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Episode 246:  Beyond the Latch: Understanding Lactation and Collaboration with Jeanne Pichoff, LOTR, IBCLC

This week on The Untethered Podcast, Hallie chats with Jeanne Pichoff, a seasoned pediatric occupational therapist and proud owner of Flourish Pediatric Therapy and Lactation LLC. With over 19 years of experience, Jeanne specializes in infant feeding, lactation support, and early intervention services. 

Join Hallie and Jeanne as they discuss why lactation credentials are an essential asset to any therapist working in infant feeding. They also talk about Failure To Thrive (FTT), poor weight gain and its causes, growth charts, weight, the role of tethered oral tissues and more! 

If this episode has resonated with you in some way, take a screenshot of you listening, post it to your Instagram Stories, and tag Hallie @halliebulkin and Jeanne @flourishpediatrictherapy

In this episode, you’ll hear:

  • Jeanne’s lactation and career journey
  • The importance of therapists having a baseline understanding of breastfeeding when working with infants and the need for collaboration with International Board Certified Lactation Consultants (IBCLCs)
  • Factors that can contribute to poor weight gain in infants
  • The need for a thorough assessment of both the mother and baby to determine the underlying causes of poor weight gain
  • The misconceptions of tongue tie releases 
  • Importance of ongoing support and therapy for feeding issues
  • The importance of setting goals based on the family’s needs and preferences and a collaborative and holistic approach to supporting breastfeeding dyads
  • Education and communication with parents and addressing individual circumstances rather than relying on generalizations
  • The growing awareness of tongue ties and caution against viewing it as a cure-all solution
  • The role of myofunctional therapy in oral function and feeding
  • Common misconceptions and harmful advice given to parents regarding breastfeeding
  • The importance of individualized care and collaboration between healthcare professionals



Pediatric feeding screenings are critical! All pediatric SLPs & OTs should know how to screen, even if you don’t work in ped feeding! 

If a child has a speech sound disorder and/or sensory feeding challenges there’s likely an oral motor deficit at play. We need to screen all of our pediatric patients to know if further evaluation is needed. Afterall, if additional services are needed, it’s our job to provide them and help our littlest patients function optimally! 

If you’re an SLP or OT (students welcome, too!), join Hallie and thousands of your SLP & OT colleagues for a FREE 5-day training and screen your first pediatric feeding patient. Over 20,348+ SLPs & OTs have already completed this free training. Now it’s YOUR TURN! 

Here’s what you’ll get:

  • Free training January 22-26, 2024: Hallie will bring the patients!
  • 5 Hours on a certificate of completion to count toward your renewal hours.
  • Opportunity to earn 1 of 5 Full Scholarships  [2 needs based] to the 12-week Feed The Peds® course
  • A free pediatric feeding screening packet.

Inside the free screening packet, you’ll find:

  • A pediatric development chart from birth to 36 months of age 
  • A checklist with the 50 most common symptoms 
  • A chart to easily organize findings & determine if further assessment is needed
  • A referral form to easily refer patients to other specialists, when needed

Doors to Feed The Peds® [the 12-week course] will be open 

January 29 – February 2, 2024! 

Bonus: enroll in the 12 week course and you’ll get the 5 hours from the free training for official ASHA and AOTA CEUs!


Get to know Jeanne more on Instagram and Facebook or visit her website:

Learn more about lactation and weight gain by joining her course here: . Use the code: UNTETHERED to get $30 off!

Join Hallie for the FREE 5-Day Training January 22-26, 2024 and get 5 hours on a certificate of completion::

Download your Free Screening Packet here:

Doors To Feed The Peds® open January 29th to February 2nd, 2024!  

Join the waitlist here:

Connect with Hallie on Instagram, Facebook & LinkedIN

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