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On Health

Breastfeeding Challenges, Tongue Tie, & Trusting Your Instincts

On Health

Aviva Romm

Health & Fitness, Arts, Alternative Health, Medicine

4.81.4K Ratings

🗓️ 9 April 2025

⏱️ 74 minutes

🧾️ Download transcript

Summary

What if you already have what it takes to breastfeed your baby—and just need the right support to unlock it?

This question is at the heart of my conversation with Lisa Paladino, Certified Nurse Midwife, IBCLC, and a fierce advocate for women and babies. Lisa has decades of experience helping families navigate the powerful, joyous, and sometimes  confusing, emotional, and occasionally challenging terrain of breastfeeding.  Not just a brilliant clinician, but a graduate of both my Women’s Integrative and Functional Medicine and Herbal Medicine for Women training programs… and now, a lifelong friend.

Lisa is the passionate founder of Tongue Tie Experts. She’s spent decades supporting parents through the intense, sacred, and often confusing path of breastfeeding—especially when things don’t go as planned.

Lisa’s journey from hospital-based nurse and midwife to fierce advocate for women’s rights and breastfeeding education is one you won’t forget. And what we unpack in this conversation might change how you see everything from nipple pain to infant sleep—and even adult airway health.

In this episode, we dive into:

  • What exactly is an IBCLC—and why it matters
  • The silent struggle of mastitis, milk supply issues, and pain
  • How breastfeeding shapes your baby’s airway—and possibly lifelong health
  • The heartbreak of not making enough milk—and how to support yourself
  • Setting yourself up for breastfeeding success before the baby comes
  • Why so many moms stop breastfeeding before they want to—and how we can change that
  • And yes… we go there with nipple toughening myths, lactation cookies, pumping in broom closets, and airplane glares.

Because we’ve all been there—or know someone who has.

💬 Favorite Quotes:

“Breastfeeding is a vital sign of the infant-maternal dyad. If it’s not working, we need to ask why.” — Lisa Paladino

“We’re grown-ass women. Nobody should be telling us what we’re ‘allowed’ to do in birth or postpartum.” — Aviva Romm

In this episode, we dive into:

  • You deserve real, informed support—not just platitudes or formula handouts.
  • Breastfeeding might be “natural,” but that doesn’t mean it’s easy or intuitive.
  • Trusting your instincts is medicine.
  • Whether you breastfed for two years, two days, or not at all, you’re still a phenomenal mama.

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

The Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to avivaromm.com/mama-pathway to learn more

Mentioned in this episode:

The Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to https://avivaromm.com/mama-pathway to learn more

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here:...

Transcript

Click on a timestamp to play from that location

0:00.0

From the stuff your mother never told you to the stuff your doctor never learn,

0:09.0

on health is what happens when a midwife plus a Yale trained MD shares about all things

0:14.3

women's health. From periods to menopause, sex to reproductive health politics, motherhood

0:19.7

to mental health, join me for taboo-busting conversations

0:23.1

that demystify and destigmatize our bodies, all while bridging the gap between conventional

0:28.4

medicine and wellness. Along the way, we'll be exploring the science and wisdom of how our bodies

0:33.5

work, what makes us well, what gets in the way, and how we can live our best lives on our

0:39.2

terms. When it comes to women's health and well-being, there's nothing we won't talk about.

0:44.0

The new medicine for women is here. I'm Dr. Avivaram. Welcome to the podcast.

0:52.3

Hey, everybody.

0:57.7

Today is an especially wonderful moment for me because there's nothing more that I love than to be able to support and promote the incredible women who come through my online training programs that I feel so

1:13.6

privileged to get to meet.

1:15.6

And today is especially wonderful because Lisa Palladino, who is an international board

1:22.5

certified lactation consultant and certified nurse midwife, is a graduate of both the women's integrative medicine

1:28.9

training program and herbal medicine for women. But this is about Lisa. So let's talk about her

1:34.6

amazing things that she does. Her lactation practice, which is based in Staten Island, New York,

1:39.9

is concentrated on the issue of tongue tie, but she's also educated in functional medicine

1:44.8

and assist those struggling with hormonal, thyroid, milk supply, and fertility concerns.

1:50.7

She has worked for 28 years at Staten Island University Hospital before establishing her

1:56.0

private practice in 2015, first as an RN, then as a certified nurse midwife and an IBCLC, which if you don't know

2:03.6

what that is and didn't catch me saying it already, we're going to talk a lot about today.

2:07.7

At the hospital, Lisa co-founded and coordinated the breastfeeding initiative and worked in

...

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