Evolve Lactation Podcast

Evolve Lactation Podcast

Evolve Lactation Podcast was created to inspire, inform, and engage current and aspiring lactation care providers. So glad you’re here! I’m Christine, an IBCLC and trained childbirth educator based in the US. I created Evolve Lactation after years of practicing clinical lactation care and providing professional lactation training to other health care providers to serve as a resource for learning and connecting over all things lactation-related. Whether you’re seasoned or studying, I hope this show will make you think and inspire you to act. ibclcinca.substack.com

  1. NOV 16

    Peer Breastfeeding Support Groups Are Essential In Your Lactation Training

    Hi friend, I’m Christine, an IBCLC in California. Here, on my Substack, I share what I’ve picked up over my 23+ years working and volunteering in lactation care & support. I write and record a podcast about my personal stories of motherhood, my professional insights from teaching and coaching hundreds of aspiring and current lactation care providers, and things I think can help you on your journey to making breastfeeding and lactation better for others. Come on in, sit a while and read or listen, and join me in musing about how we can change the world a little bit at a time. It’s better when we do this work together. There’s no substitute for learning about breastfeeding and lactation in a peer breastfeeding support group. Facts and knowledge are critical. Clinical experience one-on-one is critical. A background in another health discipline can make a great entry point, though not necessary. But if you’ve never sat in a breastfeeding peer support group, listening and observing, all of those things aren’t fully integrated. If you don’t know the people in your own community who support your patients and clients AFTER they get lactation support from you, you’re missing a crucial piece of information. You don’t know what you’re missing. Take a listen to this episode to hear more about why this learning opportunity is not to be missed by anyone who is entering the field, new to the field, or needing a refresher after years in the field. Links mentioned in this episode: * Pathways to IBCLC© Credential * Baby Café Bakersfield * My book, Evolving the Modern Breastfeeding Experience: Holistic Lactation Care in the First 100 Hours * My course, Holistic Lactation Care in the First 100 Hours: A Masterclass in Early Lactation Care Thanks for reading Evolve Lactation! This post is public so feel free to share it. If this spoke to you, I'd love for you to help it grow by sharing it with a colleague or friend who would appreciate it! * Follow or subscribe to Evolve Lactation podcast * Rate and review the podcast on Apple Podcasts * Download Peer Support Observation Checklist PDF Evolve Lactation is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Evolve Lactation at ibclcinca.substack.com/subscribe

    42 min
  2. AUG 10

    (How to Spot) Fake Lactation Support

    Closing the Gap: Ensuring Breastfeeding Support for All - this is the theme of World Breastfeeding Week this year. Evolve Lactation is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. I recently wrote a book that captures the essence of how to ensure this support in the critical first week of breastfeeding. When mothers don’t get the support they need right from the start, it dramatically decreases the chances that they will continue breastfeeding, ESPECIALLY in developed countries. That’s the key part - accessibility of breast pumps and infant formula in developed countries, while they can be life-saving, also makes it easier to forego providing ACTUAL lactation support, and many hospitals and so-called breastfeeding “supporters” find it easier to simply encourage pumping or formula use when what mothers SAY they wish to do is to feed their babies at the breast. The mismatch of support is confusing and unfair, and the concept of informed choice is all but forgotten when people tell mothers that all these options are essentially equal. I’ve hesitated to call this out because there’s nuance to it and I want to be sure that I can be clear. Recommending the use of a breast pump or formula CAN absolutely be part of a totally appropriate plan that has been constructed by a skilled lactation care provider who has performed an assessment and created the plan in collaboration with the family. What is inappropriate is using pumping or formula feeding as a way to avoid having to provide actual lactation support. While it might look like lactation support from the outside, it is most decidedly not. This happens so frequently in the first 100 hours of a baby’s life, and it’s crucial that we examine this so that we can close the gap. Thanks for reading Evolve Lactation! This post is public so please feel free to share it. Let’s look at some stories and explore this a bit more because it’s a good way to understand how some new families are getting all the support they need while others are being sabotaged by people who think they’re helping or people who don’t care enough to even try. Which of these represent actual support? * Baby born at 35 weeks in a hospital under the care of a midwife who is also an IBCLC; thorough assessment of feeding throughout first 48 hours of life; feeding outcomes are not within normal limits; parents and midwife discuss options together which include continued breastfeeding plus hand expression of milk to feed baby using a cup, using a supplemental nurser to feed formula while baby breastfeeds (after assessment to ensure this young baby with immature feeding skills can actually handle a higher flow of milk), and using a bottle to provide formula as a supplement to breastfeeding while milk production is increasing, family is educated about how infant formula affects microbiome and how to ensure baby is not overfed. Family makes decision about how to proceed. * Baby born at 38 weeks in a hospital and is examined by a pediatrician at 24 hours to determine health for discharge; mother reports that baby fed nearly every hour during the night; physician becomes concerned about baby getting enough despite baby having normal diaper output and being otherwise healthy, informs mother that it would be “a good idea” to give some formula after every breastfeeding session “just to make sure.” No other education about breastfeeding is provided. * Baby born at 39 weeks in a hospital and struggling to latch over first 36 hours; formula feeding instituted in first 3 hours of life per hospital staff concerns about establishing breastfeeding; no lactation consultants are available to the patient; no education about hand expression is provided; a breast pump is set up and instructions for use given by nursing staff at around 24 hours postpartum; upon discharge, official instructions are to continue pumping and a “friendly” enco

    14 min
  3. AUG 1

    The Power of the IBCLC in Multiple Practice Settings with Adrienne Guirguis, IBCLC, CSOM

    Thank you for reading Evolve Lactation with Christine Staricka IBCLC. This post is public so feel free to share it. Happy IBCLC Appreciation Day! In celebration, I have a really special episode of the podcast for you. I am so excited to share with you my conversation with my dear friend and fellow IBCLC, Adrienne Guirguis. I cannot begin to count up how much I have learned from Adrienne over the years. She is everything you want your IBCLC to be: brilliant, compassionate, humble, confident, open-minded and accepting. She is a whiz at lactation triage on the hospital inpatient floor, patient and gentle with everyone who is in the room for a lactation consultation, and absolutely ravenous for new knowledge and information. I would never hesitate to refer a client to her for any lactation issue, and I believe she represents the ideal in an IBCLC. Let’s get to know Adrienne! Adrienne Guirguis, a board certified lactation consultant, has over 25 years experience in helping breastfeeding infants and their families. She began her journey into the world of lactation after struggling to breastfeed her oldest son. She became an accredited La Leche League leader and was able to help babies breastfeed. Her experience with La Leche League led Adrienne to become a International Board Certified Lactation Consultant (IBCLC). She has been board certified for 20 years and has experience with a wide range of problems that may be experienced by new families. Adrienne has worked in hospital for over 10 years and then worked in community health for many years. She is a clinical practitioner, working hands on with families to improve feeding outcomes.Adrienne continues her lactation education, constantly attending conferences and courses to stay up-to-date on the information and skills needed to benefit those who most need breastfeeding help. She is a certified Specialist in Orofacial Myology. In 2022 Adrienne completed the Holistic Integrative/Functional Lactation course, a year long program followed by a residency. This course has increased her skills to provide the best care for the families with whom she works.Adrienne also is an educator, working within the community to teach others the skills necessary to become lactation counselors and eventually board certified lactation consultants. She is the President of the Central Valley Lactation Association, an official chapter of USLCA. Thank you for reading Evolve Lactation with Christine Staricka IBCLC. This post is public so feel free to share it. Adrienne joined me on the Evolve Lactation Podcast for a conversation where we take a look back over all of the settings in which she has practiced lactation care. The diversity of practice settings really sets her apart and gives her unique perspectives on how best to care for mothers and babies. Over the span of more than 25 years, she has seen breastfeeding unfold over the hours, days, months, and years along the entire spectrum of infant and child development. From teaching prenatal breastfeeding classes to private prenatal consultations, from seeing newborns nursing in the hospital to the community clinic to the home visit, and babies and toddlers of all ages in support groups, Adrienne has seen a lot in her lactation career. One of her strengths is connecting with mothers and fathers, building relationships with them so that they can trust her with their lactation needs. Having a newborn brings the new parent into a vulnerable space, and Adrienne has a gift for engaging them in a way that brings them comfort and support so that they can enjoy their baby. In fact, her connections with her clients are so strong and so important to the parents she serves that her private practice’s strongest referral source is word of mouth. People trust her with the lactation care of the people they love, and there is no greater testimonial than that. In this episode, we take a ride in our time machine (because we’ve known each other and worked

    35 min

About

Evolve Lactation Podcast was created to inspire, inform, and engage current and aspiring lactation care providers. So glad you’re here! I’m Christine, an IBCLC and trained childbirth educator based in the US. I created Evolve Lactation after years of practicing clinical lactation care and providing professional lactation training to other health care providers to serve as a resource for learning and connecting over all things lactation-related. Whether you’re seasoned or studying, I hope this show will make you think and inspire you to act. ibclcinca.substack.com

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