Clary Sage Midwifery & Wellness

Clary Sage Midwifery & Wellness Clary Sage is Tonasket’s premier women’s health clinic.

Our Nurse Practitioner is a board Certified Nurse-Midwife with over 14 years of caring for families through pregnancy, illness, and wellness.

11/27/2025

In 2008, Katie Hinde stood in a California primate lab staring at hundreds of milk samples. Male babies got richer milk. Females got more volume. Science had missed half the conversation.
She was a postdoctoral researcher at the California National Primate Research Center, analyzing milk from rhesus macaque mothers. For months, she'd been measuring fat content, protein levels, mineral concentrations. The data showed something she hadn't expected: monkey mothers were producing completely different milk depending on whether they'd given birth to sons or daughters.
Sons received milk with higher concentrations of fat and protein—more energy per ounce. Daughters received more milk overall, with higher calcium levels. The biological recipe wasn't universal. It was customized.
Hinde ran the numbers again. The pattern held across dozens of mother-infant pairs. This wasn't random variation. This was systematic.
She thought about what she'd been taught in graduate school. Milk was nutrition. Calories, proteins, fats. A delivery system for energy. But if milk was just fuel, why would it differ based on the baby's s*x? Why would mothers unconsciously adjust the formula?
The answer shifted everything: milk wasn't passive. It was a message.
Hinde had arrived at this question through an unusual path. She'd earned her bachelor's degree in anthropology from the University of Washington, then completed her PhD at UCLA in 2008. While most lactation research focused on dairy cattle or developing infant formulas, Hinde wanted to understand what milk actually did in primate mothers and babies.
At UC Davis, she had access to the largest primate research center in the United States. She could collect milk samples at different stages of lactation, track infant development, measure maternal characteristics. She could ask questions that had never been systematically studied.
Like: why do young mothers produce milk with more stress hormones?
Hinde discovered that first-time monkey mothers produced milk with fewer calories but higher concentrations of cortisol than experienced mothers. Babies who consumed this high-cortisol milk grew faster but were more nervous and less confident. The milk wasn't just feeding the baby's body—it was programming the baby's temperament.
Or: how does milk respond when babies get sick?
Working with researchers who studied infant illness, Hinde found that when babies developed infections, their mothers' milk changed within hours. The white blood cell count in the milk increased dramatically—from around 2,000 cells per milliliter to over 5,000 during acute illness. Macrophage counts quadrupled. The levels returned to normal once the baby recovered.
The mechanism was remarkable: when a baby nurses, small amounts of the baby's saliva travel back through the ni**le into the mother's breast tissue. That saliva contains information about the baby's immune status. If the baby is fighting an infection, the mother's body detects the antigens and begins producing specific antibodies, which then flow back to the baby through the milk.
It was a dialogue. The baby's body communicated its needs. The mother's body responded.
Hinde started documenting everything. She collected milk from over 250 rhesus macaque mothers across more than 700 sampling events. She measured cortisol, adiponectin, epidermal growth factor, transforming growth factors. She tracked which babies gained weight faster, which were more exploratory, which were more cautious.
She realized she was mapping a language that had been invisible.
In 2011, Hinde joined Harvard as an assistant professor. She began writing about her findings, but she also noticed something troubling: almost nobody was studying human breast milk with the same rigor applied to other biological systems. When she searched publication databases, she found twice as many studies on erectile dysfunction as on breast milk composition.
The world's first food—the substance that had nourished every human who ever lived—was scientifically neglected.
She started a blog: "Mammals Suck...Milk!" The title was deliberately provocative. Within a year, it had over a million views. Parents, clinicians, researchers started asking questions. What bioactive compounds are in human milk? How does milk from mothers of premature babies differ from milk produced for full-term infants? Can we use this knowledge to improve formulas or help babies in NICUs?
Hinde's research expanded. She studied how milk changes across the day (fat concentration peaks mid-morning). She investigated how foremilk differs from hindmilk (babies with bigger appetites who nurse longer get higher-fat milk at the end of feeding). She examined how maternal characteristics—age, parity, health status, social rank—shaped milk composition.
In 2013, she created March Mammal Madness, a science outreach event that became an annual tradition in hundreds of classrooms. In 2014, she co-authored "Building Babies." In 2016, she received the Ehrlich-Koldovsky Early Career Award from the International Society for Research in Human Milk and Lactation for making outstanding contributions to the field.
By 2017, when she delivered her TED talk, she could articulate what she'd discovered across a decade of research: breast milk is food, medicine, and signal. It builds the baby's body and fuels the baby's behavior. It carries bacteria that colonize the infant gut, hormones that influence metabolism, oligosaccharides that feed beneficial microbes, immune factors that protect against pathogens.
More than 200 varieties of oligosaccharides alone. The baby can't even digest them—they exist to nourish the right community of gut bacteria, preventing harmful pathogens from establishing.
The composition is as unique as a fingerprint. No two mothers produce identical milk. No two babies receive identical nutrition.
In 2020, Hinde appeared in the Netflix docuseries "Babies," explaining her findings to a mass audience. She'd moved to Arizona State University, where she now directs the Comparative Lactation Lab. Her research continues to reveal new dimensions of how milk shapes infant outcomes from the first hours of life through childhood.
She works on precision medicine applications—using knowledge of milk bioactives to help the most fragile infants in neonatal intensive care units. She consults on formula development, helping companies create products that better replicate the functional properties of human milk for mothers who face obstacles to breastfeeding.
The implications extend beyond individual families. Understanding milk informs public health policy, workplace lactation support, clinical recommendations. It reveals how maternal characteristics, environmental conditions, and infant needs interact in real time through a biological messaging system that's been evolving for 200 million years—longer than dinosaurs.
Katie Hinde didn't just study milk. She revealed that the most ancient form of nourishment was also the most sophisticated. What science had treated as simple nutrition was actually a dynamic, responsive communication between two bodies—a conversation that shapes human development one feeding at a time.

Exciting changes coming up for my North county clients!
11/27/2025

Exciting changes coming up for my North county clients!

For all the mommas.
11/27/2025

For all the mommas.

11/25/2025
More good news from the American Association of Birth Centers.
11/20/2025

More good news from the American Association of Birth Centers.

NYTimes Letter to the Editor ✒️

Many of you may have already seen the NY Times article "The ‘Worst Test in Medicine’ is Driving America’s High C-Section Rate" (https://www.nytimes.com/2025/11/06/health/electronic-fetal-monitoring-c-sections.html?unlocked_article_code=1.108.XT6J.Y2YuWc0Xc01e&smid=url-share ).
AABC sent a Letter to the Editor in response! Since our letter did not get published, we wanted to share it with you all here.
----------------
Dear Editor,

Thank you for highlighting the overreliance on continuous electronic fetal monitoring (EFM) and its role in rising Cesarean rates.

There is a solution to this epidemic. Midwifery-led birth centers use intermittent fetal monitoring instead of continuous EFM. They are an evidence-based model that delivers outcomes comparable to those of the top nations globally by offering holistic, family-centered care that protects and empowers patients, thereby enhancing both physical and mental well-being in our community.

Birth centers are fully integrated into the healthcare system and guided by principles of prevention, safety, appropriate medical intervention, and cost-effectiveness. While midwifery care can occur elsewhere, birth centers are unique in offering this dedicated, physiologic model.
Outcomes speak for themselves:
-Cesarean rates under 6%
-NICU admissions less than half the national average
-Low rates of interventions with superior overall outcomes

These results demonstrate the clinical excellence and fiscal prudence of the birth center model, reducing complications and costs while maintaining world-standard safety, lowering maternal mortality risk, and prioritizing maternal autonomy and satisfaction.

Respectfully,
Kate Bauer
Executive Director
American Association of Birth Centers
Perkiomenville, PA

Physiologic birth is not the same as “unmedicated” birth. Often times, an admit NST just to “check on the baby” (only 20...
11/20/2025

Physiologic birth is not the same as “unmedicated” birth. Often times, an admit NST just to “check on the baby” (only 20 minutes) becomes continuous monitoring. On a conscious level, many moms don’t have a reason for avoiding a “non-invasive” test, but subconsciously, the wires, the noise, and the pressure create biofeedback (programming the body to be more stressed than it needs to be in labor).

An admit to our birth center does not include routine monitoring from a machine. We do NSTs (non stress tests) in late pregnancy as indicated. And clients in my care can expect their midwife to be present through the entirety of labor.

Check out the Times article here: https://www.nytimes.com/2025/11/06/health/electronic-fetal-monitoring-c-sections.html

And see the American College of Nurse-Midwives unpublished response below.

At Clary Sage Midwifery & Wellness, we are dedicated to providing you with exceptional care tailored to your unique need...
10/01/2025

At Clary Sage Midwifery & Wellness, we are dedicated to providing you with exceptional care tailored to your unique needs. Whether you are due for a routine check-up, need support with reproductive health, or are seeking guidance through pregnancy or menopause, We are here for you.

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Tonasket, WA
98855

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