Nourish, Holistic Lactation and Infant Feeding Support

Nourish, Holistic Lactation and Infant Feeding Support Lactation and infant feeding support. Breastfeeding, bottle feeding, pumping. Home, office, virtual. Genuine, concise, honest and motivated. Always on time.

Sara: An empath, advocate, ally, critical thinker, and steadfast supporter. A little bit type A and a little bit carefree. Introverted but entirely too talkative. Crunchy but somewhat mainstream. Has a healthy distrust of authority & all of the things that we "know". Never gives up. Relishes in the success of others.

There is a lot of truth to this!
10/23/2025

There is a lot of truth to this!

Many breastfeeding challenges today aren’t because something is “wrong” with the mother or baby…it’s often because of how modern birth practices interfere with biology.

In an ideal, uninterrupted birth, a newborn instinctively crawls to the breast, roots, and latches within the first hour, guided by powerful hormonal cues from both mother and baby. But in the 21st century, birth is often heavily medicalized, and even small interventions can disrupt this natural sequence.

💊 Medications During Labor and Birth

Epidurals, IV fluids, Pitocin, and other medications can affect both mom and baby. For the baby, they may cause temporary drowsiness, weaker muscle tone, or difficulty coordinating suck-swallow-breathe. For the mother, they may interfere with oxytocin release, the same hormone responsible for milk ejection and bonding.

💧 Overhydration of the Mother

Excess IV fluids given during labor can lead to swelling in mom’s breasts and baby’s tissues. A swollen ni**le or ar**la can make latching physically harder for a newborn. Babies may also lose more “weight” after birth as they naturally shed the excess fluid, which can be misinterpreted as poor feeding.

👶🏼 Suctioning the Baby After Birth

Routine suctioning is no longer recommended for vigorous babies, yet it still happens. This can irritate the baby’s airway and mouth, making them reluctant to latch or feed right away. Babies use oral sensations to find and latch onto the breast, so discomfort can set them back.

💔 Separation of Mom and Baby

When the baby is taken away for weighing, cleaning, or observation, even for “just a few minutes,” it interrupts the hormonal dance that triggers breastfeeding behaviors. The first hour after birth, known as the golden hour is crucial. Skin-to-skin contact stabilizes the baby’s temperature, breathing, and blood sugar, and dramatically increases the likelihood of successful latching.

🍼 Swaddling Too Soon

Wrapping a baby tightly before they’ve latched removes their ability to use their arms and hands to find the breast, something newborns instinctively do. Babies need their hands free to help guide themselves and stimulate the breast.

Breastfeeding success isn’t just about “trying harder”… it’s about setting up the environment nature intended. When mothers and babies are allowed uninterrupted skin-to-skin time, when medications are used judiciously, and when support is provided instead of separation, breastfeeding outcomes improve drastically. 💛

I will be away and unreachable from Friday Sept 26 through Monday Sept 29. Please contact your local hospital lactation ...
09/24/2025

I will be away and unreachable from Friday Sept 26 through Monday Sept 29. Please contact your local hospital lactation department or one of my colleagues at www.nhlactation.com for assitance while I am away. If it is an emergency please contact your pediatrician or obstetrician.

New Hampshire IBCLC Board Certified Lactation Consultants in Private Practice. Home Visits. Office Visitis. Telehealth.

09/23/2025

ACOG reaffirms the safety and benefits of acetaminophen use during pregnancy.
More than two decades of research have found no causal link between acetaminophen use during pregnancy and autism, ADHD, or intellectual disability in children. Acetaminophen continues to be an important and safe option for managing pain and fever in pregnancy—conditions that can pose serious risks to pregnant patients and their fetuses if left untreated. Learn more about acetaminophen use during pregnancy: https://bit.ly/4mqIzWr

09/14/2025

Health Rounds: A mothers’ breastmilk supply may partly depend on genetics
By Nancy Lapid Updated September 12, 2025

Sept 12 (Reuters) - "Three genes have been identified that may influence a woman’s milk supply when she is trying to breastfeed, researchers say.
While the precise role of the genes isn’t clear yet, the findings “will pave the way for more research in the area of milk production… and future studies will assist in our understanding, diagnosis, and treatment of breastfeeding difficulties,” they wrote in a report published in Science Advances, click link here to access: https://www.science.org/doi/10.1126/sciadv.adr7174

In fresh breast milk samples donated by nine lactating people with low milk production, seven with high milk production, and 14 with normal milk production, the researchers analyzed the genetic makeup of milk fat globules and of cells that had come from the lining of the milk duct.
Low and high milk producers had differences in cell types and in levels of three genes called GLP1R, PLIN4, KLF10.
Because breastmilk delivers the mother's beneficial bacteria to the infant's intestines, the researchers also wanted to know whether genes affecting milk volume would also affect the health and variety of the baby's gut bacteria, which play a key role in immune, metabolic, and nervous system functions.
Mothers’ milk supply levels did not impact the babies’ intestinal bacteria, or microbiome, they found.
“These findings further support the messaging that individuals with low milk supply should be encouraged to continue partial breastfeeding to support healthy infant microbiome development,” the researchers said.

Reference:
Genomic characterization of normal and aberrant human milk production
Yarden Golan et al. ,Genomic characterization of normal and aberrant human milk production.Sci. Adv.11,eadr7174(2025). https://doi.org/10.1126/sciadv.adr7174

Abstract
Breastfeeding is essential for reducing infant morbidity and mortality, yet exclusive breastfeeding rates remain low, often because of insufficient milk production. The molecular causes of low milk production are not well understood. Fresh milk samples from 30 lactating individuals, classified by milk production levels across postpartum stages, were analyzed using genomic and microbiome techniques. Bulk RNA sequencing of milk fat globules (MFGs), milk cells, and breast tissue revealed that MFG-derived RNA closely mirrors luminal milk cells. Transcriptomic and single-cell RNA analyses identified changes in gene expression and cellular composition, highlighting key genes (GLP1R, PLIN4, and KLF10) and cell-type differences between low and high producers. Infant microbiome diversity was influenced by feeding type but not maternal milk production. This study provides a comprehensive human milk transcriptomic catalog and highlights that MFG could serve as a useful biomarker for milk transcriptome analysis, offering insights into the genetic factors influencing milk production."

https://www.reuters.com/business/healthcare-pharmaceuticals/health-rounds-mothers-breastmilk-supply-may-partly-depend-genetics-2025-09-12/

08/11/2025

This is an excellent demonstration of latch positioning!

From July 25th until August 10th I will be away on my annual family camping trip. I will not have cell phone service dur...
07/21/2025

From July 25th until August 10th I will be away on my annual family camping trip. I will not have cell phone service during this time. If you are in need of assistance please reach out to somebody from www.nhlactation.com, or you can call any local hospital lactation department. Peace, Love, Hermit Island!

07/14/2025

Today is the LAST DAY to get pre-approved insurance coverage for lactation services if you have BCBS/Anthem. If you are pregnant please sign up now. After today, all BCBS/Anthem patients will have to pay out of pocket for services, and then seek reimbursement.

I am still accepting United, Aetna, and Cigna plans- as well as any subsidiaries. This change was not my decision... BCBS dropped us ALL.

The Lactation Network

I am overbooked and firmly closed to new patients through August 18th. Please go to www.nhlactation.com to locate an alt...
07/12/2025

I am overbooked and firmly closed to new patients through August 18th. Please go to www.nhlactation.com to locate an alternative provider. Repeat clients please email for availability.

New Hampshire IBCLC Board Certified Lactation Consultants in Private Practice. Home Visits. Office Visitis. Telehealth.

IMPORTANT FOR BCBS PATIENTS: The Lactation Network is going out of network with all BCBS on July 14th. For new patients:...
07/02/2025

IMPORTANT FOR BCBS PATIENTS: The Lactation Network is going out of network with all BCBS on July 14th. For new patients: in order to have insurance coverage up front you will need to submit your TLN request before that date! For current patients: if you have approval currently you will not loose it. After July 14th all *new* BCBS plans will be private pay only- you can still get reimbursed, you just can't go through TLN.

https://go.lactationnetwork.com/NourishHolisticLactationSupport

My favorite coffee shop.
06/16/2025

My favorite coffee shop.

Just a reminder we have a Mom Club at the Bedford Location every Tuesday 9:30-11 am. Toddlers and all wee ones get a free mini cronut bite or free gluten free and vegan donut hole. And mom’s get 10% off. We can start one up at the Goffstown location too if y’all ask us to do it!!
🚀☕️COMMUNITY LIVES IN ITS ACTIONS🚀☕️

🗣️ NEW covered insurance carrier on the block! 🎉 Use The Lactation Network to check your Aetna coverage: https://go.lact...
05/15/2025

🗣️ NEW covered insurance carrier on the block! 🎉

Use The Lactation Network to check your Aetna coverage: https://go.lactationnetwork.com/NourishHolisticLactationSupport

This makes Blue Cross, Anthem, United, Cigna, First Health, Meritain, VA CCN, Sutter Health AND Aetna ALL covered insurers! (*select plans)

Address

460 State Route 101
Bedford, NH
03110

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About Me

Hello! My name is Sara Ann Hiland, and I am an International Board Certified Lactation Consultant. I am also a Registered Nurse, with most of my experience centered in Maternity Nursing, Newborn Nursing, and Neonatal Intensive Care Nursing. My passion for helping mothers with breastfeeding began shortly after the birth of my first child in 2012- my daughter, Adalynn. At the time I I did not have much knowledge of breastfeeding, nor did I have a very good support system. My daughter and I experienced some latching difficulties in the hospital that led to pumping, finger feeding, and ni**le shield usage.... and subsequently I had some problems with oversupply, with weaning her off the shield, and inevitably, with low milk supply. I struggled with not knowing what was normal, and what was not. I felt scared and alone and unsupported. Luckily, a friend of mine from a childbirth class that I had taken reached out, and she directed me to a couple of local nursing moms groups. I quickly found the support that I needed, and I. Was. Hooked.

In the spring of 2013 I completed coursework to become a Certified Lactation Counselor. Shortly there after I obtained my current RN position, working with moms, babies, and families postpartum. In December of 2014 I had my second child, Elijah. As a CLC and RN who worked with breastfeeding moms, I felt very well prepared to breastfeed this time. Little did I know, I was in for quite a struggle. I realized that something was really wrong almost right away. Every time my son nursed I was in agonizing pain. And he was ALWAYS hungry. ...He could not effectively exchange milk. I sought the help of the hospital lactation consultants, and my son's pediatrician, but everybody said "his latch looks good!". Upon learning of my struggles a good friend reached out with a recommendation to see a Private Practice IBCLC. She came to my home the very next day for a consultation, and she immediately knew what the problem was. My son had a thick and very restrictive posterior tongue tie. Within a few days we were in NY for a laser release. The difference in nursing him was remarkable right off the bat. From there we went on to battle numerous food intolerances and allergies, but in the end, with the help of my amazing IBCLC and a wonderful community of moms, we were able to overcome the allergies and nurse for over three years.

The limitless knowledge of the Private Practice IBCLC, her genuine desire to help me, and the benefits from all of the advice that she provided while I was having such a difficult time nursing my son, further fueled my fire to delve into the world of Lactation Consulting. I wanted to be Just. Like. Her. She was remarkable. So, while still nursing my son, I completed hundreds of hours of coursework and clinical experience, and in October of 2016 I passed the IBCLC board examination with one of the top scores of any candidate internationally.

In June of 2018 I was a NH Breastfeeding Taskforce award recipient for my work promoting, protecting, and supporting breastfeeding mothers in NH. That same day, I was asked if I would be willing to step in for a local Private Practice IBCLC, who was moving out of state. ...OF COURSE I would!