About the Guest:
Gloria Dudney is a highly experienced registered nurse and board-certified lactation consultant. With over 31 years in perinatal care and 20 years specializing in lactation consultation, Gloria currently serves as the Director of Lactation Services at ETSU Health. She provides patient care in obstetrics and pediatric clinics and has been a pivotal figure in training additional lactation care providers. Gloria also contributed to the statewide task force aimed at developing the lactation workforce in response to securing Medicaid reimbursement for lactation care in Tennessee. She speaks nationally on clinicians' roles in safeguarding breastfeeding duration.
Episode Summary:
In this episode of "Growing Stronger Together," host Dr. Varshini Balasubramanian, a pediatric resident at East Tennessee State University, delves into sensitive issues surrounding breast milk production following pregnancy loss. Her guest, Gloria Dudney, a seasoned lactation consultant, shares invaluable insights from her extensive career in perinatal care. As families navigate the complex emotions and physical challenges associated with pregnancy loss, this episode presents strategies and support systems available for mothers experiencing unexpected breast milk production.
The conversation addresses common challenges mothers face, emphasizing the often overlooked aspect of lactation that persists even after a pregnancy loss. Gloria Dudney discusses the intricacies of milk suppression, expression, and the potential benefits of breast milk donation. The episode offers guidance for healthcare providers on supporting grieving families and highlights the intersection between mental and physical health in this context. With SEO-optimized keywords like "breastfeeding support," "lactation consultation," and "pregnancy loss coping strategies," the episode aims to be an informative resource for families and healthcare professionals alike.
Key Takeaways:
- Mothers need full guidance on options for managing lactation after pregnancy loss, including milk suppression, expression, and donation.
- Suppression of milk production can involve pharmacological and non-pharmacological methods, with an emphasis on managing inflammation to protect long-term breast health.
- Healthcare providers should ensure mothers are provided anticipatory guidance and access to resources, including lactation consultants and mental health services.
- Donating breast milk post-loss can serve as a therapeutic process for mothers, offering them a tangible connection to their lost child and providing life-saving nutrition to vulnerable infants.
- Nutritional considerations and the avoidance of certain herbs and foods can influence lactation, either suppressing or promoting milk production.
Notable Quotes:
- "The heights of joy, but you also have the depths of despair. It is a family's most sorrowful moment in the setting of a loss or a miscarriage." - Gloria Dudney
- "The more gradually we do this and the kinder and gentler we are to the body, the better her breast health is for the long run." - Gloria Dudney
- "Our job is to take your hand and walk you down each of these paths. Whichever path you choose, we should have the knowledge to provide the care for that journey." - Gloria Dudney
- "This acts as medicine for our tiniest and most vulnerable of babies." - Gloria Dudney
- "Preventing harm, preventing pain of all kinds, is what we're in the business of doing as healthcare professionals." - Gloria Dudney
Resources:
General patient information – lllusa.org/lactation-after-loss
Breastmilk banks – milkbanktn.org and hmbana.org
National Maternal Mental Health Hotline – 833-TLC-MAMA
Postpartum Support International – postpartum.net
TN Breastfeeding Hotline -855-4BF-MOMS (855-423-6667)
Literature review on abrupt weaning and breast cancer risk - Ye, D et al, Association between breastfeeding, mammographic density, and breast cancer risk: a review. International Breastfeeding Journal (2024). https://doi.org/10.1186/s130006-024-00672-7.
Join us in exploring more insightful discussions on "Growing Stronger Together" podcast series, where we address essential topics for children's and families' health and well-being. Don't miss our future episodes for more valuable content and expert advice.
Financial support for Growing Stronger Together is provided through a Community Health Improvement Site Investment from Ballad Health’s Department of Population Health and through competitive funding from Tennessee Department of Health's Maternal Mortality Prevention program.
Music derived from Song: Justhea - Happy
Music provided by Vlog No Copyright Music.
Creative Commons - Attribution 3.0
Unported Video Link: https://youtu.be/h8RmuRCZCWg
Produced by Mitch McGarry with Maypop Media