Combination Feeding With Lucy Ruddle IBCLC

I am a Health Visitor

#Fitness #Amy and Jenny #I Am A Health Visitor

28:30

We're trying something different this week: a full post-show breakdown of every episode in the latest season of Black Mirror! Ari Romero is joined by Tudum's Black Mirror expert, Keisha Hatchett, to give you all the nuance, the insider commentary, and the details you might have missed in this incredible new season. Plus commentary from creator & showrunner Charlie Brooker! SPOILER ALERT: We're talking about the new season in detail and revealing key plot points. If you haven't watched yet, and you don't want to know what happens, turn back now! You can watch all seven seasons of Black Mirror now in your personalized virtual theater . Follow Netflix Podcasts and read more about Black Mirror on Tudum.com .…

4 years ago 54:53

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Jen and Amy chat to the wonderful Lucy Ruddle IBCLC about her new book 'Mixed Up: Combination Feeding By Choice or Necessity', which is an absolute must read for any health visitor wanting to give evidence based information to families about combining formula and breastmilk. Combination feeding is massively under-rated and misunderstood; despite being central to almost every UK parents feeding journey. In this episode we cover the toxicity of the 'formula versus breastmilk' debate and how to honestly and sensitively negotiate conversations with families who have introduced formula, the WHO code and how to safely and confidently practice within it as well as different types of combined feeding and their value. If you have something to add to our discussion or would like to give us some feedback we would love to hear from you at iamahealthvisitor@gmail.com Resources and Further Reading: Lucy Ruddle IBCLC https://www.facebook.com/LucyruddleIBCLC/ The WHO code: https://www.unicef.org.uk/babyfriendly/baby-friendly-resources/international-code-marketing-breastmilk-substitutes-resources/the-code/

86 episodes

I am a Health Visitor

Combination Feeding With Lucy Ruddle IBCLC

I am a Health Visitor

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published 4 years ago

MP3•Episode home

86 episodes

#Fitness #Amy and Jenny #I Am A Health Visitor

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I am a Health Visitor

1
All about Expressing Breastmilk 1:12:17

3 years ago1:12:17

1:12:17

This episode links really well with our previous episodes about combination feeding and giving top ups (linked in resources section below). In this episode Jen shares all her IBCLC wisdom with us on expressing breastmilk. How much do you know about flanges?! We talk about: - when to express - the emotional and physical load of pumping - how to pump - 'hands on' expressing - does the flange fit - how much milk to expect Resources and Further Reading: Our previous episode on Combination Feeding with Lucy Ruddle (IBCLC and author of 'Mixed Up'): https://soundcloud.com/iamahealthvisitor/combination-feeding-with-lucy-ruddle-ibclc?utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing Our previous episode on Top Ups: https://soundcloud.com/iamahealthvisitor/top-ups-when-what-how-and-how-much-to-give?utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing Breastfeeding twins and triplets charity (Kathryn Stagg IBCLC): https://breastfeedingtwinsandtriplets.co.uk Hand Expressing Video: https://globalhealthmedia.org/videos/how-to-express-breastmilk/ Hands Free Pumping Bra Hack: https://www.youtube.com/watch?v=8stY-2fxt4M Flange Sizing: (see our instagram account 'IamaHV' for a visual) Hands On Expressing: http://www.nancymohrbacher.com/articles/2012/6/27/to-pump-more-milk-use-hands-on-pumping.html Some social media pages to follow and recommend for free resources: Olivia - Hospital Lactation Consultant https://www.instagram.com/olivia_lactation_consultant/?hl=en Stacey Zimmel at Feed Eat Speak: https://www.instagram.com/feedeatspeak/ Kathryn Stagg IBCLC https://www.instagram.com/kathrynstaggibclc/…

I am a Health Visitor

1
Infant poo under 6months - what's normal and what's not 50:45

3 years ago50:45

50:45

Jen and Amy delve into the murky world of infant poo in the first six months! What to expect, what is a worry and what isn't. How is poo different between formula and breast or chestfed babies? Or mixed fed babies? What does that green poo mean? What about giving a bit of fruit juice or water for constipation? We answer all your questions and as usual it turns out to be more complicated than we imagined! Thanks to a listener for this request! Do get in touch with any questions, comments or suggestions for future episodes on iamahealthvisitor@gmail.com Thanks for listening! Amy and Jen Resources The baby poo gallery: https://www.facebook.com/babypoogallery/ Philippa Pearson-Glaze IBCLC on green poo: https://breastfeeding.support/why-is-my-babys-poop-green/ Drugs in Breastmilk Advice: https://www.breastfeedingnetwork.org.uk/detailed-information/drugs-in-breastmilk/ Child Liver Disease on pale stools: https://www.childliverdisease.org/wp-content/uploads/2018/01/Yellow-Alert-Stool-Chart-Bookmark.pdf Frequency of stool slowing - Carol Smythe IBCLC: https://www.carolsmyth.co.uk/breastfeeding-resources/posts/2016/december/should-my-breastfed-baby-poo-every-day-or-is-breast-milk-all-used-up/ First Steps Nutrition: https://www.firststepsnutrition.org Our previous episode on the Aptamil formula changes: https://soundcloud.com/iamahealthvisitor/those-aptamil-formulation-changes GP Infant Feeding Network on constipation: https://gpifn.org.uk/constipation/…

I am a Health Visitor

1
Is there a new SIDs Biomarker? 31:05

3 years ago31:05

31:05

Amy and Jen take a dive into a recent research paper suggesting there may be a newly identified biomarker for infants at high risk of SIDS. We look at the recent paper in detail, review the statistics and the methodology and consider what we are able to say and what we are not, as well as possible harms that might come from misinterpretation of the results. We also discuss the article in the context of the current theoretical approaches to SIDS research and general safe sleep advice which importantly still needs to be followed. We love to hear from you. Contact us with suggestions or ideas for future episodes at iamahealthvisitor@gmail.com. Thanks for listening, Amy and Jen References and Resources for further reading: Harrington, Hafid & Waters 2022 - the full text article: https://www.thelancet.com/journals/ebiom/article/PIIS2352-3964(22)00222-5/fulltext Media coverage: 1. https://www.biospace.com/article/researchers-answer-how-and-why-infants-die-from-sids/?utm_content=207502735&utm_medium=social&utm_source=facebook&hss_channel=fbp-10530620221 2. https://www.theverge.com/2022/5/13/23071364/sids-research-hype-science-studies for context - there is so much about SIDS deaths we still do not understand: https://www.nejm.org/doi/full/10.1056/NEJMp2119221 Critical analysis of the media hype: https://www.theatlantic.com/health/archive/2022/05/sudden-infant-death-syndrome-cause-study/629886/ Lullaby trust statement about this article: https://www.lullabytrust.org.uk/our-response-to-new-australian-sids-biomarker-study/…

I am a Health Visitor

1
Breastfeeding for Public Health Professionals - with Alison Spiro 49:06

3 years ago49:06

49:06

Amy and Jen chat to the inspiring Alison Spiro who has a PhD in anthropology as well as practicing as a health visitor. Listing all her achievements is a podcast summary in itself, but across her career she has worked as a breastfeeding counsellor herself, established an incredibly successful peer support service, taken both a hospital and community trust to BabyFriendly accreditation, worked on the world breastfeeding trends initiative report in 2015, contributes to the APPG on infant feeding on behalf of BestBeginnings, volunteers with the Breastfeeding Alliance, has been the iHV expert advisor on breastfeeding. Most recently, she is the author of 'Breastfeeding for Public Health: A resource for community healthcare professionals'. We discuss with Alison some of the most important issues in breastfeeding support - from culture and anthropology to emotions, wellbeing, mental health and therapeutic communication skills. We talk about the importance of debriefing your own infant feeding experiences and bringing an unbiased listening ear to your interactions with families. Hopefully this will be an interesting and relevant discussion for your health visiting practice. We would love to her your thoughts and comments at iamahealthvisitor@gmail.com Reading & Resources: Alison's new book - 'Breastfeeding for Public Health: A resource for community healthcare professionals': https://www.amazon.co.uk/Breastfeeding-Public-Health-Healthcare-Professionals/dp/0367689561/ref=sr_1_2?crid=3M4VF06U18GP7&keywords=breastfeeding+for+public+health&qid=1652711900&sprefix=breastfeeding+for+p%2Caps%2C71&sr=8-2 World Breastfeeding Trends Report: https://www.worldbreastfeedingtrends.org/resources/publications Becoming Breastfeeding Friendly with Yale University: https://ysph.yale.edu/bfci/ Kathryn Stagg IBCLC: https://kathrynstaggibclc.com Eve Canavan lived experience story: https://www.app-network.org/news-events/news/personal-experiences/story-eves/…

I am a Health Visitor

1
Slings and Babywearing with Maria Renshaw 31:20

3 years ago31:20

31:20

This week Jen talks to Maria Renshaw who runs a local sling library in Colchester about her experience of slings and all things baby-wearing from a very practical perspective. She goes through different types of baby wearing from soft wrap slings to buckle carriers with some tips on the differences, fitting, safety tips including the TICKs acronym, common worries about hips and knees, how to find your local services for sharing with parents. Thanks so much Maria for sharing your experience and knowledge with us! As ever we love to hear from you, contact us with your comments or feedback on iamahealthvisitor@gmail.com Amy and Jen References and Resources: Maria's website: https://www.beautiful-bonds.co.uk/meet-the-team The TICKS rules for safe baby wearing: http://babyslingsafety.co.uk Sling Pages (to find a local sling library): http://www.slingpages.co.uk 'Why Babywearing Matters' by Rosie Knowles https://www.amazon.co.uk/Why-Babywearing-Matters-Pinter-Martin/dp/1780665350 Babywearing training and resources: https://www.carryingmatters.co.uk/training/…

I am a Health Visitor

1
BASIS on Sleep Pods and Nests 44:17

3 years ago44:17

44:17

Amy and Jenny chat to the lovely Alice from the Baby and Infant Sleep Information Source (BASIS) about sleep pods and nests. We cover the evidence base - what can we and can't we say about these products. Are they safe or not? In what circumstances? How do we actually know one way or the other? We talk about what manufacturing standards these products are held to, as well as some of more the hidden risks and implications the use of these items have. We also consider the disproportionate impact on families who live with a low income, who may be tempted to recreate homemade versions and leading to a cluster of co-occurring SIDS risks. Alice tells us about her research from a recent survey with parents about their use of sleep pods and we discuss how to have appropriate conversations with families to help minimise risk while sticking to the evidence base and avoiding scaremongering or judgement. We have quite a few other episodes on sleep now - so do check back through our back catalogue if this is a topic that interests you! Thanks so much for listening everyone - we would love to hear from you with any comments or suggestions to iamahealthvisitor@gmail.com Resources and Further Reading: The BASIS website - check out their resources if you haven't ever used them, they're brilliant: https://www.basisonline.org.uk Professor Helen Ball webinar on "What is Normal Infant Sleep: The View From Anthropology": https://www.youtube.com/watch?v=g5fOogsUpIk Lullaby Trust Resources on Baby Products: https://www.lullabytrust.org.uk/safer-sleep-advice/sleeping-products/ and: https://www.lullabytrust.org.uk/wp-content/uploads/The-Lullaby-Trust-Product-Guide-Web.pdf Specific to sleep positioners: https://www.lullabytrust.org.uk/are-sleep-positioners-safe-for-babies/…

I am a Health Visitor

1
Contraception 57:58

3 years ago57:58

57:58

Jen and Amy go through the world of contraceptive advice. Although not directly our work, it's definitely connected and very relevant to health visitors. Often a bit of a neglected topic, it can be something we feel uncomfortable or poorly prepared to discuss with families. We hope our discussion solves some of those problems as we go through the contraceptive options for families, talk about contraception and lactation and the more emotional side of the conversation about physical intimacy after the birth of a baby. References and further reading: Faculty for Sexual and Reproductive Health Guideline: https://www.fsrh.org/documents/contraception-after-pregnancy-guideline-january-2017/ NHS Contraception Guide: https://www.nhs.uk/conditions/contraception/ Lactation and Breastfeeding: https://www.breastfeedingnetwork.org.uk/contraception/ iCaSH Sexual Health Service & the C-Card Scheme: https://www.icash.nhs.uk/contraception-sexual-health/c-card-scheme Emotional Factors and broader conversation prompts: https://www.nct.org.uk/life-parent/sex-after-baby/sex-after-baby-10-questions-ask-yourself…

I am a Health Visitor

1
The infant microbiome - headlines from the CHILD study 54:01

3 years ago54:01

54:01

Jen and Amy gently guide you through the main headlines of the huge, massive, overwhelming and generally awe inspiring 'CHILD Cohort Study' all about the human microbiome. We will discuss how all the things you might expect, and some very unexpected factors, can all impact the infant microbiome and the important long term impacts this can have on that child's health. If you would like to look more into the myriad of research which has been produced from the CHILD dataset, just do a quick google scholar search and you will find heaps to keep you going. For a more curated starting point, check out our further reading down below! We love to hear from you, contact us on iamahealthvisitor@gmail.com Thanks for listening! Further reading: YouTube Summary of the CHILD study: https://youtu.be/eL9dAGiCNLU Study website with the key discoveries highlighted: https://childstudy.ca/portfolio/key-discoveries/…

I am a Health Visitor

1
Measurement of Postnatal Anxiety with Dr Vicky Fallon 1:05:34

3 years ago1:05:34

1:05:34

We discuss postnatal anxiety, specifically the measurement of anxiety after birth. In practice we are often using generic anxiety measures which are simply just not appropriate for use in this specific period of a parent's life. Listen in to learn more about the scale, how it can be used and how you might be able to incorporate it in your clinical practice. As ever, we love to hear from you. Get in touch with comments or suggestions at iamahealthvisitor@gmail.com If you would like to use the PSAS in your practice or you would like to be involved with her stakeholder engagement research then Vicky would love to hear from you! Email her at vfallon@liverpool.ac.uk. Resources and Further Reading: Dr Vicky Fallon - other relevant publications mentioned in the episode: 1. A feasibility trial of a single session Acceptance and Commitment Therapy intervention to reduce fear of childbirth in first time mums. https://www.tandfonline.com/doi/full/10.1080/08870446.2021.2024190 2. Challenges and opportunities for child health services in responses to the COVID-19 pandemic https://www.tandfonline.com/doi/full/10.1080/02646838.2021.1890422 THE POSTPARTUM SPECIFIC ANXIETY SCALE - Research Background: Parent Infant Foundation Briefing Paper: https://www.researchgate.net/profile/Sergio-Silverio-2/publication/351736241_The_Postpartum_Specific_Anxiety_Scale_PSAS_Briefing_Paper/links/60a6c586299bf1031fbe1378/The-Postpartum-Specific-Anxiety-Scale-PSAS-Briefing-Paper.pdf Validation study: https://link.springer.com/article/10.1007/s00737-016-0658-9 Short form validation: Creation and validation of the Postpartum Specific Anxiety Scale Research Short-Form (PSAS-RSF) https://pubmed.ncbi.nlm.nih.gov/33900462/ Childbearing specific validation - predicts infant feeding outcomes: https://link.springer.com/article/10.1007/s00737-017-0775-0…

I am a Health Visitor

1
Hepatitis B Selective Vaccination Policy 21:09

3 years ago21:09

21:09

Amy and Jen discuss a government guidance document published in the past year which reviews the Hepatitis B selective immunisation pathway for pregnant people and newborns. We look at this guidance from the perspective of health visitors in practice - what do you need to know? What should be happening, what actually IS happening and what do you need to do when this crops up on your caseload? As ever we love to hear from you with any comments or thoughts by email on iamahealthvisitor@gmail.com. Resources and Further Reading: I am a HV episode on the Hexavalent vaccine: https://soundcloud.com/iamahealthvisitor/changes-to-the-immunisation-schedule-august-2017-episode-2 Guidance Document - Hepatitis B antenatal screening and selective neonatal immunisation pathway. https://www.gov.uk/government/publications/hepatitis-b-antenatal-screening-and-selective-neonatal-immunisation-pathway…

I am a Health Visitor

1
Money for you! The Macqueen Bursary: application deadline approaching 31:24

3 years ago31:24

31:24

Extra bonus episode! In this special extra episode, Jen and Amy talk to the lovely Kitty Lamb of the CPHVA Education Development Trust Macqueen Bursary team. Kitty walks us through the types of projects the Macqueen bursary funds and how to apply. Hopefully it will give you lots of ideas for your own career development projects. Good luck and get applying! The deadline is the 29th January 2022. To reach Jen and Amy, you can email the podcast at iamahealthvisitor@gmail.com Resources: Download the Macqueen form and guidance document from here: https://cphvaeddevtrust.wordpress.com Macqueen bursary social media: Twitter: https://twitter.com/cphvaeddevtrust Facebook: https://www.facebook.com/cphvaeddevtrust/…

I am a Health Visitor

1
Pelvic Health with Physiotherapist Hannah Poulton 45:03

3 years ago45:03

45:03

Happy new year everyone! For our first podcast of 2022 we are lucky to be joined by Hannah Poulton, who is an experienced physiotherapist with a specialism in women's health, scar therapy and c-section recovery. We talk all things pelvic floor! We learned heaps from this episode and could have talked all day, so hopefully this episode will really help you add to your clinical knowledge in this important area. As ever, we love to hear from you with any comments in relation to this episode or any other. Get in touch with us by email at iamahealthvisitor@gmail.com References and further reading: Follow Hannah on social media at HLP Therapy: https://www.instagram.com/hlptherapy/ Hannah's YouTube page: https://www.youtube.com/channel/UCWv85jKP4N2WZSfWxTdreIw Physiotherapy centre Liverpool: https://thephysiotherapycentre.com https://www.instagram.com/thephysiotherapycentre/?hl=en https://www.facebook.com/PHYSIOTHERAPYCENTRE1/…

I am a Health Visitor

1
Merry Christmas 2021: "We see and hear it all!" 1:15:29

3 years ago1:15:29

1:15:29

Merry Christmas! Get your IamaHV Bingo card at the ready (downloadable from our twitter and instagram feeds @IamaHV), mince pies and cup of tea lined up and get ready to laugh. A lot. Have your tissues at the ready for the last section, which got unexpectedly emotional! Thank-you everyone for all your amazing funny stories. You are all hilarious! Thank-you to our volunteer voices who have recorded the specially selected few. Thank-you to every single one of you who is continuing to just. keep. going. through everything and still managing to have a smile on your face from time to time. You are awesome. Merry Christmas with so much love, Jen and Amy x iamahealthvisitor@gmail.com…

I am a Health Visitor

1
Jaundice 1:07:40

3 years ago1:07:40

1:07:40

Amy and Jen talk about something we see and manage all the time, but as we always find there is more to it than meets the eye! We discuss definitions and different forms of jaundice in terms of the underlying mechanism, red flags and risk factors, assessment including how to spot jaundice in darker skin tones (and some promising new tech to help with this!), how to judge severity and what your management plan should be. We also talk a lot about feeding issues - as is to be expected with this topic. The episode would pair really well with our top-ups episode where Jen puts her IBCLC hat on to give us loads of detail on how to supplement a baby who is struggling to transfer enough milk at the breast, if you wanted to check that one out too the link is in the resources section below. We also discuss some International differences with the management and response to jaundice and wonder whether there are lessons we can learn from other places in the world. We always love to hear from you - please do get in touch with any comments or suggestions by email iamahealthvisitor@gmail.com. You can also send us your funny anecdotes for our Christmas episode to this address too! **References and Further Reading: ** Our Top-Ups Podcast Episode: https://soundcloud.com/iamahealthvisitor/top-ups-when-what-how-and-how-much-to-give?si=d2195fa54aa04d19aec62fdcb4e5d179 Pilot study of a smartphone app for jaundice recognition in babies with darker skin tones: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0216970 NICE Clinical Knowledge Summary for Jaundice: https://cks.nice.org.uk/topics/jaundice-in-the-newborn/ Massage for neonatal jaundice - an RCT: https://europepmc.org/article/med/33116094 Systematic Review of Massage for neonatal jaundice: https://www.sciencedirect.com/science/article/abs/pii/S1355184119301255 ABM Jaundice Protocol: https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/22-jaundice-protocol-english.pdf NHS Direct page: https://www.nhs.uk/conditions/jaundice-newborn/…

I am a Health Visitor

1
Car Seat Safety 1:25:06

3 years ago1:25:06