Breastfeeding Medicine Podcast

Dr. Anne Eglash discusses recently published guidelines on the management of infectious and inflammatory mastitis from the American Society of Breast Surgeons.

Dr. Anne Eglash and Dr. Lena Edelstein explore the effect of lactation on gestational hypertension, followed by a discussion on trends of conversations around pumping on social platforms. 

Dr. Anne Eglash discusses the recently updated breast imaging recommendations by the American College of Radiology Appropriateness Guidelines.

Dr. Anne Eglash and Dr. Lena Edelstein first discuss a review on the effect of magnesium sulfate on lactation, and then discuss a case report of transient neonatal zinc deficiency.

Dr. Anne Eglash discusses a recent study that evaluated the safety of feeding left-over bottles of breastmilk and formula by measuring the change in bacterial growth after a partial feeding.

Dr. Anne Eglash and Dr. Lena Edelstein first discuss a recent publication on the bidirectional associations between cortisol in breastmilk and infant behavior, and then discuss new research evaluating the safety of brexpiprazole use during lactation.

LactFact 132: The AAP Clinical Policy on Human Milk Feeding for Very Low Birthweight InfantsDr. Anne Eglash discusses the recent American Academy of Pediatrics clinical policy on human milk feeding and breastfeeding for very low birthweight infants in the neonatal intensive care unit.

Prenatal Cannabis Exposure and Breastfeeding, and an updated Model Maternity PolicyDr. Anne Eglash and Dr. Lena Edelstein first discuss a recent publication on breastfeeding and developmental outcomes in infants with prenatal cannabis exposure, and finish up by reviewing updates to a model maternity policy.

Dr. Anne Eglash reviews the current state of HTLV 1,2 prevalence, screening, risk of vertical transmission via breastfeeding, and possible mitigation strategies.

Dr. Anne Eglash and Dr. Lena Edelstein first discuss recent pumping frequency and trends in the USA, and finish up by reviewing evidence on how parental diet quality affects the anti-oxidant activity of breastmilk.

Dr. Anne Eglash discusses the World Health Organization’s 2025 updates to their medical eligibility criteria for contraception during lactation.

Dr. Anne Eglash and Dr. Lena Edelstein explore the science of burping and then discuss evidence on the effect of breastfeeding on the risk of juvenile idiopathic arthritis.

Dr. Anne Eglash discusses a 2025 US retrospective cohort study on hearing, speech, and language outcomes among children with cleft palate or cleft palate and lip, based on their type of infant feeding.

Dr. Anne Eglash discusses the 2025 updated American College of Obstetrician and Gynecology consensus statement on the use of cannabis among individuals of reproductive age. This includes a discussion on the diagnosis of cannabis use disorder, cannabis withdrawal syndrome, and possible infant effects of cannabis use during pregnancy and lactation.

Dr. Anne Eglash discusses the science of food protein transmission into and out of breastmilk. More specifically, she reviews the factors that determine food protein secretion into breastmilk and how long the proteins stay in breastmilk.

Dr. Anne Eglash and Dr. Karen Bodnar explore effects of breastfeeding during pregnancy on pregnancy health, and then discuss the safety of antipsychotics during lactation, along with their effects on milk production.

Dr. Eglash discusses a recent study investigating the relationship between having hypertensive disorders of pregnancy and duration of breastfeeding.

Dr. Anne Eglash and Dr. Karen Bodnar first  discuss a study on the success of invitro fertilization during breastfeeding. The second half of the podcast focuses on the role of breastfeeding in reducing a woman’s future risk of atherosclerotic coronary artery disease. 

Dr. Eglash discusses a recent evidence regarding the effect of metformin during pregnancy on milk production, along with a review of this topic.

Dr. Anne Eglash and Dr. Karen Bodnar first  discuss a case of strep pyogenes mastitis as a reminder that some cases of mastitis are truly bacterial. We then provide an update from the US Preventive Services Taskforce on their report regarding behavioral counseling interventions or referrals to support breastfeeding.

Dr. Eglash discusses the March 2025 US Agency for Healthcare Research and Quality report on infant and child health outcomes in association with breastfeeding.

Dr. Eglash discussed a recent case report of an infant who became ill with intussusception, believed to be due to THC exposure via breastfeeding.

Dr. Anne Eglash and Dr. Karen Bodnar first review a recent study on the impact of breastfeeding in the reduction of precocious puberty among girls. They then discuss a newly discovered hormone that plays a role in bone density recovery after weaning from lactation.

We review a recent consensus study on recommended nutritional supplements for women during pre-conception, pregnancy and lactation. This comes from Cetin et al BMC Pregnancy and Childbirth 2025

Why use statins during lactation, and is it safe? Who should be screened for lead toxicity during pregnancy and lactation, and what is appropriate management of elevated lead levels? If you cannot answer these questions, join us!

Does vitamin D supplementation impact bone loss during lactation? What is the evidence on pump flange sizing. Join us to learn more!

In today's LactFact, Anne Eglash (MD, NABBLM-C, IBCLC) describes a recent study on the effect of antenatal colostrum expression on the timing of the onset of secretory activation.

Join us for a discussion on how breastfeeding may protect from juvenile spondyloarthritis. We then veer into a longish discussion on intralesional steroid injections of idiopathic granulomatous mastitis. We finish with a discussion the impact of NICU couplet care on breastfeeding rates and parental stress.Learn more at Lacted.org

LACTFACT for January 6, 2025. In today's LactFact, Anne Eglash MD talks about the need to educate about marijuana use during pregnancy and lactation.

We first take a deep dive into hospital breastfeeding support strategies for late preterms dyads. We then turn our attention to the Evolved Developmental Niche, or how early infant care influences development of the vagal nerve and subsequent resiliency in life.Recorded in June 2024.

It's a long podcast as we take a tour through EEG waves while nursing vs pumping, the relationship between maternal BMI, infant feeding & childhood BMI, & ABMs statement on paid maternity leave. We end with a detailed discussion on cannabis use on lactation.With Anne Eglash MD & Karen Bodnar MDRecorded in March 2024.

We first discuss the various factors in breastmilk besides antibodies that can neutralize SARS-CoV-2, & then whether it is possible that probiotics could affect postpartum mood. We wrap up with a review of cholesterol changes during pregnancy & lactation.Recorded in October 2023.

How do researchers measure secretory activation, & what is the relationship between a measure of secretory activation & milk volume? Join us to find out what microchimerism is & whether maternal cells take up residence in their infant via breastfeeding!Recorded in October 2023.

How do infants & pumps differ in terms of the mechanisms of milk removal? What are the risks of pumping? What are ideal features of a breast pump? Join us to learn more about the world of pumps. There are more questions than answers!Recorded in August 2023.

If you have not read through the AAP’s update on clinical practice guidelines regarding hyperbilirubinemia, here is your chance to hear from an expert on the key points of the guidelines & some clinical pearls for managing newborn jaundice.Recorded in April 2023.

4th trimester care, at its best, challenges the paradigms of care that are typical in routine medical care, which leaves gaps in care of parents & infants who are transitioning from pregnancy & birth. We take a deep dive regarding the philosophy, principles & models of 4th trimester care.Recorded in February 2023.

4th trimester care, at its best, challenges the paradigms of care that are typical in routine medical care, which leaves gaps in care of parents & infants who are transitioning from pregnancy & birth. We take a deep dive regarding the philosophy, principles & models of 4th trimester care.Recorded in February 2023.

This is a long podcast with great discussions on pasteurized donor milk given early postpartum, milk sharing in the community, complementary feeding in premature infants & an amazing model to test the diffusion of medications across milk producing cells.Recorded in August 2022.

In addition to discussing the effect of breastfeeding on childhood hypertension, Karen & Anne comb through the AAP policy changes with several commentaries.Recorded in August 2022.

We discuss well- designed research on the effect of maternal vitamin D supplementation as compared to direct infant vitamin D supplementation on infant bone density. We then have a detailed discussion on what we can learn from women who planned to exclusively pump, in regard to improving prenatal education & intrapartum support for these mothers.Recorded in April 2022.

We take a tour through a few breastfeeding research topics, including the difference in arterial stiffness in young adults based on their breastfeeding histories, the relationship between carotid wall thickness among women based on their duration of breastfeeding, the experiences of physicians who have used wearable pumps at work, & the relationship between having been breastfed & risk of snoring & sleep apnea.Recorded in April 2022.

Breastfeeding twins has its unique challenges. Listen to advice given by our guests, 4 physicians who have breastfed twins. We discuss what it is like to pump for twins in the NICU, the experience of bringing twins home, challenges with nursing when breasts are not similar in milk production, & how weaning twins differs from singletons.Recorded in March 2022.

What are the best ways for partners to support lactation? Join us for a conversation based on a study of qualitative interviews of lactating women who share their perspectives on partner support. There are several issues to consider when designing a hospital policy to support lactation during hospitalization for the parent or child. We will review some of those salient points as we review the 2021 Academy of Breastfeeding Medicine Protocol on this topic. Take a guess- how much colostrum can w...

What are the breastfeeding benefits of having 2 hours of quiet time on postpartum units? Did you know parental exercise increases a substance in milk that affects infant fat metabolism? What do we really know about breast/chest irradiation in children & subsequent lactation? Perhaps low prolactin is genetic- is there evidence for this? &, don't miss our convo about hair cortisol in children & their breastfeeding duration. So much to cover!Recorded in October 2021.

What blood sugar defines hypoglycemia, & what is the best way to manage it, to prevent babies from preferring bottles, & to optimize lactation success? Join us as we discuss key takeaway points from the Academy of Breastfeeding Medicine's updated protocol on hypoglycemia & breastfeeding.Recorded in July 2021

Join us to learn the most common causes of postpartum hemorrhage & how skin to skin & breastfeeding should be considered central in the prevention & management of this major cause of maternal death. We then have a broad discussion about inverted nipples, based on a recent study published from the University of Southern California Plastics Surgery. We discuss public perception of how inverted nipples affect lactation, & research on management of inverted nipples.Recorded in Jul...

We start out by discussing a study that evaluates milk composition during t&em nursing. We then review findings of a few very well-done studies- one on the calming effect of breastmilk odor, & another on the relationship between breastfeeding & risk of febrile seizures. During our last several minutes we talk about various medications during lactation, including anti-histamines, anti-cholinergics, & vasodilators. Join us!!Recorded in April 2021.

Laser frenotomy is not without risk, & we present a published case demonstrating possible complications of the procedure. Injecting materials is a risky alternative to FDA approved breast implant placement for augmentation. We review a case that had disastrous complications during lactation. Lastly, we discuss the Choosing Wisely Campaign that helps patients choose medical interventions & procedures that are supported by evidence. We discuss examples of lactation-related practices tha...

We will discuss various theories to explain the connection between obesity & lactation insufficiency. There are several options to treat vasospasm, & we will discuss how we decide what to use. Do you advise finger feeding? Listen up to learn more about how finger feeding has been studied in the NICU & our experiences with finger feeding as a supplementation method. The relationship between breastfeeding & breast density is a bit complicated- join us to learn more!Recorded in D...

Is the COVID-19 vaccine safe during breastfeeding? If given to a breastfeeding mother, will it protect the breastfeeding infant from SARS-CoV-2 infection? Join us to find out!Recorded in December 2020.