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The Evolve Lactation Podcast: Daily Summaries Delivered
by Christine Staricka, IBCLC
Evolve Lactation Podcast was created to inspire, inform, and engage current and aspiring lactation care providers. Hosted by Christine Staricka and Olena Dobczansky, the Evolve Lactation Podcast is a resource for learning and connecting over all things lactation-related. Whether you’re seasoned or studying, we hope this show will make you think and inspire you to act. ibclcinca.substack.com
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- 5 days ago1h 46m
Unpacking Breastfeeding Science Denialism with Bridget McGann
Science Communication. Health Literacy. Public Health Messaging.⬆️Those of you with Public Health degrees, please look away while I humbly confess: I have never been formally trained in these. I didn’t even know they were actual strategies until I started hearing experts talk about them on public health podcasts since the pandemic.(*Side Note; we really should be learning this as IBCLCs.)Okay, Public Health people, come on back in.Together, we are going to IMMERSE OURSELVES in the new paper “Breastfeeding Science Denialism: Unpacking A Hidden Harm” with its authors over the next few episodes of the podcast.Groundbreaking is the only word I can think of to describe the premise of this paper.Breastfeeding Science Denialism.Stop and think about that.How often do you come across a response to breastfeeding information that infuriates you, but you’re not really sure what to do about it? Even if you ARE trained in public health, that might mean that you can recognize it and possibly even figure out how to combat it, but I’m betting it still infuriates you.When I shared this paper with some colleagues, one of them said “I didn’t know that so many articles of denialism existed.” Unfortunately, they do.And this paper NAMES where they originate. I love the boldness of this paper calling out the sources of some of the most damaging messages. (Stay tuned for more on that in the 3rd episode of this series.)In this episode, I talk to Bridget McGann, the paper’s lead author.(🎉Congratulations to Bridget on her first lead authorship!) She is a biological anthropologist and science communicator with a particular interest in breastfeeding science denialism. She tracks these messages and their origins - she’s keeping score for us - and matching them up with the specific type of science denialism they utilize, like cherry-picking evidence or minimization of science.One of the most painful types for us in the lactation field can be the one where detractors paint experts as activists rather than credible authorities.If you’ve ever been called names as a result of your work supporting and caring for breastfeeding families, you’ll easily recognize this theme. (I once excused myself from a patient room in the hospital when one of their family members casually threw out the “Nipple N***” phrase. I don’t do that. It’s not ok here.)There’s so much in this paper to unpack that we decided to do 3 separate interviews, one with each of the authors. The paper is open access, something which was very important to the authors because they know that true change and impact can only come when everyone can access the information.You’ve got to read this paper.Enjoy the podcast, let me know what you think, and stay tuned for the rest of the interviews, dropping soon!How to Connect with Bridget McGannTHRiVE Lab MembersEmail Bridget at BabiesAndBones@gmail.comMILC🤱🏼The Breastfeeding Literacy Project - a Free Resource for Learning About Breastfeeding🤓Free Guide for Aspiring Lactation Consultants📖Read my book in ePUB, Kindle, paperback, or hardcover here - Evolving the Modern Breastfeeding Experience: Holistic Lactation Care in the First 100 Hours This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit ibclcinca.substack.com
- 3 weeks ago1h 1m
Who Gets to Define Care??
Episode 1: Who Gets to Define Good Care?With Christine Staricka, IBCLC, and Olena Dobczansky, RN, IBCLCPlease Follow the Show, Leave Us a Review on Your Favorite Podcast Player, and Share It With A Friend!Supply and Demand is a weekly miniseries examining the promises, power, and business of perinatal care. Yes, we know: neither of us likes the term “supply.” Here it carries a second meaning. This series is about the value of care: who provides it, who pays for it, who profits from it, and who answers for it.In Episode 1, we start with the foundation: who gets to define good lactation care, and how has our own understanding of it changed over decades of practice?The four lenses for this seriesEach episode is grounded in four questions:* Ontology: What is the object of care? What, exactly, are we caring for?* Epistemology: How do we know what is happening? What tells us care was successful?* Ethics: To whom is the clinician accountable?* Economics: What is the value of relational care, and what does it actually require?In this episode* What we each understood our job to be when we started. Christine was taught to protect three things: the mother, the baby, and breastfeeding. Lose one and the stool falls over. Olena came to lactation as a pediatric RN and describes how long it took to see the dyad as a relationship rather than two patients.* Systems versus the care in front of you. Insurance billing, scheduling, no-show policies, and charting templates are built for managing care en masse. Many solo practitioners are uncomfortable with gatekeeping, and that discomfort has a cost.* The dyad has no chart. There is no “dyad note.” When the system documents only one half of the relationship, it shapes what clinicians believe they are responsible for. That is ontology in practice.* “Lactation consultant” is an unregulated term, and it doesn’t tell families what we actually do.* How do you know care worked? Is the measure dropped shoulders, objective findings, or the absence of phone calls? Most lactation clinicians get almost no feedback unless a system exists to capture outcomes. Olena’s advice: you don’t need a big network, you need one colleague who will pick up the phone.* Where does responsibility end? A patient reports a symptom or a knowledge gap. Is “educated on responsive feeding” the end of your obligation? Does the answer change between the hospital and a home visit? The only meaningful definition of good care is what it means to the person receiving it.* Data without meaning. Exclusive breastfeeding rates and pumping volumes matter only when they connect to care and to what the family wanted.* Tracking apps, infant data, and surveillance. Who receives the data parents enter about their newborns, and why is the perinatal population such an attractive target?* Medicalization and fragmentation. Birth was systematized for scale, and lactation support is following. Now there are multiple experts, apps, and devices, and the mother no longer owns the experience.* Accountability and advice. A clinician with a client relationship is responsible for outcomes. A social media account telling thousands of people what to buy is not.* Pump companies and the formula playbook. Responsibility is shifted to “how it was used.” Instructions move online. Industry presence at professional conferences buys favor. Product education still requires a clinician to interpret it for the person in front of them, and that interpretation is why we exist. The opposite of what the American Lung Association is doing. Respiratory health organizations are telling the public to talk to a human. Perinatal health has moved toward bots, apps, and venture capital.* Economics. One consult, one payment, no relationship: what can you actually accomplish? What is the bare minimum required to provide care at all?* Hospital lactation care. Episodic, interrupted feeding teaches families that breastfeeding happens at “feeding times” rather than as a lived relationship. There are de facto discharge pressures even in Baby-Friendly hospitals. Hospital IBCLCs often have no authority over lactation.* A $750 sleep consult. Why does every lactation fee get scrutinized while other perinatal services do not?* Cognitive dissonance and moral injury. Many lactation consultants change practice settings because they can no longer toler
- Oct 1, 202627 min
You’re Not Supposed to Figure This Out Alone
Evolve Lactation PodcastEpisode: You're Not Supposed to Figure This Out Alone (Introducing Evolve Lactation Circle)Update (October 2026): Evolve Lactation Circle, the private working space introduced in this episode, is no longer open. I’ve decided to step back from the membership to focus my time on other work. The link in the original notes no longer works.The writing, podcast, and resources I share through Evolve Lactation Media on Substack continue at evolvelactation.org. Subscribe there to stay connected.In this solo episode, Christine introduces Evolve Lactation Circle, a new private working space built for lactation professionals. She talks through the isolation so many people in this field feel, why resource libraries alone haven't been enough, and what she's building instead: a space centered on connection, direct access, and honest conversation.In this episode:Why lactation career coaching keeps surfacing the same questions, year after yearThe difference between clinical continuing education and the professional development support that's missing from itWhat's changed in the field recently — insurance reimbursement shifts, licensing questions, and the expanding scope of infant feeding workWhy Christine built this as a private, distraction-free space instead of on social mediaWhat's actually inside: the First 100 Hours framework, the Blind Spots exercises, a developing Practice Philosophy, live Conversations, Co-Working sessions, and 1:1 accessWhy vulnerability and honesty among professionals matters as much as clinical skillTimestamps:00:00 — Introduction to Evolve Lactation Circle and its purpose01:51 — The importance of community and connection in lactation work04:14 — How coaching helps clarify career vision and goals06:00 — The evolution of lactation education and ongoing professional development07:55 — The role of a private working space in reducing isolation09:52 — Features of the Evolve Lactation Circle platform and resources12:13 — The value of direct communication and peer support14:06 — Group coaching, co-working, and live interactions16:02 — Upcoming presentations and content on platforms like Substack17:59 — The importance of sharing your voice and documenting your work19:53 — Building a professional network and practice philosophy22:12 — Encouraging vulnerability and honest conversations among professionals24:11 — The vision for a respectful, supportive lactation communityKeep this Conversation GoingChristine - https://www.linkedin.com/in/christinestaricka/Olena - https://www.linkedin.com/in/olena-dobczansky-msn-rnc-mnn-ibclc-c-onqs-lcce-878b8263/If you liked this podcast, please subscribe in your favorite podcast player and give it a 5-star rating!Check out The Breastfeeding Literacy Project here: The Breastfeeding Literacy Project This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit ibclcinca.substack.com
- Jul 27, 202645 min
"Tell Me What This Has Been Like for You" - A Conversation with Gretchen Becker Crabb
In this conversation with Gretchen Becker Crabb, I asked her what she believes is the opportunity we have when we first meet someone who is really struggling with breastfeeding. Gretchen, who is an OTR/L and CLC, shares in this episode about how she thinks of the dyad and the breastfeeding relationship and applies her expertise in sensory integration to her work with families. Keep this Conversation GoingGretchen - on IG at @gretchencrabbtherapywebsite: gretchencrabbtherapy.comFacebook: Gretchen Becker CrabbAnd here is the link to NBO trainings:https://www.brazeltontouchpoints.org/Christine - https://www.linkedin.com/in/christinestaricka/Olena - https://www.linkedin.com/in/olena-dobczansky-msn-rnc-mnn-ibclc-c-onqs-lcce-878b8263/If you liked this podcast, please subscribe in your favorite podcast player and give it a 5-star rating!Check out The Breastfeeding Literacy Project here: The Breastfeeding Literacy Project This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit ibclcinca.substack.com/subscribe
- Jul 17, 20263 min
Bobbie Makes Pre-WBW/NBM Drops to Steal Conversation/Undermine Lactation Care
Evolve Lactation Media is an independent platform for lactation knowledge — rigorous, accessible, and free of commercial influence. We publish, we teach, and we examine the forces that shape lactation care — for clinicians, public health professionals, and families.We connect breastfeeding to its full context — scientific, cultural, political — because the conditions that determine whether an individual breastfeeds are never purely clinical.What Happened?“Boutique” formula manufacturer Bobbie made 2 major announcements this week:* they published their own code of ethics in marketing; it starts by minimizing the WHO Code and contains multiple lies* they announced the rollout of their AI chatbot and “three-layer support system”Understand What This MeansAs explained by Len the RN, IBCLC, “That means the company manufactures the product, builds the AI, employs the clinicians, creates the educational content and defines the pathways through which parents receive support. Regardless of the quality or integrity of the people involved, this represents a fundamental shift in how infant feeding guidance has been organized.”Why Now?Check your calendar. That’s right, it’s just in time for World Breastfeeding Week and National Breastfeeding Month.That’s not a coincidence.Don’t keep this a secret - share this with someone else who needs this updateIf you spend any amount of time on Bobbie’s website, which is linked above in the What Happened section, you will notice that they make many claims about what they offer moms, which is strikingly similar to what YOU offer the dyads you serve.The implication is strong: that THEY offer this support and that no one else is doing that.Are you not providing wraparound feeding support? Do you not teach formula feeding to moms who want to or need to use formula?Are you not building community for the parents you serve?Have you not been working your whole career on this, only to have a commercial entity swoop in with their venture capital cash to market their products right over the top of you?That’s where we are.Please tell me what we are going to do next because I honestly do not know.Love Us or Fight UsSend us your feedback, argue with us about what we’re sharing on the podcast, tell us your ideas or request for things we should cover.Evolve Lactation Media is for YOU. And for our listeners who are outside the US, your feedback is most welcome here!!Our global credential deserves a global conversation as much as it deserves a national one. We’re here for it all. Hit Reply to this email to tell us what you need to say, and find us both on LinkedIn!Olena - https://www.linkedin.com/in/olena-dobczansky-msn-rnc-mnn-ibclc-c-onqs-lcce-878b8263/Christine - https://www.linkedin.com/in/christinestaricka/Thanks for reading Evolve Lactation Media! Subscribe for free right here www.EvolveLactation.org This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit ibclcinca.substack.com/subscribe
- Jul 10, 202653 min
The Relational Work of Supporting Safety in Lactation Care - An Interview with Fleur Bickford
When I asked my friend and colleague Fleur Bickford to come on the podcast, I should have known she would arrive with an outline and a comprehensive plan for teaching.Fleur’s expertise in trauma-informed care is deep on so many levels.Fleur Bickford is a Registered Nurse and International Board Certified Lactation Consultant (IBCLC) with a background in labour and delivery, postpartum care and healthcare education. She currently serves as Director of Educational Programming for GOLD Learning. Drawing on her years of clinical experience and a deep commitment to evidence-based, person centred and trauma‑informed education, Fleur designs unique and impactful learning experiences for a global audience of maternal child health care professionals. Her personal areas of interest and expertise are the nervous system, trauma and post traumatic growth. She can be found on Instagram and Threads under the handle @nurturinghealing.To get the whole guide and companion workbook, click and subscribe here: https://ibclcinca.substack.com/p/emerginglactationconsultant1Keep this Conversation Going on LinkedInOlena - https://www.linkedin.com/in/olena-dobczansky-msn-rnc-mnn-ibclc-c-onqs-lcce-878b8263/Christine - https://www.linkedin.com/in/christinestaricka/If you liked this podcast, please subscribe in your favorite podcast player and give it a 5-star rating!Check out The Breastfeeding Literacy Project here: The Breastfeeding Literacy Project This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit ibclcinca.substack.com/subscribe
- Jun 12, 202613 min
Assembling Your Preparation Plan: From Candidate to Credentialed
I made a whole thing and I wanted to tell you about it. That’s the Episode in a nutshell.What you’re hearing is Section 12 of my 12-part series The Guide for The Emerging Lactation Consultant. To get the whole guide and companion workbook, click and subscribe here: https://ibclcinca.substack.com/p/emerginglactationconsultant1Keep this Conversation Going on LinkedInOlena - https://www.linkedin.com/in/olena-dobczansky-msn-rnc-mnn-ibclc-c-onqs-lcce-878b8263/Christine - https://www.linkedin.com/in/christinestaricka/If you liked this podcast, please subscribe in your favorite podcast player and give it a 5-star rating!Check out The Breastfeeding Literacy Project here: The Breastfeeding Literacy Project This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit ibclcinca.substack.com/subscribe
- Jun 3, 202652 min
Lactoferrin for Longevity, Nothing for Babies: Following the Money in Lactation
Things We Talked About in the EpisodeThe movie Christine & her husband were watchingEvolve Lactation Guide for Emerging Lactation Consultants - https://evolvelactation.orgAnnie Frisbee's Email and Resources - https://paperlesslactation.com/about/Understanding Insurance Policies in Healthcare - https://www.healthaffairs.orgNestle/Helaina Partnership Momcozy Education EventKeep this Conversation Going on LinkedInOlena - https://www.linkedin.com/in/olena-dobczansky-msn-rnc-mnn-ibclc-c-onqs-lcce-878b8263/Christine - https://www.linkedin.com/in/christinestaricka/If you liked this podcast, please subscribe in your favorite podcast player and give it a 5-star rating!Check out The Breastfeeding Literacy Project here: The Breastfeeding Literacy Project This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit ibclcinca.substack.com/subscribe
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About The Evolve Lactation Podcast
Evolve Lactation Podcast was created to inspire, inform, and engage current and aspiring lactation care providers. Hosted by Christine Staricka and Olena Dobczansky, the Evolve Lactation Podcast is a resource for learning and connecting over all things lactation-related. Whether you’re seasoned or studying, we hope this show will make you think and inspire you to act. ibclcinca.substack.com
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