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 …
All Things Breastfeeding Episode 92: Menopause and Nursing
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 …
All Things Breastfeeding Episode 91: 15 Years of BFCAA!
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, …
All Things Breastfeeding Episode 90: Parent’s Stories with Jamie and Nikki
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 …
All Things Breastfeeding Episode 89: ABM 2022 Mastitis Protocol
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: …
All Things Breastfeeding Episode 88: Breastfeeding during Emergencies
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, …
All Things Breastfeeding Episode 87: Parental Leave
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 …
All Things Breastfeeding Episode 84: Jaundice and Infant Hypoglycemia
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 …
Fathers and Breastfeeding
From Barbara: Happy Father’s Day to anyone who identifies as a father! With breast/chestfeeding the bulk of the focus is on the birthing parent, typically the mother. But what about Dads? Where do they fit into this picture? From research, we know that father support is important to breastfeeding success. In a 2022 study looking at black families, the researchers found, “Participants who …
All Things Breastfeeding Episode 78: Liz’s Breastfeeding and Induced Lactation Story
This one is so special! Liz shares her journey of growing her family via a gestational surrogate, and how she induced lactation to bring in her own milk supply! Jessica hosted, and said "beautiful" and "oh my gosh" more times than you can count throughout this amazing story of strength, support, and love for baby Eve and Liz's family. (Apologies that Liz's microphone was a bit crackly during our …
All Things Breastfeeding Episode 77: Plugged Ducts and Mastitis New Protocol
New Mastitis protocol? Yes, the Academy of Breastfeeding Medicine has added a new protocol, #36, the Mastitis Protocol. Actually, it is updated but the ideas in it are so revolutionary, it may as well be new! Dr. Katrina Mitchell was a major force behind these changes. She had noticed in her clinic as a Breastfeeding Medicine Doctor, that parents with recurrent mastitis tended to be …
All Things Breastfeeding Episode 76: Sarah’s Breastfeeding Story
Sarah's breastfeeding story Sometimes it is so nice to just hear a positive breastfeeding story! We tend to hear more about the how things went wrong instead of right. Sarah is lucky enough to have a lot of family support and access to lactation help when she needed it, so guess what? She reached her infant feeding goals! This doesn't mean that her journey was easy but she was able to …
All Things Breastfeeding 75: Best Education Principles
Barbara is joined by Nancy Mohrbacher to talk about education, particularly about professional lactation education. In the field of education, the traditional method of lecture and Power Point stills dominates the trainings that are available. Research has show over and over again that this is one of the most non-effective ways to help people learn. The purpose of education is suppose to …
All Things Breastfeeding 74: Our North Stars
My work is extremely important to me and is a perfect fit for all of my beliefs and my personality. To me, what we do here at the Breastfeeding Center of Ann Arbor is to help families either become more attached to their babies (hopefully through breastfeeding but sometimes this isn't possible) and also help professionals learn how to best help families. Jessica, my colleague, has joined me …
Relactation Basics: For Parents and Professionals
Right now in Michigan we are experiencing a crisis in formula availability. This is leading many families to think about the idea of "relactation" so they can rely on their bodies instead of outside resources. This often comes from a "Desire to have a safe way to feed an infant during uncertain times, such as emergencies from natural disasters or disease outbreaks." Right now families in Michigan …
All Things Breastfeeding 73: Doulas and Breastfeeding?
Yes! Yes! Yes! We say birth and postpartum doulas are the front line defenders of breastfeeding along with nurses and midwives! I believe that the explosion of doulas in Detroit, MI is one of main reasons for this incredibly, too long time in coming change: "According to Michigan Department of Health and Human Services data, Detroit's infant mortality rate plunged from 16.7 deaths per 1,000 …
All Things Breastfeeding 72: 7 Must Know Changes in the Field of Lactation–A Conversation with Nancy Mohrbacher
In 2020 Nancy Mohrbacher published her latest book, Breastfeeding Answers, 2nd Edition. We jokingly call this book BA2 and it is one of the most important books in the field of lactation. I was honored that Nancy was willing to co-host a professional book group with me. I had hosted two other book groups before, Making More Milk, 2nd Edition with Lisa Marasco and Supporting Sucking Skills with …
All Things Breastfeeding 71: Miriam’s Story- Exclusively Pumping
So sorry for the delays in podcasts! COVID has done a real number on me and I have been struggling to get tasks done that are not critical. Jessica and I are committed to recording and releasing more often! Thank you for your patience. Barbara Back in May 2022 I got this email: "I don't expect you to remember, but 2 years ago we corresponded about writing a clinical perspective essay for …
All Things Breastfeeding 70: Anna’s Breastfeeding Story- Breastfeeding Twins!
Breastfeeding twins? Yes! Sometimes you feel like breastfeeding one baby is almost impossible but then you have TWO babies! Anna shares her story about how she is successfully breastfeeding her twins. It was not easy but also achievable with the right help and support. When you have babies who are early, even a little bit, it can make the process harder. Although Anna's babies were born "term" …
All Things Breastfeeding 69: Becoming an IBCLC- Jessica’s Story
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 four hour exam. It is a true profession! If …
All Things Breastfeeding 68: The Beauty of Hand Expression!
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, no pump, and a full breast! Literally a life saver. Practice does make perfect …
All Things Breastfeeding 67: Breastfeeding Book Groups!
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 of my interns. I thought to myself, we should read this together as a book group. Let me explain a …
Episode 66: Karen’s Breastfeeding Story
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 stories. Karen's is very interesting because she is actually part of the health care system herself. She did great with breastfeeding …
Episode 65: Interview with Nancy Mohrbacher- New book group!
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 you. Having a structured format of a book group …