In this episode of The IBCLC Mentor Podcast, Margaret Salty sits down with Dr. Margo Kwiatkowski, a physical therapist specializing in orthopedic, sport, and pelvic health. Together, they explore how physical health, particularly pelvic floor health, impacts all aspects of mothering postpartum. Dr. Kwiatkowski shares her expertise in supporting postpartum recovery and highlights the critical connection between pelvic floor health and successful breastfeeding.

Physical Health and Mothering Postpartum:

Dr. Kwiatkowski explains the significance of pelvic floor health in the postpartum period and its influence on maternal well-being, including how it affects breastfeeding, mobility, and emotional health.

Supporting Mothers After Childbirth:

This episode covers best practices for supporting mothers postpartum, including breastfeeding positions that work well following childbirth and practical strategies for alleviating physical discomfort.

Connecting Moms with Pelvic Floor Specialists:

Dr. Kwiatkowski offers valuable advice for IBCLCs on identifying when a referral to a pelvic floor specialist is needed and how to create a strong support network for breastfeeding families.

Dr. Margo Kwiatkowski’s passion for improving postpartum care shines throughout this conversation. Whether you’re a new IBCLC, an experienced consultant, or a student, this episode is packed with actionable insights and strategies to better support postpartum mothers in your practice.

Resources Mentioned in This Episode:

• Learn more about Dr. Margo Kwiatkowski: https://www.p4moms.com/about
• Information on pelvic floor health: https://www.p4moms.com

If you found this episode helpful, please subscribe to The IBCLC Mentor Podcast and leave a review. Don’t forget to share this episode with your colleagues and fellow IBCLCs!

Connect with Me:

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

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

Credits:

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

Hashtags and Keywords:

#IBCLC #LactationSupport #PelvicFloorHealth #PostpartumCare #BreastfeedingPositions #IBCLCMentorPodcast #LactationMentor #MargoKwiatkowski

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.

Impact of Gestational Diabetes on Breast Milk and Gut Microbiomes

Margaret reviews this groundbreaking study by Valencia-Castillo et al. (2024), which examines the influence of gestational diabetes mellitus on the breast milk and gut microbiomes of Colombian women and their infants. Insights from this research can help IBCLCs better understand the microbiome’s role in lactation and early nutrition.

Reference:

Valencia-Castillo, S. Y., et al. (2024). Impact of gestational diabetes mellitus in gut and human breast milk microbiome in Colombian women and their infants. Revista Argentina de Microbiología. DOI:10.1016/j.ram.2024.10.006

Complementary Plant-Based Therapies for Breast Milk Production

This study by Farlikhatun et al. (2024) explores the effects of plant extract therapies on breast milk production. Margaret discusses how evidence-based complementary therapies could enhance milk supply, providing IBCLCs with additional tools to support mothers.

Reference:

Farlikhatun, L., et al. (2024). The effect of complementary therapy from plant extracts on breast milk production. Jurnal Penelitian Pendidikan IPA, 10(12), 9966–9974. DOI:10.29303/jppipa.v10i12.8823

Human Milk Oligosaccharides: The Science Behind Lactation

Margaret examines the latest findings on the role of human milk oligosaccharides (HMOs) in lactation and their inclusion in infant formulas, based on research by Del Compare et al. (2024). She explains how this evidence supports the unique benefits of breast milk and helps IBCLCs communicate these advantages effectively.

Reference:

Del Compare, M., et al. (2024). Human milk oligosaccharides: Role in lactation and infant formulas. Archives of Argentine Pediatrics. DOI:10.5546/aap.2024-10489

Coping with Breastfeeding Pain

This secondary analysis by Russell et al. (2024) delves into how mothers perceive and cope with breastfeeding pain. Margaret highlights strategies IBCLCs can use to address pain management, enhancing breastfeeding experiences for mothers.

Reference:

Russell, M., et al. (2024). Perceptions of coping with breastfeeding pain: A secondary analysis. Journal of Midwifery & Women’s Health. DOI:10.1111/jmwh.13723

• Understand the Microbiome: Incorporate microbiome insights into lactation support plans.
• Boost Milk Supply Naturally: Explore safe, evidence-based complementary therapies.
• Promote Breastfeeding: Use HMOs as a key talking point to advocate for breast milk.
• Support Pain Management: Equip mothers with effective tools to handle breastfeeding pain.

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 sits down with Dr. Anne Eglash, a family physician, breastfeeding medicine expert, and co-founder of the Academy of Breastfeeding Medicine (ABM). Together, they explore Dr. Eglash's incredible journey in the field of breastfeeding medicine, the origin and mission of the Academy of Breastfeeding Medicine, and the transformative role of ABM protocols in improving lactation care worldwide. Dr. Eglash also shares invaluable advice for IBCLCs on collaborating effectively with breastfeeding medicine physicians to enhance outcomes for breastfeeding families.

The Academy of Breastfeeding Medicine (ABM):

Dr. Eglash delves into the early days of the Academy, its goals to unite physicians in supporting breastfeeding, and how the organization has grown to be a global leader in advancing breastfeeding medicine.

The Importance of ABM Protocols:

Discover the critical role of ABM's evidence-based protocols in guiding clinical practices and empowering healthcare providers to deliver consistent, effective care for breastfeeding dyads.

Advice for Working with Breastfeeding Medicine Physicians:

Dr. Eglash offers practical tips for IBCLCs on fostering productive collaborations with breastfeeding medicine physicians, emphasizing the importance of mutual respect, communication, and interdisciplinary teamwork.

Dr. Anne Eglash’s expertise and dedication to breastfeeding medicine shine throughout this episode. Whether you’re a student IBCLC, a new consultant, or a seasoned professional, this conversation is packed with actionable insights to help you grow in your role and provide exceptional care to breastfeeding families.

Resources Mentioned in This Episode:

• The Academy of Breastfeeding Medicine: https://www.bfmed.org
• ABM Protocols: https://www.bfmed.org/protocols
• Learn more about Dr. Anne Eglash: https://lacted.org/

If you found this episode helpful, please subscribe to The IBCLC Mentor Podcast and leave a review. Don’t forget to share this episode with your colleagues and fellow IBCLCs!

Connect with Me:

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

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

Credits:

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

Hashtags and Keywords:

#IBCLC #LactationSupport #BreastfeedingMedicine #ABMProtocols #BreastfeedingCare #IBCLCMentorPodcast #LactationMentor #AnneEglash

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.

Donor Human Milk Fat Content and Maternal BMI

Margaret reviews this study by de Castro et al. (2024), which examines the association between maternal body mass index (BMI) and the fat content of donor human milk. The findings shed light on the variability of milk composition and its implications for neonatal nutrition.

Reference:

de Castro, L. S., Horta, B. L., Paiva, R. F., Rocha, A. C. L., Desai, M., Ross, M. G., & Coca, K. P. (2024). Donor human milk fat content is associated with maternal body mass index. Breastfeeding Medicine, 19(1), 1–7. https://doi.org/10.1089/bfm.2024.0028

Prenatal Antibiotics and Neonatal Immunity

This study by Pietrasanta et al. (2024) explores how prenatal antibiotic exposure reduces breast milk IgA levels and induces dysbiosis in mouse offspring, increasing their susceptibility to bacterial sepsis. Margaret discusses the potential implications for human lactation and neonatal care.

Reference:

Pietrasanta, C., Carlosama, C., Lizier, M., Fornasa, G., Jost, T. R., Carloni, S., ... & Rescigno, M. (2024). Prenatal antibiotics reduce breast milk IgA and induce dysbiosis in mouse offspring, increasing neonatal susceptibility to bacterial sepsis. Cell Host & Microbe, 32(1), 1–17. https://doi.org/10.1016/j.chom.2024.11.001

Determinants of Exclusive Breastfeeding Practices Among First-Time Mothers

Margaret examines this narrative review by Oktarianita & Supriyanto (2024), which highlights the key factors influencing exclusive breastfeeding among first-time mothers. She provides insights into how IBCLCs can address these determinants to support successful breastfeeding initiation and continuation.

Reference:

Oktarianita, R. D. W., & Supriyanto, S. (2024). Exploring the determinants of exclusive breastfeeding practices among first-time mothers: A narrative review. African Journal of Reproductive Health, 28(10s), 239–248. https://doi.org/10.29063/ajrh2024/v28i10s.28

Relaxation Therapy and Breastfeeding Outcomes

This systematic review and meta-analysis by Levene et al. (2024) investigates the impact of relaxation therapy on breastfeeding outcomes, including milk production and infant growth. Margaret explores how IBCLCs can integrate relaxation techniques into practice to benefit breastfeeding families.

Reference:

Levene, I., Mohd Shukri, N. H., O’Brien, F., Quigley, M. A., & Fewtrell, M. (2024). Relaxation therapy and human milk feeding outcomes: A systematic review and meta-analysis. JAMA Pediatrics, 178(6), 567–576. https://doi.org/10.1001/jamapediatrics.2024.0814

1. Support Donor Milk Programs: Consider maternal BMI when discussing donor milk options with families.
2. Educate About Antibiotic Risks: Address prenatal antibiotic use and its potential effects on breastfeeding and neonatal immunity.
3. Tailor Support for First-Time Mothers: Focus on addressing the specific barriers to exclusive breastfeeding.
4. Incorporate Relaxation Techniques: Advocate for relaxation therapy to improve breastfeeding outcomes and maternal well-being.

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.

If you found this episode helpful, please subscribe to The IBCLC Mentor Podcast and leave a review!

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 sits down with Kelly M. Durbin, an International Board Certified Lactation Consultant (IBCLC), childbirth educator, author, and volunteer breastfeeding counselor. Together, they explore Kelly's incredible journey in lactation care, her groundbreaking research, and her advice for IBCLCs and aspiring lactation professionals. Kelly shares insights from her extensive experience supporting breastfeeding families, teaching classes, and leading support groups, as well as tips from her new book, Protecting Your Potential for Breastfeeding, published by Praeclarus Press in June 2023. This episode is filled with practical strategies and inspiration for those passionate about advancing their lactation careers.

Protecting Your Potential for Breastfeeding

Kelly provides an overview of her new book, sharing its purpose and how it empowers families to navigate the breastfeeding journey with confidence.

Kelly M. Durbin's expertise, passion, and dedication to breastfeeding support shine throughout this conversation. Whether you’re an IBCLC student, a new consultant, or a seasoned professional, this episode is packed with valuable insights to help you grow in your role and provide the best possible care to breastfeeding families.

Resources Mentioned in This Episode:

• Protecting Your Potential for Breastfeeding by Kelly M. Durbin (available at Praeclarus Press)
• Instagram: https://www.instagram.com/breastfeedingwellness/
• LinkedIn: https://www.linkedin.com/in/kelly-durbin-08639842/
• Webpage: http://protectingyourpotential.com/index.html

If you found this episode helpful, please subscribe to The IBCLC Mentor Podcast and leave a review. Don’t forget to share this episode with your colleagues and fellow IBCLCs!

Connect with Me:

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

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

Credits:

• Hosted by: Margaret Salty
• Guest: Kelly M. Durbin
• Music by: The Magnifiers, "My Time Traveling Machine"

Hashtags and Keywords:

#IBCLC #LactationSupport #BreastfeedingResearch #ProtectingBreastfeeding #IBCLCMentorPodcast #LactationMentor #KellyDurbin

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.

Association Between Cigarette and Heated Tobacco Use and Breastfeeding Cessation

Margaret reviews this study by Okawa et al. (2024), which investigates how cigarette and heated tobacco use are linked to breastfeeding cessation within six months postpartum in Japan. The findings underscore the importance of smoking cessation interventions and support for breastfeeding mothers who use tobacco products.

Reference:

Okawa, S., Nanishi, K., Iso, H., & Tabuchi, T. (2024). Association between cigarette and heated tobacco use and breastfeeding cessation within 6 months postpartum in Japan: An internet-based cross-sectional study. Scientific Reports, 14, 29214. https://doi.org/10.1038/s41598-024-78423-1

Breastfeeding-Friendly Environmental Factors and Breastfeeding Practices

This study by Chen et al. (2024) examines how breastfeeding-friendly environmental factors influence breastfeeding practices at six months in Taiwan. Margaret discusses the actionable insights this study provides for creating supportive environments that promote sustained breastfeeding.

Reference:

Chen, T. L., Chen, L. L., & Gau, M. L. (2024). Association between breastfeeding-friendly environmental factors and breastfeeding practices at 6 months in mothers in Taiwan. International Breastfeeding Journal, 19(78), 1-10. https://doi.org/10.1186/s13006-024-00681-6

Online Prenatal Education and Exclusive Breastfeeding Rates

Margaret explores this study by Gabhart et al. (2024), which highlights the effectiveness of a live online prenatal education model in improving exclusive breastfeeding rates at discharge. She provides insights into how lactation consultants can incorporate virtual education to enhance breastfeeding outcomes.

Reference:

Gabhart, J. M., Wasio, L. N., U-thaiwat, P., Chen, Y. W., & Main, J. (2024). A live online prenatal educational model: Association with exclusive breastfeeding at discharge. Journal of Human Lactation, 40(1), 1-11. https://doi.org/10.1177/08903344241297607

A Paradigm Shift in NICU Lactation Care

In this article, Randle (2024) advocates for a comprehensive lactation care model tailored for NICU families. Margaret discusses how this paradigm shift can improve breastfeeding outcomes for vulnerable infants and families, and what IBCLCs can do to support NICU lactation care.

Reference:

Randle, J. (2024). The case for a paradigm shift in lactation care for NICU families: A comprehensive lactation care model. Journal of Human Lactation, 40(1), 1–5. https://doi.org/10.1177/08903344241299722

1. Support Smoking Cessation: Educate families on the impact of tobacco use on breastfeeding and offer tailored support.
2. Create Breastfeeding-Friendly Spaces: Advocate for environmental changes that support breastfeeding at home and in the workplace.
3. Embrace Virtual Education: Incorporate online prenatal education models to reach more families effectively.
4. Enhance NICU Care: Advocate for comprehensive lactation care models that meet the needs of NICU families.

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.

If you found this episode helpful, please subscribe to The IBCLC Mentor Podcast and leave a review!

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 sits down with Allison Tolman, an International Board Certified Lactation Counselor (IBCLC), childbirth educator, and founder of New Little Life, to explore her journey, her innovative work, and her advice for IBCLCs and aspiring lactation professionals. Allison shares insights into her path to becoming a CLC, the growth of New Little Life, and her mission to make lactation and parenting education accessible to families worldwide. Packed with actionable tips and strategies, this episode offers inspiration for anyone looking to expand their reach in the lactation field.

Resources Mentioned in This Episode:

Pumping for Lactation Professionals Training: https://breastpumpscience.mykajabi.com/store (Coupon code for 10% off: SALTY)

Website: www.newlittlelife.com

Instagram: www.instagram.com/newlittlelife_byallison

YouTube: www.youtube.com/newlittlelifebyallison

Videos mentioned in our chat and/or are relevant to our conversation:

• Baby VS Breast Pump: https://youtu.be/x0gCr-TsBd0
• The hard truth about wearable pumps: https://youtu.be/l4Fuv1Siqf8
• Best breast pumps for low milk supply: https://youtu.be/zPUcm825qQg
• Spectra or Medela: A company overview: https://youtu.be/h4ItZYrzNGI
• Annabella Pump Review: https://youtube.com/live/arBa1m94aW8?feature=share
• My Pumping Story: https://youtu.be/Fyq9Dgwn-q0
• Behind the scenes | Day in the life of a pumping coach: https://youtu.be/_Ltt47Zv8qs

If you found this episode helpful, please subscribe to The IBCLC Mentor Podcast and leave a review. Don’t forget to share this episode with your colleagues and fellow IBCLCs!

Connect with Me:

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

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

Credits:

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

Hashtags and Keywords:

#IBCLC #LactationSupport #NewLittleLife #BreastfeedingEducation #AccessibleEducation #IBCLCMentorPodcast #LactationMentor #AllisonTolman

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.

Correlation Between Exclusive Breastfeeding, Complementary Feeding, and Stunting in Toddlers

Margaret reviews this study by Filiya et al. (2024), which explores how exclusive breastfeeding and the frequency and quantity of complementary feeding affect stunting in toddlers. The research highlights the critical role of exclusive breastfeeding for growth and development, providing IBCLCs with strategies to guide families in preventing stunting.

Reference:

Filiya, A. N., Ultasari, A. P., Putri, N. A., & Afifah, A. (2024). Correlation between exclusive breastfeeding, frequency, and quantity of complementary feeding with stunting among toddlers. Malaysian Journal of Medicine and Health Sciences, 20(SUPP9), 8-13. https://doi.org/10.47836/mjmhs20.s9.2

Risk Factors for Necrotizing Enterocolitis (NEC) in Twins

This study by Zou et al. (2024) identifies risk factors for NEC in twins, shedding light on unique challenges in caring for multiples. Margaret discusses how breastfeeding can reduce NEC risk and provides practical tips for supporting families of twins in both hospital and community settings.

Reference:

Zou, P., Fang, W., Wu, L., He, J., Xia, H., Zhong, W., & He, Q. (2024). Identification of risk factors for necrotizing enterocolitis in twins: A case-control matching analysis of over ten years’ experience. BMC Pediatrics, 24, 744. https://doi.org/10.1186/s12887-024-05188-x

Knowledge and Attitudes Toward Exclusive Breastfeeding in Western Kordofan

Margaret examines this descriptive cross-sectional study by Elmanssury & Dafaallah (2024), which reveals gaps in knowledge and attitudes about exclusive breastfeeding among mothers in Western Kordofan. She highlights ways IBCLCs can address cultural and educational barriers to exclusive breastfeeding through tailored support and education.

Reference:

Elmanssury, A. E., & Dafaallah, S. A. (2024). Knowledge and attitude towards exclusive breastfeeding among lactating mothers, balancing feeding and their effect on children’s health status in district area, Western Kordofan: Descriptive cross-sectional study. Journal of Health and Medical Sciences, 7(4), 62-71. https://doi.org/10.31014/aior.1994.07.04.329

1. Prevent Stunting: Promote exclusive breastfeeding and informed complementary feeding practices.
2. Support Multiples: Use evidence-based strategies to reduce NEC risk in twins.
3. Bridge Knowledge Gaps: Provide culturally sensitive education to improve breastfeeding rates.

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.

If you found this episode helpful, please subscribe to The IBCLC Mentor Podcast and leave a review!

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 explores the topic of nursing strikes—what they are, why they happen, and how to help breastfeeding dyads navigate this challenging period. Margaret breaks down actionable strategies for resolving nursing strikes and shares a real-world case study of a 10-month-old who experienced a nursing strike after an illness.

Listeners will come away with practical tools, evidence-based insights, and the confidence to support families experiencing nursing strikes.

Key Points Covered:

Understanding Nursing Strikes:

• A nursing strike is a sudden refusal to breastfeed by a previously nursing baby.
• It differs from natural weaning, which is gradual and baby-led.
• Strikes can be temporary and typically resolve with the right support.

Common Causes of Nursing Strikes:

• Illness: Congestion, ear infections, sore throats, or general discomfort.
• Pain: Teething, mouth injuries, or recent vaccinations.
• Stress/Disruptions: Changes in routine, family tension, or overstimulation.
• Negative Associations: Reactions to biting, frustration with poor milk flow, or a stressful nursing session.
• Bottle Preference: Easier milk flow during bottle-feeding when used temporarily.

Strategies for Handling a Nursing Strike:

1. Rule Out Pain/Illness: Assess for teething, ear infections, or other health issues and refer families to healthcare providers as needed.
2. Offer the Breast in Calm Moments: Try nursing when the baby is sleepy, waking up, or in a relaxed environment.
3. Skin-to-Skin Contact: Use skin-to-skin to reestablish a positive breastfeeding connection.
4. Try Different Positions: Upright or side-lying positions may make nursing more comfortable.
5. Maintain Milk Supply: Encourage pumping to protect supply and reduce engorgement.
6. Be Patient and Supportive: Reassure parents that nursing strikes are temporary and manageable.

Case Study: A 10-Month-Old After Illness

• A baby stopped breastfeeding after a viral illness, preferring bottles due to nasal congestion.
• Intervention included skin-to-skin time, upright nursing positions, and reducing bottle flow.
• Within three days, the baby resumed breastfeeding, showing the importance of patience, consistency, and gentle approaches.

Practical Applications for IBCLCs:

• Assess Root Causes: Guide parents in identifying why the baby may be striking.
• Develop a Plan: Provide step-by-step strategies to reintroduce breastfeeding gently.
• Support Milk Supply: Ensure families understand the importance of pumping during this phase.
• Offer Reassurance: Help families feel supported and remind them that strikes are temporary.

Conclusion:

Nursing strikes can be stressful, but with proper support and strategies, they are often resolved successfully. By equipping families with patience, tools, and evidence-based solutions, IBCLCs can play a critical role in helping breastfeeding dyads get back on track.

Jalali, F., Kamiab, Z., Khademalhosseini, M., Daeizadeh, F., & Bazmandegan, G. (2021). Nursing strikes among infants and its affecting factors in Rafsanjan city. Journal of Medicine and Life, 14(1), 56–60. https://doi.org/10.25122/jml-2020-0118

Nayyeri, F., Raji, F., Haghnazarian, E., Shariat, M., & Dalili, H. (2015). Frequency of “nursing strike” among 6-month-old infants at East Tehran health center and contributing factors. Journal of Family and Reproductive Health, 9(3), 137–140.

Resources:

• The Womanly Art of Breastfeeding – La Leche League International: www.llli.org
• KellyMom: Nursing Strikes Overview: www.kellymom.com
• Academy of Breastfeeding Medicine Protocols: www.bfmed.org

If you found this episode helpful, be sure to subscribe to The IBCLC Mentor Podcast and leave a review. Your support helps me bring more evidence-based, practical content to the IBCLC community!

Connect with Me:

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

Credits:

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

Hashtags and Keywords:

#NursingStrikes #IBCLC #BreastfeedingChallenges #LactationSupport #LactationMentor #IBCLCMentorPodcast #BreastfeedingSupport #CaseStudies

Margaret reviews the study by Jayapradha et al. (2024) on a targeted oral stimulation protocol that improved exclusive breastfeeding rates by over 10-fold among preterm infants in India.

Highlights:

• Techniques improve sucking and swallowing reflexes.
• Empowered parents with practical tools to enhance feeding success.
• Reduced hospital stay duration through earlier oral feeding transitions.

Reference:

Jayapradha, G., et al. (2024). Effect of an oral stimulation protocol on breastfeeding among preterm infants: A randomized controlled trial. Archives of Disease in Childhood – Fetal and Neonatal Edition. https://doi.org/10.1136/archdischild-2024-327494

The introduction of a colostrum-kit reduced the time to first colostrum from 35 to 8 hours in a Swedish NICU study.

Practical Takeaways:

• Early colostrum expression boosts neonatal immunity.
• Simple, low-cost interventions can transform hospital practices.
• Parents feel more involved and confident in their baby's care.

Reference:

Hellström, S., et al. (2024). Implementing a colostrum-kit reduces the time to first colostrum for neonates admitted to the NICU: A retrospective observational study. International Breastfeeding Journal. https://doi.org/10.1186/s13006-024-00682-5

A study by Matyas et al. (2024) reveals how maternal stress elevates cortisol levels in breast milk while suppressing prolactin.

Why It Matters:

• Elevated cortisol may affect infant temperament and milk supply.
• Stress management improves outcomes for mother-infant dyads.
• Lactation consultants can advocate for supportive environments.

Reference:

Matyas, M., et al. (2024). The association between maternal stress and human milk concentrations of cortisol and prolactin. Scientific Reports, 14(28115). https://doi.org/10.1038/s41598-024-75307-2

Practical Applications for IBCLCs:

• Support Preterm Infants: Introduce oral stimulation protocols in your NICU collaborations.
• Educate on Colostrum: Advocate for early expression initiatives to improve infant health outcomes.
• Address Maternal Stress: Incorporate stress management techniques and educate mothers on the hormonal impacts of stress.

Conclusion:

Research-informed care empowers IBCLCs to elevate breastfeeding success and maternal well-being. Stay tuned for weekly episodes that bridge cutting-edge studies with your day-to-day practice.

Connect with Me:

Have questions or ideas for future episodes? Let’s connect:

• Website: [Insert Link]
• Instagram: @margaretsalty
• Facebook: Margaret Salty's IBCLC Community

Credits:

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

Hashtags and Keywords:

#IBCLC #LactationSupport #BreastfeedingResearch #NICUBreastfeeding #MaternalStress #ColostrumCare #IBCLCMentorPodcast