This week I’m speaking to Naomi Cappallo on Vancouver Island about feeding their two daughters, Clara (6) and Juniper (3), focusing on breastfeeding grief after a second journey that didn’t go as hoped. Naomi describes early pain with Clara, brief formula top-ups for early weight loss, and eventually breastfeeding through the pandemic until age two, using boundaries to reduce frequent toddler feeds. With Juniper, a very fast birth was followed by severe nipple pain, limited breastfeeding support, early formula to cope, and then mastitis, fever, abdominal pain, and a long hospital wait. A pharmacist incorrectly said antibiotics meant they couldn’t breastfeed, which derailed their plans. A midwife/IBCLC later helped them restart breastfeeding and combination feed until Juniper preferred bottles at three months. Naomi shares how their grief persisted in waves, the impact on mental health, and what they wish they’d had in support.

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 -

Breastfeeding Grief by Professor Amy Brown

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

This week I’m speaking to the lovely Charlotte Bowie from Oxfordshire, mum to nearly three-year-old Felix, about toddler breastfeeding, extreme sleep disruption (including split nights), and her struggle with repeated bouts of mastitis. Charlotte’s recurrent mastitis has spanned across nearly three years, including multiple antibiotic courses, a confirmed breast abscess drained via ultrasound-guided needle aspiration, and a later hospital admission with suspected sepsis. She also shares anxiety around breast lumps due to a family history of breast cancer. We discuss the updated mastitis guidance (avoiding vigorous massage and heat, using ice, anti-inflammatories, gentle lymphatic techniques, and managing hyperlactation/overpumping), and how a virtual consultation with breastfeeding specialist GP/IBCLC Dr Naomi Dow helped Charlotte self-manage and reduce recurrence as she continues to feed Felix. Charlotte would also like to acknowledge the support she received from La Leche League Oxfordshire. One peer supporter, Hannah, in particular was especially kind and supportive and sought advice on mastitis from the professional liaison team.

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

Find Dr Naomi Dow at https://drnaomidow.com/ and on instagram @‌drnaomidow_bfmed

The new mastitis spectrum guidance can be read at https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/36-mitchell-et-al-2022-academy-of-breastfeeding-medicine-clinical-protocol-36-the-mastitis-spectrum-revised-2022.pdf

Charlotte would also like to mention that she received some great support from La Leche League.

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

This week I’m joined from Sydney in Australia, by midwife Jessica Baker to talk about breastfeeding her two daughters and the grief and mental health impact when feeding doesn’t go to plan. Jessica describes anticipating difficulty due to inverted nipples, having a home birth with Vada followed by special care admission, early nipple-shield use, severe engorgement, and missed support because staff assumed she was confident as a midwife. After a tongue and lip tie release with a laser, Vada’s feeding deteriorated, weight loss followed, and Jessica moved onto top-ups and then exclusive pumping, experiencing depression and long-lasting grief despite producing abundant milk. With Olive, early breastfeeding began well but when Olive’s feeding stalled, it led to panic, PTSD symptoms and then EMDR therapy, and medication. Jessica is still feeding two-year-old Olive from one side, having established “booby manners” and realistic expectations around toddler feeding and weaning.

You can follow Jessica’s new business on Instagram @‌cub.andkin

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

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