PodcastsEducationThe Latch Revolution

The Latch Revolution

Katie James & Johanna Sargeant
The Latch Revolution
Latest episode

17 episodes

  • The Latch Revolution

    Why Babies Refuse Bottles - And What Gets Missed -E15

    13/05/2026 | 51 mins.
    Bottle refusal isn’t always behavioural.

    And if you’ve tried every bottle on the market without success… there may be something else going on.

    In this episode, Katie and Johanna, IBCLC's, unpack bottle and teat refusal in breastfed babies — looking at both the behavioural side as well as the physiological side that often gets missed.

    They walk through the practical strategies many parents are already trying: changing positions, changing the caregiver, adjusting milk temperature, experimenting with teat flow and creating low-pressure experiences around bottles.

    But they also explore why some babies still struggle despite all of that.

    The conversation dives into oral function, tongue movement, high palates, gag reflexes, bottle teat design, and why some babies physically struggle to coordinate sucking on certain bottle shapes.

    Katie and Johanna also discuss how stress and pressure around bottle feeding can quickly escalate into bottle aversion — and why play, curiosity and responsiveness matter far more than forcing feeds.

    Importantly, we talk about the situations where bottles simply aren’t working before a return to work, many babies compensate by 'reverse cycle feeding' — breastfeeding much more frequently overnight.

    This episode is packed with practical ideas, nuanced clinical discussion, and reassurance for both mums, new parents and professionals.

    Why breastfed babies may suddenly refuse bottles

    Behavioural strategies that genuinely help

    Why teat shape matters more than marketing suggests

    Bottle flow rates and matching milk flow

    The role of milk taste

    Why some babies become distressed around bottles

    High palates, tongue tie and oral sensitivity

    The connection between bottle refusal and sucking function

    Why play and curiosity reduce bottle aversion

    Open cups vs straw cups vs bottles

    Reverse cycling and feeding when mums return to work

    Why observation matters more than rigid rules

    Mentioned In This Episode

    Decoding the Suck — Professional Training

    NEW Parent Sucking Support Packages



    Susan Howard IBCLC - Reel with O Ball and bottle teat



    The Feeding Couch® — Breastfeeding Support for Parents

    Breastfeeding and Lactation: the fundamentals - Professional Training



    Support The Podcast

    If you enjoy The Latch Revolution podcast:

    Leave a 5-star review!

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    Medical Disclaimer

    The content of this podcast is for educational and informational purposes only and should not replace individual medical care. Mums and new parents should always seek support from their own healthcare provider, lactation consultant or medical practitioner regarding their individual circumstances.

    Keywords

    bottle refusal breastfeeding, breastfed baby won’t take bottle, teat refusal baby, high palate bottle refusal, tongue tie bottle refusal, oral function breastfeeding, paced bottle feeding, reverse cycling breastfeeding, bottle aversion breastfed baby, breastfeeding and bottle refusal, lactation consultant bottle refusal
  • The Latch Revolution

    Mastitis: What’s Changed, What’s Wrong, and What Still Gets Missed - E14

    30/04/2026 | 30 mins.
    Mastitis isn’t just an infection. And the way we’ve been treating it… might be making things worse.

    In this episode, Katie and Joh unpack mastitis through a more current lens — moving away from the idea of “blocked ducts” and towards understanding inflammation as the key driver.

    They explore the early signs many women miss — including the flu-like symptoms that can appear before any visible breast changes — and why recognising these early can change the entire trajectory of the condition.

    The conversation also challenges long-standing advice around heat, massage, and increased feeding, explaining why these approaches may worsen inflammation rather than resolve it. Instead, they introduce a more physiologically aligned approach focused on rest, anti-inflammatories, cold therapy, and maintaining normal feeding patterns.

    Importantly, they discuss what happens when mastitis doesn’t fully resolve — including subclinical presentations, changes in milk supply, and the impact on baby behaviour. The episode also highlights the emotional and practical realities for mothers navigating mastitis, and the need for clinicians to remain flexible, transparent, and responsive when protocols don’t fit the individual.

    In This Episode We Cover

    Early “boob flu” symptoms and why mastitis can present before breast changes

    The shift from “blocked ducts” to inflammation-based understanding

    Why heat and massage may worsen symptoms

    How cold therapy and anti-inflammatories may support recovery

    When to manage at home vs when to seek medical review

    Subclinical mastitis and recurring symptoms

    Changes in milk taste and baby feeding behaviour

    Maintaining milk supply when baby refuses one breast

    The role of clinical judgement beyond protocol

    Transparency and trust in complex lactation care



    Want More From Katie and Joh?
    Check out our courses for professionals:
    Decoding the Suck: Gentle support for babies with sucking difficulties

    Breastfeeding & Lactation: The Fundamentals

    Pregnant or a new mum or parent? Find more support from Katie:
    The Feeding Couch® – Breastfeeding SOS – for new mums and parents

    Instagram
    Katie: @katiejameslactation
    Johanna: @milkandmotherhood

    YouTube
    The Latch Revolution

    Enjoying the podcast?
    Leave us a 5 star review
    Subscribe so you don’t miss future episodes
    Support the podcast via Patreon:

    Medical Disclaimer
    Disclaimer: The content of this podcast is for educational and informational purposes only. It is not a substitute for personalised medical advice, diagnosis, or treatment. Listeners should always seek the guidance of their own healthcare provider, midwife, or lactation consultant with any questions they may have regarding their own situation or that of their clients. Katie James and Johanna Sargeant do not accept responsibility for any decisions made based on this content.

    Keywords
    mastitis breastfeeding, mastitis inflammation vs infection, blocked ducts myth, mastitis treatment cold therapy, lactation mastitis protocol, breastfeeding pain inflammation, milk supply mastitis, baby refusing breast mastitis, subclinical mastitis, lactation consultant education
  • The Latch Revolution

    Breast Pumping in Clinical Practice: What We’re Still Getting Wrong - E13

    15/04/2026 | 43 mins.
    Pumping should be simple. But for many mums… it becomes painful, confusing, and ineffective.

    In this episode, Katie and Joh unpack what’s really going on when pumping “isn’t working” — and why the answer is rarely what you think.



    Episode Summary

    Katie and Joh take a deep dive into the reality of pumping, starting with one of the most overlooked issues in lactation support — incorrect flange/shield sizing. They explore why so many women are given the wrong size, how this affects comfort and milk output, and why going smaller, not larger, is often the key to effective stimulation.

    The conversation moves into pump types, including hospital-grade pumps, double pumps, and wearable devices — where, for once, Katie and Joh don’t entirely agree. They explore the tension between efficiency and flexibility, and how the “best” pump depends entirely on the individual mother, her circumstances, and her goals.

    They also unpack practical strategies to improve pumping outcomes, including timing, vacuum levels, switching between stimulation and expression modes, and why watching milk output can actually reduce it. Joh shares the now well-known “sock over the bottle” technique and the surprising impact of removing visual pressure.

    Finally, the episode broadens into the emotional and psychological experience of pumping — from stress, grief, and NICU experiences to the importance of oxytocin and creating a sense of safety. They highlight that pumping is not just mechanical — it is deeply physiological and emotional, and support must reflect that.

    In This Episode We Cover

    Why incorrect flange size is one of the biggest barriers to effective pumping

    Why smaller sizes often work better than larger ones

    The difference between hospital-grade pumps and standard pumps

    Wearable pumps vs traditional pumps — and where Katie and Joh differ

    Why pumping should never be painful

    How to set the correct vacuum level based on comfort, not numbers

    Timing: why 15 minutes is often enough

    Switching between stimulation and expression modes

    The “sock over the bottle” method and why watching output reduces milk flow

    Oxytocin and pumping — what actually helps milk release

    Why pumping can carry emotional weight, stress, or grief

    Why a pump session does not reflect total milk supply

    Power pumping — when to use it and when to stop



    Want More From Katie and Joh?

    Check out our courses for professionals:

    Decoding the Suck: Gentle support for babies with sucking difficulties

    https://thelatchrevolution.com

    Breastfeeding & Lactation: The Fundamentals

    https://katiejames.site

    Pregnant or a new mum? Find more support from Katie:

    The Feeding Couch® – Breastfeeding SOS

    https://katiejames.site



    Download the FREE 5 Gentle Questions booklet:

    https://www.thelatchrevolution.com/gentle-questions



    Instagram

    Katie: @katiejameslactation

    Johanna: @milkandmotherhood

    YouTube

    The Latch Revolution



    Enjoying the podcast?

    Leave a 5-star review — it helps more mums and professionals find this work



    Subscribe so you don’t miss what’s coming next



    Or Join our Patreon



    Medical Disclaimer

    Disclaimer: The content of this podcast is for educational and informational purposes only. It is not a substitute for personalised medical advice, diagnosis, or treatment. Listeners should always seek the guidance of their own healthcare provider, midwife, or lactation consultant with any questions they may have regarding their own situation or that of their clients. Katie James and Johanna Sargeant do not accept responsibility for any decisions made based on this content.



    Keywords

    breast pumping, breast pump tips, flange sizing, pumping milk supply, wearable breast pumps, hospital grade pump, milk expression, lactation support, pumping problems, low milk output, oxytocin breastfeeding, power pumping, exclusive pumping, NICU pumping
  • The Latch Revolution

    "My Milk Has Disappeared” — What’s Actually Happening? E12

    25/03/2026 | 40 mins.
    “My milk has disappeared.”

    It’s one of the most common messages mums send in panic — often around the 8–10 week mark.

    Breasts feel soft, leaking stops, letdowns change… and suddenly everything feels different.

    In this episode of The Latch Revolution, Katie James and Johanna Sargeant (IBCLCs) explore the common experience of breastfeeding mums feeling like their milk has suddenly disappeared.

    They begin with the classic scenario around 8–10 weeks, where breasts feel softer, leaking reduces, and sensations like letdown are no longer as noticeable. This shift can feel alarming, particularly as many mums are no longer receiving regular support at this stage.

    Katie and Joh explain how this change is often a normal transition from the early, less regulated phase of milk production into a more efficient, demand-led system. The body has learned how much milk to make and no longer needs to overproduce.

    The conversation then moves into other situations that can feel like milk has disappeared, including illness, hormonal changes, return of periods, pregnancy, and thyroid changes. They explain how these factors can temporarily affect milk supply but do not mean that milk is gone permanently.

    Finally, the episode explores a more sensitive and complex topic — how grief and significant stress can affect the milk ejection reflex and make it feel as though milk is no longer there. They discuss how this is a physiological response to overwhelming stress, and the importance of compassion in these situations.

    In This Episode We Cover

    – Why breasts feel softer around 8–10 weeks
    – Why leaking and letdown sensations can disappear
    – How milk production becomes more efficient over time
    – Why babies are the best indicator of milk supply
    – Temporary changes from illness or hormonal shifts
    – The impact of returning periods on milk supply
    – Pregnancy and breastfeeding changes
    – Thyroid conditions and milk production
    – How grief can affect milk ejection

    Want More From Katie and Joh?

    Check out our courses for professionals:

    Decoding the Suck: Gentle support for babies with sucking difficulties

    “My milk has disappeared.”

    It’s one of the most common messages mums send in panic — often around the 8–10 week mark.

    Breasts feel soft, leaking stops, letdowns change… and suddenly everything feels different.

    Episode Summary

    In this episode of The Latch Revolution, Katie James and Johanna Sargeant explore the common experience of breastfeeding mums feeling like their milk has suddenly disappeared.

    They begin with the classic scenario around 8–10 weeks, where breasts feel softer, leaking reduces, and sensations like letdown are no longer as noticeable. This shift can feel alarming, particularly as many mums are no longer receiving regular support at this stage.

    Katie and Joh explain how this change is often a normal transition from the early, less regulated phase of milk production into a more efficient, demand-led system. The body has learned how much milk to make and no longer needs to overproduce.

    The conversation then moves into other situations that can feel like milk has disappeared, including illness, hormonal changes, return of periods, pregnancy, and thyroid changes. They explain how these factors can temporarily affect milk supply but do not mean that milk is gone permanently.

    Finally, the episode explores a more sensitive and complex topic — how grief and significant stress can affect the milk ejection reflex and make it feel as though milk is no longer there. They discuss how this is not a failure of milk production, but a physiological response to overwhelming stress, and the importance of compassion in these situations.

    In This Episode We Cover

    – Why breasts feel softer around 8–10 weeks
    – Why leaking and letdown sensations can disappear
    – How milk production becomes more efficient over time
    – Why babies are the best indicator of milk supply
    – The role of nappies and swallowing as evidence
    – Temporary changes from illness or hormonal shifts
    – The impact of returning periods on milk supply
    – Pregnancy and breastfeeding changes
    – Thyroid conditions and milk production
    – How grief and stress can affect milk ejection

    Want More From Katie and Joh?

    Check out our courses for professionals:

    Decoding the Suck: Gentle support for babies with sucking difficulties

    “My milk has disappeared.”

    It’s one of the most common messages mums send in panic — often around the 8–10 week mark.

    Breasts feel soft, leaking stops, letdowns change… and suddenly everything feels different.

    Episode Summary

    In this episode of The Latch Revolution, Katie James and Johanna Sargeant explore the common experience of breastfeeding mums feeling like their milk has suddenly disappeared.

    They begin with the classic scenario around 8–10 weeks, where breasts feel softer, leaking reduces, and sensations like letdown are no longer as noticeable. This shift can feel alarming, particularly as many mums are no longer receiving regular support at this stage.

    Katie and Joh explain how this change is often a normal transition from the early, less regulated phase of milk production into a more efficient, demand-led system. The body has learned how much milk to make and no longer needs to overproduce.

    The conversation then moves into other situations that can feel like milk has disappeared, including illness, hormonal changes, return of periods, pregnancy, and thyroid changes. They explain how these factors can temporarily affect milk supply but do not mean that milk is gone permanently.

    Finally, the episode explores a more sensitive and complex topic — how grief and significant stress can affect the milk ejection reflex and make it feel as though milk is no longer there. They discuss how this is not a failure of milk production, but a physiological response to overwhelming stress, and the importance of compassion in these situations.

    In This Episode We Cover

    – Why breasts feel softer around 8–10 weeks
    – Why leaking and letdown sensations can disappear
    – How milk production becomes more efficient over time
    – Why babies are the best indicator of milk supply
    – The role of nappies and swallowing as evidence
    – Temporary changes from illness or hormonal shifts
    – The impact of returning periods on milk supply
    – Pregnancy and breastfeeding changes
    – Thyroid conditions and milk production
    – How grief and stress can affect milk ejection

    Want More From Katie and Joh?

    Check out our courses for professionals:

    Decoding the Suck: Gentle support for babies with sucking difficulties

    https://thelatchrevolution.com

    Breastfeeding & Lactation: The Fundamentals
    https://katiejames.site

    The Feeding Couch® – Breastfeeding SOS
    https://katiejames.site

    You can also access the 5 Gentle Questions Booklet — a clinical tool designed to support deeper conversations in breastfeeding consultations: https://www.thelatchrevolution.com/gentle-questions

    If this episode stayed with you, leaving a review helps more mums and professionals find these conversations.

    You can also subscribe or support the show with a coffee.

    Instagram
    Katie: @katiejameslactation
    Johanna: @milkandmotherhood

    YouTube
    The Latch Revolution

    Enjoying the podcast?
    Leave us a 5 star review
    Subscribe so you don’t miss future episodes

    Medical Disclaimer

    Disclaimer: The content of this podcast is for educational and informational purposes only. It is not a substitute for personalised medical advice, diagnosis, or treatment. Listeners should always seek the guidance of their own healthcare provider, midwife, or lactation consultant with any questions they may have regarding their own situation or that of their clients. Katie James and Johanna Sargeant do not accept responsibility for any decisions made based on this content.

    Keywords

    milk supply disappeared, breastfeeding 9 weeks, soft breasts breastfeeding, breastfeeding panic milk gone, letdown disappeared breastfeeding, breastfeeding hormones period return, thyroid breastfeeding milk supply, pregnancy breastfeeding changes, stress milk supply, grief breastfeeding
  • The Latch Revolution

    What’s Normal in the First Month of Breastfeeding? - Ep 11

    11/03/2026 | 37 mins.
    The first month of breastfeeding can feel completely unpredictable.

    One day your baby feeds constantly. The next day they barely wake to feed. Your breasts feel full, then suddenly soft. And every small change can make a new mum wonder if something is wrong.

    In this episode, Katie and Joh talk about what is actually normal in those early weeks.

    Episode Summary

    In this episode of The Latch Revolution, Katie James and Johanna Sargeant explore what typically happens during the first month of breastfeeding and why this period can feel so confusing for new mothers.

    They discuss how babies often feed in very unpredictable patterns during the early weeks. Some days a baby may feed almost continuously, while on other days they may sleep more and feed far less. This variation can feel alarming to new mums, but it often reflects normal growth patterns and recovery cycles rather than a problem.

    Katie and Joh explain why focusing on nappies and overall weight trends is far more helpful than watching daily changes in feeding frequency or weight. They discuss how frequent weighing can create unnecessary anxiety and why weekly weight checks are often more appropriate once feeding is established.

    The conversation also explores the importance of recognising feeding cues and how easily these can be missed, especially when families are busy or when babies are more sleepy. Katie describes early, mid and late feeding cues, while Joh explains how subtle head movements and searching behaviours often signal that a baby is looking for the breast.

    They also unpack what is happening hormonally in the mother’s body during the first month. In these early weeks breastfeeding is still hormonally driven, with frequent feeding stimulating prolactin and helping establish long-term milk production. As the weeks progress, the system gradually shifts toward supply-and-demand regulation.

    Finally, they discuss why introducing bottles, dummies, or other feeding tools in the first weeks requires nuance. While these tools can sometimes help families in specific situations, understanding the physiology of milk production in the first month is key to protecting long-term milk supply.

    In This Episode, We Cover:

    Why feeding patterns can feel unpredictable in the first month

    Why daily baby weight checks can increase anxiety for breastfeeding mums

    How nappies and output help confirm that a baby is feeding well

    The early, mid and late feeding cues newborn babies show

    Why sleepy babies can sometimes miss feeding opportunities

    What is happening hormonally in a mother’s body during the first month of breastfeeding

    How prolactin and frequent feeding help establish milk supply

    When breastfeeding shifts from hormonal regulation to supply and demand

    Why introducing bottles or dummies in the early weeks requires consideration

    How understanding breastfeeding physiology helps protect milk supply



    Want More?

    Courses for birth professionals:

    Decoding the Suck: Gentle support for babies with sucking difficulties

    thelatchrevolution.com

    Breastfeeding & Lactation: The Fundamentals

    katiejames.site

    For pregnancy and new mums and parents:

    The Feeding Couch® – Breastfeeding SOS

    katiejames.site



    Instagram

    Katie: @katiejameslactation

    Johanna: @milkandmotherhood



    YouTube

    The Latch Revolution



    Enjoying the podcast?

    Leave us a 5-star review

    Subscribe so you don’t miss future episodes



    Medical Disclaimer

    The content of this podcast is for educational and informational purposes only. It is not a substitute for personalised medical advice, diagnosis, or treatment. Listeners should always seek the guidance of their own healthcare provider, midwife, or lactation consultant with any questions they may have regarding their own situation or that of their clients. Katie James and Johanna Sargeant do not accept responsibility for any decisions made based on this content.



    Keywords

    first month breastfeeding, newborn feeding patterns, breastfeeding frequency newborn, breastfeeding feeding cues, newborn nappies breastfeeding, prolactin milk production, supply and demand breastfeeding, early breastfeeding weeks, breastfeeding weight gain newborn, breastfeeding physiology first month
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About The Latch Revolution
The Latch Revolution is a straight-talking lactation podcast for midwives, IBCLCs & doulas. Join Katie James & Johanna Sargeant as we explore our real-life breastfeeding practice—no holding back, saying it like it is, sharing the tips and pivots that got us through, the debates in our heads and hearts, and the odd topic that might get some knickers in a twist. If you live this work with passion and heart, this is for you. Follow and catch every drop.
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