Susan Howard, IBCLC

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Susan Howard, IBCLC Nurse. Lactation Consultant. Mentor. Lactogeek. Baby Bottle whisperer.

Why were newborns given sterile water after birth in the 1940s?During this era, it was common for hospitals to give newb...
10/17/2026

Why were newborns given sterile water after birth in the 1940s?

During this era, it was common for hospitals to give newborns sterile water for several supposed reasons, including:

- testing their suck reflex
- preventing jaundice
- following rigid feeding schedules
- avoiding dehydration

Medical professionals also thought water could help flush excess bilirubin from a baby’s system.

But we eventually learned water wasn’t the answer here.

Here’s why we moved away from this practice:

Water fills a baby’s tiny stomach without providing the calories and nutrients they need. A belly full of water suppresses hunger and delays breastfeeding. Early water supplementation will affect weight gain and interfere with the frequent feedings necessary to bring in a full milk supply. It also delays passage of meconium, increasing the risk of jaundice.

In addition to providing sterile water, feedings in the first 24 hours were strictly scheduled every 4 hours.

By the 1980s, this practice had largely faded out, although it had been used for decades.

Today, we encourage frequent feeding, whether at the breast or with formula, following a baby’s hunger cues and supporting their individual needs.

It’s fascinating to look back at how newborn care has evolved, isn’t it?

And sometimes, learning about the past helps us better understand why we do things differently today.

Have you heard stories about newborn care from older generations?

I’d love to hear about them in the comments!

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10/13/2026

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Is your toddler a ni**le twiddler? You’re not alone!Toddler twiddling is when your little one rubs, pinches, twists, or ...
10/13/2026

Is your toddler a ni**le twiddler? You’re not alone!

Toddler twiddling is when your little one rubs, pinches, twists, or plays with your other ni**le while nursing. It can soothe them, but let’s be honest: it isn’t always comfortable for you.

Toddlers often twiddle because it helps them feel calm and comforted. Some enterprising toddlers may even do it to stimulate milk release (letdown) faster!

And remember: You can love breastfeeding and still set boundaries around your body.

If twiddling tweaks your nerves, here are a few things you can try:

šŸ¤ Offer a small piece of soft or textured fabric for busy fingers.
šŸ¤ Gently move their hand to another spot, like your shirt or their blanket.
šŸ¤ Use a simple, consistent phrase like, ā€œYou can nurse, but I don’t want you touching my other breast.ā€

Your toddler might protest at first, and that’s okay. You can acknowledge their feelings while holding your boundary.

These little moments also help children gradually learn that other people have feelings and preferences, too.

You don’t have to choose between breastfeeding your toddler and honoring your own comfort.

Does your toddler twiddle while nursing? What has helped you redirect those busy little hands?

10/09/2026

If you've watched Outlander, you might remember this scene.

It's set in the 18th century, and one of the characters who had just given birth to a breech baby has to travel away from her baby.

She gets off her horse to hand express milk because she's engorged and uncomfortable.

So, while Outlander is fantasy, there is a bit of realness to this situation.

Women in the 18th century didn't have breast pumps and they didn't have bottles readily available. If they needed to relieve engorgement or express milk, hand expression was really the only option.

And, honestly, I still find it to be one of the most valuable skills a breastfeeding mom can have. For centuries, this was how it was done. And it still works.

I love finding shows that show real motherhood moments šŸ’™

Have you ever had to hand express before?

IBCLCs do more than most new moms realize! šŸ’™
10/08/2026

IBCLCs do more than most new moms realize! šŸ’™

Bottle refusal can be a bit complex. And every baby is different! What works for one family may not work for another. So...
10/06/2026

Bottle refusal can be a bit complex. And every baby is different!

What works for one family may not work for another. So, if you're dealing with bottle refusal and feel a little stuck, know there are ways to solve it.

Sometimes, all it takes is a low-pressure perspective and a plan that fits your family.

Reach out whenever you need šŸ’™

Registration is now open for the  Clinical Day in Atlanta on November 15, 2026, and I’m excited to be part of it this ye...
10/06/2026

Registration is now open for the Clinical Day in Atlanta on November 15, 2026, and I’m excited to be part of it this year.

The clinical day will have many practical, hands-on opportunities to sharpen your skills as a lactation professional.

I’ll be presenting:
ā€œStrategies for Supporting the Breastfeeding Infant Needing Supplementation and Refusing Bottlesā€

In my talk, I'll be sharing strategies and my clinical perspective on supporting bottle-refusing babies and their families.

Here are all the details:
šŸ“ Atlanta, GA
šŸ“… November 15, 2026
šŸŽŸļø Registration is now open!

If you’re a lactation professional, it'd be amazing to see you there!

Register through the provided link in the comments.

And make sure to save this post to keep all the details šŸ’™

We live in a world where you can Google almost anything. And now, you can ask AI almost anything, too.Those tools can be...
09/30/2026

We live in a world where you can Google almost anything. And now, you can ask AI almost anything, too.

Those tools can be helpful. Sometimes you just need a quick answer, a place to start, or reassurance that you’re not the only person wondering about something at 2 a.m. šŸ˜…

But feeding questions aren’t always quite that simple.

Your baby, your feeding history, your goals, and what’s happening right now are all factors that play a role. Sometimes you need someone who can ask the right questions and help you sort through all the information you’ve found online.

That’s where working with an IBCLC can be so helpful.

Google can give you information, AI can give you ideas, but personalized support is a little different.

And sometimes, you don’t need more information. You just need someone to help you make sense of it all.

That's where I can help šŸ’™

(Photo taken from the book "The Breast is Yet to Come")

09/29/2026

Sometimes lactation support is about so much more than one visit.

Almost two years ago, I met this family at the very beginning of their feeding journey. Today, I had the privilege of reconnecting with them virtually, this time to talk about gentle weaning.

And there’s something a little amazing about that.

This family is currently living in Kazakhstan as part of their work as diplomats, but distance doesn’t have to mean giving up access to lactation support.

We can still connect, talk through what’s happening, answer questions, and make a plan that feels right for their family.

One of my favorite parts of this work is getting to see the full spectrum. The beginning, the middle, the transitions, and sometimes the end.

To be invited back almost two years later to help with the next chapter? That’s pretty special šŸ’™

So, whether you need support at the beginning of your feeding journey, somewhere in the middle, or as you’re getting ready to wean, I’m here for all of it.

And, adding a new pin to my map is always just a little exciting šŸ’™

Baby bottles have a surprisingly long history. I put together a little deep dive on how infant feeding vessels have evol...
09/25/2026

Baby bottles have a surprisingly long history. I put together a little deep dive on how infant feeding vessels have evolved over time, and I thought it was too interesting not to share.

Thousands of years ago:

Ancient civilizations used small ceramic vessels with spouts to feed infants liquids. Some archaeological vessels have even been found with residues of animal milk, suggesting they were used specifically for infant feeding.

And yes, cow horns were used too. Some had a small opening at the narrow end, with cloth or other materials serving as a makeshift teat. Feeding tools were often made from materials already on hand.

17th–19th century:

Not every feeding tool was a bottle. Pap boats, feeding spoons, and specialized pots were used to give infants milk, cereal mixtures, and other foods. Infant feeding has always involved more than one type of vessel.

19th century:

This is when glass feeding bottles and rubber ni**les became important developments in infant feeding equipment. Manufacturers began experimenting with new shapes, materials, and ni**le designs.

But convenience didn't always mean safety. Some historical bottles used long rubber tubes to deliver milk to the baby. The complicated tubing was notoriously difficult to clean, creating serious hygiene concerns. A good reminder that a convenient design isn't necessarily a safe one.

1900s–1950s:

Bottle manufacturing continued to develop, with more standardized designs and increased use of heat-resistant glass. Over time, plastic became another common material for infant bottles.

Today:

Bottles now come in a wide range of shapes, materials, and configurations, including:
- Silicone and other ni**le materials
- Different ni**le flow rates
- Venting systems
- Specialized feeding systems

It's wild to think about how far we've come! And how much trial and error it took to get here.

Did you find bottle evolution as interesting as I did? Let me know in the comments, and follow along for more from my History Friday series. šŸ’™

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Falls Church, VA
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