as just including how to individualize therapy for individuals with neurologic conditions. Dr Grouse: Well, going into that a little further, I know I get a lot of questions about the use of hormone therapy as it relates to stroke risk and particularly in higher risk patients such as patients who've had prior strokes, dissections, a history of migraine with aura. And I find it hard to get the answers in the literature that's out there. How are you counseling these patients? Dr LaHue: So, I think this is where discussions around the route of administration and dosing become especially important. And this is where there's emerging literature that I think is helping to guide some of these discussions. So, for higher risk patients, I discuss how low dose transdermal formulations which can bypass hepatic metabolism and reduce clotting risk. These are medications that can appear safer in those higher risk individuals. I think the key is really individualizing the risk-benefit discussion with the patient. For a woman with severe vasomotor symptoms that are affecting sleep and cognition, who had a remote stroke. I think this is a person for whom low dose transdermal patch might be a reasonable option. All of these factors end up being considerations for that shared decision-making. Dr Grouse: Now your article covers another topic that I often get questions about, and that's specifically regarding safety of vaginal delivery for patients with neurologic conditions that are sensitive to increased intracranial pressure. Could you summarize your advice for these types of questions when they come up? Dr LaHue: So broadly speaking, most neurologic conditions don't require C-section delivery. And this is a procedure that, just globally speaking, as has been increasing dramatically. And so, I think that's the key message that really, most neurologic conditions don't require a C-section as a main indication. And really, the indication should be based on obstetric considerations. For most conditions, like controlled idiopathic intracranial hypertension, a vaginal delivery is fine. But for patients with mass effect or obstruction at the foramen magnum, a C-section with general anesthesia, it's probably going to be safer. The transient increase in intracerebral pressure that can come with pushing. It hasn't really been shown to harm patients who have stable, treated neurologic conditions. Dr Grouse: I really appreciated the advice that you given in the article, which was that if generally you feel like this would be a patient who would be safe to get a lumbar puncture, you have a little less concern about vaginal delivery versus those that you feel would not be safe to get a lumbar puncture, that you'd be more leaning towards a C-section. Dr LaHue: Yeah, that's exactly right. Dr Grouse: Now, why do you think we have so many gaps in our understanding of how pregnancy and menopause affect neurologic conditions? Dr LaHue: So, I think it really comes down to a perfect storm of factors. So, in 1977, the USFDA came down with the recommendation, stating that it was best to exclude all women of reproductive potential from both phase one and phase two studies. And this recommendation wasn't reversed until 1993. And there are also concerns around liability and also the fact that pregnancy is a temporary state is something that may falsely minimize the potential for delays. The potential for harms that come with delays in treatment. And I think that the fact of menopause is also historically been dismissed, despite this is something that is affecting half of the population. I think we need systemic change. We need to mandate inclusion in research. We need funding for dedicated studies. We also need to recognize women's health as a core competency and not just a special interest. Dr Grouse: That all sounds like a great roadmap for improving our knowledge. And I really hope we get there. But hearing you talk about it really does give me hope that we can improve how we are understanding and treating these conditions. Now, your article included a really helpful overview of headaches in pregnancy, and that's certainly something I think many of our listeners are very familiar with. We do have a lot of questions around that, and I think there's a lot of areas where we don't really always know what the best thing to do is. I think that your article really gave a lot of great information and a really great framework to think about. It would be wonderful to hear you walk through your approach to evaluation of a patient who was pregnant with a new onset headache. Dr LaHue: You'll see in this chapter that I introduce a mnemonic that's spelled out pericardium as a framework for thinking about headache and pregnancy. And here are the you specifically points to an unusual headache, referring to a new or atypical presentation of headache for the patient. I think this is an important place to start, because one of the initial considerations should be this is a new headache, or is this an old headache? If this is a patient who already has a preexisting diagnosis of migraine or some other primary headache disorder, then it's certainly possible that the headache that they're experiencing during pregnancy is also a continuation of their primary headache disorder. But certainly, our role is to make sure that we're not missing a scary complication, a secondary headache that could be dangerous to the patient. And so, then this is where I also think about, well, where are they in the course of their pregnancy. Is this person currently pregnant or are we in the postpartum period? When someone is after 20 weeks gestation, one of the first things to consider is going to be preeclampsia. And so, it's important in those individuals to check blood pressure, check urine to rule out preeclampsia, as this is always going to be top of mind after 20 weeks. I think it's also important to emphasize that preeclampsia is not just a condition that can occur when someone is pregnant. This is also something that can occur postpartum. One needs to be vigilant for looking out for this complication during both time periods. And then I think for new headaches, I really want to focus on what the timing is and any other red flags. For example, if it's a thunderclap headache and onset, then I might be worried about something like RCBS or cerebral venous sinus thrombosis. If the headache itself is orthostatic and patient may have had an epidural, then I might think about a post-dural puncture headache, which is a, unfortunately very common complication and reason for headache in the postpartum period. I think the key is that most dangerous headaches often will occur late in the third trimester or early postpartum. And I think it's also important to remember that if you need imaging to make the diagnosis, and you should get it. The risks of missing something serious far outweigh concerns that one might have around imaging. And when possible, it's certainly preferred to get an MRI if that's available. Dr Grouse: I really did appreciate articles, overview of the various imaging modalities out there and the overview of risk versus benefits and times where they may or may not be needed. So, yet another very useful piece of information that I think that our listeners will appreciate in your article. Now, I'm curious how did you get interested in this area of neurology? Dr LaHue: So, it really was my interest in both reproductive health and neurology that led me to go to medical school in the first place. I knew early on at the beginning of medical school that I was interested in neurology, but I also was very drawn to obstetrics, and I recognized in medical school and then further on as, as a resident, just how vast the knowledge gaps were. When I was counseling my own patients and I found this to be just a very frequent source of frustration as both a clinician and a researcher, I very much feel an obligation to try to help fill these gaps. And I've also just been very encouraged by an outstanding community of other neurologists that I've been able to meet in this space. It's been a just a wonderful collaborative network that we've been able to grow, both within United States and even more globally, when it comes to other neurologists who are interested in this topic. And I'm just very excited to see the direction that this field is going in. Dr Grouse: Well, we can't wait to learn more as this field develops and more is understood about the right way to approach these types of diagnostics and treatments. So, thank you for all your work in this space. And it's been absolutely fascinating reading your article and talking with you today. Dr LaHue: Well, thank you so much for having me, and I'm just so thrilled that these important topics are going to be part of this issue of Continuum. Dr Grouse: Again, today, I've been interviewing Dr Sara LaHue about her article and Neurologic Complications of Pregnancy and Menopause, which appears in the February 2026 Continuum issue on Neurology of systemic disease. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the Journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe AA and members. You can get to me for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Join us on the Herbalist's Path as we delve deep with the dynamic duo, Heather and Maureen, from the Milk Minute Podcast. Explore Heather's transformative birthing journeys, from C-sections to home births, and how Maureen's expertise as a community-based herbalist brings nourishing insights into prenatal care. As the lines between traditional and modern medicine blur, we champion holistic approaches, shining a light on resources such as LactMed and the Infant Risk Center, and immerse ourselves in the world of herbs like plantain, nettle, and dandelion, known powerhouses in proactive healthcare. With the Milk Minute Podcast bridging the gap between conventional and holistic healthcare, discover a blend of wisdom and practicality that every modern mom seeks.We discuss the challenges of lactation, societal pressures on breastfeeding, and the vital importance of nourishing both baby and mother. You can find Heather & Maureen on platforms including Instagram, TikTok, and Facebook under the handle, "milk_minute_podcast".You can also listen to my interview on the Milk Minute Podcast here!

Dr. Phil Anderson, medications in breastfeeding expert, joins host Chris Stallman, CGC, to discuss LactRx, a free new app providing current information on the use of medications, vaccines, diagnostic agents & drugs of misuse during breastfeeding. The LactRx app provides easy access to the LactMed database, a resource from the National Library of Medicine (NLM). Download LactRx: iPhone Android

Figuring out what medications are safe to take during pregnancy is no easy task. With multiple names for the same medication and different strengths and formulas, it's almost like a foreign language. So how can a mother figure out what medication is safe to take and how to care for herself during pregnancy? Dr. Jasmine Crouzet is here today to help answer our questions so we can care for ourselves as busy moms. Dr. Jasmine Crouzet is a mother and clinical pharmacist living in Southern California. She graduated with her undergraduate degree from University of California, Irvine and her doctorate from University of Southern California. Jasmine created The Medication Mama with the mission to make medication knowledge accessible and understandable for all mothers. Here is a glance at this episode:>> Jasmine's role as a clinical pharmacist>> The reason behind starting The Medication Mama>> Why are certain medications unsafe to use in pregnancy?>> Where to find trusted information on medication use in pregnancy>> Dr. Crouzet's favorite self-care activity Resources for medication knowledge:Mother to Baby: https://mothertobaby.org/Infant Risk: https://www.infantrisk.com/LactMed: https://www.ncbi.nlm.nih.gov/books/NBK501922/ The Medication Mama Guide: https://jasminecrouzet.podia.com/medicationguide Find show notes and additional resources from this episode at https://habitmakermama.com/take-care-of-yourself-during-pregnancy If you're enjoying this podcast, we'd be so grateful if you hit subscribe and left a review! Hosted on Acast. See acast.com/privacy for more information.

Have you ever wondered what happens at a lactation consultation?This question comes up a lot…what to expect when you make an appointment with an LCDianne and Abby are talking about lactation consultations, and making sure you get what you need when you have one.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: Remember – extra episodes for December! [4:01]What happens at a consult? [9:05]Getting more than 1 opinion [12:03]Show me what you do [14:35]It's hard to fix what you can't see [16:00]Talking about your concerns [21:15]Weighed feedings [23:02]If you think you're not getting good info…you're probably not [32:36] *This Episode is sponsored by Fairhaven Health and Simple Wishes Links to information we discussed or episodes you should check out!https://badassbreastfeedingpodcast.com/episode/breastfeeding-positions/ Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/      Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Don't Forget!!  Dianne and Abby have started the new parenting podcast!  Check out Revolution Parenting!  https://www.buzzsprout.com/1755123/8400508Follow 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

You've made it a year breastfeeding…now what happens?Can you stop pumping?  What happens with solids?  Do you have to wean?Dianne and Abby are talking about what to expect if you have been breastfeeding for a year.  You know you have all the questions. 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: The BIG Announcement [3:15]Weaning age [8:00]Drop the pump! (well, Abby says to smash it) [9:33]What do we do about solids? [12:55]What's in the milk at a year? [14:20]All phases are intense [18:29]For the baby not interested in solids…[22:15]Longer breastfeeding = more benefit [27:20]Boundaries [29:35]The debate about statistics (thank goodness for Google) [33:19]  *This Episode is sponsored by Ceres Chill and Simple Wishes Links to information we discussed or episodes you should check out!https://badassbreastfeedingpodcast.com/episode/how-breastmilk-changes-with-your-child/ https://badassbreastfeedingpodcast.com/episode/124-breastfeeding-boundaries/ https://badassbreastfeedingpodcast.com/episode/night-weaning-and-boundaries/  Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/      Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Don't Forget!!  Dianne and Abby have started the new parenting podcast!  Check out Revolution Parenting!  https://www.buzzsprout.com/1755123/8400508Follow 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

Red Flags are all the conversation right now.What's a red flag when it comes to breast/chest feeding?Listen up as Dianne and Abby talk about red flag situations that have come up recently.  I bet you can relate.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:Red Flags vs myths [5:15]The red flag around pain [9:16]Pain is an indication something isn't right [12:17]When you randomly know a lactation consultant [18:57]Weight issues + bad advice = red flag [20:50]When you're trying to find guidance [22:05]Parents always know when the information isn't good [24:04]How do you trust someone you get bad advice from? [30:12]Breastfeeding is seen as disposable [31:32]Don't ignore the red flag in your head [33:34] *This Episode is sponsored by Ceres Chill and Simple Wishes Links to information we discussed or episodes you should check out! Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/      Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Don't Forget!!  Dianne and Abby have started the new parenting podcast!  Check out Revolution Parenting!  https://www.buzzsprout.com/1755123/8400508Follow 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

SLEEP!  We all want it.We all want to help our children to sleep better so we can sleep better.That's what this episode is all about.  Don't miss it.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:The history of Abby and Rebecca [5:30]How can I get my child to sleep? [11:15]At 3 months old, only 16% sleep “through” the night [18:04]Why is breastfeeding blamed? [20:25]Breastfeeding is great for sleep overall [26:10]When do babies get into deep sleep? [27:00]Where did sleep training come from? [31:44]What are we teaching? [39:50]Unwinding…but not before bed [45:39]Setting up the house/room for sleep success [57:13]Educating parents and having the tools for success [1:03:00]How you can find Rebecca [1:05:04] *This Episode is sponsored by Ceres Chill and Fairhaven Health Links to information we discussed or episodes you should check out! Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/      Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Don't Forget!!  Dianne and Abby have started the new parenting podcast!  Check out Revolution Parenting!  https://www.buzzsprout.com/1755123/8400508Follow 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, Amanda shares how she was organically led into starting a business creating jewelry out of breast milk. She shares how starting a business was never her intention. After a struggle with breastfeeding, she happened to stumble across breastmilk jewelry and instantly knew she wanted a piece for herself, but quickly discovered all of the pieces she liked were completely out of her price range. So, she decided she would do it herself. It took her a long time to perfect the process, but she refused to quit; she was determined to prove to herself that she could figure it out and make a completed piece. Once she did, her friends started asking her to make them their own unique pieces. She has recently celebrated her first year in business and has been nominated for two business awards. She started with her friends and through word of mouth, then spread locally and is now making pieces for clients as far away as Australia .Amanda is the founder, owner and jewelry maker at The Milky Fern.Find The Milky Fern's Website hereFollow The Milky Fern on IGFollow The Milky Fern on FacebookFollow Candace on Instagram

Do you know how to get a good latch?The latch is an important part of establishing a good breastfeeding relationship.Tune in this week and listen as Dianne and Abby talk about getting a good latch, and what to watch for as you are learning the ropes.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:How do you know if your latch is good or bad? [5:10]Babies need your help with latch [6:02]How does the latch feel? [8:10]Seeing = doing [12:30]C-hold [18:25]Flanged lips [19:20]Areola latch [21:45]Nose to nipple [23:31]Babies are weird and spazzy [24:00]Nipple damage [28:50]Releasing the latch [31:00]Make sure you see an LC! [33:02] *This Episode is sponsored by Ceres Chill and Fairhaven Health Links to information we discussed or episodes you should check out!Link to position and latch videos with Nancy Mohrbacherhttps://www.youtube.com/watch?v=ZJan8xCNgY4&list=PLpJt_90JhxkPJ6wQ-6VNggkqw0aWCfRD3&index=3 https://badassbreastfeedingpodcast.com/episode/breastfeeding-positions/ https://badassbreastfeedingpodcast.com/episode/021-latching-101/ Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/      Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Don't Forget!!  Dianne and Abby have started the new parenting podcast!  Check out Revolution Parenting!  https://www.buzzsprout.com/1755123/8400508Follow 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

Breastfeeding changes as babies grow.This might be something that causes parents to question breastfeeding overall.Breastfeeding evolves.  Tune in to hear more.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.comWE HAVE TRANSCRIPTS!!  You can also add your email to our list and have episodes sent right to your inbox! Things we talked about:Abby's new friend with breastfeeding concerns [4:31]Evolutionary considerations [8:31]Pediatrician questions [9:38]Babies change quickly [14:28]All babies react different [17:19]Breastfeeding evolves [21:57]You don't have to like every stage [24:43]Breastfed babies do not sleep well?  What? [28:54]Change = growth [30:39] *This Episode is sponsored by Ceres Chill and Fairhaven Health Links to information we discussed or episodes you should check out! https://badassbreastfeedingpodcast.com/episode/breastfeeding-problem-or-developmental-milestone/https://badassbreastfeedingpodcast.com/episode/how-breastmilk-changes-with-your-child/ Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/      Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Don't Forget!!  Dianne and Abby have started the new parenting podcast!  Check out Revolution Parenting!  https://www.buzzsprout.com/1755123/8400508Follow 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

Pro-weaning partners (or family)…It almost sounds positive, right?It's not.Tune in this week and listen as Dianne and Abby talk more about how to handle unsupportive partners when breastfeeding.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.comWE HAVE TRANSCRIPTS!!  You can also add your email to our list and have episodes sent right to your inbox! Things we talked about:What is going on in people's heads?  Do THEY even know? [5:20]Abby's thoughts on why breast/chest feeding is not a family decision [8:37]Superheroes? [9:02]Breast is Best…or is it? [13:52]Lack of support = early weaning [19:54]Education [23:58]Partner postpartum mood disorders [29:07] *This Episode is sponsored by Ceres Chill and Fairhaven Health Links to information we discussed or episodes you should check out! https://www.buzzsprout.com/1755123/9301596 - check out this Revolution Parenting Boundaries episode https://badassbreastfeedingpodcast.com/episode/084-breastfeeding-from-a-partners-perspective/ https://www.postpartum.net – link for Postpartum Support International Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/      Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Don't Forget!!  Dianne and Abby have started the new parenting podcast!  Check out Revolution Parenting!  https://www.buzzsprout.com/1755123/8400508Follow 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

Breastfeeding Myths…they are everywhere?Have you been told anything you felt was a myth??Tune in this week and listen as Dianne and Abby bust more breastfeeding myths!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.comWE HAVE TRANSCRIPTS!!  You can also add your email to our list and have episodes sent right to your inbox! Things we talked about:The first myth starts in the review [1:31]Not enough fiber? [2:58]Pregnancy again [9:37]Teeth, sleep and cavities [14:29]Abby's big myth [21:26]Dianne's Pinterest myth [28:38]Water [30:49]The last myth [34:07]  *This Episode is sponsored by Ceres Chill and Fairhaven Health Links to information we discussed or episodes you should check out! https://badassbreastfeedingpodcast.com/episode/132-breastfeeding-and-cavities/ https://badassbreastfeedingpodcast.com/episode/medical-info-to-flush-down-the-toilet/ https://badassbreastfeedingpodcast.com/episode/pumping-myths/ https://www.drjaygordon.com  Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/      Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Don't Forget!!  Dianne and Abby have started the new parenting podcast!  Check out Revolution Parenting!  https://www.buzzsprout.com/1755123/8400508Follow 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

Debilitating anxiety…does it impact breastfeeding?How can you deal with the anxiety?Tune in this week and listen as Dianne and Abby share information and stories of how to help anxiety.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.comWE HAVE TRANSCRIPTS!!  You can also add your email to our list and have episodes sent right to your inbox! Things we talked about:Purple nipple when pumping…what can you do? [3:09]Abby's first memory of panic attacks [7:02]Anxiety around breastfeeding [13:55]Early weaning due to anxiety [19:00]Exclusive pumping due to anxiety [21:50]What can you do about the anxiety? [24:30]Medications [26:41]Release from the apps [30:12]Support groups [31:17] *This Episode is sponsored by Ceres Chill and Just N Case Links to information we discussed or episodes you should check out! https://badassbreastfeedingpodcast.com/episode/breastfeeding-mental-health-and-medications/ https://www.ncbi.nlm.nih.gov/books/NBK501922/ - link for Lactmed https://www.postpartum.net – link for Postpartum Support International https://www.facebook.com/DianneCassidyConsulting - for the Breastfeeding Bootcamp Support Group link Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/      Check out Dianne's blog here~https://diannecassidyconsulting.com/milklytheblog/Don't Forget!!  Dianne and Abby have started the new parenting podcast!  Check out Revolution Parenting!  https://www.buzzsprout.com/1755123/8400508Follow 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

It's just food. Or just a beverage. You don't need to worry about whether it will affect your milk or your baby, right? Or, maybe you should worry? Heck, maybe you're already worried, but perhaps there's nothing to worry about! Get answers about safety, side effects, allergies and more as Marie interviews her guest, Philip O. Anderson, PharmD, FASHP, FCSHP, the author of the National Library of Medicine's LactMed database. They'll talk about the research to substantiate answers to questions about food and beverages that you probably consume on a regular basis, as well as some foods you might never have heard of. Listen as Marie asks Dr. Anderson about the effects of coffee, tea, colas, chocolate, alcohol, garlic, onions, cauliflower, broccoli, mushrooms, fava beans, turtle meat, and more! Are you curious about food allergies, maternal vaccinations while breastfeeding, food poisoning, botulism and breastfeeding? Get the information you need on those topics, too!

Despidiendo el año, y sabiendo que pudieras beber alcohol, tal vez recibir una invitación a usar otras drogas, y recordando que tomamos medicamentos para diferentes condiciones de salud, hablamos en detalle sobre como se determina que una sustancia es o no es compatible con la lactancia. Mencionado en el podcast está el blog donde la autora midió la concentración de alcohol en su leche. Mommy Meds es una aplicación del Instituto Infant Risk, donde pueden llamar a la línea telefónica al +1 (806) 352-2519 durante sus horas laborables de 8 am a 5 pm hora central de EEUU (cambian la hora en verano e invierno) o verificar en los foros si sale información de la sustancia. E-lactancia, en español (también inglés) tiene unas clasificaciones bastante fáciles de entender. Y finalmente, LactMed del gobierno de EEUU es más para profesionales de la salud por ser más técnico. Disfruten el fin de año, a ver si el 2021 nos sale mejor.

Thank you to our sponsor Happi Tummi. Check out their products by clicking here: happitummi.com/collections/baby-…ref=lKfuip8htzeNAUse Special Code: MilkMinute10 to get 10% off your order!Thank you to our sponsor: Aeroflow. Click the link below to order your breast pump and accessories through your insurance!www.dpbolvw.net/click-9269202-13028985Table of Contents0:30 We're talking about insomnia1:15 Insomnia can mask other issues2:05 Importance of treating insomnia2:35 There are safe meds2:55 Thank you to our sponsor Happi Tummi4:35 DIY research tools4:55 LactMed (by NIH) database6:50 Infant risk database7:40 Prep to see your provider8:55 When to take meds; half-life consideration9:30 First up: over-the-counter meds9:35 Drugs like Aleve PM, Benadryl10:30 Unisom11:40 Melatonin14:10 Thank you to our sponsor Aeroflow16:05 On to prescription meds16:15 Benzodiazepines, like Restoril and Halcion16:45 Heather often recommends Trazodone17:42 Silenor and Doxepin18:26 Lunesta19:05 Rozerem19:44 Sonata and Zaleplon20:05 Ambien21:00 Birth can trigger earlier trauma22:05 A few helpful DIY tactics22:45 Five herbs from Herbalist Maureen23:35 Valerian root25:05 Hops (yes, what beer's made of!)26:57 Passion flower28:55 Oat straw30:25 Chamomile (aka Chi-momo-lay!)34:00 Sources for quality herbs34:52 What about catnip?36:20 Thank you for tuning in! The LactMed app is no longer available, but the database is: https://www.ncbi.nlm.nih.gov/books/NBK501922/The Infant risk database: https://www.infantrisk.com/Mountain Rose Herbs: https://mountainroseherbs.com/Starwest Botanicals: https://www.starwest-botanicals.com/Pacific Botanicals: https://www.pacificbotanicals.com/Thanks to Cherie Louise Turner for editing and production, and to Lindsay Brett Carothers for her musical stylings of our intro and outro.Additional music credits, thank you beetpro and Quality Online Media from Pixabay.Thanks for listening to The Milk Minute. If you haven't already please like, subscribe, and review our podcast wherever you listen.If you'd like to support our podcast, you can find us on Patreon at patreon.com/milkminutepodcast.To send us feedback, personal stories, or just to chat you can send us an email at milkminutepodcast@gmail.comSupport the show (https://www.patreon.com/milkminutepodcast)

Cómo se excreta un medicamento en la leche humana y cómo minimizamos el paso de éste a la leche, cómo y cuánto se excreta, riesgo del bebé a la exposición de un medicamento, herramientas para revisar compatibilidad de medicamentos, cremas tópicas, drogas recreacionales y su paso a la leche materna, aceites esenciales, tratamientos cosméticos y mucho más, de la mano de nuestro invitado el Dr. Enrique Mendoza. Datos de contacto: Dr. Enrique Mendoza. Consultorio: 83482940/83485701. Herramientas de búsqueda compatibilidad medicamentos: www.e-lactancia.org, LactMed, www.infantrisk.com, www.otispregnancy.org, www.pediaclic.org, www.toxnet.nlm.nih.giv/newtoxnet/lactmed.htm

Melanie Frodsham completed her Bachelor of Pharmacy at Monash University's Victorian College of Pharmacy in 2009. She is a community pharmacist based in Western Melbourne with an interest in breastfeeding. After having her first baby she completed a Cert IV Breastfeeding Education through the Australian Breastfeeding Association (ABA) as she realised, first hand, how important it was for breastfeeding mums to receive accurate breastfeeding information and good quality support. As well as her community pharmacy work Melanie volunteers as a breastfeeding counsellor, providing phone and face-to-face breastfeeding support. She helps to facilitate breastfeeding education classes for expectant parents, runs local support groups for breastfeeding mums and supports mothers through breastpump hire.  Episode 5 Breastfeeding | What medications are safe? Unfortunately, there are still many reports of mothers being given incorrect information and advice around using medications while breastfeeding.  Many mothers face challenges in breastfeeding their babies and receiving incorrect information or poor advice surrounding medication use can needlessly undermine a breastfeeding relationship. Breastfeeding mothers frequently need to use medicines. Medication use may be for something directly related to breastfeeding or early motherhood. For example, for managing pain following the birth of their baby, treating infective mastitis or for post-natal depression and/or anxiety. Medication use may also be for other common conditions that come up in life; a common cold, hayfever, heartburn or headaches. The truth is that most medications are safe to use while breastfeeding. Some may be preferred over others and there are a few that are good to avoid. There is almost always a safe option. Breastfeeding mums shouldn't feel like they need to ‘suffer in silence' and leave a medical condition untreated. Nor should they feel like they are required to stop breastfeeding in order to get the medical treatment they need (this is only the case for a small number of women with serious medical conditions). Women deserve to receive accurate information around medicines use and good quality support to enable them to meet their breastfeeding goals wherever possible. 5 Indispensable tips 1. Most medicines are safe to take while breastfeeding. It is good to seek advice to find out which might be the best option for you. 2. Information on medicine boxes or on the leaflets that come inside boxes may not be the most up-to-date – use a reliable information source such as LactMed or speak to an expert on medicines in breastfeeding by calling one of the medicines information lines (see web links supplied) 3. If you are given strange advice about medicines and breastfeeding – eg ‘pump and dump' for 72 hours – seek a second opinion! 4. Medicines can sometimes be helpful for increasing breastmilk supply, HOWEVER, other techniques, for example, more frequent feeding and getting good support to make sure baby is attaching well to the breast, are often MORE effective. 5. Spending money on expensive vitamin or herbal supplements is not necessary for breastfeeding   Further resources and links Breastfeeding Helpline (for general breastfeeding enquiries and support): 1800 686 268 Medicines in breastfeeding fact sheet for over the counter medicines. Produced by the Royal Women's Hospital Melbourne: https://thewomens.r.worldssl.net/images/uploads/fact-sheets/Medicines-in-breastfeeding-151018.pdf LactMed: https://www.ncbi.nlm.nih.gov/books/NBK501922/ Medicines information centres phone numbers for expert advice about medicines use during breastfeeding (list compiled by the Australian Breastfeeding Association): https://www.breastfeeding.asn.au/bf-info/safe-when-breastfeeding/breastfeeding-and-prescription-medications Some further information and resources for other topics briefly touched on during this episode: Information and support for parents experiencing post-natal depression and/or anxiety: https://www.panda.org.au/ Increasing milk supply: https://www.breastfeeding.asn.au/bf-info/common-concerns%E2%80%93mum/supply Domperidone for increasing breast milk. Produced by the Royal Women's Hospital Melbourne: https://thewomens.r.worldssl.net/images/uploads/fact-sheets/Domperidone-for-increasing-breast-milk-supply-260219.pdf Weaning: https://www.breastfeeding.asn.au/bf-info/weaning-and-introducing-solids/weaning Lactation suppression: https://shop.breastfeeding.asn.au/products/lactation-suppression/ See omnystudio.com/listener for privacy information.

It's just food. Or just a beverage. You don't need to worry about whether it will affect your milk or your baby, right? Or, maybe you should worry? Heck, maybe you're already worried, but perhaps there's nothing to worry about! Get answers about safety, side effects, allergies and more as Marie interviews her guest, Philip O. Anderson, PharmD, FASHP, FCSHP, the author of the National Library of Medicine's LactMed database. They'll talk about the research to substantiate answers to questions about food and beverages that you probably consume on a regular basis, as well as some foods you might never have heard of. Listen as Marie asks Dr. Anderson about the effects of coffee, tea, colas, chocolate, alcohol, garlic, onions, cauliflower, broccoli, mushrooms, fava beans, turtle meat, and more! Are you curious about food allergies, maternal vaccinations while breastfeeding, food poisoning, botulism and breastfeeding? Get the information you need on those topics, too!

Certified Lactation Counselor Mandy Katz and new mom Thu Huynh (both In-Store Nutritionists) offer tips for breastfeeding moms and where to go when you need more information. Resources La Leche League International: https://www.llli.org/ Can find resources and local support contact information   LactMed (drug interactions): https://toxnet.nlm.nih.gov/newtoxnet/lactmed.htm  Womanly Art of Breastfeeding  (Book) by La Leche League International Breastfeeding Made Simple (Book) by Nancy Mohrbacher    CDC Milk storage Guidelines https://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm  https://www.cdc.gov/nutrition/InfantandToddlerNutrition/breastfeeding/index.html

Why don't we all learn about reproductive psychiatry during psychiatry residency? How do you treat someone with a pregnancy psychiatrically? How do you decide if and which medication to use? How do you do a risk-risk analysis?Article Referenced: "Reproductive Psychiatry: The Gap Between Clinical Need and Education."https://www.ncbi.nlm.nih.gov/pubmed/26423479MotherToBaby: https://mothertobaby.org/MGH Women's Mental Health Website: https://womensmentalhealth.org/LactMed: https://toxnet.nlm.nih.gov/newtoxnet/lactmed.htmHost: Dr. Layne Gritti, DOGuest: Dr. Sarah Nagle-Yang, MDContact: InsightInPsych@gmail.comIf you're a fan of the show, please leave us a five star review to help others gain more insight into psychiatry.

We cover the emergency department care of lactating patients including Medications during breastfeeding - who should "pump and dump"? (spoiler: very few people, check LactMed or InfantRisk) Mastitis & Breast Abscesses Emergency Department Support Thanks for listening! Jeremy Faust and Lauren Westafer

Dr. Tessa Flores joins us this episode to talk about how her pediatric practice changed once she had a kid, what parents do that drive her nuts, and much more. Plus, Drew and Whitney discuss having a night out sans kids, bad teeth, and the controversial winner of the podcast’s first contest. Resources & Links from this episode: -- There actually IS a Finding Nemo forum, holy moly: http://tinyurl.com/zq9936e -- Dr. Flores’ recommended sites: www.healthychildren.org, www.aap.org, www.askdrsears.com, LactMed (http://1.usa.gov/1uksYbH) -- Drew’s pick for Person Place or Thing is The Muppets: http://abc.go.com/shows/the-muppets -- Whitney’s pick is the podcast Still Buffering: http://www.maximumfun.org/shows/still-buffering Just a Phase is produced by Whitney Crispell. Theme music is “Urbana-Metronica (wooh-yeah mix)” by spinningmerkaba, and used under a Creative Commons license.