This week, I’m honoured to be joined by Dr. Laura Thomas, a community pediatrician from Reading, La Leche League leader, and breastfeeding peer supporter, to talk about breastfeeding in pediatric palliative care. Laura explains her day-to-day work with neurodiversity and neurodisability, her training and her own breastfeeding experiences. We discuss Laura’s masters project using a questionnaire for palliative care and pediatric staff, which found breastfeeding is often not considered unless families request support, and that staff want simple guidance and signposting. We explore why breastfeeding and milk donation can matter at end of life and after bereavement, highlight resources like the Memory Milk Bank and Herts Milk Bank, and consider practical hospice support and future research into lactation supporters’ preparedness.

My picture book on how breastfeeding journeys end, The Story of Jessie’s Milkies, is available from Amazon here - The Story of Jessie's Milkies. In the UK, you can also buy it from The Children’s Bookshop in Muswell Hill, London. Other book shops and libraries can source a copy from Ingram Spark publishing.

You can also get 10% off my books on supporting breastfeeding beyond six months and supporting the transition from breastfeeding at the Jessica Kingsley press website, by going to https://bit.ly/JKPbooks and using the code MMPE10 at checkout.

Follow me on Instagram @emmapickettibclc or find out more on my website www.emmapickettbreastfeedingsupport.com

Resources mentioned -

The Milk Bank at Chester https://www.milkbankatchester.org.uk/donationafterloss/memorymilkgift/

The Human Milk Foundation https://humanmilkfoundation.org/hearts-milk-bank/donating-after-bereavement/

Breastfeeding the Brave https://breastfeedingthebrave.com/

Framework for Practice: Lactation and loss | British Association of Perinatal Medicine https://www.bapm.org/resources/lactation-and-loss-management-of-lactation-following-the-death-of-a-baby

Together for Short Lives: Children's Charities - Children Hospices https://www.togetherforshortlives.org.uk/

This podcast is presented by Emma Pickett IBCLC, and produced by Emily Crosby Media.

This week, I’m pleased to be joined by Auden Krauska, a non-binary parent of two originally from Wisconsin now living near Copenhagen, to talk about their nursing journeys and the complexities of lactation alongside gender dysphoria and healthcare systems. Auden describes binding, being misgendered, considering top surgery but delaying it to lactate, and stopping testosterone to conceive. Their first pregnancy involved hyperemesis, followed by a home birth, sidelying nursing, a newborn hospitalisation for enterovirus meningitis, and recurrent mastitis linked to oversupply and outdated advice, which improved with the Academy of Breastfeeding Medicine’s updated protocol and ibuprofen. Auden shares experience of parent-led weaning at 14 weeks pregnant, using a personalised storybook, and discusses nursing-friendly and pregnancy clothing, working remotely, Denmark’s health care, and evidence and monitoring around resuming testosterone while lactating. If Auden does return to taking testosterone, they will do blood testing to check their daughter’s liver function and hormone levels, and that decision is a way off.

My picture book on how breastfeeding journeys end, The Story of Jessie’s Milkies, is available from Amazon here - The Story of Jessie's Milkies. In the UK, you can also buy it from The Children’s Bookshop in Muswell Hill, London. Other book shops and libraries can source a copy from Ingram Spark publishing.

You can also get 10% off my books on supporting breastfeeding beyond six months and supporting the transition from breastfeeding at the Jessica Kingsley press website, by going to https://bit.ly/JKPbooks and using the code MMPE10 at checkout.

Follow me on Instagram @emmapickettibclc or find out more on my website www.emmapickettbreastfeedingsupport.com

Find out more about Auden on their blog https://thepregnantpapa.wordpress.com/

Resources mentioned -

Where’s the Mother? - a book by Trevor MacDonald https://www.queerlit.co.uk/products/wheres-the-mother?srsltid=AfmBOorXJK6ekxR3phw_y4N2NWXZ4vKNfrwshyJ9XpzXWTcom_fQCunf
Trevor’s Facebook group - Birthing and Breast or Chestfeeding Trans People and Allies https://www.facebook.com/share/g/183Qi5ryX9/

Angela Marchant in Madison, WI https://www.tallgrassosteopathy.com/

Trans Fertility Co https://transfertility.co/

Trystan Reese https://www.trystanreese.com/

Being You: A First Conversation About Gender – Early Pride Matters https://earlypridematters.org/teaching-guide/being-you-a-first-conversation-about-gender/

This podcast is presented by Emma Pickett IBCLC, and produced by Emily Crosby Media.

This week, I’m joined by the brilliant Emma Erskine-Fox, a Bristol-area lawyer, ABM peer supporter, and mother, to talk about breastfeeding her daughter Isabelle to nearly age four, including a gentle self-weaning ending. Emma describes being breastfed herself, antenatal education that helped normalise cluster feeding, an induced birth ending in an emergency caesarean, early latch and weight-loss difficulties resolved with midwife and IBCLC support, and some intense cluster feeding. She also shares navigating planned thyroid surgery while breastfeeding: initially being wrongly told her baby couldn’t stay and that she must pump and dump. Emma postponed surgery when Isabelle wouldn’t take a bottle, then did some research, contacting the trust infant feeding team and PALS, and secured a private room so her husband and baby could stay overnight. Emma continued to breastfeed Isabelle throughout her recovery and return to full time work, until Isabelle finally weaned herself around 3 years and 10 months.

My picture book on how breastfeeding journeys end, The Story of Jessie’s Milkies, is available from Amazon here - The Story of Jessie's Milkies. In the UK, you can also buy it from The Children’s Bookshop in Muswell Hill, London. Other book shops and libraries can source a copy from Ingram Spark publishing.

You can also get 10% off my books on supporting breastfeeding beyond six months and supporting the transition from breastfeeding at the Jessica Kingsley press website, by going to https://bit.ly/JKPbooks and using the code MMPE10 at checkout.

Follow me on Instagram @emmapickettibclc or find out more on my website www.emmapickettbreastfeedingsupport.com

Emma is @‌emma.is.milking.it on instagram

Resources mentioned -

ABM Clinical Protocol #35: Supporting Breastfeeding During Maternal or Child Hospitalization https://www.bfmed.org/assets/ABM%20protocol%2035%20Nov%202021.pdf

Kate Battersby https://www.theperfectstart.org.uk/

Training with the ABM https://abm.me.uk/breastfeeding-training/

Olivia Hinge @‌olivia_lactation_consultant on Instagram

This podcast is presented by Emma Pickett IBCLC, and produced by Emily Crosby Media.