Leading Lactation Insights - January 2023

A monthly newsletter called Leading Lactation Insights, which features factual and scientific information with no product promotion. It covers cutting-edge breastfeeding & lactation research, clinical news, and expert insights for IBCLCs, lactation consultants, and maternal health professionals.
- Cortisol, Maternal Stress, and Breastfeeding Rate at Hospital Discharge: A Systematic Review Cristina Fernandez-Vaz…/December 2022
- Association of Milk Secretion Volume with Nipple Pain: A Prospective Hypothesis Verification Study Taeko Fuke…/December 2022
- Human Milk Sodium and Potassium as Markers of Mastitis in Mothers of Preterm Infants Sharon Lisa Perrella…/December 2022
Information on Antenatal Breast Milk Expression
Maria Lennon, MSN, CNM, IBCLC
In previous Leading Lactation Insights columns, we’ve discussed some of the many research-based health benefits of breastfeeding for both mothers and babies. All women, including those in the workplace, should have the option to continue breastfeeding for at least the first two years of their babies’ lives. The newly passed PUMP Act will expand the protections of the 2010 Break Time for Nursing Mothers Act for an additional 9 million working women of childbearing age.
With more mothers having access to space and time to breastfeed while at work, they will be looking for supportive materials on how to be successful as they balance breastfeeding and working. Employers may also be looking for help with how to implement supportive programs at their worksites. There are a multitude of websites offering breastfeeding assistance to working mothers. Here are a few excellent resources:
From the US Department of Health and Human Services:
The Business Case for Breastfeeding is a comprehensive program designed to educate employers about the value of supporting breastfeeding in the workplace. This program offers tools to help employers provide lactation support and privacy for breastfeeding employees. It also provides guidance to employees on how to make it work. In addition, there are resources available for lactation specialists and healthcare professionals to educate employers in their communities, Booklets, templates for letters, PowerPoints, flyers, and other tools are available online. Link
From the North Carolina Department of Health and Human Services: Workwell NC
NC Making it Work Tool Kit is a resource to help breastfeeding mothers return to work. It is designed to provide assistance to breastfeeding mothers, their families and their employers. Booklets, checklists, a lactation and work plan, sample letters and policies are available in English and Spanish. Link
From the US Department of Agriculture WIC Works Resource System, New York WIC Resource Breastfeeding: Making it Work
This collection of resources for breastfeeding mothers has separate toolkits for mothers, family members, employers, and one explaining the Workplace Accommodations Law and other materials. The website also has links to a mother’s breastfeeding rights and suggestions for talking to an employer about pumping at work. Link
From the University of Northern Colorado
Toolkit for Establishing Breastfeeding Support on University and College Campuses: Isong University of Northern Colorado as an Institutional Model
The Nutrition and Dietetics Program and the Women’s Resource Center at the University of Northern Colorado formed a collaboration to provide lactation stations and a lactation support program for University students, faculty, staff members and visitors. They share their story and success in this toolkit so that it could be utilized as a resource to support the establishment of Lactation Stations at other institutions. Link
New Superior Pumping Experience with the Freestyle™ Hands-free In-Bra PumpChristiny Bouback Thursday, January 12
|
Prenatal Colostrum Expression and Collection: A Creative and Empowering Approach to Enhance Breastfeeding Outcomes.Staci Gallman, RN, BSN, IBCLC Wednesday, January 25
|
Improving Mothers’ Own Milk Provision at NICU Discharge: Optimizing Achievement of Secretory Activation and Coming to Volume as Key Strategies.Paula Paula Paula Meier, PhD., RN Wednesday, February 15
|
2023 Webinar Schedule

The 2023 Human Milk Monthly Clinical Education Webinar Schedule is now available! Download your copy today!
Supporting Nurses Through Education and Mentorship
By Jess Sember, MSN, RN, IBCLC, CPLC, CCE, SBD
This blog discusses the importance of supporting nurses and why it is crucial to the healthcare system. Also covered in this blog is how to incorporate breastfeeding topics when supporting new nurses. Read the blog.
Gastric Venting in the NICU
By Angela Groshner, MSN, RN, CCRN, IBCLC
This blog discusses the shift in the approach to ventilating neonates. Read the blog.
- Cortisol, Maternal Stress, and Breastfeeding Rate at Hospital Discharge: A Systematic Review Cristina Fernandez-Vaz…/December 2022
- Association of Milk Secretion Volume with Nipple Pain: A Prospective Hypothesis Verification Study Taeko Fuke…/December 2022
- Human Milk Sodium and Potassium as Markers of Mastitis in Mothers of Preterm Infants Sharon Lisa Perrella…/December 2022
Information on Antenatal Breast Milk Expression
Maria Lennon, MSN, CNM, IBCLC
In previous Leading Lactation Insights columns, we’ve discussed some of the many research-based health benefits of breastfeeding for both mothers and babies. All women, including those in the workplace, should have the option to continue breastfeeding for at least the first two years of their babies’ lives. The newly passed PUMP Act will expand the protections of the 2010 Break Time for Nursing Mothers Act for an additional 9 million working women of childbearing age.
With more mothers having access to space and time to breastfeed while at work, they will be looking for supportive materials on how to be successful as they balance breastfeeding and working. Employers may also be looking for help with how to implement supportive programs at their worksites. There are a multitude of websites offering breastfeeding assistance to working mothers. Here are a few excellent resources:
From the US Department of Health and Human Services:
The Business Case for Breastfeeding is a comprehensive program designed to educate employers about the value of supporting breastfeeding in the workplace. This program offers tools to help employers provide lactation support and privacy for breastfeeding employees. It also provides guidance to employees on how to make it work. In addition, there are resources available for lactation specialists and healthcare professionals to educate employers in their communities, Booklets, templates for letters, PowerPoints, flyers, and other tools are available online. Link
From the North Carolina Department of Health and Human Services: Workwell NC
NC Making it Work Tool Kit is a resource to help breastfeeding mothers return to work. It is designed to provide assistance to breastfeeding mothers, their families and their employers. Booklets, checklists, a lactation and work plan, sample letters and policies are available in English and Spanish. Link
From the US Department of Agriculture WIC Works Resource System, New York WIC Resource Breastfeeding: Making it Work
This collection of resources for breastfeeding mothers has separate toolkits for mothers, family members, employers, and one explaining the Workplace Accommodations Law and other materials. The website also has links to a mother’s breastfeeding rights and suggestions for talking to an employer about pumping at work. Link
From the University of Northern Colorado
Toolkit for Establishing Breastfeeding Support on University and College Campuses: Isong University of Northern Colorado as an Institutional Model
The Nutrition and Dietetics Program and the Women’s Resource Center at the University of Northern Colorado formed a collaboration to provide lactation stations and a lactation support program for University students, faculty, staff members and visitors. They share their story and success in this toolkit so that it could be utilized as a resource to support the establishment of Lactation Stations at other institutions. Link
New Superior Pumping Experience with the Freestyle™ Hands-free In-Bra PumpChristiny Bouback Thursday, January 12
|
Prenatal Colostrum Expression and Collection: A Creative and Empowering Approach to Enhance Breastfeeding Outcomes.Staci Gallman, RN, BSN, IBCLC Wednesday, January 25
|
Improving Mothers’ Own Milk Provision at NICU Discharge: Optimizing Achievement of Secretory Activation and Coming to Volume as Key Strategies.Paula Paula Paula Meier, PhD., RN Wednesday, February 15
|
2023 Webinar Schedule

The 2023 Human Milk Monthly Clinical Education Webinar Schedule is now available! Download your copy today!
Supporting Nurses Through Education and Mentorship
By Jess Sember, MSN, RN, IBCLC, CPLC, CCE, SBD
This blog discusses the importance of supporting nurses and why it is crucial to the healthcare system. Also covered in this blog is how to incorporate breastfeeding topics when supporting new nurses. Read the blog.
Gastric Venting in the NICU
By Angela Groshner, MSN, RN, CCRN, IBCLC
This blog discusses the shift in the approach to ventilating neonates. Read the blog.
Congress Passes the PUMP for Nursing Mothers Act
Maria Lennon, MSN, CNM, IBCLC
The Providing Urgent Maternal Protection for Nursing Mothers Act (also known as the PUMP Act), an addition to the 2023 omnibus spending bill, was just passed by the US Senate on December 22, 2023 by a 92-5 vote.
Senator Jeff Merkley, D-Oregon and a co-sponsor of the bill, says that breastfeeding is great for both mother and baby and adds, “We must make it possible for every new mom returning to the workplace to have the option to continue breastfeeding. That option is also really good for business. With this bill, parents will be empowered to make their own choices on breastfeeding, and businesses can improve retention of valuable employees. It’s a win-win-win.”
How does the PUMP Act Differ from the Break Time for Nursing Mothers Act?
The PUMP Act builds on the Break Time for Nursing Mothers Act, part of the Affordable Care Act of 2010. The current law already requires that employers provide reasonable time to express breast milk or feed a breastfeeding infant for up to one year. It also requires the employer to provide a place for pumping, other than a bathroom, that is shielded from view and is private. This law was only in place for non-exempt (hourly) employees.
The PUMP for Nursing Mothers Act amends the law and now:
- Extends break time and space protections to workers who are currently excluded from overtime, including salaried employees, agricultural workers, transportation and airline workers, teachers and nurses.
- Clarifies that if a worker is not completely relieved of duties during pumping breaks, the time spent pumping must be considered hours worked and is considered paid time.
- Ensures workers have legal recourse if their employer violates the law.
- Extends the pumping rights for the first two years of baby’s life
What Happens Next?
The 2023 omnibus appropriations package passed the US House of Representatives on December 23, 2022 and now is sent to President Biden to sign.
Senator Murkowski, the other co-sponsor of the PUMP Act says, “The health benefits of breastfeeding are without question. What has been a question is a woman’s protection at the jobsite to pump safely. If a mother chooses to breastfeed her baby, she deserves the legal protection to do so without having to worry about it impacting her career. . . .
[This is] good progress toward ensuring no mother ever has to choose between a job and nursing her child.”
https://www.congress.gov/bill/117th-congress/house-bill/3110/text
This month we are spotlighting Caroline Conneen, C-FNP, R.D., IBCLC
Megan Quinn
Caroline Conneen is an experienced nurse practitioner, dietitian, lactation consultant and author who, for over 25 years, has had the pleasure of advising new mothers, growing families, and breastfeeding babies. From Fredericksburg, Virginia, Caroline says she became involved in healthcare because she “always enjoys caring for others and is quite interested in nutrition.” While in college, she went on a mission trip to Haiti and shares that she was “amazed at the skills of the nurse practitioner role in the clinic.” Later, as a public health nutritionist promoting breastfeeding through the WIC program, Caroline became familiarized with the pediatric nurse practitioner role and knew that was what she was called to do. She returned to school and received a Bachelor’s degree in Nursing and then a Master’s degree in Family Health Nursing so she could fulfill her dream.
Caroline shares that she decided to become an IBCLC after her own experience as a young mother. She says, “I remember the advice I received from my obstetrician. When he saw me on his rounds just before I was released from the hospital, he stated that I should not let this baby run my life and to just feed her every four hours for ten minutes. He meant well, but this turned out to be bad advice and it wasn’t until I was home for 24 hours that I noticed my newborn had not had a single wet diaper. I called the only pediatrician in our rural town and was informed they couldn’t help me because I wasn’t an established patient (important lesson: always select a pediatrician before your baby is born!). Fortunately, my maternal instincts took over and I decided to ignore my doctor’s advice and feed her whenever she wanted, for as long as she wanted. It worked! By the time she was four months old, she was thriving exclusively on breast milk.” This stressful experience as a new mom emphasized the importance of helping mothers receive sound guidance. As a result, Caroline further realized her passion for providing the right information and support to new parents to help them breastfeed successfully. She sums it up best: “Parents learn to be flexible and to love in a way they’ve never known before.”
Along with being a certified lactation consultant in private practice, Caroline leads a weekly parenting and breastfeeding support group for moms and babies through six months old. She also taught prenatal breastfeeding classes for nearly two decades at a community hospital and now works among a team of lactation consultants in a thriving postpartum unit. As a nurse practitioner in a pediatrician’s office, Caroline enjoys integrating her nutrition and lactation knowledge and skills into primary care.
Caroline has also written monthly breastfeeding columns for a parenting magazine and, because of her passion for teaching about breastfeeding and helping families get a great start, she won the Silver Publication Award. Her lactation consultant business, Mother’s Best, was recently named a Fred Parent favorite for the Fredericksburg, Virginia area and she has also spoken internationally on the power of skin-to-skin contact. Most recently, Caroline published a book, “Latching Well: Breastfeeding with an Integrative Approach”, that clearly teaches how to breastfeed with success and is available in print and audio formats.
Though Caroline shares that being a first-time book author had its learning curves, she says that “writing the book was fulfilling and a joy.” As a trove of valuable information for moms and babies, the book includes images, mothers’ experiences, key summary points, and integrated techniques gleaned from her decades of expertise in lactation, nutrition, and advanced practice nursing.
While her current hospital is not Baby-Friendly, it does offer free prenatal breastfeeding classes and provides each nursing mother individual and guided assistance within 24 hours of delivery and daily throughout her stay. Caroline shares that she would like to “find a way to offer more support and continued encouragement to breastfeeding mothers with babies in the NICU”, as meeting regularly with mothers who have varied times visiting their baby can make getting frequent, consistent lactation support more challenging.
In her free time, Caroline enjoys faith-filled activities, traveling, and spending time with her family, which includes her own three precious grandchildren. Thank you for all you do and for sharing your passion for supporting moms and babies throughout their breastfeeding journey!
Thank you to this issue's contributors!