PodcastsEducationThe Latch Revolution

The Latch Revolution

Katie James & Johanna Sargeant
The Latch Revolution
Latest episode

16 episodes

  • The Latch Revolution

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

    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

    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
  • The Latch Revolution

    Antenatal Colostrum Harvesting: Helpful Skill or Hidden Pressure? E10

    25/02/2026 | 41 mins.
    Antenatal colostrum harvesting.

    Some call it essential. Others call it unnecessary pressure.

    In this episode, Katie and Joh unpack the nuance — without extremes.



    Episode Summary

    In this episode of The Latch Revolution, Katie James and Johanna Sargeant, IBCLC's sit down for an unplanned, cuppa-style conversation about antenatal colostrum harvesting — and quickly discover that while their opinions are strong, they are surprisingly aligned.

    They explore how colostrum harvesting has evolved from a targeted strategy for mothers with gestational diabetes to something increasingly promoted to the wider pregnant population. Katie reflects on how social media, online kits, and pressure to “prepare properly” can strip the nuance from what is meant to be a gentle, curiosity-based skill.

    Joh shares how she approaches the conversation in prenatal consults: as an opportunity for a breastfeeding mum to learn how to handle her breasts confidently, without urgency or expectation. The focus is not on stockpiling syringes, but on familiarity, technique, and understanding how the body works while the placenta is still in place.

    The episode also addresses common concerns, including why using a pump in pregnancy is not recommended, and the important distinction between curiosity and rigidity. Katie and Joh discuss the second night feeding frenzy, how small amounts of expressed colostrum can sometimes support maternal well-being, and why larger volumes may interfere with the natural frequency that brings milk in.

    Throughout the conversation, they return to the same core principle: context matters. Technique matters. Personality matters. And above all, nuance matters.



    In This Episode, We Cover:

    Why colostrum harvesting moved beyond gestational diabetes

    The difference between curiosity-based practice and pressure

    Why using a pump in pregnancy is not recommended

    How placenta hormones affect milk production before birth

    Why technique may determine whether colostrum appears

    The second night feeding frenzy and how small volumes may help

    How large antenatal stores could potentially interfere with early feeding frequency

    The importance of tailoring advice to each breastfeeding mum’s personality and capacity



    Need More Support?

    Decoding the Suck: Gentle support for babies with sucking difficulties

    thelatchrevolution.com

    Breastfeeding & Lactation: The Fundamentals – Course for birth professionals

    katiejames.site

    The Feeding Couch® – Breastfeeding SOS – for new mums and parents

    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



    Editor’s Note:

    During this conversation, Katie misquoted the proportion of women in the DAME trial who collected zero colostrum antenatally. The correct figure is approximately one in four. We have added a brief in-episode clarification to ensure accuracy.



    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:

    antenatal colostrum harvesting, colostrum expression in pregnancy, DAME trial colostrum, gestational diabetes breastfeeding, hand expression technique pregnancy, placenta and milk production, second night feeding frenzy, breastfeeding preparation pregnancy, hand expressing colostrum before birth, breastfeeding confidence antenatal

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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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