Breastfeeding Medicine Podcast
Stay abreast with news, reviews and hot topics in breastfeeding and human lactation.
Episodes
Breastfeeding Education in Schools, & Fortification with Mother’s Own Milk
Dr. Anne Eglash and Dr. Lena Edelstein first discuss breastfeeding education in US Health curriculum standards, and then discuss a case of an infant fed breastmilk fortified with freeze-dried mother’s own milk. Sources:Breastfeeding Education in Kindergarten Through 12th Grade: A Content Analysis of United States Health Curriculum StandardsDinour LM, Camacho KM. Journal of School Health. 2026;96(
LactFact 140: Duration of Colostrum Feeds for Preemies
Dr Anne Eglash discusses research on the optimal duration of time for oral colostrum administration to premature infants.
Pain Management, and Prolactin Levels during Pregnancy
Dr. Anne Eglash and Dr. Lena Edelstein first discuss pain management and breastfeeding outcomes, and then discuss prolactin levels during pregnancy in relation to maternal metabolic characteristics. https://pubmed.ncbi.nlm.nih.gov/42170484/Ye H, Wang X, Zhou D, Huang H. Effect of ropivacaine-dexamethasone combination on postpartum uterine pain, inflammation, and breastfeeding in multiparous women.
LactFact 138: Management of Infectious and Inflammatory Mastitis
Dr. Anne Eglash discusses recently published guidelines on the management of infectious and inflammatory mastitis from the American Society of Breast Surgeons.
Pumping, and the Effect of Lactation on Hypertension
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.
LactFact 136: Breast Imaging During Lactation
Dr. Anne Eglash discusses the recently updated breast imaging recommendations by the American College of Radiology Appropriateness Guidelines.
Effect of Mag Sulfate & Diagnosing Zinc Deficiency
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.
LactFact #134: Feeding Left-Over Bottles of Breastmilk or Formula
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.
Associations between Cortisol in Breastmilk and Infant Behavior, and Safety of Taking Brexiprazole During Lactation
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 Infants
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 Policy
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.
LactFact #130: HTLV 1, 2 Prevalence and Screening in the USA
Dr. Anne Eglash reviews the current state of HTLV 1,2 prevalence, screening, risk of vertical transmission via breastfeeding, and possible mitigation strategies.
Pumping Trends in the USA, and How Parental Diet Affects Milk Quality
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.
LactFact #128: The Updated 2025 WHO Medical Eligibility Criteria for Contraception During Lactation
Dr. Anne Eglash discusses the World Health Organization’s 2025 updates to their medical eligibility criteria for contraception during lactation.
Burping and Juvenile Idiopathic Arthritis 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.
LactFact #126: Human Milk Feeding and Hearing, Language, and Speech Outcomes Among Children With Cleft Palate
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.
ACOG Statement on Cannabis Use During Reproductive Age
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.
Duration of Time that Food Proteins Are in Breastmilk
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.
Breastfeeding During Pregnancy and Antipsychotics During Lactation
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.
The Association Between Hypertensive Disorders of Pregnancy and Breastfeeding Duration
Dr. Eglash discusses a recent study investigating the relationship between having hypertensive disorders of pregnancy and duration of breastfeeding.
IVF During Lactation and Breastfeeding Effect on Future Heart Disease
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.
Effect of metformin during pregnancy on milk production
Dr. Eglash discusses a recent evidence regarding the effect of metformin during pregnancy on milk production, along with a review of this topic.
Strep Pyogenes Mastitis and USPSTF Recommendations on Breastfeeding Support
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.
Infant and Child Health Outcomes in Association with 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.
Intussusception in an Infant Exposed to THC via 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.
The Impact of Lactation on Precocious Puberty, and Building Bone During Lactation
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.
Nutritional Recommendations for Women During Pre-Conception, Pregnancy and 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
Statin Use during Lactation and Elevated Lead Levels during Lactation with Anne Eglash MD and Karen Bodnar MD
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!
Bone Density and Vitamin D During Lactation, and the Science of Flange Sizing with Anne Eglash MD and Karen Bodnar MD
Does vitamin D supplementation impact bone loss during lactation? What is the evidence on pump flange sizing. Join us to learn more!
LACTFACT: Antenatal Colostrum Expression Does Not Affect Onset of Secretory Activation
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.
Breastfeeding and juvenile spondyloarthritis w/ Anne Eglash MD and Karen Bodnar MD
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: Marijuana Use During Pregnancy
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.
Breastfeeding Support for Late Preterms & the Evolved Developmental Niche, Anne Eglash MD & Karen Bodnar MD
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.
EEG Findings During Lactation, Childhood BMI & Breastfeeding, Bone Density During Lactation, ABM's Statement on Paid Maternity Leave, & Cannabis Use During Lactation
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.
Breastmilk Activity Against COVID 19, Probiotic Effect on Maternal Mood Postpartum, & Cholesterol Changes During Lactation with Anne Eglash MD, NABBLM-C, IBCLC, FABM and Karen Bond MD
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.
Secretory Activation, & Microchimerism Among Breastfed Infants with Anne Eglash MD, IBCLC, FABM & Karen Bodnar MD, IBCLC, FABM
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.
Pump Technology - An Interview with Eva Nagy-Gannon with Anne Eglash MD, IBCLC, FABM
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.
Management of Hyperbilirubinemia in the Newborn Infant with Dr. Eliza Hayes Bakken & Anne Eglash MD.
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 - An Interview with Dr. Malasa Kahn with Anne Eglash MD, IBCLC
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.
Adult Neuropathy & Breastfeeding. Injecting Steroids into a Lactating Breast. Breastfeeding & Special Education Needs. Tissue Repair According to Feeding Type. With cohosts Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC.
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.
The Effect of Donor Milk Supplementation Early Postpartum, Nonprofit & For-Profit Human Milk Sharing, Complementary Feeding in Premature Infants, & an Invitro Pharmacologic Model for Testing Medications During Lactations
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.
The Effect of Human Milk on High Blood Pressure in Children, & the American Academy of Pediatric Updated Policy on Human Milk with Cohosts Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC
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.
Maternal Vitamin D Supplementation & Infant Bone Density. Experiences of Women Who Planned to Exclusively Pump. With Cohosts Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC
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.
Breastfeeding & Arterial Stiffness. The Effect of Breastfeeding on Carotid Artery Intima Thickness. Wearable Breast Pumps at WOrk. The Relationshiop Between Breastfeeding & Snoring. With Cohosts Anne Eglash, MD, IBCLC & Karen Bodnar MD, IBCLC
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
Breastfeeding Twins! Conversations with Carly Dulabon MD, Rima Strassman MD, Regina DePietro MD, & Heather Saha MD with Cohosts Anne Eglash MD & Karen Bodnar MD
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.
Partner Support, Supporting Breastfeeding During Parent or Child Hospitalization, & Colostrum Volumes in the First 48 Hour, with Cohosts Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC
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
Review of a Potpourri of Research Topics with Cohosts Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC.mp4
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 childre
Review of Hypoglycemia & Breastfeeding with Cohosts Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC.mp4
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
Postpartum Hemorrhage & Inverted Nipples with Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC.mp4
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 in
T&am Nursing; Comparative Lactation; The Calming Effect of Breastmilk Odor; Risk of Febrile Seizures in Breastfed Children; Antihistamines During Lactation; Nipple Trauma with Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC
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-c
Complications of Frenotomy; Lactation Complications of Breast Augmentation Via Injected Material; The Choosing Wisely Campaign; with Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC
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 &
Lactation Insufficiency & Obesity, Drug Treatment of Nipple Vasospasm, Finger Feeding vs Syringe Feeding & the Association Between Breastfeeding & Breast Density with Cohosts Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC
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 bet
The COVID 19 mRNA Vaccine During Breastfeeding with Cohosts Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC
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.
Melatonin in Breastmilk, Endocrine Disruptors in Breastmilk, Rusty Pipe Syndrome, a 67 Yo Breastfeeding Mother, COVID-19. With Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC
We start with the role of melatonin in breastmilk, then discuss the various environmental contaminants may disrupt mammary gl& development. We then touch on rusty pipe syndrome, discuss a case of a 67yo woman who becomes pregnant & breastfeeds, & wrap up with the most current recommendations on breastfeeding management for a COVID+ mother. Phew!!Recorded in October 2020.
Human Milk Banking & the SARS-CoV-2 Virus, with Summer Kelly RN, Kim Updegrove CNM, Amy Vickers RN, Lindsay Groff MBA, & Anne Eglash MD
The demand, access, and use of pasteurized donor human milk has changed since the COVID-19 pandemic. The executive directors of 3 large, successful nonprofit milk banks that are members of the Human Milk Banking of North America organization answer commonly asked questions about human milk banking during the pandemic.
Recorded in May 2020.
Newborn Clinic & Caring for COVID+ Mothers in Upper Manhattan with Melissa Glassman MD, IBCLC, Minna Saslaw MD, Anne Eglash MD, IBCLC & Karen Bodnar MD, IBCLC
Around the country, it is common for new mother-infant dyads to leave their maternity centers earlier than pre-COVID-19. Since so many medical offices are closed to COVID+ individuals, how can COVID+ mothers find follow up for their newborn(s)? Drs Glassman & Saslaw share their solution for a population with high rates of COVID-19, Upper Manhattan & the Bronx, NYC.
Recorded in April 2020.
