Northbay Midwife

Northbay Midwife Licensed homebirth midwife Susanna Napierala provides natural birth services in the comfort of your Assist with all your childbirth needs.

Homebirth Midwifery Services in Sonoma, Napa, Marin, Solano, and Mendocino counties. Specializing in water birth and holistic care.

Breast milk has so many different properties that babies need. Please read and share.
12/05/2025

Breast milk has so many different properties that babies need. Please read and share.

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.

10/30/2024

Something very strange is going on in my FB account on my computer. Both my business and personal account have been shut down. But I can still use FB on my phone. It won’t let me fix it. HELP. I’m just a midwife. I’m not posting anything that deserves the shut down!!!

With Bloom Waterbirth and Wellness Center – I just got recognized as one of their top fans! 🎉
09/14/2024

With Bloom Waterbirth and Wellness Center – I just got recognized as one of their top fans! 🎉

I had a wonderful time with Napa Moms at the Easter Egg Hunt   Lots of kiddos having fun hunting  Easter eggs
04/12/2023

I had a wonderful time with Napa Moms at the Easter Egg Hunt Lots of kiddos having fun hunting Easter eggs

It is International Women's Day!!!  Lets stand together and  make this a better world for our children and grandchildren...
03/08/2023

It is International Women's Day!!! Lets stand together and make this a better world for our children and grandchildren. Help one another to stand up for women's rights with equal pay and good health care especially during the perinatal period. Honor the women whose shoulders we stand upon.

I had an awesome time with these two moms who are sister-in-laws and their children.  They all live on the same property...
03/08/2023

I had an awesome time with these two moms who are sister-in-laws and their children. They all live on the same property. It is so idyllic for the cousins growing and playing together. Oh ! And I was the midwife for all those cuties!!!! www.northbaymidwife.com

It’s cold!!!  Woke up this morning to see snow on Sugar Loaf. Mayacamas. Mountains
02/24/2023

It’s cold!!! Woke up this morning to see snow on Sugar Loaf. Mayacamas. Mountains

Getting to know the mother in her home environment and gaining her trust is so important.  This is why when families hir...
02/20/2023

Getting to know the mother in her home environment and gaining her trust is so important. This is why when families hire me I can promise them that I will be there with them. I do not take shifts with others. I get to know you and will be with you to tune into what you need. This is midwifery.

The Birth of Reese 07-06-2017 I was 41 weeks pregnant and was feeling very eager and impatient for the labor process to begin. On Thursday, July 6, I lost my mucus plug. Several hours later, the early hours of Friday morning, I was awakened with some contractions

Working with medical doctors can sometimes be tricky.  But not this family.  They had such an innate trust in the body’s...
02/18/2023

Working with medical doctors can sometimes be tricky. But not this family. They had such an innate trust in the body’s natural ability to give birth. She gave birth with no fear Our cultural fear of childbirth stands in the way of women while in labor. We need to learn to trust our bodies! www.northbaymidwife.com

When my wife was in her last semester of medical school we found out we were pregnant, only three months after our wedding. To us as doctors, safety and kindness during a birth are essential for all women. This led us to choose Susanna as our midwife. We want to say Susanna Napierala was a blessing

The Hounds Tongue is blooming.  Early signs of Spring.  Renewal ! Rebirth!!!  New life on the planet.  Lots of babies co...
02/17/2023

The Hounds Tongue is blooming. Early signs of Spring. Renewal ! Rebirth!!! New life on the planet. Lots of babies coming after the cold rainy winter. I’m really blessed to be a part of this circle of life.
Www.northbaymidwife.com

VBACs are so fantastic!!!  They are triumphant!!!   So empowering!!!   Mothers feel such satisfaction and completion aft...
02/14/2023

VBACs are so fantastic!!! They are triumphant!!! So empowering!!! Mothers feel such satisfaction and completion after a VBAC.

Successful Homebirth with no tears!

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1146 Kenilworth Road
Kenwood, CA
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