Behind the Latch Podcast Por Margaret Salty arte de portada

Behind the Latch

Behind the Latch

De: Margaret Salty
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The Behind the Latch with Margaret Salty is your essential companion for lifelong growth in the field of lactation consulting. Whether you're a student, a newly certified IBCLC, or an experienced consultant, this podcast is designed to support your ongoing journey. Each episode brings you expert interviews, real-world case studies, and the latest research updates—giving you practical insights you can apply directly to your work with breastfeeding families. Hosted by Margaret Salty, an experienced IBCLC, educator, and mentor, this podcast is here to guide you as you build your knowledge, sharpen your skills, and continue to evolve in your practice. The field of lactation is dynamic, and learning never stops. The IBCLC Mentor Podcast will help you stay inspired, stay informed, and stay connected to your purpose.Copyright 2026 Margaret Salty Higiene y Vida Saludable
Episodios
  • 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

    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 conversation dives deep into human milk oligosaccharides (HMOs), the limitations of reductionist thinking in lactation science, and the urgent need to translate research into real-world clinical impact. Dr. Bode also shares his vision for the future, including the development of “lactology” as a formal field of study and what it would take to truly normalize breastfeeding on a global scale.

    Key Takeaways for Clinicians

    • Human milk is far more than nutrition—it is a dynamic system of signaling, protection, and communication.
    • HMOs play multiple roles beyond the microbiome, including direct immune and systemic effects.
    • Donor milk retains key bioactive components like HMOs even after pasteurization.
    • Variation in milk composition across individuals and time is expected and biologically meaningful.
    • Clinical care must align with real-world problems—research must start with the needs of families.
    • Multidisciplinary collaboration is essential to advancing both science and clinical outcomes.
    • Maternal health directly influences milk production and composition.
    • Breastfeeding provides significant long-term health benefits for both infants and mothers.
    • Formula can improve—but it cannot replicate the adaptive, responsive nature of human milk.
    • Early identification of barriers and inequities is critical to improving breastfeeding outcomes.
    • The future of lactation care depends on bridging research, clinical care, and public health systems.

    Guest

    Dr. Lars Bode, PhD

    Director, Human Milk Institute

    Human Milk Institute

    Triton Giving Day 04.29.2026

    Connect with Margaret

    📬 Email: hello@margaretsalty.com

    📸 Instagram: @margaretsalty

    📘 Facebook: Margaret Salty

    Music by: The Magnifiers – My Time Traveling Machine

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    42 m
  • 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
    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 oxidation and free radical reactions may contribute to off flavors in stored milk Why exposure to light, oxygen, and heat accelerates nutrient degradation Simple strategies for protecting expressed milk during storage The role of vitamin C and antioxidants in preventing oxidation Why scalding milk may damage valuable nutrients and enzymes How maternal diet influences the fatty acid profile of breastmilk The relationship between omega-3 and omega-6 fats in human milk Why formula cannot truly replicate human milk oligosaccharides or fatty acid complexity How breastfeeding exposes infants to diverse food flavors that shape lifelong eating patterns Why maternal nutrition matters—but breastfeeding remains resilient even with imperfect diets Future research questions about the human milk metabolome and maternal dietKey Takeaways for CliniciansThe “high lipase milk” explanation for off-smelling stored milk may not be supported biologically or experimentally.Off flavors may instead result from nutrient oxidation, particularly involving riboflavin and free radical reactions.Protecting milk from light, oxygen, and heat exposure may help reduce degradation.Scalding milk may stop some reactions but can also damage enzymes, vitamins, and bioactive components.Maternal intake of vitamin C and antioxidants may influence milk stability during storage.Maternal diet does influence certain components of milk, especially fatty acid composition and water-soluble vitamins.The fatty acid profile of milk largely reflects the mother’s dietary fat intake.Human milk oligosaccharides vary between mothers and environments, making them difficult to replicate in formula.Even when milk has an unusual smell, it is often still safe for infants, and strategies like dilution with fresh milk can help babies accept it.Human milk remains one of the most biologically protected food systems in nature, even when maternal diets are imperfect.GuestDr. Jimi Francis, PhD, RD, IBCLChttps://drjimi.net/References referred to in the discussion about Lipase in Human Milk:Allen, L. H. (2012). B vitamins in breast milk: Relative importance of maternal status and intake, and effects on infant status and function. Advances in Nutrition, 3(3), 362–369. https://doi.org/10.3945/an.111.001172 Bauman, D. E., & Bruce Currie, W. (1980). Partitioning of Nutrients During Pregnancy and Lactation: A Review of Mechanisms Involving Homeostasis and Homeorhesis. Journal of Dairy Science, 63(9), 1514–1529. https://doi.org/10.3168/jds.S0022-0302(80)83111-0 Chappell, J. E., Francis, T., & Clandinin, M. T. (1985). Vitamin A and E content of human milk at early stages of lactation. Early Human Development, 11(2), 157–167. https://doi.org/10.1016/0378-3782(85)90103-3 Daniel, A. I., Shama, S., Ismail, S., Bourdon, C., Kiss, A., Mwangome, M., Bandsma, R. H. J., & O’Connor, D. L. (2021). Maternal bmi is positively associated with human milk fat: A systematic review and meta-regression analysis. American Journal of Clinical Nutrition, 113(4), 1009–1022. https://doi.org/10.1093/ajcn/nqaa410 Demmelmair, H., & Koletzko, B. (2018). Lipids in human milk. Best Practice and Research: Clinical Endocrinology and Metabolism, 32(1), 57–68. https://doi.org/10.1016/j.beem.2017.11.002 Dickton, D., & Francis, J. (2018). Case review: food pattern effects on milk lipid profiles. J Nutr Health Food Eng, 8(6), 467–470. https://doi.org/10.15406/jnhfe.2018.08.00311 Donovan, S. M., Aghaeepour, N., Andres, A., Azad, M. B., Becker, M., Carlson, S. E., Järvinen, K. M., Lin, W., Lönnerdal, B., Slupsky, C. M., Steiber, A. L., & Raiten, D. J. (2023). Evidence for human milk as a biological system and recommendations for study design—a report from “Breastmilk Ecology: Genesis of Infant Nutrition (BEGIN)” Working Group 4. American Journal of Clinical Nutrition, 117, S61–S86. https://doi.org/10.1016/j.ajcnut.2022.12.021 Dror, D. K., & Allen, L. H. (2018). Overview of nutrients in humanmilk. Advances in Nutrition, 9, 278S-294S. https://doi.org/10.1093/advances/nmy022 Evans, T. J., Ryley, H. C., Neale, L. M., Dodge, J. A., & Lewarne, V. M. (1978). Effect of storage and heat on antimicrobial proteins in human milk. Archives of Disease in Childhood, 53(3), 239–241. https://doi.org/10.1136/adc.53.3.239 Francis, J. (2015). Effects of Light on Riboflavin and Ascorbic Acid in Freshly Expressed Human Milk. Journal of Nutritional Health & Food Engineering, 2(6), 2–4. https://doi.org/10.15406/jnhfe.2015.02.00083 Francis, J., & Dickton, D. (2020). Feeding and refusal of expressed and ...
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    1 h y 6 m
  • 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
    What We Talk About

    How Mina’s grandmother’s experience as a wet nurse shaped her path into lactation

    Why “hospital-grade” doesn’t actually mean anything in marketing—and what truly defines a multi-user pump

    The critical first 7 days postpartum and why delayed access to an effective pump can permanently impact supply

    Why wearable pumps and personal-use pumps often fail NICU mothers trying to establish supply

    The surprising insurance paradox: why WIC families often receive pumps faster than privately insured hospital employees

    How some insurance plans (including certain HMOs and United Healthcare) do not recognize hospital-grade pumps as a covered benefit

    The behind-the-scenes work required to secure an E0604 pump rental through a DME supplier

    Why case management buy-in was one of the biggest roadblocks—and how Mina overcame resistance

    How embedding a lactation-specific workflow into Epic improved communication and reduced delays

    Why some hospitals profit from pump rentals—and why that raises ethical concerns

    How her hospital partnered with WIC to house 10 loaner hospital-grade pumps onsite

    The importance of prenatal pump planning when a NICU admission is anticipated

    What still isn’t fixed—and why the work continues

    Key Takeaways for Clinicians

    The first 7 days postpartum are physiologically critical for establishing milk supply. Delays in effective milk removal can make supply difficult to recover later.

    Not all pumps are equal. Wearable pumps and personal-use pumps may not provide adequate stimulation for separated NICU mothers.

    Insurance status can directly affect pump access timing, functioning as a social determinant of lactation success.

    Securing a hospital-grade pump typically requires:

    1. A prescription
    2. Diagnosis coding (NICU admission)
    3. Coordination with a DME supplier
    4. Case management involvement

    Standardizing communication within the EHR can dramatically improve workflow and reduce lost time.

    Patients should not bear the burden of navigating DME suppliers while managing a critically ill infant.

    Advocacy is within the scope of the hospital lactation consultant role—even when it requires challenging institutional norms.

    One practical first step: map your current NICU pump access process and identify where delays occur.

    👩‍🏫 Guest

    Mina Ognianovich, IBCLC

    https://minalactation.com/

    📝 Connect with Margaret

    📬 Email: hello@margaretsalty.com

    📸 Instagram: @margaretsalty

    📘 Facebook: Margaret Salty

    Hosted by: Margaret Salty

    Music by: The Magnifiers – My Time Traveling Machine

    #BehindTheLatch #NICULactation #HospitalGradePump #BreastfeedingEquity #IBCLC #LactationAdvocacy #MaternalHealth #PublicHealthLactation #NICUParents #BreastmilkIsMedicine
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    40 m
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