Evolve Lactation Podcast

Christine Staricka, IBCLC
Evolve Lactation Podcast 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. 10 AUG

    (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”

    14 min
  2. 1 AUG

    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 work

    35 min
  3. 23 MAR

    Shaking Up the Infant Feeding Conversation with Nicole Longmire, MPH, MEd, IBCLC, Host of the Milk Shakes Podcast

    Thank you for reading Evolve Lactation with Christine Staricka IBCLC. This post is public so feel free to share it. Hold on to your hats - this is a long, amazing, wide-ranging conversation! I’ve been following the blooming IBCLC career of Nicole Longmire (@MotheringNurtured on IG) for several years now on social media. Last week I reached out to her to praise her for a post she made that really resonated with me, and before I knew it, we were each in front of our podcasting microphones, pressing record. In this conversation, we talk about so many things: * mentorship of aspiring lactation consultants * The First 100 Hours and my book * our thoughts on the relevance of the WHO Code today * ethics * lactation career growth * and so much more Come along with me and Nicole for this important conversation! Evolve Lactation with Christine Staricka IBCLC is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. If you’d like to learn more about (and from!) Nicole, check out these links: Visit Nicole’s Website Here Follow Nicole on Instagram Subscribe to Nicole’s Podcast The Milk Shakes Podcast Is Here Mentioned in the Episode: My New Book, due to release on April 2, 2024 Evolving the Modern Breastfeeding Experience: Holistic Lactation Care in the First 100 Hours Get full access to Evolve Lactation at ibclcinca.substack.com/subscribe

    1h 39m
  4. 21/12/2023

    The destructive power of the American journalistic playbook on breastfeeding

    My day-to-day work revolves around supporting the current and the aspiring lactation care provider with the resources they need to continue learning, to practice evidence-informed lactation care, and to treat people with kindness and compassion in their contacts with them for the purposes of lactation support. I am immersed in the world of lactation care and the universe of lactation supporters every single day. I am fully committed and I don’t intend to retire anytime soon. That’s why I read that New York Times article with alarm. There are some very damaging tropes being perpetuated within it. (I refuse to link to it and give them even more website traffic. A quick Google search will bring it up.) The New York Times has pulled out the American journalistic playbook on breastfeeding and lactation once again. They’re checking off the boxes on all the false narratives that confound all efforts to truly support people with their breastfeeding goals. Those false narratives: * everyone who is pregnant is pressured by everyone to breastfeed for the whole time their baby is a baby * lactation consultants are overpaid people who exist to take your money and shame you into breastfeeding * if you have problems with breastfeeding, you have to stop and do something else instead * pediatricians are experts in breastfeeding * the Affordable Care Act means that everyone has access to lactation care through their health insurance and insurance companies reimburse lactation consultants for their work * hospitals push breastfeeding beyond the limits of safety * clinical issues in lactation are easily explained or dismissed by people who have not studied them in depth or ever worked with a lactating dyad Thank you for reading Evolve Lactation with Christine Staricka IBCLC. This post is public so feel free to share it. Here’s what I can’t wrap my head around: they could be using their platform to amplify information about how breastfeeding has been found to decrease the rate of Sudden Unexpected Infant Death, reduce first-year infant mortality, and reduce lifetime risk of breast and ovarian cancer in women and people who give birth, but instead The New York Times is publishing an article that calls lactation support into question and breaks the public trust in the IBCLC. We don’t have time for this. Many, many people want to breastfeed and cannot access the clinical and peer lactation support they need to do so. Publishing debate about a complex clinical scenario which impacts a small percentage of lactating dyads in a mainstream publication and then conducting what they called an “investigation” by people who are not experts in clinical lactation is not at all productive and it is, I would argue, harmful. There is tremendous harm in perpetuating the myth that lactation consultants are greedy, unethical people whose only objectives are, according to the American journalistic playbook on breastfeeding to a)overcharge you for their services and b)make you feel bad for how you are feeding your baby. Nothing could be further from the truth in either aspect. I’ve spent the better part of the past 15 years specifically serving IBCLCs and advocating for the profession and the credential. I’ve volunteered with ILCA and USLCA, served on the Board of USLCA, served on local organizations and for non-profit AND for-profit companies which serve the IBCLC. I offer specialized services for IBCLCs and those aspiring to earn the credential. I’ve been a practicing IBCLC since 2009, proudly serving families in California. I could write an entire book about what I have learned from all of those experiences. Thank you for reading Evolve Lactation with Christine Staricka IBCLC. This post is public so feel free to share it. What I know is that people get into the field of lactation because they uncover that they have a passion and/or determination to break down the barriers to breastfeeding that they or others close to them have fac

    15 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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