Lecithin is out and choline is in. Previously, plugged ducts were thought to happen because milk simply “got stuck” in the ducts and needed to be massaged out. We now know the real culprit is localized inflammation, which narrows the duct and prevents milk from flowing, and therefore backs up behind the site of narrowing. This means our management strategies need to focus on reducing inflammation rather than just trying to push milk through.

So when new research shows that regular prophylactic lecithin supplementation can actually be inflammatory, it raises a critical question: why would we try to treat inflammation with something that we know is inflammatory?

Breastmilk doesn’t turn into pixie dust the second it reaches an expiry time. Human milk is a living fluid, full of immune-protective and antibacterial properties. The storage guidelines we use are conservative safety windows, not a hard stop where milk suddenly becomes unsafe. In fact a new study has just looked at how long milk can be safely stored after feeding and be refed based on bacterial load (hint: it’s a whole lot longer than we’ve been doing).

Understanding why the current guidelines exist — and how to use your judgment — can take a lot of stress out of feeding decisions.

Pumping should never hurt. It should feel like a gentle pull or possibly nothing at all. It should never be something you have to breathe through. Even if it feels “tolerable” or “fine,” pain is a sign that something in your setup isn’t quite right.

If you’re pregnant and thinking about collecting colostrum before birth, you’re in the right place. Many parents wonder if it’s safe, how to do it, and whether it’s even necessary.

As a Calgary IBCLC and NICU nurse who specializes in pumping and establishing breastfeeding, I want to guide you through what antenatal hand expression is, when it’s considered safe, who it may benefit, and when it should be avoided.