The Boob Coach

The use of cannabis has increased over the last 10 years. This is in part due to the decriminalization in various areas of the United States as well as in other countries around the world. But what does the research say for pregnancy and breastfeeding? What do major health organizations recommend? What are some guidelines for safer usage? What are the risks to an infant? The Infant Risk Center in Amarillo Texas is currently doing studies on Cannabis (as well as many other medications). https://www.infantrisk.com/help-infantrisk-research Here are the other resources I have used and compiled for you if you want more information. Mother To Baby | Fact Sheets [Internet]. Brentwood (TN): Organization of Teratology Information Specialists (OTIS); 1994-. Marijuana (Cannabis) 2022 Oct. Available from: https://www.ncbi.nlm.nih.gov/books/NBK582814/ Hale’s Medications and Mothers Milk (2023), Thomas W. Hale, RPh, PhD; Katylin Krutusch, PharmD, MBA, BCPS. Springer Publications https://www.rollingstone.com/feature/cannabis-legalization-states-map-831885/ If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

this is part 1 of 2 -- part 2 will focus on cannabis/marijuana and the THC component within the plant. Is CBD safe for breastfeeding? What do the professional medical organizations and the research studies say? Here are the reference for this presentation: Centers for Disease Control https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/vaccinations-medications-drugs/marijuana.html Wikipedia https://en.wikipedia.org/wiki/Cannabidiol https://www.pharmacist.com/Publications/Pharmacy-Today/Article/potential-changes-coming-for-nonprescription-cbd-products National Academies of Sciences, Engineering, and Medicine. The health effects of cannabis and cannabinoids: the current state of evidence and recommendations for research. Washington, DC: The National Academies Press; 2017. Federal Drug Administration. What You Need to Know (And What We’re Working to Find Out) About Products Containing Cannabis or Cannabis-derived Compounds, Including CBD. Consumer Updates. 2020. Federal Drug Administration. What You Should Know About Using Cannabis, Including CBD, When Pregnant or Breastfeeding. 2019. Huestis MA, Solimini R, Pichini S, Pacifici R, Carlier J, Busardò FP. Cannabidiol Adverse Effects and Toxicity. Curr Neuropharmacol. 2019;17(10):974-989. https://www.health.harvard.edu/blog/cannabidiol-cbd-what-we-know-and-what-we-dont-2018082414476 “the Breastfeeding Family’s guide to nonprescription drugs and everyday product”, Frank J. Nice, RPh, DPA, CPHP ; Playtpus Media ©2023 National Library of Medicine, Drugs and Lactation Database (LactMed®) [Internet] – Cannabidiol https://www.ncbi.nlm.nih.gov/books/NBK535598/ FDA STATEMENT: FDA Concludes that Existing Regulatory Frameworks for Foods and Supplements are Not Appropriate for Cannabidiol, Will Work with Congress on a New Way Forward – Dr. Janet Woodcock, 1/26/2023 Silveira GD, Loddi S, De Oliveira CDR, et al. Headspace solid-phase microextraction and gas chromatography-mass spectrometry for determination of cannabinoids in human breast milk. Forensic Toxicol 2017;35:125-32. doi:10.1007/s11419-016-0346-5 Bertrand KA, Hanan NJ, Honerkamp-Smith G, et al. Marijuana use by breastfeeding mothers and cannabinoid concentrations in breast milk. Pediatrics 2018;142:e20181076. Yeung CHT., Bertrand KA., Best BM., et al. Cannabidiol exposure through maternal marijuana use: Predictions in breastfed infants. Clin Pharmacokinet 2023. https://www.lightspeedhq.com/blog/cbd-trends/ CBD Trends: 8 Vital Things to Know If You’re Selling Cannabidiol Products in 2024; Alex Frasier Joseph P, Vettraino IM. Cannabis in Pregnancy and Lactation - A Review. Mo Med. 2020 Sep-Oct;117(5):400-405. PMID: 33311738; PMCID: PMC7723128. Kachru R, Perry-Lunardo C, Thompson LA. CBD Use in Children—Miracle, Myth, or Mystery? JAMA Pediatr. 2021;175(6):652. doi:10.1001/jamapediatrics.2021.0367 Published Online: April 26, 2021. doi:10.1001/jamapediatrics.2021.0367 If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

Depression medications taken during pregnancy not only go to you, but to your baby as well. Sadly, babies will withdraw from these substances in those early days and may experience a wide range of symptoms. Lets discuss why, and what you can do to help minimize this effect and how to help your baby. resources: https://www.nimh.nih.gov/health/publications/perinatal-depression Newborn Babies Go Through Antidepressant Withdrawal: A new study finds that newborn babies experience antidepressant withdrawal after birth if their mothers take SSRIs when pregnant. - Peter Simons - September 6, 2021. https://www.madinamerica.com/2021/09/newborn-babies-go-antidepressant-withdrawal/#:~:text=A%20new%20meta-analysis%20uncovered%20evidence%20that%20newborn%20babies,mothers%20discontinue%20antidepressant%20use%20before%20pregnancy%20if%20possible. Wang, J., & Cosci, F. (2021). Neonatal withdrawal syndrome following late in utero exposure to selective serotonin reuptake inhibitors: A systematic review and meta-analysis of observational studies. Psychotherapy and Psychosomatics, 90, 299–307. https://doi.org/10.1159/000516031 Levinson-Castiel R, Merlob P, Linder N, Sirota L, Klinger G. Neonatal abstinence syndrome after in utero exposure to selective serotonin reuptake inhibitors in term infants. Arch Pediatr Adolesc Med. 2006 Feb;160(2):173-6. doi: 10.1001/archpedi.160.2.173. PMID: 16461873 Mental Health America https://mhanational.org/issues/position-statement-49-perinatal-mental-health Rebecchini, L., Bind, R. H., & Pariante, C. (2022). Perinatal depression and mother-infant interventions: A literature review. In M. Percudani, A. Bramante, V. Brenna, & C. Pariante (Eds.), Key topics in perinatal mental health (pp. 359–373). Springer Nature Switzerland AG. https://doi.org/10.1007/978-3-030-91832-3_24 Hull University Teaching Hosptials/ National Health Services (UK) https://www.hey.nhs.uk/patient-leaflet/mothers-who-take-antidepressant-medications-care-for-your-baby/#:~:text=Symptoms%20of%20withdrawal%20from%20antidepressant,better%20without%20any%20special%20intervention. https://womensmentalhealth.org/posts/withdrawal-symptoms-in-newborns-exposed-to-ssris/ If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

One of the causes of low milk supply is IGT/hypoplasia. What is it, how to breastfeed with this condition. RESOURCES-- https://kellymom.com/bf/got-milk/supply-worries/insufficient-glandular-tissue/ Huggins, K., Petok, E., & Mireles, O. Markers of lactation insufficiency: a study of 34 mothers. Current issues in clinical lactation 2000; 25-35. Marasco, L., Marmet, C., & Shell, E. (2000). Polycystic ovary syndrome: a connection to insufficient milk supply? Journal of Human Lactation, 16(2), 143-148. Morton, J. A. (1994). The clinical usefulness of breast milk sodium in the assessment of lactogenesis. Pediatrics, 93, 802–806. Neifert, M. R., Seacat, J. M., & Jobe, W. E. (1985). Lactation failure due to insufficient glandular development of the breast. Pediatrics, 76(5), 823-828. Rudel, R. A., Fenton, S. E., Ackerman, J. M., Euling, S. Y., Makris, S. L. (2011). Environmental exposures and mammary gland development: State of the science, public health implications, and research recommendations. Environmental Health Perspectives 119(8): doi:10.1289/ehp.1002864 West, D., & Marasco, L. (2008). The Breastfeeding Mother’s Guide to Making More Milk. New York: McGraw-Hill. Kam RL, Amir LH, Cullinane M. Is There an Association Between Breast Hypoplasia and Breastfeeding Outcomes? A Systematic Review. Breastfeed Med. 2021 Aug;16(8):594-602. doi: 10.1089/bfm.2021.0032. Epub 2021 Apr 23. PMID: 33891493. Fungtammasan S, Phupong V. The effect of Moringa oleifera capsule in increasing breastmilk volume in early postpartum patients: A double-blind, randomized controlled trial. PLoS One. 2021 Apr 6;16(4):e0248950. doi: 10.1371/journal.pone.0248950. PMID: 33822798; PMCID: PMC8023461. If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

How does cyst removal, fibroma removal, breast lifts, breast implants and/or breast reductions impact breast feeding? Resources:: https://www.bfar.org/index.shtml (being updated as of June 22) Making More Milk: The Breastfeeding Guide to Increasing Your Milk Production, Second Edition by Lisa Marasco, MA, IBCLC, and Diana West, IBCLC Facebook has a closed group for BFAR - https://www.facebook.com/groups/458224110894529/ https://www.lowmilksupply.org/ If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

Parents choose to induce lactation or relactate for many reasons -- providing breastmilk to an infant is always a wonderful choice. Why choose to induce or relactate, expecations, storage of milk and more... Here are resources I reference in this podcast: Dr Jack Newman's website - https://ibconline.ca/ Wamboldt R, Shuster S, Sidhu BS. Lactation Induction in a Transgender Woman Wanting to Breastfeed: Case Report. J Clin Endocrinol Metab. 2021 Apr 23;106(5):e2047-e2052. doi: 10.1210/clinem/dgaa976. PMID: 33513241. Oberhelman-Eaton S, Chang A, Gonzalez C, Braith A, Singh RJ, Lteif A. Initiation of Gender-Affirming Testosterone Therapy in a Lactating Transgender Man. J Hum Lact. 2022 May;38(2):339-343. doi: 10.1177/08903344211037646. Epub 2021 Sep 7. PMID: 34490813. Delgado D, Stellwagen L, McCune S, Sejane K, Bode L. Experience of Induced Lactation in a Transgender Woman: Analysis of Human Milk and a Suggested Protocol. Breastfeed Med. 2023 Nov;18(11):888-893. doi: 10.1089/bfm.2023.0197. Epub 2023 Nov 1. PMID: 37910800. www.asklenore.info If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

Why contracts are important within a gestational carrier and intended family's contracts -- what are some types of contracts or problems when contracts don't cover all the bases for breastfeeding/breastmilk. If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

Causes and treatments of prenatal breast infections and engorgements. Always check with your care provider if having infections during pregnancy as miscarriage, stillbirths, birth defects or premature labor can result as infection complications. To reference the Academy of Breastfeeding Medicine protocol: "The mastitis spectrum" BFM-2022-29207-kbm-ver9-Mitchell_2P 360..376 (bfmed.org) If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

Everything you wanted to know about colostrum harvesting from week 36+ in your pregnancy. If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

Exclusive pumping of breastmilk - what you need to know for providing milk this way for your infant. references for this podcast: 1) exclusivepumping.com 2) “Exclusive breastmilk pumping: A concept analysis:,Kimberly A. Rosenbaum MSN, RNC-OB, C-EFM, IBCLC, Nursing ForuM, Volume 57, Issue5 September/October 2022 Pages 946-953 3) “ Pumping Milk and Nursing Are Not the Same”, Annie Lowre, The Atlantic, July 24, 2019 4) Keim SA, Boone KM, Oza-Frank R, Geraghty SR. Pumping Milk Without Ever Feeding at the Breast in the Moms2Moms Study. Breastfeed Med. 2017 Sep;12(7):422-429. doi: 10.1089/bfm.2017.0025.. 5) Ru X, Huang X and Feng Q (2020) Successful Full Lactation Achieved by Mothers of Preterm Infants Using Exclusive Pumping. Front. Pediatr. 8:191. doi: 10.3389/fped.2020.00191 6) Breastfeeding Without Nursing: The Lived Experiences of Exclusive Pumpers; Jardine, Fiona Mary; DRUM UMD dissertation, 2020. Jardine_umd_0117E_20955.pdf (12.16Mb) 7)Clinician's Guide to Supporting Women With Breast Milk Pumping.Bordelon C, Wood T, Stallworth K.Nurs Womens Health. 2019 Oct;23(5):440-449. doi: 10.1016/j.nwh.2019.07.003. Epub 2019 Aug 23.PMID: 31445990 ● 8) A Breast Milk Pump at the Bedside: A Project to Increase Milk Production in Mothers of Very Low Birth Weight Infants.Porta R, Miralles N, Paltrinieri A, Ibáñez B, Giménez J, Roca T, Vega A.Breastfeed Med. 2021 Apr;16(4):309-312. doi: 10.1089/bfm.2020.0122. Epub 2020 Dec 22.PMID: 33351698 9) Early, regular breast-milk pumping may lead to early breast-milk feeding cessation.Yourkavitch J, Rasmussen KM, Pence BW, Aiello A, Ennett S, Bengtson AM, Chetwynd E, Robinson W.Public Health Nutr. 2018 Jun;21(9):1726-1736. doi: 10.1017/S1368980017004281. Epub 2018 Feb 13.PMID: 29433598 If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

Being the first in your family, at your job or at your daycare provider to be breastfeeding or pumping breast milk. If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

So many changes in your body while growing a baby - and especially with the breasts! The development of the tissue from your gestation through the birth of a baby is covered, the Tanner Scale is discussed also. All the things your breasts do to be able to make milk If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

nipple piercings are common -- do they affect breastfeeding? What to expect, problems you may encounter. If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

Colostrum - what is it? Is it really milk? Is it enough for my baby? If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast

All about me, this podcast, what to expect from this podcast! Lets all talk about breastfeeding. I plan to be uploading new episodes each Wednesday. If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee" :-) https://www.buymeacoffee.com/TheBoobCoachPodcast Here is my linktree: linktr.ee/theboobcoachpodcast