Leading Lactation Insights - August 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.
PROFESSIONAL RESOURCES
Free eLearning Courses
We are excited to announce the launch of three new eLearning courses. Physiology of the Lactating Breast: Secretory Activation, Anatomy of the Lactating Breast, and Physiology of the Lactating Breast: Secretory Differentiation are now available for you to add to your facility’s learning management system. Contact your local sales representative for access to the SCORM files today!
Happy World Breastfeeding Week
If you are in the field of lactation, you know that August is the month we celebrate breastfeeding. But do you know how and when it all started?
The celebration of breastfeeding started in 1992 by World Alliance for Breastfeeding Action (WABA) to inform celebrants about the selected theme of the year, anchor the theme within the global breastfeeding agenda, engage with individuals and organizations for greater impact, and galvanize action on the selected theme and related issues.
World Breastfeeding Week is officially celebrated on August 1-7 every year.
The World Breastfeeding Week theme for 2023 is “Enabling Breastfeeding: Making a difference for working parents”. This theme ties in well with the PUMP Act, which was signed into law on December 29, 2022.
The PUMP Act is a federal law that protects the rights of breastfeeding employees who need to pump at work. The PUMP Act helps to positively impact a breastfeeding mom’s journey, giving her the support she needs to return to work.
Making work work for new parents is a passion we have at Medela. We partnered with Mamava® to develop Kin™. Kin offers a customized, single-source solution that is designed to make it easier for employers to support breastfeeding employees when returning to work after the birth of a baby.
Medela is excited to celebrate World Breastfeeding Week 2023 with all of the dedicated professionals there to help moms provide breast milk to their babies. You make a difference from the first drop of precious colostrum to a full milk supply! Happy World Breastfeeding Week!
So Many Resources to Protect, Promote and Support Breastfeeding Families
Maria Lennon, MSN, CNM, IBCLC
From the Fourth Trimester Project:
Here you’ll find items to help your team care for women in the postpartum recovery and journey to motherhood, including resources, training, tools, guides, and tips for integrating the tool into practice.
https://newmomhealth.com/healthcare/postpartum-toolkit-materials/
For Use in Helping Families Return to Work:
From the North Carolina Breastfeeding Coalition:
A set of downloadable resources to help breastfeeding mothers return to work for assisting these mothers, their employers, and their families.
https://www.ncbfc.org/making-it-work.
From Medela US Breastfeeding: Articles on Returning to Work
https://www.medela.us/breastfeeding/articles/return-to-work
Various US government departments become involved in promoting, protecting, supporting, and celebrating breastfeeding during this designated time.
National WIC Breastfeeding Week is celebrated August 1-7 in conjunction with World Breastfeeding Week “to promote and support breastfeeding as the best source of nutrition for a baby.” They have numerous resources available to download for free. The local offices are working hard to increase the proportion of infants exclusively breastfed through 6 months of age and who continue breastfeeding for at least two years.
National WIC Breastfeeding Week | WIC Works Resource System (usda.gov)
- The Indian Health Service Division of Nursing Services invites this month and every month to raise awareness of the unique needs of breastfeeding families and determine how we can best partner with patients, providers, and communities to raise the physical, mental, social, and spiritual health of American Indian and Alaska Natives to the highest level.
- The Centers for Disease Control and Prevention (CDC): The CDC’s Division of Nutrition, Physical Activity, and Obesity (DNPAO) is committed to increasing breastfeeding rates throughout the United States and to promoting and supporting optimal breastfeeding practices toward the ultimate goal of improving the public’s health.
https://www.cdc.gov/breastfeeding/index.htm - Even the Department of Homeland Security talks about National Breastfeeding Month on its Employee Resources Page: National Breastfeeding Month | Homeland Security (dhs.gov)
To help achieve more equitable breastfeeding communities:
Breastfeeding Family Friendly Communities: The Breastfeeding Family Friendly Communities (BFFC) initiative is a community-wide program to impact Health Equity, as supported by the World Health Organization guidelines to work with communities to improve breastfeeding support services. provide a Framework for local advocates to support the systems in the community in which families interact, such as the local hospital and healthcare community; WIC; Health Department; Chamber of Commerce and business owners; and childcare programs and school systems from birth to post-secondary.
https://breastfeedingcommunities.org/creating-communities/building/
UPDATE on Weekly Breastfeeding Observances During National Breastfeeding Month
August is National Breastfeeding Month: Theme: This is Our Why https://www.usbreastfeeding.org/national-breastfeeding-month.html
World Breastfeeding Week: August 1-7. Theme: Enabling Breastfeeding: Making a difference for working parents. https://worldbreastfeedingweek.org
Indigenous Milk Medicine Week: August 8-14. This year’s theme: From the Stars to a Sustainable Future.
https://www.indigenousmilkmedicinecollective.org/milkmedicineweek
Asian American, Native Hawaiian, and Pacific Islander Breastfeeding Week: August 15-21 Telling Our Stories, Elevating Our Voices! Facebook Group:
https://www.facebook.com/APIBTF
Black Breastfeeding Week: August 25-31 Theme: We Outside!: Celebrating Connection & Our Communities https://blackbreastfeedingweek.org
A new week to celebrate: Semana de La Lactancia Latina: September 5-11 – no info available at press time.
https://www.facebook.com/Latinxbreastfeedingweek
Medela has been an advocate for breastfeeding for more than 60 years and is fully committed to the goals of the WHO and its recommendations for breastfeeding to support mothers, babies, and families along their breastfeeding journeys. We are fully committed to the goals of the World Health Organization’s International Code of Marketing of Breast Milk Substitutes (further referred to as International code) and resolutely support mothers, babies, and families along their breastfeeding journey.
As part of our pledge to uphold our obligations under the International Code, we have introduced updated marketing guidelines removing all advertising and other forms of promotion to the general public of feeding bottles and teats.
We have recently conducted an audit of our webpages* to ensure there is no idealization of bottle feeding or any statement that implies similarity with breastfeeding. This means that…
- Medela with neither idealize bottle feeding (e.g., “Make breastfeeding simple,” “Easiest way to feed,” “Feeding was never so easy,” etc.) nor make any statement that implies similarity with breastfeeding (e.g., “As good as breastfeeding,” “Teats shaped just like the nipple of the mum”; Close to natural breastfeeding” etc.).
- Medela webpages and marketing materials related to storage bottles and teats will only be factual and will not show images or idealized text.
- Medela webpages related to storage bottles and teats will not promote, advertise or suggest as useful or relevant products within our webpages.
- Medela images of storage bottles with expressed milk will be shown in context with expressing milk.
- Medela will not show images of infants being bottle fed, or bottles with teats. Parents and infants will only be shown or packaging or Medela’s owned channels in the context of breastfeeding or expressing human milk.
- Medela will not provide, directly or indirectly, to pregnant women, mothers, or members of their family samples of products as outlined within the scope of the International Code. Samples of products within the scope of the International Code will not be provided to health workers except upon request for professional evaluation or research at the institutional level.
- Medela will not use facilities of health care systems to display storage bottles assembled with teats.
- Medela will disclose to the institution to which a recipient health worker is affiliated any contribution made to or on their behalf for fellowships, study tours, research grants, attendance at professional conferences, or the like, and will ensure that the recipient makes similar disclosures.
If you notice any non-compliance to our Medela marketing guidelines, please contact us via this email: marketingguidelines@medela.com
As we carry on into our seventh decade of supporting breastfeeding, we continue to live up to our mission to nurture health for generations by reinforcing the life-giving benefits of human milk.
However, we recognize that this is not a lone endeavor and that it ‘takes a village’ to support mothers, babies, and families along their breastfeeding journeys. As such, it is important to acknowledge all that you, as individuals, clinicians and organizations do to support breastfeeding families. We look forward to joining you in the mission.
Annette Brüls, CEO Medela AG
Baar, Switzerland
Anita Treiber, CMO Medela AG
Baar, Switzerland
*Audit completed July 2023. This will be completed on an annual basis to ensure alignment with the guidelines listed herein.
Breastfeeding Promotion, Protection, and Support: Why We Do It and Why It’s So Hard to Do.Jenny Thomas, MD., MPH, IBCLC, FAAP, FABM Wednesday, September 20
|
Is Hands-Free In-Bra Pumping Effective?Donna Geddes, Professor, DMU, PostGrad DIP (Sci), Ph.D. Wednesday, October 18
|
Consensus Statement/Early Effective Initiation for Mothers with Risk FactorsJessica Brumley, CNM, Ph.D. Wednesday, December 6
|
Starting January 2024, we will be moving our live webinars to Tuesdays.
Prematurity Awareness/NeonatologyRebecca Hoban, MD, MPH Wednesday, January 9
|
2023 Webinar Schedule

The 2023 Human Milk Monthly Clinical Education Webinar Schedule is now available! Download your copy today!
PROFESSIONAL RESOURCES
Free eLearning Courses
We are excited to announce the launch of three new eLearning courses. Physiology of the Lactating Breast: Secretory Activation, Anatomy of the Lactating Breast, and Physiology of the Lactating Breast: Secretory Differentiation are now available for you to add to your facility’s learning management system. Contact your local sales representative for access to the SCORM files today!
Happy World Breastfeeding Week
If you are in the field of lactation, you know that August is the month we celebrate breastfeeding. But do you know how and when it all started?
The celebration of breastfeeding started in 1992 by World Alliance for Breastfeeding Action (WABA) to inform celebrants about the selected theme of the year, anchor the theme within the global breastfeeding agenda, engage with individuals and organizations for greater impact, and galvanize action on the selected theme and related issues.
World Breastfeeding Week is officially celebrated on August 1-7 every year.
The World Breastfeeding Week theme for 2023 is “Enabling Breastfeeding: Making a difference for working parents”. This theme ties in well with the PUMP Act, which was signed into law on December 29, 2022.
The PUMP Act is a federal law that protects the rights of breastfeeding employees who need to pump at work. The PUMP Act helps to positively impact a breastfeeding mom’s journey, giving her the support she needs to return to work.
Making work work for new parents is a passion we have at Medela. We partnered with Mamava® to develop Kin™. Kin offers a customized, single-source solution that is designed to make it easier for employers to support breastfeeding employees when returning to work after the birth of a baby.
Medela is excited to celebrate World Breastfeeding Week 2023 with all of the dedicated professionals there to help moms provide breast milk to their babies. You make a difference from the first drop of precious colostrum to a full milk supply! Happy World Breastfeeding Week!
So Many Resources to Protect, Promote and Support Breastfeeding Families
Maria Lennon, MSN, CNM, IBCLC
From the Fourth Trimester Project:
Here you’ll find items to help your team care for women in the postpartum recovery and journey to motherhood, including resources, training, tools, guides, and tips for integrating the tool into practice.
https://newmomhealth.com/healthcare/postpartum-toolkit-materials/
For Use in Helping Families Return to Work:
From the North Carolina Breastfeeding Coalition:
A set of downloadable resources to help breastfeeding mothers return to work for assisting these mothers, their employers, and their families.
https://www.ncbfc.org/making-it-work.
From Medela US Breastfeeding: Articles on Returning to Work
https://www.medela.us/breastfeeding/articles/return-to-work
Various US government departments become involved in promoting, protecting, supporting, and celebrating breastfeeding during this designated time.
National WIC Breastfeeding Week is celebrated August 1-7 in conjunction with World Breastfeeding Week “to promote and support breastfeeding as the best source of nutrition for a baby.” They have numerous resources available to download for free. The local offices are working hard to increase the proportion of infants exclusively breastfed through 6 months of age and who continue breastfeeding for at least two years.
National WIC Breastfeeding Week | WIC Works Resource System (usda.gov)
- The Indian Health Service Division of Nursing Services invites this month and every month to raise awareness of the unique needs of breastfeeding families and determine how we can best partner with patients, providers, and communities to raise the physical, mental, social, and spiritual health of American Indian and Alaska Natives to the highest level.
- The Centers for Disease Control and Prevention (CDC): The CDC’s Division of Nutrition, Physical Activity, and Obesity (DNPAO) is committed to increasing breastfeeding rates throughout the United States and to promoting and supporting optimal breastfeeding practices toward the ultimate goal of improving the public’s health.
https://www.cdc.gov/breastfeeding/index.htm - Even the Department of Homeland Security talks about National Breastfeeding Month on its Employee Resources Page: National Breastfeeding Month | Homeland Security (dhs.gov)
To help achieve more equitable breastfeeding communities:
Breastfeeding Family Friendly Communities: The Breastfeeding Family Friendly Communities (BFFC) initiative is a community-wide program to impact Health Equity, as supported by the World Health Organization guidelines to work with communities to improve breastfeeding support services. provide a Framework for local advocates to support the systems in the community in which families interact, such as the local hospital and healthcare community; WIC; Health Department; Chamber of Commerce and business owners; and childcare programs and school systems from birth to post-secondary.
https://breastfeedingcommunities.org/creating-communities/building/
UPDATE on Weekly Breastfeeding Observances During National Breastfeeding Month
August is National Breastfeeding Month: Theme: This is Our Why https://www.usbreastfeeding.org/national-breastfeeding-month.html
World Breastfeeding Week: August 1-7. Theme: Enabling Breastfeeding: Making a difference for working parents. https://worldbreastfeedingweek.org
Indigenous Milk Medicine Week: August 8-14. This year’s theme: From the Stars to a Sustainable Future.
https://www.indigenousmilkmedicinecollective.org/milkmedicineweek
Asian American, Native Hawaiian, and Pacific Islander Breastfeeding Week: August 15-21 Telling Our Stories, Elevating Our Voices! Facebook Group:
https://www.facebook.com/APIBTF
Black Breastfeeding Week: August 25-31 Theme: We Outside!: Celebrating Connection & Our Communities https://blackbreastfeedingweek.org
A new week to celebrate: Semana de La Lactancia Latina: September 5-11 – no info available at press time.
https://www.facebook.com/Latinxbreastfeedingweek
Medela has been an advocate for breastfeeding for more than 60 years and is fully committed to the goals of the WHO and its recommendations for breastfeeding to support mothers, babies, and families along their breastfeeding journeys. We are fully committed to the goals of the World Health Organization’s International Code of Marketing of Breast Milk Substitutes (further referred to as International code) and resolutely support mothers, babies, and families along their breastfeeding journey.
As part of our pledge to uphold our obligations under the International Code, we have introduced updated marketing guidelines removing all advertising and other forms of promotion to the general public of feeding bottles and teats.
We have recently conducted an audit of our webpages* to ensure there is no idealization of bottle feeding or any statement that implies similarity with breastfeeding. This means that…
- Medela with neither idealize bottle feeding (e.g., “Make breastfeeding simple,” “Easiest way to feed,” “Feeding was never so easy,” etc.) nor make any statement that implies similarity with breastfeeding (e.g., “As good as breastfeeding,” “Teats shaped just like the nipple of the mum”; Close to natural breastfeeding” etc.).
- Medela webpages and marketing materials related to storage bottles and teats will only be factual and will not show images or idealized text.
- Medela webpages related to storage bottles and teats will not promote, advertise or suggest as useful or relevant products within our webpages.
- Medela images of storage bottles with expressed milk will be shown in context with expressing milk.
- Medela will not show images of infants being bottle fed, or bottles with teats. Parents and infants will only be shown or packaging or Medela’s owned channels in the context of breastfeeding or expressing human milk.
- Medela will not provide, directly or indirectly, to pregnant women, mothers, or members of their family samples of products as outlined within the scope of the International Code. Samples of products within the scope of the International Code will not be provided to health workers except upon request for professional evaluation or research at the institutional level.
- Medela will not use facilities of health care systems to display storage bottles assembled with teats.
- Medela will disclose to the institution to which a recipient health worker is affiliated any contribution made to or on their behalf for fellowships, study tours, research grants, attendance at professional conferences, or the like, and will ensure that the recipient makes similar disclosures.
If you notice any non-compliance to our Medela marketing guidelines, please contact us via this email: marketingguidelines@medela.com
As we carry on into our seventh decade of supporting breastfeeding, we continue to live up to our mission to nurture health for generations by reinforcing the life-giving benefits of human milk.
However, we recognize that this is not a lone endeavor and that it ‘takes a village’ to support mothers, babies, and families along their breastfeeding journeys. As such, it is important to acknowledge all that you, as individuals, clinicians and organizations do to support breastfeeding families. We look forward to joining you in the mission.
Annette Brüls, CEO Medela AG
Baar, Switzerland
Anita Treiber, CMO Medela AG
Baar, Switzerland
*Audit completed July 2023. This will be completed on an annual basis to ensure alignment with the guidelines listed herein.
Breastfeeding Promotion, Protection, and Support: Why We Do It and Why It’s So Hard to Do.Jenny Thomas, MD., MPH, IBCLC, FAAP, FABM Wednesday, September 20
|
Is Hands-Free In-Bra Pumping Effective?Donna Geddes, Professor, DMU, PostGrad DIP (Sci), Ph.D. Wednesday, October 18
|
Consensus Statement/Early Effective Initiation for Mothers with Risk FactorsJessica Brumley, CNM, Ph.D. Wednesday, December 6
|
Starting January 2024, we will be moving our live webinars to Tuesdays.
Prematurity Awareness/NeonatologyRebecca Hoban, MD, MPH Wednesday, January 9
|
2023 Webinar Schedule

The 2023 Human Milk Monthly Clinical Education Webinar Schedule is now available! Download your copy today!
What is Your Why?
Maria Lennon, MSN, CNM, IBCLC
August is National Breastfeeding Month in the United States! This year’s celebration theme is, “This is Our Why”. What does this mean to us personally? What is your WHY?
Each of us has a personal reason for passionately promoting, protecting, and supporting breastfeeding, chest feeding, and human milk feeding on an individual level, a system-wide level, the community level, a government, or even a global level. The need is multi-faceted, and our personal WHYs help make a difference for all.
Some of us care for NICU families and understand that mothers’ milk can be essential for survival. Mother’s own milk and donor human milk is being used as medicine for these tiny infants, and we spend many hours helping parents pump and express the milk their babies so desperately need. Research guides our evidence-based practices as we continuously strive to learn all about how the human breast makes milk and how we can best assist parents in the process.
Others care for parents and babies during labor and birth and in the postpartum period that follows – a time when we see first-hand the magical bonding that occurs when parents hold their babies skin-to-skin and gaze into the eyes of their newborns as they start their lives as parents.
Some of us may have experienced the empowerment that breastfeeding provides in helping us grow into motherhood. This fuels our passion for helping others who need our support in developing confidence and proficiency in their abilities to feed their infants and learn their roles as parents.
For others who experienced overwhelming challenges and may not have met our breastfeeding goals, we now strive to make changes that will enable all breastfeeding parents to overcome barriers and meet their goals.
We celebrate breastfeeding in our unique and various cultures. Some of us work to raise awareness of racial disparities in breastfeeding statistics and work towards reducing inequities by providing culturally sensitive support, education, and resources to communities that face significant challenges. During the month of August, various campaigns, events, educational programs, and themed weeks are organized to promote breastfeeding, chest feeding, and human milk feeding for all.
For some, myriad health benefits are the WHY . . .
We know that mother’s milk is a living fluid, loaded with thousands of components that are made exclusively for human infants and even changes according to the ages and needs of those infants. Human milk provides not only nutrients for growth but helps protect against illnesses in both the short- and long term. Risk is reduced for the development of diabetes, certain childhood cancers, SIDS, gastrointestinal disorders . . . and much, much more!
In the past few years, research studies have demonstrated that lactation benefits women’s long-term health. It reduces the risk of developing diabetes, breast, ovarian, and endometrial cancers, cardiovascular disease, hypertension, strokes, and more!
According to The Lancet Series on Breastfeeding (January 29, 2016), breastfeeding is an investment in people and provides unrivaled health benefits for mothers and children. On a global level, increasing breastfeeding can prevent 20,000 maternal deaths, 823,000 child deaths, and $302 billion in economic losses annually!
These are just a few of the WHYs. What is your WHY?
We would love to hear what your why is. Email us your why with #thisismywhy education@medela.com.
This month we are spotlighting Angela Plunkett, RN, BSN, IBCLC
Megan Quinn
Angela Plunkett, RN, BSN, IBCLC, grew up south of Houston, Texas and graduated with a BSN from nursing school at Texas Woman’s University in 1996. She subsequently worked as a pediatric RN for 15 years, with time also spent on the postpartum floor of her hospital. During this time, she became a La Leche League Leader in 2000 and then an IBCLC in 2002. With strong expertise in lactation, Angela also began working in a breastfeeding center at her hospital and as a floor IBCLC.
In 2009, Angela and her family moved to Tennessee, where she now resides south of Nashville. In 2020, she began her private lactation practice, which she notes has always been her eventual goal. “It had been my goal since the beginning,” Angela shares. “I was waiting for the youngest to get old enough to stay home with Dad or a sibling.” In 2021, she helped start the Mothers’ Milk Bank of Tennessee and continues to work and volunteer there as the Director overseeing the screening team. Angela also remains a La Leche League Leader, as the Professional Liaison for Tennessee and Kentucky.
As the original RN, IBCLC, at the founding of the Mothers’ Milk Bank of Tennessee, Angela has helped build the foundation for this organization, including designing the donor screening program, training the volunteers, and leading the team. She shares that they have recently hired several additional team members, including more RNs/IBCLCs, which allows her to oversee the team and ensure everyone is up-to-date on HMBANA standards instead of doing all screenings herself. They also take care to nurture excellent relationships with donor moms while ensuring these moms understand how much they value, appreciate, and honor their milk donations.
Angela shares that she decided to become an IBCLC after finishing nursing school and welcoming her first child. “I took the hospital’s breastfeeding class and went home knowing I wanted that RN’s job one day,” Angela says. “Everyone seemed so excited and happy about breastfeeding!” Today in her private practice, Angela shares that she recently hired another IBCLC due to an influx of requests for lactation consultants. She is always working to continue expanding her lactation expertise in many ways. “I’m always studying to learn the latest in the lactation field in areas such as ties, sleep, starting solids, and breastfeeding medicine itself,” she notes. “I’m also working towards becoming a Lifestyle Medicine Practitioner so I can better help families continue down the healthy lifestyle path during pregnancy and after the baby arrives, which means helping them learn how to improve nutrition, exercise, sleep, and decrease stress and other unhealthy habits.”
Angela understands that new moms often put themselves last and looks forward to helping them better themselves and their families in ways that will have positive lifelong effects – while also helping them with the beautiful skill of breastfeeding. Each year, she enjoys choosing a few breastfeeding-related subjects to dive deep into and then integrating findings accordingly into her care. Doing so allows her to best serve her clients with a deeper understanding of common challenges, concerns, barriers, and other lactation-focused topics. Additionally, her private practice now accepts TNCare, which will allow them to reach even more new moms.
In her free time, Angela loves reading, crocheting (including publishing crochet patterns!), gardening, traveling, and playing her piano and violin. Thank you, Angela, for your passion when it comes to helping families learn how to breastfeed and for dedicating your career to ensuring these babies have strong starts!
Thank you to this issue's contributors!