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Behind the Latch

Behind the Latch

Margaret Salty 123 Episodes Sep 16, 2026

Behind the Latch is a podcast for lactation consultants at every stage of their career, hosted by Margaret Salty, an experienced IBCLC, educator and mentor. Each episode features expert interviews, real-world case studies and updates on the latest research relevant to working with breastfeeding families. The show aims to give listeners practical insights they can apply directly in their practice. It serves students, newly certified IBCLCs and seasoned consultants who want to keep growing professionally. The overall focus is on lifelong learning, staying inspired and staying connected to the purpose behind lactation care.

Episodes

Rethinking the Lactating Breast with Dr. Donna Geddes
Rethinking the Lactating Breast with Dr. Donna Geddes Sep 16, 2026 01:05:46 What if some of what we still teach about breast anatomy, milk supply, pumping, and milk ejection is based on an outdated understanding of how the lactating breast actually works?In this episode of Behind the Latch, Margaret sits down with internationally recognized human lactation researcher Dr. Donna Geddes to explore what more than two decades of imaging the living, lactating breast has taught
It's Not Magic, It's Skill: Therapeutic Breast Massage with Maya Bolman, IBCLC
It's Not Magic, It's Skill: Therapeutic Breast Massage with Maya Bolman, IBCLC Jul 8, 2026 46:56 We were taught to keep our hands in our pockets. Maya Bolman was taught the opposite — by her great-aunt, a midwife in Belarus, who could take an engorged, aching breast and leave it soft in an hour. In this episode, I sit down with Maya to talk about the skill most of us were never trained in: what to actually do with our hands.Maya Bolman is an IBCLC in Cleveland, Ohio, with 26 years in hospital
What Counts as Low Milk Supply? Measurement, Biomarkers, and What's Next with Dr. Katie Kivlighan
What Counts as Low Milk Supply? Measurement, Biomarkers, and What's Next with Dr. Katie Kivlighan Jul 2, 2026 43:26 Low milk supply might be the most common concern we field—and one of the hardest things in lactation to actually measure. In this episode I sit down with researcher Dr. Katie Kivlighan to separate what we can quantify from what we're guessing at, and to look at the tools and technologies that are about to change how we assess it.Episode Summary"Low milk supply" gets used as a catch-all, but it isn
Inside the Milk Bank: Donor Milk, NEC Prevention, and the Myths That Hold Us Back with Dr. Lisa Stellwagen
Inside the Milk Bank: Donor Milk, NEC Prevention, and the Myths That Hold Us Back with Dr. Lisa Stellwagen Jun 17, 2026 01:05:15 In this episode, Dr. Lisa Stellwagen shares the journey of establishing a hospital-based milk bank, the science behind donor milk, and the future of infant nutrition and milk banking. Discover how policies, safety standards, and community efforts are transforming neonatal care and supporting vulnerable infants.Chapters:00:00 Introduction to Milk Banking and Its Importance04:07 The Journey to Estab
What COVID and the Formula Shortage Taught Us About Breastfeeding Support with Dr. Elizabeth Kar
What COVID and the Formula Shortage Taught Us About Breastfeeding Support with Dr. Elizabeth Kar May 28, 2026 39:44 In this conversation, Dr. Elizabeth Kar discusses her research on breastfeeding promotion and the challenges faced by breastfeeding families during the COVID-19 pandemic, particularly the impact of reduced lactation support and the infant formula shortage. She emphasizes the importance of lactation consultants and community support in successful breastfeeding, critiques the marketing strategies of
Informal Milk Sharing in the U.S. with Molly Waymouth
Informal Milk Sharing in the U.S. with Molly Waymouth May 6, 2026 21:47 Margaret interviews, Molly Waymouth, a senior policy analyst at RAND, and they discuss her research on informal milk sharing, its prevalence, risks, and policy implications. They explores how systemic barriers and economic factors influence families' choices and what can be done to improve access to safe, affordable donor milk and lactation support.Chapters00:00 Introduction to the Conversation05:
Rethinking Elimination Diets in Breastfeeding: What the Research Actually Shows with Dr. Trillitye Paullin
Rethinking Elimination Diets in Breastfeeding: What the Research Actually Shows with Dr. Trillitye Paullin Apr 22, 2026 01:00:47 In this episode of Behind the Latch, Margaret Salty interviews Trillitye Paullin, CEO and co-founder of Free to Feed, who shares her groundbreaking work translating emerging research on food reactivity in breastfeeding into practical clinical guidance.Together, they unpack one of the most misunderstood topics in lactation: how dietary proteins transfer into breast milk and what that actually means
Lactation During Bereavement with Victoria Fonville: A Research Review
Lactation During Bereavement with Victoria Fonville: A Research Review Apr 15, 2026 26:03 In this episode of Behind the Latch, Margaret Salty interviews Victoria Fonville, MS, PhD candidate in Nutrition at UNC Greensboro, about her recent scoping review on lactation during perinatal bereavement.Together, they explore what the research actually tells us about lactation after infant loss—from the lived experiences of bereaved families to the gaps in care from healthcare providers. Victor
More Than Milk: The Science, Systems, and Future of Human Lactation with Dr. Lars Bode
More Than Milk: The Science, Systems, and Future of Human Lactation with Dr. Lars Bode Apr 8, 2026 42:03 Dr. Bode shares his journey into human milk research and the founding of the Human Milk Institute—the only institute in the world dedicated entirely to studying human milk in all its complexity. Together, they explore how human milk research is evolving from isolated disciplines into a collaborative, systems-based science that integrates molecular biology, clinical care, and public health.The conv
The High Lipase Myth: What’s Really Happening to Stored Breastmilk  With Dr. Jimi Francis
The High Lipase Myth: What’s Really Happening to Stored Breastmilk With Dr. Jimi Francis Mar 18, 2026 01:06:25 What We Talk AboutThe origin of the “high lipase” breastmilk myth and how it spread through the lactation community Why biologically it does not make sense that some mothers produce excess lipase in milk What lipase actually does in human milk and why it is critical for infant fat digestion What parents are actually noticing when milk smells “soapy,” “metallic,” or “rancid” How riboflavin oxidatio
Advocacy in Action: Securing Pumps for NICU Families with Mina Ognjanovic, IBCLC
Advocacy in Action: Securing Pumps for NICU Families with Mina Ognjanovic, IBCLC Feb 25, 2026 39:43 What We Talk AboutHow Mina’s grandmother’s experience as a wet nurse shaped her path into lactationWhy “hospital-grade” doesn’t actually mean anything in marketing—and what truly defines a multi-user pumpThe critical first 7 days postpartum and why delayed access to an effective pump can permanently impact supplyWhy wearable pumps and personal-use pumps often fail NICU mothers trying to establish
Barriers, Mentorship & Equity in Lactation Certification with Mandy Golman, PhD, MS, RN, IBCLC
Barriers, Mentorship & Equity in Lactation Certification with Mandy Golman, PhD, MS, RN, IBCLC Feb 18, 2026 33:26 In this episode of Behind the Latch, Margaret sits down with Dr. Mandy Golman, PhD, MS, RN, IBCLC, MCHES, professor at the University of Texas at Tyler, to discuss her powerful qualitative study exploring the perceptions, barriers, and facilitators to obtaining the IBCLC certification among U.S. healthcare practitioners.Margaret first encountered this research as a poster presentation at the ILCA

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