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Olivia Hinge

NHS midwife and IBCLC lactation consultant, author of "A Judgement-Free Guide to Feeding Your Baby," and infant-feeding educator on Instagram and BBC Woman's Hour.

Oct 27, 2026

OliviaHOST
8:18
So I'd really love for you to share with our listeners kind of what is it? What are the first signs? What can you do at home? And when is it that you get to the point where you're like, hang on, we really need some antibiotics in this case.
8:32
So we, our whole concept around mastitis has really, really changed over the last few years.
8:37
And that's been prompted mainly by the Academy of Breastfeeding Medicine creating a mastitis protocol.
8:43
And what that sort of allowed us all to understand is that mastitis is not a a breast infection which tends to come around due to milk being stagnant in the breast.
8:55
What we used to do is immediately say, apply heat, deep massage and take antibiotics straight away.
9:02
This is really the opposite of what we now recommend.
9:06
So what we know about mastitis is that milk staying stagnant in the breast causes inflammation.

6 MINS LATER

OliviaHOST
15:36
So one listener said, how do you know that it's thrush? You know, what are the symptoms of that versus, for example, just latch pain? And is it true that both the mum and the baby need treating at the same time?
OliviaHOST
2:56
But what would you do if that's just not working out for your baby?
3:00
That's actually a really great thing because very often I'm like, try to eat back feeding as if it's the answer to absolutely everything.
3:05
And that's just not always the case.
3:08
We call a mother and a baby unit a dyad.
3:11
So every dyad, you're very intrinsically held together.
3:15
Every dyad has a different dance, a different thing that works for them.
3:19
And I am never as a lactation consultant or a midwife going to say you're not doing it right if in fact it's working for you.
OliviaHOST
5:24
I don't know if you come across any other tips like that, or if that's just a load of kind of old wives tales.
EmilySOUNDBITE_SPEAKER
5:54
We were pretty broken, and it really got to a point where we were desperate, and as first-time parents, we just needed help.
6:02
help.Once she'd decided that, um, my son had reflux, she just said, "He needs to be sleeping on his front.
6:13
He needs to move to full weaning and water.
6:17
You need to go to the pharmacy and get infant Gaviscon.
6:21
You need to be using suppositories." I was really, really upset.
6:27
Really upset.
6:28
It kind of felt scary that someone had just sat, medically diagnosed my child, had guided me to do things that is against di- guidance.
10:11
Um, and when you watched that video or saw that call, what was in your head? What came to mind?
speaker_0SOUNDBITE_SPEAKER
6:00
Once she'd decided that-
6:01
that-Um, my son had reflux.
6:05
She just said he needs to be sleeping on his front, he needs to move to full weaning and water.
6:14
You need to go to the pharmacy and get infant Gaviscon.
6:18
You need to be using suppositories.
6:20
I was really, really upset.
6:23
Really upset.
10:07
Um, and when you watched that video or saw that call, what was in your head? What came to mind?

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