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Katie Roche Podcasts

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Welcome to the podcast. I am your host, Katie Oshita, BSN, RN, IBCLC and infant feeding specialist. Quench your thirst for knowledge and travel with me across the nation to discover, learn, collaborate and better serve clients from all over the globe. Let’s ride and thrive together.
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The science that is needed to conserve everything from alpine meadows to great white sharks is covered here as we interview young and seasoned scientists that are passionate about their profession and what they are studying. The podcast is hosted by the Department of Ecology at Montana State University in beautiful Bozeman, Montana (the views expressed in this podcast do not necessarily reflect the views of the Department of Ecology or Montana State University).
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Weight is an important metric for growth and development with infants, but it is not as simple as it seems. There are different growth charts and metrics to decide if growth is adequate. In this episode Katie Oshita and Hope Lima discuss how weight needs to be discussed with colleagues and clients. Collaboration not competition is essential to supp…
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Norway has universal healthcare, but it doesn’t cover tongue ties. That means families in Norway struggling with infant feeding, airway and sleep issues need to pay out of pocket for functional releases. Dr Skallevold is not just a dentist but a specialist for oral function, airway health, and tongue ties. His practice supports patients of all ages…
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Development of the craniofacial bones impacts more than just face shape, but airway growth, nervous system regulation, and more. Chiropractic care can have a profound effect on the baby’s ability to have growth that supports their nervous system. Focusing on creating a system that not only educates parents but builds community to empower parents is…
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Slow gaining, faltering growth, failure to thrive- all of these are babies that are not getting optimal growth and development during the crucial early years. When you add in babies not stooling regularly and the effect of the microbiome, babies aren’t doing so great. In this episode Katie discusses how both weight and poop are common issues for ba…
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Birth and babies are a family affair in India. Families are large and support is deeply tied to the culture. Dr Shivika Agarwal and Katie Oshita discuss how family support impacts breastfeeding, what it’s like to be a release provider and an IBCLC, and how bias affects medicine. Listen here. Podcast Guest: Dr. Shivika Agarwal is a Senior Dental Con…
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Maternal and child health thrive with the right support. For over two decades, Dr. Manisha Gogri has combined her expertise as a medical doctor and IBCLC to guide families through pregnancy, birth, and breastfeeding. She pioneered one of Mumbai’s first pregnancy fitness programs and led lactation initiatives across India. She approaches care with a…
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Airway health is absolutely critical to growth and development. When our brain isn’t getting enough oxygen, we don’t sleep, grow or feel as good. Dr Roche and his wife Kate started the National Tongue Tie Center in Ireland 8 years ago to address this integral part of health. Now they see patients as a whole person, not just a part of their body. In…
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Breastfeeding in the Philippines is commonplace, yet lactation support is not. For 116 million people there are only 29 IBCLC's! Yet the breastfeeding rates are more than double compared to the US. In this episode Katie Oshita and Marj Sibayan discuss how breastfeeding and lactation care is in the Philippines and US. Podcast Guest: Dr. Maria Julita…
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Bodywork is an essential part of supporting dyads, and in this episode you will hear Katie Oshita discuss the how this works with Dr Martin Rosen and Dr Nancy Watson. Together they share what effective bodywork does, how this supports not just feeding but neurological development in infancy and early childhood. Podcast Guest: Dr. Martin Rosen and D…
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Starting a private practice is hard. While it's amazing to have so much control and autonomy, it can also be overwhelming to figgie out all the things that need to be done. In this episode Katie Oshita discusses starting a private practice, income, education and growth. If you are thinking about starting your own lactation private practice, this is…
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Babies may be super new humans but that doesn't mean they don't have tension and body restrictions. When there is a feeding difficulty, skilled bodywork combined with lactation support can be instrumental in achieving feeding function. For most families that means two appointments, yet those lucky enough to be working with Dr Emily Jones get both i…
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Four years ago this journey started as Katie Oshita, RN, BSN, IBCLC sold her house and started traveling the country in an RV. Now Katie is settled in western Washington but still "travels" virtually to meet with providers all over the world. This started as a way to get providers who are all supporting new families communicating and working togeth…
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Owning a small business often means wearing every hat, trying to do all the things. Marketing is especially tough if you don't know how to do it, or maybe it's hard to market it without feeling slimy as a healthcare provider. However in this episode Katie Oshita IBCLC and Katie Bridgewater, marketing expert for Perinatal professionals, discuss how …
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Lactation support should not be based on income bracket, however it frequently is. In this episode Katie Oshita and Elizabeth Montez-Garcia discuss how non-profit programs, such as Open Arms in Washington, can support indigenous families with lactation support. Podcast Guest: Elizabeth Montez (ILC, IBCLC) is an Anishinaabe and Latine lactation cons…
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Most parents in America are doing combination infant feeding- some direct breastfeeding, some pumped milk. Insurance covers breast pumps yet there isn't any consistency between pumps and flanges that come with pumps are grossly oversized for almost all parents. Listen here as Katie Oshita and Nichelle Clark discuss pumping in America. Podcast Guest…
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It's amazing how fast time goes. This podcast started as Katie Oshita began her traveling journey in an RV summer 2021. Katie traveled to 40 states, 3 Canadian provinces and met with many wonderful providers along the way. Then in 2023 Katie sold the RV and settled down in western WA. With this podcast Katie is still able to travel, tho most is vir…
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Spoiler alert‼️ It's NOT normal to pee when you sneeze, or when you jump or when you exercise! Not even after having babies. So many people are told that this is normal and just something they will have to live with. Thankfully there are knowledgeable PT's out there focusing on exactly this issue and more. Pelvic floor physical therapy is a special…
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Historically, having a baby was not a solitary endeavor. The partner was involved of course, but the parent's family, friends and whole community would come together to support not just the gestating parent but the whole family during this transition. As a midwife and IBCLC in Australia, Kellie Eason sees the consequences of lack of support for fam…
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Breastfeeding is universal, however the options for support are not. In the US an Osteopath has very different training than in Australia, where all Osteopaths are trained in Osteopathic Manual manipulation (OMM) unlike in the US where it's difficult to find an Osteopath with any manual training at all. In Australia there's also no prescribing from…
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Pregnancy and postpartum nutrition are not just helpful but essential to milk supply. Thyroid issues, PCOs, insulin resistance, gut microbiome dysfunction all cause problems in milk supply and nutritional status. Learn how working with an IBCLC RD can help to uncover those issues and get parental health, nutrition and milk supply on the right track…
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Learning about oral ties and airway dysfunction hasn't only helped Katie's clients and practice. Along the way Katie and her family have benefited from this knowledge. Since learning more about lip and buccal ties, Katie and her Kidds all had these released. Listen for details on why and the results. Podcast Host: Katie Oshita, RN, BSN, IBCLC has o…
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Craniosacral therapy (CST) is something that few people understand. CST comes from Osteopathy and is a gentle, rhythmic movement to support bones and the cerebrospinal fluid moving within us. CST is gentle and focuses heavily on the head. Meaghan Beames is not just a practitioner of CST, but a leader and teacher, who wants to help many more provide…
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Breastfeeding is universal and lactation support is needed everywhere. Katie Oshita and Kyrie Hickey discuss pumps, providers and paid time off in Australia and how those things differ with what's offered in the US. Listen here for more. Pocast Guest: Kyrie Hickey is an RN, RM and IBCLC from Brisbane, Australia. She has worked as a pediatric Burns-…
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Frenectomies are much more common now, there are more providers learning and doing releases. Rarely though does anyone discuss or offer a guided release, many don't even know what it is or how it's different. Dr Kundel has been doing guided releases with Dr Geis (Ep 79) for years, they have learned together how to feel and listen to each other to g…
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In this episode Katie Oshita and Karen Garcia discuss how bodywork and lactation work together. As a practitioner of Osteopathic Manual Manipulation (OMM) and lactation, Dr Garcia is in a unique place to combine the two fields to help the dyad thrive. From breast manipulation for mastitis to helping with body tension on tongue tied babies, Dr Garci…
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Ever wondered what happens at a lactation visit? What does an IBCLC do with the parent and the baby? What types of visits are there? What is different for a returning to work visit or a visit with a tongue tied baby? In this episode, Katie Oshita addresses these questions and more, going into detail to help you understand some of the many things th…
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It's not often you meet someone who has gone from a very allopathic profession to extremely holistic. Adina Popov lives in Romania and started her career as a Pharmacist. After having her children she felt passionate about lactation, studied and became an IBCLC. Still seeing so many dyads struggling with wellness prompted her to study traditional h…
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Breastfeeding is a universal biological right. It is what humans have been doing from the beginning of time. While it is biologically normal, that doesn't mean it's easy. Some places in the world have more support than others. Indonesia has very few IBCLC's, bodyworkers and release providers. Listen as Ingrid Siahaan and Katie Oshita discuss the jo…
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For many parents, exclusive breastfeeding is difficult and supplementation must happen. Many do what is referred to as "triple feeding" to breastfeed, bottle feed and then pump. It's exhausting and not sustainable long term. While many IBCLC's know about at breast supplementation, most are either too intimidated or not knowledgeable enough to teach…
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Most of the time sleep and breastfeeding feel like opposing forces, but they don't have to be. Joy MacTavish is an IBCLC and a holistic sleep consultant who supports families to balance both wants and needs of their growing family. Joy also supports many Queer families and addresses their unique needs. Listen as Joy MacTavish and Katie Oshita discu…
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In this episode, Katie Oshita addresses many of the topics new parents need to know about. From prenatal lactation to weaning, telehealth, and gut microbiome, lactation is a time of questions and concerns for most families. Many aren't even sure what to ask or when to seek support. If you have questions about skilled bodywork, galactagogues, or oth…
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Type 1 diabetes in infancy and toddler years is rare, but when it happens most families are not just encouraged but forced to wean from breastfeeding. Erin Hayden-Baldauf has personal and professional experience with breastfeeding a T1D baby, and has written a book about the challenges this brings. All IBCLC's supporting families need to know about…
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Breastfeeding, chest feeding, body feeding, bottle-feeding. There are many ways to feed an infant (this list doesn't even include cup feeding, finger feeding and more!). Gender diverse and queer families need unique support when expecting and as new parents. Their lactation consultant needs to be knowledgeable about inducing lactation with herbs or…
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Bottles are actually not an innate skill. Babies are born knowing how to breastfeed, and with many reflexes to support the process. However bottle are not like the breast (no matter how much the packaging claims it's "just like the breast") and it is a skill that needs to be taught and learned, by both parents and babies. Unfortunately most hospita…
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Being born is quite difficult and traumatic, even in the best of situations. It's hard- on both the parent and newborn. Chiropractic care helps get the dyad moving and feeling better, and this means breastfeeding better as well. Katie Oshita and Dr Rachel Kuperus discuss what skilled bodywork looks like for a newborn (**hint- it's not 5-10 min visi…
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Year 3 for podcasting is done! This year saw the end of constant traveling and instead a focus on international virtual travel. The recordings were with 10 IBCLC's, 4 Release providers, 4 Bodyworkers, 6 solo recordings, and 2 other providers. They spanned 6 countries- Ireland, Lithuania, Spain, Australia, Germany and Canada. Discussing and learning…
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Having a bodyworker with hands on during a release isn't popular, but it has profound results. Dr Michael Geis, an Osteopath trained in Osteopathic Manual Manipulation and Cranial Techniques and has chosen to specialize in oral ties after dealing with his own ties and those of his kids. During the residency in CT for the Holistic Lactation course, …
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In this episode Katie Oshita talks about how people aren’t healthy anymore- fertility rates are on the decline, pregnant patients are less healthy, children aren't healthy in their childhood anymore. Airway and movement dysfunction (snoo, swaddle, containers, then kids and adults sitting and not outside). There are toxins all around us- mold, Lyme,…
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OT and Lactation can have a very complementary relationship however, sadly it's frequently a complicated relationship instead. In this episode Katie Oshita and Nat Udwin discuss how IBCLCs and OTs can not only support each other but support families for better results. OT is all about skills to "do your job" which can mean work skills for an adult,…
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Tongue tie is not a US phenomenon. Tongue ties have been known about and treated for hundreds of years, but in the last decade the field has dramatically expanded. Part of that is more recognition, part is epigenetic changes causing more tongue ties, more vaulted palates, more narrow jaws than ever before. In this episdoe Katie Oshita and Dr Sheree…
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Most families in the US do some form of combination feeding, using bottles and frequently breast pumps. The sheer volume of new pumps, bottles, and other feeding supplies is enough to overwhelm most IBCLC's. To stay current on new equipment means either many hours researching, or taking a course from someone who did all the research and work alread…
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