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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.
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Oct 27, 2026
Your Early Feeding Questions, Answered (Part 2)
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8:18OliviaHOST
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.
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8:32Olivia HingeGUEST
So we, our whole concept around mastitis has really, really changed over the last few years.
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8:37Olivia HingeGUEST
And that's been prompted mainly by the Academy of Breastfeeding Medicine creating a mastitis protocol.
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8:43Olivia HingeGUEST
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.
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8:55Olivia HingeGUEST
What we used to do is immediately say, apply heat, deep massage and take antibiotics straight away.
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9:06Olivia HingeGUEST
So what we know about mastitis is that milk staying stagnant in the breast causes inflammation.
6 MINS LATER
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15:36OliviaHOST
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?
Your Early Feeding Questions, Answered (Part 1)
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2:56OliviaHOST
But what would you do if that's just not working out for your baby?
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3:00Olivia HingeGUEST
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.
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3:19Olivia HingeGUEST
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.
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5:24OliviaHOST
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.
Holly Walsh on Amandaland, novelist Ilona Bannister, Greenlandic mothers in Denmark
10:11
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5:54EmilySOUNDBITE_SPEAKER
We were pretty broken, and it really got to a point where we were desperate, and as first-time parents, we just needed help.
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6:02Olivia HingeGUEST
help.Once she'd decided that, um, my son had reflux, she just said, "He needs to be sleeping on his front.
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6:28Olivia HingeGUEST
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.

Nuala McGovernHOST
Um, and when you watched that video or saw that call, what was in your head? What came to mind?
Baby sleep influencers. Christine Dawood, Selena Kay & Cerys Hogg, David Attenborough
10:07
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6:00speaker_0SOUNDBITE_SPEAKER
Once she'd decided that-
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6:05Olivia HingeGUEST
She just said he needs to be sleeping on his front, he needs to move to full weaning and water.

Nuala McGovernHOST
Um, and when you watched that video or saw that call, what was in your head? What came to mind?