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Treść dostarczona przez Barbara D. Robertson, IBCLC; Barbara Demske RN, BSN, Barbara D. Robertson, IBCLC; Barbara Demske RN, and BSN. Cała zawartość podcastów, w tym odcinki, grafika i opisy podcastów, jest przesyłana i udostępniana bezpośrednio przez Barbara D. Robertson, IBCLC; Barbara Demske RN, BSN, Barbara D. Robertson, IBCLC; Barbara Demske RN, and BSN lub jego partnera na platformie podcastów. Jeśli uważasz, że ktoś wykorzystuje Twoje dzieło chronione prawem autorskim bez Twojej zgody, możesz postępować zgodnie z procedurą opisaną tutaj https://pl.player.fm/legal.
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The Final Flight of Captain Forrester


1 The Final Flight of Captain Forrester | 1. The Mystery of Tiny 05 38:05
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In late 1972, U.S. Marine Captain Ron Forrester disappeared on a bombing run into North Vietnam. Back home in Texas, his family could only wait and hope. Audio subscribers to Texas Monthly can get early access to episodes of the series, plus exclusive interviews and audio. Visit texasmonthly.com/audio to join. Go to HelloFresh.com/FLIGHT10FM to get 10 Free Meals with a Free Item For Life.…
All Things Breastfeeding Podcast
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Treść dostarczona przez Barbara D. Robertson, IBCLC; Barbara Demske RN, BSN, Barbara D. Robertson, IBCLC; Barbara Demske RN, and BSN. Cała zawartość podcastów, w tym odcinki, grafika i opisy podcastów, jest przesyłana i udostępniana bezpośrednio przez Barbara D. Robertson, IBCLC; Barbara Demske RN, BSN, Barbara D. Robertson, IBCLC; Barbara Demske RN, and BSN lub jego partnera na platformie podcastów. Jeśli uważasz, że ktoś wykorzystuje Twoje dzieło chronione prawem autorskim bez Twojej zgody, możesz postępować zgodnie z procedurą opisaną tutaj https://pl.player.fm/legal.
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Treść dostarczona przez Barbara D. Robertson, IBCLC; Barbara Demske RN, BSN, Barbara D. Robertson, IBCLC; Barbara Demske RN, and BSN. Cała zawartość podcastów, w tym odcinki, grafika i opisy podcastów, jest przesyłana i udostępniana bezpośrednio przez Barbara D. Robertson, IBCLC; Barbara Demske RN, BSN, Barbara D. Robertson, IBCLC; Barbara Demske RN, and BSN lub jego partnera na platformie podcastów. Jeśli uważasz, że ktoś wykorzystuje Twoje dzieło chronione prawem autorskim bez Twojej zgody, możesz postępować zgodnie z procedurą opisaną tutaj https://pl.player.fm/legal.
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1 All Things Breastfeeding Episode 93: What’s the Deal with Infant Growth Spurts? 16:13
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What’s the deal with infant growth spurts? The fact is we aren’t sure. One theory is that the babies are growing faster so needed more calories. The idea is the babies ate more frequently because they needed more food! However, a recent 2024 systematic lit review shows that this is most likely not true. It is true that there are times when babies do nurse intensely for several days. The problem is instead of understanding that this is a common part of infant growth and development, both families and health care providers panic and reach for infant formula which undermines milk supply. Sigh. “In a systematic review of 120 studies, Davanzo and Baldassare found unsatisfied hunger, fussiness, and short intervals between feeding times have been documented as commonly and hastily attributed to inadequate milk supply. In order to provide an easy-to-understand explication for these, unsettled infant behaviors have been connected to the so-called infant growth spurt.” Growth spurts are commonly believed to be short periods of time when a child shows a faster growth rate in height and weight until reaching physical maturity. They are often considered to be at roughly 2–3 weeks, 6 weeks, and 3 and 6 months. This term “infant growth spurt” has been embraced by websites on maternal health and/or breastfeeding, magazines for new parents, and certain public health recommendations on early childhood feeding. “However, there is no evidence that this disproportion (of frequent feeding) might be due to a biological trigger, as suggested by the term “spurt”, but rather simply to physiological variable maternal production, which is expected to be periodically and transiently reduced or frankly inadequate, even in a mother who successfully breastfeeds. Low milk production, insofar as the infant is healthy and properly latches to the breast, can be overcome in most cases by exploiting the mechanism whereby the greater the baby’s request and the longer time spent sucking at the breast, the greater the stimulus to produce breast milk. In fact, the weight growth of a healthy breastfed infant may show, at subsequent checks, a slowdown or arrest of growth followed by phases of true weight recovery (short-term catch-up growth) rather than acceleration (growth spurts) triggered by an endogenous mechanism.” In other words, these “growth spurts” are not associated with increased infant growth. So what are these periods of frequent feeding? They are real! Babies do have days when they seem to eat more intensely. Nancy and Barbara talk about possible theories. Nancy calls them “increased frequency days’ and wonders if either the parent or the baby have gotten a bit complacent with feedings and the baby needs to bump up the supply. Barbara wonders if they are associated with parent hormone drops. The milk ejection reflex is not as strong so the baby needs to pick up their nursing skills a bit. Practice makes perfect! We still don’t know the answer to what is happening but it is a interesting question to think about. The post All Things Breastfeeding Episode 93: What’s the Deal with Infant Growth Spurts? appeared first on The Breastfeeding Center of Ann Arbor .…

1 All Things Breastfeeding Episode 92: Menopause and Nursing 11:49
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Nancy and Barbara discuss a new article that came out in 2024. The study was a large study (20,000 women) in Canada and it looked at the length of breastfeeding, overall years/months of breastfeeding and the onset of menopause. Breastfeeding and women are the terms used in the study so we will be using them here and in the podcast to reflect accurately how the authors used these terms. As we age, this becomes more important to us! They looked at different lengths of breastfeeding. We discuss the study and what does the term “menopause” mean. “We analyzed survey data on 19,783 parous women aged 40 to 65 years at enrollment in the Alberta’s Tomorrow Project (2000–2022), a prospective community-based cohort study in Alberta, Canada. Duration of lifetime lactation across all births was categorized as: <1 month (reference group; 19.8% of women), 1–3 months (12.1%), 4–6 months (11.7%), 7–12 months (18.8%), and ??13 months (37.7%). Women were classified as premenopause, natural menopause (age at 1 year after the final menstrual period), surgical menopause (age at bilateral oophorectomy), or indeterminate menopause (age at premenopausal hysterectomy with ovarian preservation).” The results: “In a dose-response manner, longer lactation was associated with reduced risk of natural menopause before age 50 (for ??13 months of lactation, adjusted hazard ratio at age 45: 0.68, 95% CI 0.59–0.78), surgical menopause before age 55 (age 45: 0.56, 0.50–0.63), and indeterminate menopause before age 50 (age 45: 0.75, 0.69–0.82). Longer lactation was associated with lower odds of surgical (adjusted odds ratio 0.54, 95% CI 0.45–0.66) and indeterminate menopause (0.63, 0.55–0.73), compared to natural menopause.” So interesting! Just another reason for us to nurse! The post All Things Breastfeeding Episode 92: Menopause and Nursing appeared first on The Breastfeeding Center of Ann Arbor .…

1 All Things Breastfeeding Episode 91: 15 Years of BFCAA! 44:10
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The Breastfeeding Center of Ann Arbor (BFCAA) has been operating for more than 15 years!! To celebrate this milestone Jessica and special guest Barb, the original co-host of the podcast, interviewed Barbara on the journey of starting, building, and growing the Center. From Barbara: “I opened the center in 2008 as a place for all of families’ nursing needs. We had weekly support groups, consults, classes for families, a human milk depot, and some retail. In 2012 I started offering more professional lactation trainings under BFCAA. I was able to combine my two greatest professional loves, education and lactation. I was lucky enough to be joined later on by Jessica Beemsterboer who has a Master’s degree in adult education. The two of us were having such fun! Jessica started as my intern, quickly began teaching with me, and became an IBCLC herself.” The pandemic years changed a lot, but we were able to keep the business running, we moved to a new space during that time, Barbara expanded the professional trainings into a separate business, LactaLearning.com, and we added another IBCLC, Veronica Rapin to the team after she completed her internship with us. Now, both organizations are thriving. With Jessica and Veronica handling operations of running the Breastfeeding Center of Ann Arbor, Barbara is able to focus more of her time on LactaLearning to train lactation supporters, with all three of us continuing to see clients, and planning to continue to grow and support more families. https://traffic.libsyn.com/secure/bfcaa/ATB_Ep_91-_BFCAA15YearUpdate.mp3 The post All Things Breastfeeding Episode 91: 15 Years of BFCAA! appeared first on The Breastfeeding Center of Ann Arbor .…

1 All Things Breastfeeding Episode 90: Parent’s Stories with Jamie and Nikki 36:02
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Barbara has been honored to work with many families over the past 20 years but Jamie and Nikki were some of her favorites. Barbara worked with Nikki when she had the family’s first baby a few years ago. The commitment to nursing was powerful! After a few bumps, things went really well. Fast forward and it was Jamie’s turn to carry the new baby for their growing family. There were more hiccups than with the first baby but after a few months, everything settled down as it usually does. Barbara talked with this couple to explore some of the benefits and surprises of nursing babies when you have two moms in the picture. They started out with an idea of how co-nursing might look and watched how it actually evolved. They shared a great resource for queer families looking for some tailored birthing and postpartum support. This is a link to the classes offered currently by Liam Kali. The offerings were a little different four years ago, but we took a childbirth class and did an early parenting weekly support group. https://maiamidwifery.com/pregnancy-parenting/ Enjoy their story! If you work with breast/chestfeeding families and who is passionate about lactation support OR a and you want to turn your passion for nursing into professional practice, check out LactaLearning.com and consider following us on social media! Instagram @lacta.learning Facebook LactaLearning The post All Things Breastfeeding Episode 90: Parent’s Stories with Jamie and Nikki appeared first on The Breastfeeding Center of Ann Arbor .…

1 All Things Breastfeeding Episode 89: ABM 2022 Mastitis Protocol 23:18
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Barbara and Nancy discuss the ABM 2022 Mastitis Protocol. Both Nancy and Barbara feel this Protocol is a step in the right direction! However, we don’t agree with everything and you can see others feel the same way. Listen and find out! The ABM (Academy of Breastfeeding Medicine) Mastitis #36 Protoco replaces Protocols #4, #20, and Engorgement Protocol has been retired. From the Protocol: ”…Scientific evidence now demonstrates that mastitis encompasses a spectrum of conditions resulting from ductal inflammation and stromal edema. If ductal narrowing and alveolar congestion are worsened by overstimulation of milk production, then inflammatory mastitis can develop, and acute bacterial mastitis may follow. This can progress to phlegmon or abscess, particularly in the setting of tissue trauma from aggressive breast massage. Galactoceles, which can result from unresolved hyperlactation, can become infected. Subacute mastitis occurs in the setting of chronic mammary dysbiosis, with bacterial biofilms narrowing ductal lumens.” The protocol claims, “Milk stasis has been postulated to be a potential instigating factor for mastitis, although scientific evidence has not proven a causation.” This is one of ideas that really challenges what we have seen in our private practice. A parent misses a feed or a pump, becomes engorged and then seems to have ductal narrowing (what we used to call a plug!) which can lead to mastitis. We will have to wait for more information and research on the subject. Level of research- Not all are in agreement Not everyone agrees with new Protocol. This protocol was heavily influenced by Dr. Katrina Mitchell who is a breast surgeon. We love Dr. Mitchell so don’t get us wrong but she is a breast surgeon so instead of seeing our everyday horses or one off ductal narrowing or mastitis she sees zebras, folks who are in real trouble, all the time! Below are some reactions to the Protocol from others. (Douglas, 2023) https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-023-00588-8 “Clinical Protocol #36 offers some advances in the management of breast inflammation. However, Clinical Protocol #36 also exposes clinicians to two international trends in healthcare which undermine health system sustainability: overdiagnosis, including by over-definition, which increases risk of overtreatment; and antibiotic over-use, which worsens the crisis of global antimicrobial resistance. Clinical Protocol #36 also recommends unnecessary or ineffective interventions which may be accessed by affluent patients within advanced economies but are difficult to access for the global majority. The Academy of Breastfeeding Medicine may benefit from a review of processes for development of Clinical Protocols.” (Baeza et al, 2022) Re: ‘‘Academy of Breastfeeding Medicine Clinical Protocol #36: The Mastitis Spectrum, Revised 2022’’ by Mitchell et al. “Authors state it is an entity necessitating antibiotics or probiotics to resolve—again, no evidence.” “Changing the term ‘‘mastitis’’ to ‘‘mastitis spectrum’’ seems a step backward, as it implies losing scientific accuracy. It disperses the predisposing factors, the illness itself, and its complications under the term ‘‘spectrum.’’ More solid studies on mastitis are needed, but it is an entity that has a clear clinical definition, which we know how to diagnose and manage. Inserting it within a spectrum adds complicated nuances that are not scientifically justified.” Subacute mastitis “This term is not defined in the literature, much less its cause. The articles cited by the authors (no. 19–22) give different clinical symptoms to define it. Reference no. 22 bases its conclusions once more on the mentioned article on candidosis (no. 5), so we have a circular citation wheel based on opinions and no facts. That subacute mastitis is an entity and that it is caused by biofilms in chronic mammary dysbiosis is supported by no evidence.” Lecithin for blebs- Claim no evidence Therapeutic ultrasound for pain- Claim no evidence Probiotics for mastitis- Claim no evidence Here are the main take homes from the Protocol. I like that they include the strength of evidence. Listen to the podcast to hear Nancy and Barbara discuss each one. All treatments From Protocol #36: “Management of mastitis spectrum disorders includes general strategies that apply to the entire spectrum, as well as condition-specific interventions. Prompt and effective treatment will halt progression in the spectrum. Many of these measures provide not only treatment, but prevention as well.” Treatment suggestions: “Reassure mothers that many mastitis symptoms will resolve with conservative care and psychosocial support.” Level of evidence: 3. Strength of recommendation: C “Assist mothers in identifying ways to decrease stress, increase opportunities to rest, and help resolve early signs of inflammatory mastitis.” “Fourth-trimester care programs represent a holistic approach to postpartum care, including mental health, psychosocial needs, and breastfeeding counseling.” “Educate patients on normal breast anatomy and postpartum physiology in lactation” Level of evidence: 3. Strength of recommendation: C “Many patients experience breast fullness or palpate normal lactational glandular tissue and misinterpret this as ‘‘plugging.’’ They should be reassured that lactating breasts can feel ‘‘lumpy’’ and even painful at times. Although this is uncomfortable, it is not abnormal. Patients should be reassured that infection does not develop in the period of several hours. The pain and redness they may experience in mornings after a long stretch of sleep represents alveolar distention, edema, and inflammation rather than infection.” “Feed the infant on demand, and do not aim to ‘‘empty’’ breasts.” Levels of evidence: 2–3. Strength of recommendation: C “Overfeeding from the affected breast or ‘‘pumping to empty’’ perpetuates a cycle of hyperlactation and is a major risk factor for worsening tissue edema and inflammation.” “In some instances, in which the retroareolar region is so edematous and inflamed that no milk is expressible by infant breastfeeding or hand expression, the mother should not continue to attempt feeding from the affected breast during the acute phase. She can feed from the contralateral breast and return to feeding from the affected breast when edema and inflammation subsides. Edema may resolve more quickly with ice and lymphatic drainage. She should be counseled that a decrease in milk production is expected, but can later be augmented.” “No evidence exists to support ‘‘dangle feeding’’ (i.e., feeding an infant on the floor with the mother hovering above) or other unsafe infant positions.” “Minimize breast pump usage.” Levels of evidence: 2–3. Strength of recommendation: C. “Mechanical breast pumps stimulate breast milk production without physiologically extracting milk as an infant will.” “Avoid the use of nipple shields.” Level of evidence: 3. Strength of recommendation: C “Available evidence does not support the use of nipple shields. Neither safety nor effectiveness has been demonstrated.” “Wear an appropriately fitting supportive bra” Level of evidence: 3. Strength of recommendation: C “Avoid deep massage of the lactating breast.” Levels of evidence: 1–2. Strength of recommendation: B. “The most successful technique approximates manual lymphatic drainage with light sweeping of the skin rather than deep tissue massage.” “It should be noted that gentle compressions during breast pump usage, often termed ‘‘hands on pumping,’’ provide an effect similar to hand expression and is safe if excessive manual force is avoided.” “Avoid saline soaks, castor oil, and other topical products.” Level of evidence: 3. Strength of recommendation: C. “Topical products such as castor oil will not treat this condition and may in fact cause tissue damage particularly if they are combined with massage.” “Avoid routine sterilization of pumps and household items.” Level of evidence: 3. Strength of recommendation: C. “Mastitis is not contagious and does not result from unhygienic practices.” Finally, below are their medical interventions. Medical interventions Decrease inflammation and pain Treat associated blebs and avoid “unroofing” Decrease any hyperlactation Utilize therapeutic ultrasound Consider probiotics Look for mood and anxiety disorders and address if needed If you work with breastfeeding families who is passionate about lactation support OR a and you want to turn your passion for breastfeeding into professional practice, check out LactaLearning.com and consider following us on social media! Instagram @lacta.learning Facebook LactaLearning The post All Things Breastfeeding Episode 89: ABM 2022 Mastitis Protocol appeared first on The Breastfeeding Center of Ann Arbor .…

1 All Things Breastfeeding Episode 88: Breastfeeding during Emergencies 14:49
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Breastfeeding during emergencies used to be a topic about something that was happening somewhere else to someone else. However, now with the rise in tragedies that are happening everywhere in the world, breastfeeding during emergencies affects all of us. We know these emergency situations are increasing and will continue to do so as time goes by. These could be earthquakes, hurricanes, flooding, drought, or war. As Nancy and Barbara were recording this episode, Florida and the surrounding areas were expecting another hurricane. We know that during emergencies, nursing is key to infant health and survival. It provides optimal nutrition and needs no outside resources. A common myth is that the stress of the emergency or lack of resources for parents will negatively affect families. However, even when malnourished and stressed, nursing parents can produce good quality milk for their babies. New research also shows that during emergencies a mother’s mental health is positively affected by breastfeeding which also promotes more breastfeeding. Good for babies, good for parents. So, what are some of the barriers to promoting and protecting breastfeeding during emergencies? Knowing that providing lactation training to health care workers, relief workers, and families is key for success is at the top of the list. Miss-information is still rampant even among well meaning health care workers and relief workers. Families need accurate medical information and social and emotional support. Exclusive nursing, wet nursing, induced lactation, and relactation should be encouraged in emergencies, as even partial milk production can save babies’ lives. Since 2020 studies show that breastfeeding supportive practices in the hospital during emergencies can increase breastfeeding rates. New research also shows, surprise, surprise, understanding and addressing specific cultural breastfeeding practices and barriers is important. Providing support to a population that already has high breastfeeding rates is very different than working with families that come from an area of low breastfeeding rates. Even the differences between families from urban areas vs. rural areas and their needs can be dramatic. Another recent finding was that facilitating ways to provide breastfeeding privacy is critical to some populations. Being creative is important for this to assess what resources are available and practical. Ideally, families would have a private, safe space to nurse but this isn’t always possible. Aprons, baby carries, and shawls can be helpful here. International rules exist on formula distribution. Making sure these are followed is such an important piece for success. The idea that a milk supply is fragile is a common belief and families worry they don’t have enough milk for their babies (even though they often do!) can be reinforced by having lots of formula available vs. breast/chestfeeding support. We hope you enjoy our podcast! If you are a parent who is passionate about lactation support OR a professional who works with breastfeeding families and you want to turn your passion for breastfeeding into professional practice, check out LactaLearning.com and consider following us on social media! Instagram @lacta.learning Facebook LactaLearning The post All Things Breastfeeding Episode 88: Breastfeeding during Emergencies appeared first on The Breastfeeding Center of Ann Arbor .…

1 All Things Breastfeeding Episode 87: Parental Leave 18:58
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In this episode, Barbara Robertson and Nancy Mohrbacher review recommendations and outcomes of parental leave policies around the world. Paid parental leave varies by country, but the Academy of Breastfeeding Medicine (ABM) has issued a new position statement for maternity leave guidelines, recommending at least 6 months of paid leave. Nancy and Barbara dive into some of the details of when mothers return to work, the economic cost of not breastfeeding babies, as well as the long-term health outcomes for women who breastfeed, such as reduced incidences of heart disease and diabetes. Nancy also reviews a study looking at the impact of parental leave on mental health issues, which is such an important topic. And keep in mind, it’s not just the length of parental leave that matters – mothers need support for breastfeeding: from their families, their community, their health care providers, and their workplace. And they need that support through all stages of breastfeeding, however long they choose that to be. Parental leave policies can help provide the support that families need to be successful in their breastfeeding journey. Resources: ABM Position Statement: Paid Maternity Leave—Importance to Society, Breastfeeding, and Sustainable Development – https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/bettinelli-et-al-2024-abm-position-statement-paid-maternity-leave-importance-to-society-breastfeeding-and-sustainable.pdf U.S. Department of Health & Human Services: Business Case for Breastfeeding – https://www.womenshealth.gov/breastfeeding/breastfeeding-home-work-and-public/breastfeeding-and-going-back-work/business-case Bartick, 2010. The Burden of Suboptimal Breastfeeding in the United States: A Pediatric Cost Analysis – https://publications.aap.org/pediatrics/article-abstract/125/5/e1048/72534/The-Burden-of-Suboptimal-Breastfeeding-in-the?redirectedFrom=fulltext Society for Human Resources Management 2023 Employee Benefits Survey: Executive Summary – https://shrm-res.cloudinary.com/image/upload/v1685728116/Employee%20Benefits/CPR-222434-Employee-Benefits-Executive-Summary-FINAL-for-PUBLICATION.pdf Want more information? If you are a parent who is passionate about lactation support OR a professional who works with breastfeeding families and you want to turn your passion for breastfeeding into professional practice, check out LactaLearning.com and consider following us on social media! Instagram @lacta.learning Facebook LactaLearning Blog If you are a parent and want to learn more from the Breastfeeding Center of Ann Arbor, you can find us at: BFCAA.com Instagram @breastfeedingcenterannarbor Facebook Blog & Podcast The post All Things Breastfeeding Episode 87: Parental Leave appeared first on The Breastfeeding Center of Ann Arbor .…
In this parent interview episode, we focus on Emily ‘s experience with returning to work and breastfeeding, specifically going back to work after maternity leave, pumping and continuing to breastfeed her baby. She worked as a hospital pharmacist in a fast-paced and high-pressure role, the type of job where taking a “break” to pump meant leaving extra work her team needed to cover. This is a challenging factor many working and pumping parents can relate to. Emily shares how she made the situation work, logistics of the (let’s be honest, tedious!) task of pumping every day, and about her emotions around pumping at work for a full year. If you are returning to work and breastfeeding, this is a great story to listen to! Resources: Returning to Work private consultation , we normally recommend these 2-4 weeks before your maternity leave ends, but earlier or later (even after you’re back at work) is fine too Book: Work, Pump, Repeat by Jessica Shortall Book: Working and Breastfeeding Made Simple , by Nancy Mohrbacher If you are a parent who is passionate about lactation support OR a professional who works with breastfeeding families and you want to turn your passion for breastfeeding into professional practice, check out LactaLearning.com and consider following us on social media! Instagram @lacta.learning Facebook LactaLearning Blog If you are a parent and wanting to learn more from the Breastfeeding Center of Ann Arbor, you can find us at: BFCAA.com Instagram @breastfeedingcenterannarbor Facebook Blog & Podcast The post All Things Breastfeeding Episode 86: Emily’s Returning to Work and Breastfeeding Story appeared first on The Breastfeeding Center of Ann Arbor .…

1 All Things Breastfeeding Episode 85: Alicia’s Returning to Work, Travel and Breastfeeding Story 33:31
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We have another parent interview episode! We were thrilled when Alicia reached out to us from across the country to offer to share different parts of her feeding journey with baby Grant, especially factors related to returning to work and breastfeeding. We discussed Grant’s week-long nursing strike soon after Alicia returned to work, the intense emotions involved, and what helped resolve that difficult time. Next, Alicia gives lots of ideas about traveling and pumping, which she learned from her regular multi-day work trips. Her tips will be helpful to anyone traveling without the baby, and/or flying with a pump. And, make sure to listen to the end about what happened after Grant was done weaning! (If you would like to be featured on an episode, send us an email!) Resources: Returning to Work private consultation , we normally recommend these 2-4 weeks before your maternity leave ends, but earlier or later (even after you’re back at work) is fine too. In-person or virtual. We also regularly do virtual or in-person milestone appointments on phases like: making a plan for weaning, on nursing strikes if they come up, what feeding looks like after 6 months or after 1 year, etc. We’re with you from the start of your infant feeding journey to the end, whatever that looks like for you! We are happy to also help with nursing strikes, plans for upcoming travel while lactating, or anything else that comes up for you! Resource on traveling with milk: https://lllusa.org/traveling- with-frozen-human-milk/ Book: Work, Pump, Repeat by Jessica Shortall Book: Working and Breastfeeding Made Simple , by Nancy Mohrbacher If you are a parent who is passionate about lactation support OR a professional who works with breastfeeding families and you want to turn your passion for breastfeeding into professional practice, check out LactaLearning.com and consider following us on social media! Instagram @lacta.learning Facebook LactaLearning Blog If you are a parent and wanting to learn more from the Breastfeeding Center of Ann Arbor, you can find us at: BFCAA.com Instagram @breastfeedingcenterannarbor Facebook Blog & Podcast The post All Things Breastfeeding Episode 85: Alicia’s Returning to Work, Travel and Breastfeeding Story appeared first on The Breastfeeding Center of Ann Arbor .…

1 All Things Breastfeeding Episode 84: Jaundice and Infant Hypoglycemia 18:02
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Jaundice and Hypoglycemia Did you know there are new guidelines for diagnosing and treating jaundice and infant hypoglycemia? In this episode, Barbara Robertson and Nancy Mohrbacher discuss updates to the clinical practice guidelines for safe bilirubin levels and when babies might need intervention. Nancy and Barbara review why bilirubin levels are important and some of the risk factors, like baby’s gestational age. And there’s the question, is a baby’s stooling is a good indicator of milk input and bilirubin levels? It’s also important to remember that when babies are diagnosed and treated for high bilirubin levels, there can be longer-term effects on breastfeeding and how parents view their baby. Nancy describes a recent study that compares the impact of the new guidelines versus the previous guidelines, and how this may lead to changes in the approach to monitoring and treating jaundice. They discuss the importance of skin-to-skin contact and its impact on bilirubin levels. Barbara and Nancy also talk about the use of oral dextrose gel to treat infant hypoglycemia, as an alternative to formula. This is one of a series of podcasts that shares new research related to the breast/chestfeeding / lactation / infant feeding world as Barbara Robertson and Nancy Mohrbacher work on the newest edition of Breastfeeding Answers! You can also have access to the newest research and Barbara and Nancy’s reflections on these studies by subscribing to LactaLearning’s newsletter or following LactaLearning on Instagram or Facebook! References for this podcast: Academy of Breastfeeding Medicine protocols #1, #22: https://www.bfmed.org/protocols Kemper, 2022. “Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation” – https://pubmed.ncbi.nlm.nih.gov/35927462/ Sarathy, 2024. “Bilirubin Measurement and Phototherapy Use After the AAP 2022 Newborn Hyperbilirubinemia Guideline” – https://pubmed.ncbi.nlm.nih.gov/38482582/ If you are a parent who is passionate about lactation support OR a professional who works with breastfeeding families and you want to turn your passion for breastfeeding into professional practice, check out LactaLearning.com and consider following us on social media! Instagram @lacta.learning Facebook LactaLearning Blog If you are a parent and want to learn more from the Breastfeeding Center of Ann Arbor, you can find us at: BFCAA.com Instagram @breastfeedingcenterannarbor Facebook Blog & Podcast The post All Things Breastfeeding Episode 84: Jaundice and Infant Hypoglycemia appeared first on The Breastfeeding Center of Ann Arbor .…
How important are our communication skills as lactation professionals for our families’ success? This episode is all about the power of words as lactation supporters to boost or undermine our nursing families self efficacy. Barbara and Jessica discuss how the social emotional state of breast/chestfeeding families plays a huge role in the postpartum period and… The post All Things Breastfeeding Episode 83: The Power of Words and Breastfeeding Success appeared first on The Breastfeeding Center of Ann Arbor .…
Lots of families are using formula to feed their babies, either partially or fully, short-term or long-term. But there’s not a lot of info shared with parents on how to feed formula in the healthiest way. In today’s episode, we share some guidelines and ideas on bottle feeding techniques, appropriate amounts based on age and… The post All Things Breastfeeding Episode 82: All About Formula Feeding appeared first on The Breastfeeding Center of Ann Arbor .…

1 All Things Breastfeeding Ep 81: Julie’s story resolving ongoing breastfeeding pain 33:54
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Breastfeeding/chestfeeding should not be painful! Ongoing and significant breastfeeding pain is a sign that something is wrong. Unfortunately, Julie‘s feeding journey was full of pain for the first few months! She was in a lot of discomfort both while the baby was feeding, later in between feeds and throughout the day as well. It turned… The post All Things Breastfeeding Ep 81: Julie’s story resolving ongoing breastfeeding pain appeared first on The Breastfeeding Center of Ann Arbor .…

1 All Things Breastfeeding Episode 80: Tara’s Story Pt 2 36:17
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This is part two of Tara’s breastfeeding story! This one got really long, so we made it into two parts. That’s what happens when Jessica’s best friend is the guest. They just kept going! Tara‘s original vision was to exclusively breastfeed Evie for at least a year. But as she says, even though these were… The post All Things Breastfeeding Episode 80: Tara’s Story Pt 2 appeared first on The Breastfeeding Center of Ann Arbor .…

1 All Things Breastfeeding Episode 79: Tara’s Story Pt 1 39:18
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This one got really long, so we made it into two parts! That’s what happens when Jessica’s best friend is the guest. They just kept going! Tara‘s original vision was to exclusively breastfeed Evie for at least a year. But as she says, even though these were her “best laid plans,” the reality ended up… The post All Things Breastfeeding Episode 79: Tara’s Story Pt 1 appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding Episode 78: Liz’s Breastfeeding and Induced Lactation Story 33:20
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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… The post All Things Breastfeeding Episode 78: Liz’s Breastfeeding and Induced Lactation Story appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding Episode 77: Plugged Ducts and Mastitis New Protocol 19:06
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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… The post All Things Breastfeeding Episode 77: Plugged Ducts and Mastitis New Protocol appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding Episode 76: Sarah’s Breastfeeding Story 31:20
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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… The post All Things Breastfeeding Episode 76: Sarah’s Breastfeeding Story appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding 75: Best Education Principles 20:44
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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 post All Things Breastfeeding 75: Best Education Principles appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding 74: Our North Stars 22:12
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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… The post All Things Breastfeeding 74: Our North Stars appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 73: Doulas and Breastfeeding? 19:25
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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,… The post All Things Breastfeeding 73: Doulas and Breastfeeding? appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 72: 7 Must Know Changes in the Field of Lactation–A Conversation with Nancy Mohrbacher 34:26
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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,… 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 .…
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1 All Things Breastfeeding 71: Miriam’s Story- Exclusively Pumping 45:48
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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… The post All Things Breastfeeding 71: Miriam’s Story- Exclusively Pumping appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 70: Anna’s Breastfeeding Story- Breastfeeding Twins! 36:07
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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,… 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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1 All Things Breastfeeding 69: Becoming an IBCLC- Jessica’s Story 35:36
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Becoming an IBCLC is not easy! Many people are surprised to find out that to becoming an IBCLC (International Board Certified Lactation Consultant) is hard. You need 8 college courses, 6 continuing education courses, 300-1000 clinical hours working with breastfeeding families, a 90 hour professional lactation course, and THEN you can qualify to take a… The post All Things Breastfeeding 69: Becoming an IBCLC- Jessica’s Story appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding 68: The Beauty of Hand Expression! 27:18
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What is hand expression? Great question! Basically it means getting breastmilk out of a lactation breast without a baby or a breast pump. At The Breastfeeding Center of Ann Arbor, hand expression is a typical tool we review with most of our families because you never know when you might get caught with no baby,… The post All Things Breastfeeding 68: The Beauty of Hand Expression! appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 67: Breastfeeding Book Groups! 22:29
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Breastfeeding book groups? What on earth do I mean by breastfeeding book groups? So, fall of 2019 I had just finished helping Lisa Marasco with some final edits of her and Diana West’ new edition of Making More Milk, 2nd Edition. The holidays were coming and I ordered a copy of the book for each… The post All Things Breastfeeding 67: Breastfeeding Book Groups! appeared first on The Breastfeeding Center of Ann Arbor .…
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1 Episode 66: Karen’s Breastfeeding Story 26:12
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OMG. It has been too long! Karen and I recorded this back in June but due to Covid I haven’t been able to get this to move to the top of my list to publish. Thank Jessica for pushing me (in the nicest way) to keep after this and get it done! We love breastfeeding… The post Episode 66: Karen’s Breastfeeding Story appeared first on The Breastfeeding Center of Ann Arbor .…
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1 Episode 65: Interview with Nancy Mohrbacher- New book group! 31:39
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Barbara Robertson chats with Nancy Mohrbacher about her new edition of Breastfeeding Answers, 2nd Edition and their upcoming project. Do you want to unlock the secrets of Breastfeeding Answers, 2nd Edition? Barbara D. Robertson will be joined by Nancy Mohrbacher, the author of the book, to discuss their upcoming venture and break this down for… The post Episode 65: Interview with Nancy Mohrbacher- New book group! appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding 64: Oversupply! 32:40
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Oversupply? Too much breastmilk? Is that really a problem? The answer is, YES, oversupply is a big problem for people who are struggling with this. Milk everywhere, choking babies, are there answers? For sure! Listen to this podcast to get more information. Symptoms: Baby choking Baby clucking at the beginning of feed (when the milk… The post All Things Breastfeeding 64: Oversupply! appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 63: Melissa’s Breastfeeding Story 43:59
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Another breastfeeding story! This one is particularly dear to Barbara’s heart. Melissa came to see Barbara after the birth of her first baby and was struggling with her rate of breastmilk production. Although Melissa was able to increase her supply a bit, she still needed to supplement her baby. Second baby When Melissa was pregnant… The post All Things Breastfeeding 63: Melissa’s Breastfeeding Story appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 62: Updated COVID updates 21:27
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Here are our COVID updates! Barbara accidently published the unedited version of this podcast! Here is the edited version. Sorry! Jessica COVID updates Jessica is at home with her two your children trying not to miss a beat while being a full time parent and having her and her partner continue to work full time.… The post All Things Breastfeeding 62: Updated COVID updates appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 61: Conversation with Laurel Wilson IBCLC! 33:40
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A conversation with Laurel Wilson IBCLC! Yes, we were lucky enough that Laurel Wilson IBCLC reached out to us to do a podcast. We have been big fans of Laurel for a number of years. I attended a talk to hers in Grand Rapids a number of years ago and was hooked! Don’t know Laurel… The post All Things Breastfeeding 61: Conversation with Laurel Wilson IBCLC! appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 60: Your Breastfeeding Support Network 22:16
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What is your breastfeeding support network? Who do you need in this team? Partners Partners are a critical player in your breastfeeding support network. A partner can make or break a breastfeeding relationship. Not necessarily because they don’t support breastfeeding but if you are struggling with breastfeeding, this struggle can be hard to watch if… The post All Things Breastfeeding 60: Your Breastfeeding Support Network appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 59: Lauren’s Breastfeeding Story 25:02
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A new breastfeeding story! Lauren is a very experienced breastfeeding mother. She joins us today with baby Luke today to talk about her breastfeeding story. She has nursed four children! When you have more than one child it is important to remember that each breastfeeding experience will be different. Each breastfeeding journey is a unique… The post All Things Breastfeeding 59: Lauren’s Breastfeeding Story appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 58: Part 2 Jessica’s Story- Not latching baby! 22:34
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Caleb not latching? Oh no! We continue Jessica’s breastfeeding story. Please don’t worry, it has a happy ending! We ended with Jessica in the pit of despair and Caleb not latching. Even with all the support and knowledge that Jessica has, she is ready for the final hoop to become an IBCLC, taking the exam,… The post All Things Breastfeeding 58: Part 2 Jessica’s Story- Not latching baby! appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 57: Part 1 Jessica’s 2nd Breastfeeding Story 27:49
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Jessica’s second breastfeeding story is a doozy! When we have our second baby we think, well this has to be easier than the first time. Right? In Jessica’s case this was not true! Her breastfeeding story is powerful! Yes, those baby worries weren’t there (you rarely worry that you might accidentally kill your second baby… The post All Things Breastfeeding 57: Part 1 Jessica’s 2nd Breastfeeding Story appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 56: New Breast Pumps 22:04
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New Breast Pumps? What are these new pumps? Jessica and Barbara are going to talk about two types of relatively new pumps that are on the market now. We wanted to make sure that these pumps were reliable before we gave our thoughts. In the pump market that takes 2-3 years! The first few thousand… The post All Things Breastfeeding 56: New Breast Pumps appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 55: Is it time to wean your baby? 18:44
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Know when it’s time to wean your baby is not always easy. When is it time to wean your baby? Only you get to decide! Once a baby is over six months of age you can start to get pressure from others. Is that baby STILL nursing? Yes! Remember, the World Health Organization recommends breastfeeding… The post All Things Breastfeeding 55: Is it time to wean your baby? appeared first on The Breastfeeding Center of Ann Arbor .…
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1 All Things Breastfeeding 54: Jamie’s Breastfeeding Story 37:14
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Jamie’s Breastfeeding Story In this podcast episode Barbara and Jessica talk to Jamie about her breastfeeding journey with her little one Zelda. Each breastfeeding story is very different and Jamie’s is no exception. She struggled with unexpected infertility which made her story very different than she planned before getting pregnant. Take a listen and enjoy!… The post All Things Breastfeeding 54: Jamie’s Breastfeeding Story appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding 53: Partners and Breastfeeding 24:18
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Partners and breastfeeding? How do partners fit is with breastfeeding? This can look many ways, there is no one size fits all. In this podcast Jessica and Barbara talk about options for how this can look for families. The sound is a little wonky in this podcast so please forgive us! Many times if a… The post All Things Breastfeeding 53: Partners and Breastfeeding appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding 68: The Beauty of Hand Expression 27:18
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What is hand expression? Great question! Basically it means getting breastmilk out of a lactation breast without a baby or a breast pump. At The Breastfeeding Center of Ann Arbor, hand expression is a typical tool we review with most of our families because you never know when you might get caught with no baby,… The post All Things Breastfeeding 68: The Beauty of Hand Expression appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding 52: Nipple Shield Survey Results! 21:58
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Nipple shield survey results! Our nipple shield survey is discussed in this podcast. We had a whopping 4500 families and 500 lactation professionals fill out the survey! We got so much interesting information from this survey. Of course there are some limitations from the information we gathered. First of all, this survey was only… The post All Things Breastfeeding 52: Nipple Shield Survey Results! appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding 51: Breastmilk Changes Over Time 25:16
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Breastmilk changes over time! Really, this is true! Yes, in this podcast Barbara and Jessica talk about how breastmilk changes over time. It is really quite amazing! Many health care providers tell families there is no nutritional value for babies from breastmilk after one year. Like it turns into water! Breastmilk is a living, dynamic… The post All Things Breastfeeding 51: Breastmilk Changes Over Time appeared first on The Breastfeeding Center of Ann Arbor .…
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All Things Breastfeeding Podcast

1 All Things Breastfeeding 50: You’re being set up for breast feeding failure 21:34
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Breast feeding failure? Most women in the USA want to breastfeed yet many of these women don’t reach their breastfeeding goals which is often defined as “breast feeding failure”. In some states, as many as 90% or more of families initiate breastfeeding. These states tend to be on the east and west coasts of our… The post All Things Breastfeeding 50: You’re being set up for breast feeding failure appeared first on The Breastfeeding Center of Ann Arbor .…
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