Makes Milk with Emma Pickett: breastfeeding from the beginning to the end

This week’s guest is the inspiring Alexandra Baskerville, who is talking about breastfeeding after breast reduction surgery aged 19. Alexandra describes having very large breasts as a teen, choosing reduction surgery in 2010, and later becoming a mother at 34. Her daughter Connie’s birth was a home birth, and early feeding was complicated by Connie’s small size, slow weight gain, nipple pain, suspected tongue-tie, and the extra uncertainty of reduced milk-making capacity. An NHS lactation appointment left Alexandra feeling she had been told to stop, despite only giving small top-ups, so she sought private help from IBCLC and tongue-tie practitioner Polly Powell, who improved her pumping setup, offered support, and eventually arranged a tongue-tie procedure at around 10 weeks. Alexandra triple fed and pumped for months,  and although it took longer than expected for her full supply to come in, she stopped pumping around 10 months, and is continuing breastfeeding at nearly 14 months.
My picture book on how breastfeeding journeys end, The Story of Jessie’s Milkies, is available from Amazon here -  The Story of Jessie's Milkies. In the UK, you can also buy it from The Children’s Bookshop in Muswell Hill, London. Other book shops and libraries can source a copy from Ingram Spark publishing.
You can also get 10% off my books on supporting breastfeeding beyond six months and supporting the transition from breastfeeding at the Jessica Kingsley press website, by going to https://bit.ly/JKPbooks and using the code MMPE10 at checkout.

Follow me on Instagram  @emmapickettibclc or find out more on my website www.emmapickettbreastfeedingsupport.com 
Resources mentioned - 
BFAR - Breastfeeding After Breast and Nipple Surgeries https://www.bfar.org/index.shtml 
IBCLC Polly Powell is @‌pollythemidwife on Instagram and https://www.polly-powell.co.uk/ 
Plastic Surgery and Breastfeeding - Physician Guide to Breastfeeding https://physicianguidetobreastfeeding.org/surgery-and-breastfeeding/plastic-surgery/#breast-reductions 
Guidance on goats’ milk formula https://infantmilkinfo.org/wp-content/uploads/2021/10/Cows-and-goats-milk-protein-based-infant-formula_February-2025-1.pdf 

 
This podcast is presented by Emma Pickett IBCLC, and produced by Emily Crosby Media.

This week, I’m talking to Dr Natalie Ashburner, a Bedford-based child and adolescent psychiatrist, about breastfeeding her three-year-old Ruben and seven-month-old Dylan.. Natalie describes night weaning Ruben during her second trimester using a gradual approach with a weaning book, flexible boundaries, and partner support, and explains how bedtime and sleeping arrangements shifted, including moving Ruben to a new dinosaur-themed room. After Dylan’s birth and a hospital stay for heart-rate monitoring, Ruben’s feeding increased and Natalie’s aversion intensified. She managed through distraction and limiting feeds, before settling back to one morning feed. Natalie continues to feed both boys and will be returning to work later this year. She is a member of MiLC (Medics in Lactation Community) and a peer supporter.
My picture book on how breastfeeding journeys end, The Story of Jessie’s Milkies, is available from Amazon here -  The Story of Jessie's Milkies. In the UK, you can also buy it from The Children’s Bookshop in Muswell Hill, London. Other book shops and libraries can source a copy from Ingram Spark publishing.
You can also get 10% off my books on supporting breastfeeding beyond six months and supporting the transition from breastfeeding at the Jessica Kingsley press website, by going to https://bit.ly/JKPbooks and using the code MMPE10 at checkout.

Follow me on Instagram  @emmapickettibclc or find out more on my website www.emmapickettbreastfeedingsupport.com 
Resources mentioned - 
Facebook group for the peer support arm of MiLC (for breastfeeding doctors): https://www.facebook.com/groups/480916214609440/ 

This podcast is presented by Emma Pickett IBCLC, and produced by Emily Crosby Media.

This week, I’m talking to the lovely Sophie from North London about feeding her two children, Sadie (7) and Zach (4½), and what aversion and older child weaning can look like. Sophie describes training with the Breastfeeding Network, from an in-person 12-week helper course to a rigorous six-month supporter course, and her plans for helpline and drop-in support. She shares Sadie’s breech birth by C-section, pain that began at six weeks, later support with latch and a posterior tongue-tie division, and a long period of feeding on one side. During pregnancy with Zach, Sophie developed intense breastfeeding aversion and emergency-weaned Sadie. Zach’s VBAC attempt ended in a C-section with some complications and COVID-related separation, but breastfeeding went smoothly. Zach’s feeding tapered gradually with the help of some boundaries set by Sophie. His last feed was just three weeks before our conversation.
My picture book on how breastfeeding journeys end, The Story of Jessie’s Milkies, is available from Amazon here -  The Story of Jessie's Milkies. In the UK, you can also buy it from The Children’s Bookshop in Muswell Hill, London. Other book shops and libraries can source a copy from Ingram Spark publishing.
You can also get 10% off my books on supporting breastfeeding beyond six months and supporting the transition from breastfeeding at the Jessica Kingsley press website, by going to https://bit.ly/JKPbooks and using the code MMPE10 at checkout.

Follow me on Instagram  @emmapickettibclc or find out more on my website www.emmapickettbreastfeedingsupport.com 
Resources mentioned - 
Breastfeeding Network https://www.breastfeedingnetwork.org.uk/get-involved/train-to-be-a-registered-volunteer/

 
This podcast is presented by Emma Pickett IBCLC, and produced by Emily Crosby Media.

I’m so pleased to be joined by the brilliant Joanna Sargent IBCLC this week. Johanna will bring her expertise on using a supplemental nursing system (SNS), also called at-breast supplementation or supply line feeding. Joanna shares her personal experience of low supply and using an SNS from 10 days to six months, and we explore how an SNS can support milk production, avoid bottle preference, and reduce the unsustainable burden of triple feeding. Johanna describes how an SNS works, cleaning and flushing tubes, and practical troubleshooting such as managing flow rate, positioning the “straw,” and using a necklace to stop babies pulling tubing. We compare products and discuss using NG tubes and syringes as a low-cost trial option. This is a great episode for both parents who might need to try an SNS, but also listeners who work in infant feeding.
My picture book on how breastfeeding journeys end, The Story of Jessie’s Milkies, is available from Amazon here -  The Story of Jessie's Milkies. In the UK, you can also buy it from The Children’s Bookshop in Muswell Hill, London. Other book shops and libraries can source a copy from Ingram Spark publishing.
You can also get 10% off my books on supporting breastfeeding beyond six months and supporting the transition from breastfeeding at the Jessica Kingsley press website, by going to https://bit.ly/JKPbooks and using the code MMPE10 at checkout.

Follow me on Instagram  @emmapickettibclc or find out more on my website www.emmapickettbreastfeedingsupport.com 
Resources mentioned - 
You can find Johanna at 
https://www.instagram.com/milkandmotherhood?igsh=MTNxaGJqYjJ1ZmZ3ZQ==
And
https://milkandmotherhood.com
Her podcast is https://podcasts.apple.com/gb/podcast/the-latch-revolution/id1841874307
Her presentations are available at https://www.goldlearning.com/ce-library/all-lectures/at-breast-supplementation-devices-detail and https://www.babiesincommon.com/forprofessionals/exploring-supplemental-feeders-workshop (20th August 2026 workshop)
The Ardo SNS is available here https://www.ardomedical.co.uk/shop/p,233,supplemental-nursing-system-sns.html?gad_source=1&gad_campaignid=19267684314&gbraid=0AAAAAD-Zrl7Ucv7LJJ7zq85tUN30amSFD&gclid=CjwKCAjwq6DQBhBVEiwA4ZD5XCuFaFZ5s8p1vyJPbdmJIcbc1Ywmcx98-PFRSPHv9W_iAT6cGzcFaxoCLrIQAvD_BwE

This podcast is presented by Emma Pickett IBCLC, and produced by Emily Crosby Media.

Today, I’m delighted to be joined by Katie and Daniella to talk about the experience of being an older mum. Daniella, 43 is a solo mum in Birmingham. She shares how her daughter Remi self-weaned gradually after daytime feeds ended around age 3–4, describing a comfort-led “symbolic” latch, continued co-sleeping, and not experiencing weaning blues; she also reflects on early challenges including severe tongue-tie, oversupply, recurrent mastitis, anxiety about working, and feeling unable to breastfeed in public as Remi got older. Katie, 41 in Suffolk, breastfeeds nearly two-year-old Monty frequently day and night. She discusses sleep changes alongside starting a 4:00 AM job, training as a holistic sleep coach, being a “motherless mother” after her mum died in 2020, and managing perimenopausal cycle-related rage, nipple soreness, and feeding aversion with supplements and support. 
Katie’s Instagram is @good_nights_kip and her website is www.goodnightskip.com 
Daniella’s Instagram is @‌daniellastaubphotographer and her website is www.daniellastaub.co.uk

My picture book on how breastfeeding journeys end, The Story of Jessie’s Milkies, is available from Amazon here -  The Story of Jessie's Milkies. In the UK, you can also buy it from The Children’s Bookshop in Muswell Hill, London. Other book shops and libraries can source a copy from Ingram Spark publishing.
You can also get 10% off my books on supporting breastfeeding beyond six months and supporting the transition from breastfeeding at the Jessica Kingsley press website, by going to https://bit.ly/JKPbooks and using the code MMPE10 at checkout.

Follow me on Instagram  @emmapickettibclc or find out more on my website www.emmapickettbreastfeedingsupport.com 

 
This podcast is presented by Emma Pickett IBCLC, and produced by Emily Crosby Media.