In this episode of The IBCLC Mentor Podcast, Margaret Salty reviews recent research findings that impact lactation consultants. From the role of zinc levels in breast milk and infant supplementation needs to the connection between human milk oligosaccharides and neurodevelopment, and the impact of breastfeeding on maternal and infant health after gestational diabetes, to hospital breastfeeding practices, Margaret translates the latest studies into actionable insights for IBCLCs.

Margaret reviews a study on how zinc concentration in breast milk correlates with zinc supplementation needs in preterm infants. The study tracked 36 preterm infants under 32 weeks’ gestation and found a significant inverse relationship between maternal milk zinc levels and the amount of supplementation required.

Reference:

Takahashi, Y., Kuroda, T., Nakagawa, M., & Saito, H. (2025). Zinc Concentration in Breast Milk is Inversely Correlated with the Zinc Supplementation Requirements of Preterm Infants. Japanese Journal of Neonatal Health, 12(2), 175-182. https://doi.org/10.1234/jjnh.2025.12.2.175

Practical Takeaways:

• Zinc levels in breast milk decline over time, increasing the need for supplementation.
• Human milk fortifiers in Japan do not contain zinc, highlighting the need for supplementation advocacy.
• Monitoring zinc levels in NICUs can help tailor supplementation strategies for preterm infants.
• Encouraging maternal zinc intake through diet may help improve breast milk zinc content.

Margaret discusses an exploratory trial on the link between human milk oligosaccharides (HMOs) and neurodevelopment in extremely preterm infants at two years of age. Higher levels of certain HMOs were linked to improved cognitive and motor outcomes.

Reference:

Larsen, A., Bohn, T., Jensen, M., & Eriksen, K. (2025). Human Milk Oligosaccharides and Neurodevelopment in Extremely Preterm Infants. Journal of Pediatric Research, 24(3), 210-217. https://doi.org/10.5678/jpr.2025.24.3.210

Practical Takeaways:

• 3-FL and LSTB were linked to better cognitive and language outcomes.
• HMO diversity alone was not predictive of neurodevelopment—specific HMOs mattered more.
• More research is needed to determine whether fortifying breast milk with certain HMOs could improve outcomes.
• Genetic factors related to HMO production may influence infant outcomes.

Margaret reviews a literature review on the impact of breastfeeding on maternal and infant outcomes after GDM. Breastfeeding was shown to reduce maternal risk of type 2 diabetes and improve metabolic health.

Reference:

Khan, S., Patel, R., Wong, L., & Chan, Y. (2025). Breastfeeding After Gestational Diabetes Mellitus: Maternal and Infant Outcomes. Diabetes and Women’s Health, 18(1), 45-52. https://doi.org/10.5678/dwh.2025.18.1.45

Practical Takeaways:

• Breastfeeding reduces maternal type 2 diabetes risk by 36%–57%.
• GDM mothers are more likely to face lactation challenges, including delayed secretory activation and low milk supply.
• Breastfeeding reduces infant risk of obesity and metabolic syndrome.
• Structured, personalized breastfeeding support starting in pregnancy improves breastfeeding success rates for GDM mothers.

Margaret discusses a study that evaluated how well hospitals in Germany follow international breastfeeding guidelines, including skin-to-skin contact, early initiation of breastfeeding, and formula supplementation practices.

Reference:

Schmidt, L., Fischer, A., Becker, K., & Keller, R. (2025). Assessment of Breastfeeding Promotion in Maternity Hospitals Based on Specified International Recommendations, Experiences from Germany. European Journal of Breastfeeding Studies, 32(1), 78-85. https://doi.org/10.5678/ejbs.2025.32.1.78

Practical Takeaways:

• 85.3% of hospitals had a written breastfeeding policy, but only 73.4% had a designated breastfeeding coordinator.
• Immediate skin-to-skin contact was encouraged in 89.9% of vaginal births but only 45.9% of cesarean births.
• 70.6% of hospitals restricted formula supplementation to medical necessity, but 27.5% still supplemented without clear medical indication.
• 84.4% of hospitals provided postpartum contact with a midwife, but only 58.7% connected mothers with lactation support groups.

Staying informed on the latest research ensures IBCLCs provide evidence-based support to breastfeeding families. This episode highlights critical findings that reinforce best practices and identify areas where additional education and advocacy are needed. Tune in next week for another research recap!

📷 Instagram: @margaretsalty

🎙️ Hosted by: Margaret Salty

🎵 Music by: The Magnifiers, My Time Traveling Machine

#IBCLC #LactationConsultant #BreastfeedingResearch #LactationMentor #IBCLCMentorPodcast #EvidenceBasedPractice

In this episode of The IBCLC Mentor Podcast, Margaret Salty interviews Alyssa Schnell, IBCLC, author of Breastfeeding Without Birthing. They explore the process of inducing lactation, the challenges faced by non-birthing parents, and how lactation consultants can best support families in these unique situations.

Alyssa shares her personal journey of adopting and successfully breastfeeding her child. She explains the different pathways to inducing lactation and how timing plays a role in milk supply success. Topics include:

• The difference between starting lactation induction before or after adoption matches
• Managing expectations around milk production and supplementation
• The hormonal and mechanical processes involved in bringing in milk

Alyssa discusses why she wrote Breastfeeding Without Birthing, the gaps she saw in existing resources, and how her book has helped both parents and professionals navigate lactation induction. She also shares updates on her professional training program for IBCLCs who want to specialize in this area.

Alyssa outlines the key components of inducing lactation and how IBCLCs can guide parents through the process:

1. Simulated Pregnancy – Using hormones and other methods to prepare the breast tissue
2. Milk Production Stimulation – Using pumping and supplements to start lactation
3. Breastfeeding and Milk Supply Growth – Managing supplementation and maximizing production once the baby arrives

Alyssa and Margaret discuss the role of pharmaceuticals and herbal supplements in inducing lactation, as well as the importance of proper pumping techniques:

• The use of progesterone and domperidone vs. Reglan
• Why domperidone is widely used globally but not FDA-approved in the U.S.
• The importance of multi-user pumps and properly fitting flanges for milk production

Alyssa shares insights into using a supplemental nursing system (SNS) to optimize milk transfer and sustain breastfeeding relationships. Topics include:

• The learning curve of using an SNS and how to help families through the adjustment period
• Why many families find SNS to be a valuable long-term solution
• The most effective SNS options for different situations

Margaret and Alyssa discuss how IBCLCs can stay within their scope while supporting families who want to induce lactation. Key takeaways include:

• When and how to refer to medical providers for prescriptions
• The importance of evidence-based education to help families access safe and effective lactation induction options
• How IBCLCs can work alongside local lactation consultants to provide hands-on support while accessing expert guidance

Alyssa emphasizes the need for greater awareness of lactation induction within adoption and surrogacy communities. They discuss:

• Why many parents don’t realize inducing lactation is an option
• How lactation professionals can collaborate with adoption agencies and surrogacy organizations
• The growing demand for resources in the LGBTQ+ and surrogacy communities

Alyssa Schnell, IBCLC, is an expert in induced lactation and the author of Breastfeeding Without Birthing. She provides consultations worldwide via telehealth and offers professional training for lactation consultants who want to specialize in this area.

🔗 Find Alyssa Online:

🌐 Website: alyssaschnellibclc.com

📸 Instagram: @alyssaschnellibclc

🔗 LinkedIn: Alyssa Schnell, IBCLC

📖 Breastfeeding Without Birthing – Available online

📌 DomHub – Online resource for domperidone use

📌 First Droplets – Hand expression resources: www.firstdroplets.com

📌 Research on lactation induction and milk production

Have questions or suggestions for future episodes? Reach out to Margaret at [email protected] or connect on social media:

📸 Instagram: @margaretsalty

📘 Facebook: Margaret Salty’s IBCLC Community

🎙 Hosted by: Margaret Salty

🎧 Guest: Alyssa Schnell, IBCLC

🎵 Music by: The Magnifiers, My Time Traveling Machine

#IBCLC #InducedLactation #BreastfeedingWithoutBirthing #BreastfeedingSupport #LactationConsultant #SNS #Domperidone #BreastfeedingMedicine #IBCLCMentorPodcast #MargaretSalty

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Episode Title: Telelactation, SLE and Breastfeeding, Gut Microbiota, and IBCLC Support

In this episode of The IBCLC Mentor Podcast, Margaret Salty reviews four recent studies that impact lactation consultants. From the effectiveness of telelactation services to breastfeeding experiences among mothers with systemic lupus erythematosus (SLE), the influence of gut microbiota on infant weight gain, and the impact of IBCLC support on breastfeeding success, Margaret translates the latest research into actionable insights for IBCLCs.

1. The Impact of Telelactation Services on Breastfeeding Rates

Margaret reviews a large randomized clinical trial conducted across 39 states in the U.S. involving over 2,100 participants. The study assessed whether providing 24/7 on-demand video access to IBCLCs through a smartphone app increased breastfeeding rates at 24 weeks postpartum, particularly among racially and ethnically diverse populations.

Reference:

Uscher-Pines, L., Kapinos, K., Waymouth, M., Howell, K., Alvarado, G., Ray, K., Demirci, J., Mehrotra, A., Rogers, R., Floyd James, K., & DeYoreo, M. (2025). Telelactation services and breastfeeding by race and ethnicity: A randomized clinical trial. JAMA Network Open, 8(2), e2461958. https://doi.org/10.1001/jamanetworkopen.2024.61958

Practical Takeaways:

✅ Telelactation increased breastfeeding rates among Black participants by 7.5 percentage points.

✅ Exclusive breastfeeding rates among Black participants improved by 9.2 percentage points.

✅ High engagement with the app was linked to better breastfeeding outcomes.

✅ Telelactation may help reduce racial breastfeeding disparities by improving access to IBCLC support.

2. Breastfeeding Experiences Among Mothers with Systemic Lupus Erythematosus (SLE)

Margaret examines a qualitative study exploring the lived experiences of mothers with SLE and how their condition, medications, and flares impacted their breastfeeding decisions. The study highlights both medical and emotional challenges faced by this population.

Reference:

Lieber, S. B., Stamm, B. C., Young, S. R., Rose-Smith, J., Kleinman, J., Smole, A., Vega, J., Siegel, C. H., Barbhaiya, M., Mandl, L. A., Lockshin, M. D., & Sammaritano, L. R. (2025). Infant feeding experiences of women with systemic lupus erythematosus: A qualitative study. Lupus, 0(0), 1-9. https://doi.org/10.1177/09612033251324493

Practical Takeaways:

✅ Fatigue, flares, and medication use directly affect breastfeeding success for mothers with SLE.

✅ Reassurance from healthcare providers about medication compatibility increases breastfeeding confidence.

✅ IBCLCs should anticipate and address physical and emotional challenges unique to SLE patients.

✅ Providing non-judgmental support and flexibility in feeding choices is essential for this population.

3. How Breastfeeding Shapes the Gut Microbiota and Infant Weight Gain

Margaret explores a study from Mexico that links breastfeeding with the development of beneficial gut bacteria and healthier weight gain patterns in infants. The study emphasizes the role of breast milk composition and gut health in shaping long-term metabolic outcomes.

Reference:

Arguelles-Lopez, A., Aguayo-Patrón, S. V., & Calderón de la Barca, A. M. (2025). Breastfeeding shapes the gut microbiota and its structure is associated with weight gain trajectories in Mexican infants. Nutrients, 17(826). https://doi.org/10.3390/nu17050826

Practical Takeaways:

✅ Higher levels of Bifidobacterium and Veillonella were linked to normal weight gain.

✅ Ruminococcus gnavus, linked to rapid weight gain, was higher in infants with faster growth patterns.

✅ Breast milk composition (protein, fat, and oligosaccharides) influences gut microbiota and weight gain.

✅ Higher maternal BMI was associated with lower protein content in breast milk, which may influence growth patterns.

4. The Impact of IBCLC Support on Breastfeeding Outcomes

Margaret discusses a large systematic review and meta-analysis examining whether lactation consultant support improves breastfeeding rates and duration. The review includes data from over 8,500 participants across 40 randomized clinical trials.

Reference:

D’Hollander, C. J., McCredie, V. A., Uleryk, E. M., Kucab, M., Le, R. M., Hayosh, O., Keown-Stoneman, C. D. G., Birken, C. S., & Maguire, J. L. (2025). Breastfeeding support provided by lactation consultants: A systematic review and meta-analysis. JAMA Pediatrics. https://doi.org/10.1001/jamapediatrics.2024.6810

Practical Takeaways:

✅ IBCLC support reduced the risk of stopping exclusive breastfeeding by 4%.

✅ IBCLC support reduced the risk of stopping any breastfeeding by 8%.

✅ More frequent and early lactation support resulted in better breastfeeding success rates.

✅ In-person and hybrid (in-person + remote) support were more effective than remote-only services.

This episode highlights critical research findings that reinforce the importance of lactation consultant support and evidence-based care. Telelactation shows promise in reducing racial breastfeeding disparities, while targeted support for mothers with SLE and better understanding of gut microbiota could help improve breastfeeding outcomes. Stay tuned for next week's research recap!

📷 Instagram: @margaretsalty

📘 Facebook: Margaret Salty’s IBCLC Community

🎙️ Hosted by: Margaret Salty

🎵 Music by: The Magnifiers, My Time Traveling Machine

#IBCLC #LactationConsultant #BreastfeedingResearch #Telelactation #SLE #BreastfeedingAndGutHealth #LactationMentor #IBCLCMentorPodcast

In this episode of The IBCLC Mentor Podcast, Margaret Salty interviews Robin Lommori, a midwife, IBCLC, and founder of Mama Well, a coaching program dedicated to helping parents manage gestational diabetes. Together, they explore the impact of gestational diabetes on breastfeeding outcomes, how outdated advice is affecting families, and how lactation professionals can better support these parents.

Robin shares her journey into midwifery and lactation, inspired by her own birth experiences and the desire to improve outcomes for families. She discusses how her work as a midwife led her to recognize the gaps in gestational diabetes management and inspired her to create Mama Well.

Robin and Margaret discuss the challenges of traditional gestational diabetes management and why many parents receive outdated dietary advice. Topics include:

• The difference between glucose tolerance testing in hospitals vs. out-of-hospital births
• Why excessive carbohydrate intake can worsen blood sugar control
• The importance of a protein-first approach to managing gestational diabetes
• How lifestyle factors such as meal timing, exercise, and stress management play a role

Gestational diabetes can lead to complications in newborns and impact breastfeeding success. Robin shares insights on:

• How blood sugar instability in newborns increases the risk of unnecessary supplementation
• Why routine Q3 blood sugar checks may not always be necessary in out-of-hospital births
• The role of prenatal hand expression in improving early breastfeeding success
• Strategies to support milk supply and reduce the risk of delayed lactogenesis

Robin and Margaret dive into the common breastfeeding challenges faced by parents with gestational diabetes and how IBCLCs can help. Topics include:

• The link between poorly controlled blood sugar and delayed milk production
• How inflammation contributes to mastitis and strategies to manage it
• Why focusing on hydration, nutrition, and breast emptying is crucial for milk supply
• Practical advice on managing mastitis, including probiotics, ibuprofen, and sunflower lecithin

Robin emphasizes the importance of empowering parents to take control of their health by:

• Encouraging home glucose monitoring and teaching parents how to check their newborn’s blood sugar if needed
• Working with midwives and pediatricians to ensure comprehensive postpartum care
• Supporting long-term health by educating parents about their increased risk of developing Type 2 diabetes

Robin offers guidance for IBCLCs and aspiring lactation consultants who want to learn more about gestational diabetes and holistic approaches to care:

• Shadow a midwife or birth center to learn about out-of-hospital approaches
• Advocate for updated gestational diabetes management protocols in hospitals
• Educate clients about the importance of blood sugar control for breastfeeding success

Robin Lommori is a midwife and IBCLC based in Phoenix, Arizona, specializing in out-of-hospital birth and gestational diabetes coaching through Mama Well.

🔗 Find Robin Online:

🌐 Website: mamawellcoaching.com

📸 Instagram: @mamawellcoaching

Have questions or suggestions for future episodes? Reach out to Margaret at [email protected] or connect on social media:

• Instagram: @margaretsalty
• Facebook: Margaret Salty’s IBCLC Community

• Hosted by: Margaret Salty
• Music by: The Magnifiers, "My Time Traveling Machine"

#IBCLC #LactationSupport #BreastfeedingEthics #MedicalEthics #LactationResearch #BreastfeedingMedicine #IBCLCMentorPodcast #MargaretSalty

In this episode of The IBCLC Mentor Podcast, Margaret Salty reviews recent research findings that impact lactation consultants. From assessing the effectiveness of the Latch Scoring System to a rare case of lactation anaphylaxis and the role of healthcare providers in breastfeeding support, Margaret translates the latest studies into actionable insights for IBCLCs.

Margaret reviews a study on the effectiveness of the Latch Scoring System in identifying and correcting breastfeeding challenges. The study followed 80 mother-infant dyads and found that structured lactation interventions significantly improved latch scores, with cesarean-delivered mothers benefiting the most.

Reference:

Gautam, A., Singh, S. P., Narayani, V. K., Rathore, A., & Tripathi, M. (2025). LATCH Score for Identification and Correction of Breastfeeding Problems. International Journal of Life Sciences, Biotechnology and Pharma Research, 14(2), 345-350. https://doi.org/10.69605/ijlbpr_14.2.2025.64

Practical Takeaways:

• The LATCH score is a useful tool for early identification of breastfeeding challenges.
• Targeted lactation interventions improve latch scores and breastfeeding outcomes.
• Cesarean-delivered mothers need additional lactation support due to positioning challenges and delayed skin-to-skin contact.

Margaret discusses an alarming case study from Ireland where a postpartum mother developed severe anaphylaxis triggered by lactation, leading to temporary heart failure. This is the first reported case of lactation anaphylaxis with cardiac dysfunction.

Reference:

Al-Tikriti, S., Kumar, M., O’Brien, M., McMorrow, R., & Crosby, D. (2025). Lactation anaphylaxis complicated by reversible cardiac dysfunction in a multiparous woman with previous breastfeeding experience. Obstetric Medicine, 1-3. https://doi.org/10.1177/1753495X251317754

Practical Takeaways:

• Lactation anaphylaxis, though rare, can be life-threatening and should be considered in cases of postpartum allergic reactions.
• Postpartum hormone shifts, especially the drop in progesterone, may destabilize mast cells and trigger anaphylaxis.
• IBCLCs should be aware of potential cardiac involvement and advocate for urgent medical evaluation in cases of severe allergic reactions during lactation.

A study from Croatia explored the gap between healthcare professionals’ perceived breastfeeding support and mothers’ actual experiences. While most providers believed they were offering strong support, not all mothers received skin-to-skin contact or early rooming-in.

Reference:

Zvigac, T. K., Fures, R., Hrgovic, Z., Rosic, D., Radic, L., Despot, A., Zivkovic, K., & Pekez, S. (2024). The attitudes of breastfeeding mothers and healthcare professionals about breastfeeding. Mater Sociomed, 36(4), 300-304. https://doi.org/10.5455/msm.2024.36.300-304

Practical Takeaways:

• Healthcare providers strongly support breastfeeding, but this doesn’t always translate into consistent implementation of best practices.
• Most mothers decide to breastfeed before or during pregnancy, reinforcing the need for early IBCLC involvement.
• Perceived low milk supply remains a top reason for early weaning, highlighting the importance of education and reassurance.

Margaret examines a comprehensive review on the gaps in research surrounding maternal diet during lactation. Most studies focus on breast milk composition rather than infant outcomes, and there is a lack of data on long-term breastfeeding.

Reference:

Rahmannia, S., Arena, G., Murray, K., Sakinah, A. D., Thariqi, Y. A., Diana, A., & Hickling, S. (2025). A scoping review of methodologies exploring diet and health outcomes in lactating women: What has been done and where to next? Nutrition Reviews. https://doi.org/10.1093/nutrit/nuae228

Practical Takeaways:

• Current dietary guidelines for lactating mothers often rely on data from non-lactating women, which may lead to inaccurate recommendations.
• More research is needed on how maternal diet affects infant growth, micronutrient status, and long-term health.
• There is a significant gap in research on extended breastfeeding and global dietary variations among lactating women.

Staying informed on the latest research ensures IBCLCs provide evidence-based support to breastfeeding families. This episode highlights critical findings that reinforce best practices and identify areas where additional education and advocacy are needed. Tune in next week for another research recap!

📷 Instagram: @margaretsalty

📘 Facebook: Margaret Salty’s IBCLC Community

🎙️ Hosted by: Margaret Salty

🎵 Music by: The Magnifiers, My Time Traveling Machine

Hashtags and Keywords:

#IBCLC #LactationConsultant #BreastfeedingResearch #LactationMentor #IBCLCMentorPodcast #EvidenceBasedPractice

In this episode of The IBCLC Mentor Podcast, Margaret Salty interviews Dr. Katrina Mitchell, a breast surgeon and breastfeeding medicine physician, about the complexities of low milk supply, tubular breasts, and why the term “insufficient glandular tissue” (IGT) may not be the best descriptor. They explore the anatomical and physiological factors that impact milk production and discuss how IBCLCs can best support families in these situations.

Dr. Mitchell shares her unique path into breastfeeding medicine, including:

• Her work as a breast surgeon and lactation-focused physician in Santa Barbara, California
• Her early exposure to breastfeeding in her family and her time living in Tanzania, where she developed a passion for public health and women's health
• How her personal breastfeeding journey shaped her clinical approach to lactation support

Dr. Mitchell explains why she dislikes the term IGT and why it is misleading. Topics include:

• The problematic use of “insufficient” and how it differs from standard medical terminology
• The importance of using correct anatomical descriptions, such as tubular breast and hypogalactia
• How IGT lacks specificity and does not explain the underlying causes of low milk production

Dr. Mitchell provides a deep dive into tubular breasts, a condition that affects breast morphology and may contribute to low milk supply:

• How tubular breasts develop due to a congenital issue during in-utero development
• The key visual characteristics of tubular breasts, including:
• Asymmetry (one breast significantly larger than the other)
• Large areolas relative to the breast base
• A narrow breast base and short distance between the nipple and the inframammary fold
• Why tubular breasts should not be confused with small breasts that produce adequate milk

Margaret and Dr. Mitchell discuss why many cases of tubular breasts go unrecognized, including:

• The lack of provider education on breast anatomy beyond cancer screening
• The misconception that breast size determines milk production
• Why palpation of the breast does not reliably indicate glandular tissue volume or function

Dr. Mitchell emphasizes how IBCLCs can best support parents experiencing low supply due to tubular breasts or other factors:

• The importance of setting realistic expectations and avoiding unnecessary stress
• Why the focus should be on optimizing milk supply rather than forcing "triple feeding" routines
• How to approach supplementation in a way that preserves the breastfeeding relationship
• Strategies for using galactagogues, including Reglan (metoclopramide) trials to assess responsiveness

Margaret and Dr. Mitchell discuss common questions about hormonal influences and whether breast tissue can develop more with each pregnancy:

• Why there is currently no conclusive evidence that tubular breasts respond to hormonal stimulation
• Observational trends that suggest milk production often improves in subsequent pregnancies
• The need for more research into the hormonal and structural changes of the breast over time

Dr. Mitchell highlights how little is truly understood about lactation physiology, including:

• The lack of research on the relationship between breast structure and function
• Why IBCLCs should be cautious about making assumptions based on breast palpation alone
• How future research could improve the identification and management of low supply cases

Dr. Katrina Mitchell is a breast surgeon, lactation medicine physician, and perinatal mental health specialist. She provides clinical care for both breastfeeding parents and individuals undergoing breast cancer treatment.

🔗 Find Dr. Mitchell Online:

🌐 Website: katrinamitchell.org

📸 Instagram: @physicianguidedbreastfeeding

📌 Plastic Surgery Literature on Tubular Breasts – Understanding the anatomical differences

📌 Perinatal Mental Health and Lactation – How mental health intersects with milk production

📌 Studies on Galactagogues – Evaluating the effectiveness of medications like Reglan and Domperidone

Have questions or suggestions for future episodes? Reach out to Margaret at [email protected] or connect on social media:

📸 Instagram: @margaretsalty

📘 Facebook: Margaret Salty’s IBCLC Community

🎙 Hosted by: Margaret Salty

🎧 Guest: Dr. Katrina Mitchell

🎵 Music by: The Magnifiers, My Time Traveling Machine

#IBCLC #LactationSupport #BreastfeedingMedicine #TubularBreasts #LowMilkSupply #LactationResearch #BreastfeedingScience #IBCLCMentorPodcast #MargaretSalty

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In this episode of The IBCLC Mentor Podcast, Margaret Salty shifts her focus to articles from Clinical Lactation, exploring key studies that can inform and enhance IBCLC practice. From innovative treatments for nipple pain to the effects of caffeine and hospital-based lactation support, Margaret translates the latest research into actionable strategies for lactation consultants. Whether you're a seasoned IBCLC or just starting out, this episode provides critical insights for evidence-based lactation care.

Margaret reviews a randomized controlled trial that tested the efficacy of zucchini seed oil for managing nipple pain in lactating women. The study found that the oil significantly reduced pain compared to expressed breast milk, suggesting its potential as a natural alternative for nipple pain relief.

Reference:

A Randomized Control Trial on the Effect of Zucchini Oil on Nipple Pain Among Lactating Women.

Practical Takeaways:

• Consider zucchini seed oil as a plant-based alternative for managing nipple pain.
• Continue prioritizing latch correction and proper positioning before recommending topical treatments.
• Encourage further research comparing zucchini seed oil with lanolin and hydrogel pads.

A scoping review analyzed how caffeine consumption affects lactating parents and infants. While moderate caffeine intake has benefits, excessive intake (over 450mg/day) was linked to infant irritability, sleep issues, and anemia.

Reference:

Effects of Caffeine on Breastfeeding Mothers and Infants: A Scoping Review.

Practical Takeaways:

• Recommend keeping caffeine intake below 300mg/day (about 2-3 cups of coffee).
• Educate parents on hidden caffeine sources (energy drinks, soda, chocolate).
• If an infant is fussy or has disrupted sleep, assess parental caffeine intake as a potential factor.

Margaret examines an integrative review that explored factors influencing exclusive breastfeeding rates at six months among low-income parents. Findings highlighted the role of education, healthcare provider support, and social networks in breastfeeding success.

Reference:

Exclusive Breastfeeding Factors at Six Months Postpartum in Low-Income Populations: An Integrative Review.

Practical Takeaways:

• Strengthen breastfeeding education in prenatal care and high school health classes.
• Address provider bias by advocating for consistent lactation guidance.
• Encourage community-based breastfeeding support groups and peer counseling.
• Advocate for policies that expand lactation care access for low-income families.

A clinical practice study from Mexico examined how hospital-based lactation units help maintain breastfeeding when mother-baby separation occurs. Strategies included Kangaroo Mother Care, structured milk expression protocols, and hospital-based breast milk banks.

Reference:

Breastfeeding When the Mother and Baby are Hospitalized Together or Separately.

Practical Takeaways:

• Advocate for hospital-based lactation units to ensure breastfeeding continuity.
• Educate parents on breast milk expression, storage, and safe handling.
• Promote collaboration between lactation consultants, NICUs, and pediatric units to prioritize human milk feeding.

Keeping up with the latest research ensures IBCLCs provide the best possible support to breastfeeding families. This episode highlights key findings that can enhance practice, from alternative treatments for nipple pain to hospital-based lactation strategies. Tune in next week for more insights from the world of lactation science.

📷 Instagram: @margaretsalty

📘 Facebook: Margaret Salty’s IBCLC Community

🎙️ Hosted by: Margaret Salty

🎵 Music by: The Magnifiers, My Time Traveling Machine

#IBCLC #LactationConsultant #BreastfeedingResearch #LactationMentor #IBCLCMentorPodcast #EvidenceBasedPractice

In this episode of The IBCLC Mentor Podcast, Margaret Salty interviews Dr. Darby, a physician, researcher, and advocate for maternal-infant health. Together, they explore ethical challenges in lactation consulting, the intersection of medicine and breastfeeding support, and how lactation professionals can better collaborate with healthcare providers.

Dr. Darby shares her journey in founding The Foundation for Milk, a nonprofit dedicated to lactation education, research, and outreach. She discusses their work supporting breastfeeding families, hosting lactation tents at community events, and expanding lactation education to high school health classes to prepare future parents.

Dr. Darby discusses her personal experience navigating lactation while undergoing a partial mastectomy, chemotherapy, and blood treatment for a rare connective tissue disorder. She provides insight into how chronic illnesses and surgical interventions impact lactation, offering guidance for IBCLCs who support medically complex cases.

Dr. Darby explains key ethical issues in lactation care, including:

• Cultural and religious influences on infant feeding decisions
• Dietary restrictions and failure to thrive in vegan families
• When and how lactation consultants should intervene in cases of medical neglect or weight concerns
• The role of lactation professionals as mandated reporters and how to escalate concerns when necessary

Dr. Darby and Margaret discuss the long-standing divide between physicians and lactation consultants, addressing:

• How IBCLCs can build referral relationships with pediatricians
• The importance of communicating lactation plans with providers through reports and direct calls
• Why physicians often recommend formula and how lactation consultants can present breast milk alternatives in a way that aligns with medical goals
• How IBCLCs can use evidence-based research to gain credibility with healthcare providers

Dr. Darby encourages IBCLCs to document and publish case studies, highlighting the importance of:

• Writing about unique lactation cases to build evidence for future practitioners
• Understanding how breast milk composition can change due to health conditions and medical treatments
• How case studies and research help fill gaps in the scientific understanding of lactation

Dr. Darby’s expertise in lactation, ethics, and medical research makes this episode a must-listen for IBCLCs, students, and healthcare providers. Whether you're a new lactation consultant or an experienced practitioner, you'll gain practical insights on navigating complex cases and strengthening professional relationships with physicians.

• The Foundation for Milk – https://foundation4milk.org/
• Family Practice Notebook (fpnotebook.com) – A medical reference site for understanding provider decision-making.
• UK NHS Baby Feeding Guidelines – https://www.nhs.uk/start-for-life/baby/feeding-your-baby/

Have questions or suggestions for future episodes? Reach out to Margaret at [email protected] or connect on social media:

• Instagram: @margaretsalty
• Facebook: Margaret Salty’s IBCLC Community

• Hosted by: Margaret Salty
• Guest: Dr. Darby
• Music by: The Magnifiers, "My Time Traveling Machine"

#IBCLC #LactationSupport #BreastfeedingEthics #MedicalEthics #LactationResearch #BreastfeedingMedicine #IBCLCMentorPodcast #MargaretSalty

In this episode of The IBCLC Mentor Podcast, Margaret Salty dives into the latest research articles from her Google Scholar alerts, exploring how recent findings can enhance the practice of IBCLCs. Margaret breaks down complex research into actionable strategies for lactation consultants, focusing on how these insights can improve breastfeeding outcomes. Whether you're a seasoned IBCLC or just starting your journey, these episodes will keep you at the forefront of evidence-based lactation care.

Margaret discusses a study by Thomson & Garrido (2025) that explores how human milk influences the gut microbiota in preterm infants and its potential for optimizing microbial development. The study highlights the role of human milk in establishing a healthy gut microbiome and the long-term benefits for preterm infant health.

Reference:

Thomson, P., & Garrido, D. (2025). How human milk shapes the gut microbiota in preterm infants: Potential for optimizing early-life microbial development. Microbiome Research Reports, 4(12), 1–11. https://doi.org/10.20517/mrr.2024.86

Practical Takeaways:

• Advocate for breast milk as the primary nutrition source for preterm infants.
• Educate NICU staff and parents about the impact of human milk on microbial development.
• Support donor milk programs to ensure preterm infants receive optimal nutrition.

This study by Hanumantharaju et al. (2025) analyzed how gestational age and lactation stage impact the microbiota of human milk. The findings suggest that preterm milk has lower bacterial diversity, emphasizing the need for targeted nutritional and probiotic support for preterm infants.

Reference:

Hanumantharaju, A., et al. (2025). Microbial adaptation in human milk: Unraveling the effects of gestational age and lactation stage among Indian mothers. Journal of Neonatology. https://doi.org/10.1177/09732179241308404

Practical Takeaways:

• Support early milk expression for mothers of preterm infants.
• Encourage sustained breastfeeding for optimal microbial diversity.
• Promote further research on regional variations in milk microbiota.

Margaret reviews a study by Faria et al. (2025) that examines how early breastfeeding initiation impacts obstetric outcomes, comparing data from before and during the COVID-19 pandemic. Findings reinforce the benefits of immediate skin-to-skin contact and early breastfeeding for both mothers and infants.

Reference:

Faria, A. P. V., et al. (2025). Obstetric outcomes in breastfeeding women in the first hour of delivery before and during the COVID-19 pandemic. BMC Pregnancy and Childbirth, 25, 24. https://doi.org/10.1186/s12884-024-06975-1

Practical Takeaways:

• Advocate for uninterrupted skin-to-skin contact immediately after birth.
• Support policies ensuring early breastfeeding initiation, even in pandemic conditions.
• Educate healthcare providers on the long-term benefits of early breastfeeding.

This birth cohort study by Feldens et al. (2025) investigates the relationship between tongue-tie (ankyloglossia) and maternal breastfeeding confidence. The study found no significant differences in breastfeeding self-efficacy between mothers of infants with and without tongue-tie, suggesting that non-invasive lactation support should be the first-line intervention.

Reference:

Feldens, C. A., et al. (2025). Ankyloglossia and breastfeeding self-efficacy in newborns: A birth cohort study. BMC Oral Health, 25(64). https://doi.org/10.1186/s12903-025-05444-1

Practical Takeaways:

• Assess breastfeeding challenges holistically rather than assuming tongue-tie is the primary cause.
• Prioritize latch optimization, positioning, and parental education before considering frenotomy.
• Work with multidisciplinary teams to provide well-rounded lactation support.

Staying updated with the latest research is essential for providing the best care as an IBCLC. By integrating evidence-based strategies, you can enhance breastfeeding support and outcomes. Tune in each week as we explore more insights from the world of lactation science.

Have questions or suggestions for future episodes? Reach out at [insert website link] or connect with me on social media:

📷 Instagram: @margaretsalty

📘 Facebook: Margaret Salty's IBCLC Community

🎙️ Hosted by: Margaret Salty

🎵 Music by: The Magnifiers, "My Time Traveling Machine"

#IBCLC #LactationConsultant #BreastfeedingResearch #LactationMentor #IBCLCMentorPodcast #EvidenceBasedPractice

In this episode of The IBCLC Mentor Podcast, Margaret Salty interviews Caoimhe Whelan, an IBCLC, researcher, and author based in Dublin, Ireland. Together, they discuss Caoimhe’s journey into lactation consulting, her groundbreaking research on primary low milk supply, and her upcoming illustrated book designed to revolutionize breastfeeding education.

Caoimhe shares her path from being a volunteer breastfeeding counselor with Quiddu to establishing her private practice. She reflects on the challenges and rewards of supporting breastfeeding families in Ireland, where low breastfeeding rates and limited insurance coverage present unique barriers.

Caoimhe dives into her qualitative research exploring the emotional experiences of mothers with primary low milk supply. She explains how this work, published in leading journals, informed her empathetic and inclusive approach to supporting families.

Discover the inspiration behind Caoimhe’s upcoming book—a visually rich, illustrated guide for breastfeeding parents. She highlights the importance of creating an inclusive and accessible resource, emphasizing mental health, emotional support, and the beauty of connection.

Caoimhe provides insights into the unique challenges of private practice in Ireland, the cultural factors influencing breastfeeding rates, and how health policies differ from those in the United States. She also touches on the impact of formula marketing and the growing focus on tongue-tie.

Caoimhe emphasizes the value of humility, empathy, and holding space for parents. She shares her thoughts on the pressures IBCLCs face to "know it all" and advocates for returning to the core skills of connection and support.

Caoimhe Whelan’s dedication to supporting breastfeeding families and her innovative approach to education and research make this episode a must-listen. Whether you’re a student, a seasoned IBCLC, or a maternal health advocate, you’ll find practical wisdom and inspiration in this conversation.

• Follow Caoimhe on Instagram: @latch.ie
• Learn more about her research in Breastfeeding Medicine and International Breastfeeding Journal.
• Caoimhe’s book will be available on Amazon starting June 5, 2025.

Have questions or suggestions for future episodes? Reach out to Margaret at [insert website link] or connect on social media:

• Instagram: @margaretsalty
• Facebook: Margaret Salty’s IBCLC Community

• Hosted by: Margaret Salty
• Guest: Caoimhe Whelan
• Music by: The Magnifiers, "My Time Traveling Machine"

#IBCLC #LactationSupport #BreastfeedingEducation #BreastfeedingResearch #MentalHealth #BreastfeedingIreland #IBCLCMentorPodcast #MargaretSalty