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    Kids & Family

    All Things Breastfeeding Podcast

    The All Things Breastfeeding Podcast is for both lactation professionals and new and experienced parents. Barbara D. Robertson, MA, IBCLC, owner of professional lactation education company, LactaLearning, hosts the show. Barbara shares her thoughts and information on All Things Breastfeeding.

    Advertise
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    Latest Episodes:
    All Things Breastfeeding Episode 78: Liz’s Breastfeeding and Induced Lactation Story Nov 07, 2023
    Show notes

    This one is so special! Liz shares her journey of growing her family via a gestational surrogate, and how she induced lactation to bring in her own milk supply! Jessica hosted, and said “beautiful” and “oh my gosh” more times than you can count throughout this amazing story of strength, support, and love for baby Eve and Liz‘s family. (Apologies that Liz‘s microphone was a bit crackly during our Zoom recording!)

    induced lacationSome resources on induced lactation:

    • Kellymom.com – https://kellymom.com/ages/adopt-relactate/relactation-resources/
    • Alyssa Schnell’s Breastfeeding without Birthing – https://www.alyssaschnellibclc.com/book

    For parents interested in induced lactation or relactation, we’re able to offer private consults either virtually or in-person.

    The post All Things Breastfeeding Episode 78: Liz’s Breastfeeding and Induced Lactation Story appeared first on The Breastfeeding Center of Ann Arbor.


    All Things Breastfeeding Episode 78: Liz's Breastfeeding and Induced Lactation Story Nov 07, 2023
    Show notes

    All Things Breastfeeding Episode 77: Plugged Ducts and Mastitis New Protocol May 08, 2023
    Show notes

    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 Medicine Doctor, that parents with recurrent mastitis tended to be massaging their breasts like crazy to “get out plugs”. She believed doing this then led to more plugs!

    Go to her amazing site, The Physicians Guide to Breastfeeding to learn more.

    Jessica and Barbara actually had discovered these ideas on their own several years ago with Jessica’s own experience with recurrent plugs. Did she massage like crazy? No! She used cool, Ibuprofen, and gentle touch to help resolve her plugs.

    mastitis

    What’s going on?

    Basically, inside the breast/chest, there is not a “piece” of something blocking the way like a literal plug in a bathtub. Rather the area around the milk duct becomes swollen and is pinching off the ability for the milk to flow down and out.

    Think about a sprained ankle. Would we massage it to death? Or put warmth on it? No, just like mastitis, we want to reduce swelling by cool and maybe some anti-inflammatory medication if it is safe to take.

    mastitisThe other idea to consider, is some very gentle massaging (and I mean GENTLE) away from the breast. If you go through the area it can help to help the lymphatic system to help drain away the extra edema (the swelling).

    If you are struggling with plugged ducts, please consider a consultation! We can help!

    To learn more about lactation consider one of our amazing Professional Lactation Trainings!

    We offer two 95 hour courses, several books groups, and many short courses to help with re-certification!

    The post All Things Breastfeeding Episode 77: Plugged Ducts and Mastitis New Protocol appeared first on The Breastfeeding Center of Ann Arbor.


    All Things Breastfeeding Episode 76: Sarah’s Breastfeeding Story Mar 27, 2023
    Show notes

    Sarah’s breastfeeding story

    Sometimes it is so nice to just hear a positive breastfeeding story!

    We tend to hear more about the how things went wrong instead of right.

    Sarah is lucky enough to have a lot of family support and access to lactation help when she needed it, so guess what? She reached her infant feeding goals!

    This doesn’t mean that her journey was easy but she was able to keep working on doing what she felt was best for her family.

    Her journey illustrates what would be possible if our society prioritized making all these resources available to everyone. Good health care, birthing support, lactation support, and family support.
    Enjoy!

    The post All Things Breastfeeding Episode 76: Sarah’s Breastfeeding Story appeared first on The Breastfeeding Center of Ann Arbor.


    All Things Breastfeeding 75: Best Education Principles Sep 01, 2022
    Show notes

    Barbara is joined by Nancy Mohrbacher to talk about education, particularly about professional lactation education.

    In the field of education, the traditional method of lecture and Power Point stills dominates the trainings that are available. Research has show over and over again that this is one of the most non-effective ways to help people learn.

    The purpose of education is suppose to lead to change, in one’s thinking, beliefs, and behavior. In order for this to happen, the brain needs to be engaged, not passively listening to a person talk.

    In this podcast, Barbara and Nancy talk about what can help make learning more effective, and then how they applied these ideas to the creation of their new 95 hour self study course, the Self Study CCLS.

    Using a variety of materials, podcasts, videos, webpages, and yes, a few short power points, as opposed to lecture after lecture is crucial. There are reflection questions that help guide the participant to know what is important and what is not.

    Finally, the participant has to do two assignments that require that they reflect on what they learned, synthesize the information, and then, most importantly, be able to apply it to a common challenge in the field of lactation.

    Take a listen and see what you think!

    The post All Things Breastfeeding 75: Best Education Principles appeared first on The Breastfeeding Center of Ann Arbor.


    All Things Breastfeeding 74: Our North Stars Aug 03, 2022
    Show notes

    My work is extremely important to me and is a perfect fit for all of my beliefs and my personality.

    To me, what we do here at the Breastfeeding Center of Ann Arbor is to help families either become more attached to their babies (hopefully through breastfeeding but sometimes this isn’t possible) and also help professionals learn how to best help families.

    Jessica, my colleague, has joined me whole heartedly in this work!

    In this post, we are discussing what we consider our North Stars. The foundational and guiding principles that keep us on the right track for our work.
    Enjoy!

    The post All Things Breastfeeding 74: Our North Stars appeared first on The Breastfeeding Center of Ann Arbor.


    All Things Breastfeeding 73: Doulas and Breastfeeding? Feb 01, 2022
    Show notes

    Breastfeeding doula
    Used with permission from USBC

    Yes! Yes! Yes!

    We say birth and postpartum doulas are the front line defenders of breastfeeding along with nurses and midwives!

    I believe that the explosion of doulas in Detroit, MI is one of main reasons for this incredibly, too long time in coming change: “According to Michigan Department of Health and Human Services data, Detroit’s infant mortality rate plunged from 16.7 deaths per 1,000 live births in 2018 to 11 per 1,000 live births in 2019, representing a one-third rate reduction.” How amazing!

    We know that breastfeeding is important for helping save babies lives. Doulas are usually with families for longer periods of time so they can help with multiple feeds. Sure, just like there are breastfeeding issues that are out of an IBCLCs scope, any infection, mental health concerns, physical issues with the baby, and then the IBCLC refers to the proper health care provider. For doulas there are also breastfeeding issues that would need immediate referrals such as pain that is not quickly resolved (I mean like in 24 hours!), low milk supply, and a baby who is not latching.

    However, there are so many breastfeeding issues a doula CAN help with. And having more training in the field of lactation can help everyone. Here is just a partial list:

    1. Explaining how breastfeeding works- basic anatomy and physiology
    2. The benefits of breastfeeding and breastmilk
    3. Latching and positioning
    4. Hand expression
    5. Basic engorgement
    6. Making sure the baby is eating at least 8 times per 24 hours
    7. The signs of a well fed baby
    8. How much babies need to eat
    9. Paced bottle feeding
    10. Pumping
    11. Skin to skin
    12. Getting ready to return to work
    13. SO IMPORTANT- able to refer to a great IBCLC if help is needed!

    In the field of lactation we have the rules of lactation:

    1. Feed the baby
    2. Protect the milk supply
    3. Solve the problem

    Knowledge is power and the more folks who work with new families have the knowledge and power of helping with breastfeeding, in my mind, the better. Doulas can absolutely help with steps 1 and 2! It does take a village.

    To this end we have now created The Breastfeeding Doula Course. Join us this spring! We have been teaching birth and postpartum doulas for almost 20 years. We know what doulas need to help their clients meet their infant feeding goals. Let us help you!

    This course uses a hybrid-learning model: 20 hours of independent pre-work (reading, videos, podcasts, and assignments) done at your own pace, and then two live Zoom days of discussion, working with families, and practicing skills.

    Spring 2022 session

    • The pre-work will open March 1, 2022
    • Live Zoom days: Saturday, May 21 and Sunday, May 22, 2022 from 8:00 AM EDT to 5:30 PM EDT

    If you are interested in becoming a doula, check out Lifespan Doulas. Patty Brennan has been training doulas forever with DONA and now has created her own streamlined programs and certification.

    The post All Things Breastfeeding 73: Doulas and Breastfeeding? appeared first on The Breastfeeding Center of Ann Arbor.


    All Things Breastfeeding 72: 7 Must Know Changes in the Field of Lactation–A Conversation with Nancy Mohrbacher Jan 27, 2022
    Show notes

    In 2020 Nancy Mohrbacher published her latest book, Breastfeeding Answers, 2nd Edition. We jokingly call this book BA2 and it is one of the most important books in the field of lactation.

    I was honored that Nancy was willing to co-host a professional book group with me. I had hosted two other book groups before, Making More Milk, 2nd Edition with Lisa Marasco and Supporting Sucking Skills with Catherine Watson Genna, and this format had worked really well to help me (and apparently many others!) to read the other entire book. Having a book group allowed for time discuss the findings and implications of the material, and then hopefully apply the new information into practice.

    Nancy and I sat down the other day and recorded a podcast about some major shifts that have recently happened in the field of lactation that are included in her new book. One of the great things about BA2 is that Nancy has done all of the research so we don’t have to! This is so convenient for busy lactation professionals!

    Here are the seven updates to the field of lactation based upon the latest research. To get the full story listen to the podcast below.

    1. The research of neonatal jaundice has changed (Hint: it is not all about the poop!)

    2. Rethinking tongue tie assessment. Function and symptoms are key.

    3. How and when to introduce hyper allergenic foods to babies.

    4. The mammary microbiome.

    5. Parent obesity and how it plays into breast/chestfeeding success.

    6. Prenatal hand expression. Thank you Jane Morton for helping to push this great technique forward!

    7. Inclusion of LGBTQ+ folks and their needs.

    If you want to know more, listen to our podcast below. If you are intrigued by what you might find in Breastfeeding Answers, 2nd Edition, if you want to connect with other lactation professionals in this time of isolation, if you need 36 L-CERPs, then you might want to join our book group with Nancy and I spring of 2022.

    36 L-CERPs $299 early bird, $350 regular price
    Just for fun, no CERPs, $220 early bird, $280 regular price

    Early bird extended to February 18, 2022!

    Dates for the group:

    The dates for this book group are:
    Session 1: Sunday, March 13, 2022 2:00 PM EDT
    Session 2: Sunday, March 20, 2022 2:00 PM EDT
    Session 3: Sunday, March 27, 2022 2:00 PM EDT
    Session 4: Sunday, April 3, 2022 2:00 PM EDT
    Session 5: Sunday, April 10, 2022 2:00 PM EDT
    Session 6: Sunday, April 24, 2022 2:00 PM EDT
    Session 7: Sunday, June 5, 2022 2:00 PM EDT
    Session 8: Sunday, June 12, 2022 2:00 PM EDT
    Session 9: Sunday, July 10, 2022 2:00 PM EDT
    Session 10: Sunday, July 17, 2022, 2:00 PM EDT

    Each session consists of a 2 hour Zoom meeting where we will discuss the materials and answer questions. Before each session you will read the assigned chapters (each session has several chapters to read so be ready) and any supporting materials, and after our Zoom meeting you will take a quiz at the end of each session in you have registered for CERPs.
    You must buy the most recent edition of the book! This is Breastfeeding Answers, 2nd Edition by Nancy Mohrbacher.

    The Zoom meetings will be recorded so you have the flexibility of missing a session if needed and then listening to the recorded Zoom meeting at your leisure on Thinkific.

    You will have access to all the materials until September 1, 2022.

    The post All Things Breastfeeding 72: 7 Must Know Changes in the Field of Lactation–A Conversation with Nancy Mohrbacher appeared first on The Breastfeeding Center of Ann Arbor.


    All Things Breastfeeding 71: Miriam’s Story- Exclusively Pumping Dec 08, 2021
    Show notes

    So sorry for the delays in podcasts! COVID has done a real number on me and I have been struggling to get tasks done that are not critical. Jessica and I are committed to recording and releasing more often! Thank you for your patience. Barbara

    Back in May 2022 I got this email: “I don’t expect you to remember, but 2 years ago we corresponded about writing a clinical perspective essay for Clinical Lactation about Exclusive Pumping and lessons I gained as an IBCLC from being an exclusive pumper. I really appreciate you reaching out when you did to acknowledge how important my experience was, and for encouraging me to write something more formal. It meant a lot to have my experience and my voice valued in that way…I have finally had time to revisit the idea of writing this article. I’ve been working on this article with a writing group, and I think that it is finally ready to go.”

    I was so excited! I had reached out to Miriam about exclusive pumping back when I was tasked with writing clinical articles for the journal Clinical Lactation Although I was not responsible for this anymore, I felt that this was information people needed to have. I put Miriam in touch with the right people at the journal and extended the idea of us doing a podcast about her story, experience, and the wisdom I knew she had for us.

    Miriam talks about her own breastfeeding journey which, as is true for many of us, did not go as planned. She then talks about the lessons learned that she has applied to her own work in the field of lactation. I think one of her biggest take home messages is that although many people do choose to exclusively pump from the beginning, most exclusive pumpers really wanted to breastfeeding/chestfeed but didn’t end up being able to reach that goal for many, many reasons.

    Please listen and enjoy!

    The post All Things Breastfeeding 71: Miriam’s Story- Exclusively Pumping appeared first on The Breastfeeding Center of Ann Arbor.


    All Things Breastfeeding 70: Anna’s Breastfeeding Story- Breastfeeding Twins! Apr 30, 2021
    Show notes

    Breastfeeding twins?

    Yes! Sometimes you feel like breastfeeding one baby is almost impossible but then you have TWO babies! Anna shares her story about how she is successfully breastfeeding her twins. It was not easy but also achievable with the right help and support. When you have babies who are early, even a little bit, it can make the process harder. Although Anna’s babies were born “term” for twins, 37 weeks, that is still early! These babies often need some supplementation while they transition to the breast.

    Getting started with breastfeeding twins

    Anna had taken a prenatal breastfeeding class with us so she would be prepared. After the birth, she spent lots of time with the babies skin to skin, and got her milk moving right away! She did a combination of hand expressing (she started within the hour after birth) and then pumping, at least eight time per 24 hours. This allowed the babies to get her milk AND protected Anna’s breastmilk supply so when the babies were ready to fully breastfeed, she had plenty of milk for them.

    It does take village!

    Anna and her husband Dirk had no idea how much work twins are. I don’t think anyone can be totally prepared for this. It is not just twice as much work. It seems like ten times the amount of work! Fortunately, Anna’s parents were here to help and, boy did they! It seems like everyone had a baby in arms all the time! This extra help meant Dirk and Anna could focus on caring for the babies and here and there for themselves. The meals, cleaning, all those other tasks were taken care of by the grandparents. Anna says the first months were a blur!

    Transitioning to breastfeeding

    This is an art, helping babies move from bottle feeding to breastfeeding. Making sure good Paced Bottle Feeding is happening is critical. Also, having a good IBCLC in your corner can do nothing but help. We met on Zoom primarily, the babies were born during the height of COVID, about once a week to assess where the process was and what to do next. Of course, so typical, one of the babies was ready to be exclusively breastfeed before the other. This happens most of the time! Karen Gromada has a great book about this, called Mothering Multiples. Getting help for this transition is critical so don’t be afraid to reach out!

    Enjoy Anna’s story!

    The post All Things Breastfeeding 70: Anna’s Breastfeeding Story- Breastfeeding Twins! appeared first on The Breastfeeding Center of Ann Arbor.


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