Rachel O'Brien, MA, IBCLC, PMH-C

Includes video reference library and individual feedback from Rachel!

Access through September 9th, 2024

Open to learners carrying a valid lactation credential.
Other registrants are subject to refund minus a $50 processing fee.
Contact us if you have questions about your eligibility.

Guiding Bottle Breakthroughs

Bottle refusal seems to have skyrocketed in the past few years, leaving parents confused, anxious and awash in harmful or even dangerous advice from other parents and even medical professionals. 

As lactation professionals, we can help! 
Write your awesome label here.


Students will learn how the WHO Code and IBLCE codes relate to bottles and bottle feeding, how infant oral function relates to bottle feeding, how to identify the types of bottles that will best help each individual baby, and how to support the family through the process of creating a "bottle breakthrough" for their baby using a proven method that combines oral function exercises, feeding guidelines, and ongoing support.

By the end of this dynamic course learners will be able to confidently consult with families on bottle refusal issues and bottle feeding challenges, make appropriate recommendations based on the baby's needs, and refer baby up & out to the appropriate care providers when needed.

Meet your instructor

Rachel O'Brien, MA, IBCLC PMH-C

Rachel O'Brien is an IBCLC with a MA in human lactation who runs a busy private practice in Boston and specializes in bottle refusal. Rachel works 1:1 with families to help their babies learn to eat from the bottle, without tears.

Rachel will be giving individual feedback to assess your learning!

"I love it when the confusion clears and the families I work with realize that they know more than they think they do, and that their instincts are almost always right!"
Empty space, drag to resize
Rachel began her specialization in bottle refusal in 2019 and when the pandemic hit Rachel realized that bottle refusal had become a much more widespread feeding problem. Rachel developed a method for teaching parents how to re-frame their baby's "bottle refusal" and to work with their baby instead of against them. Rachel does 1:1 bottle refusal visits both in her office and virtually, and has worked with families across the USA and internationally. Rachel has presented on bottle refusal at national conferences and is known among parents and other professionals as a bottle wizard.  

Rave Reviews for Rachel

Rachel is such a great presenter. Her passion is palpable and contagious. I'm very grateful for the handout that was included with the presentation

Jess, CLC, CBS

Rachel has always been my go-to for concise, ethical, compassionate education about bottle feeding. 

 Johanna Sargeant, BEd, BA, IBCLC

I have read Rachel O'Brien's blogs one bottle use, and send my clients to these blogs as this is one of my strengths I am developing. Being reminded about certain aspects of compliance with the WHO Code and our Scope of practice was also a bonus. 

Joanna Jaquette RN, IBCLC

Bonus Content!

  • how to tailor your approach to virtual consults
  • exclusive suck training videos that you can share with your clients (these aren't posted publicly anywhere)
  • ethical marketing so you don't have to fear the WHO Code police
  • video library for quick reference to the oral exercises Rachel teaches you
  • Rachel's proprietary intake, charting, and care plan templates
  • self study with feedback from Rachel
Write your awesome label here.

Includes a real bottle refusal consult

Rachel O'Brien has structured Guiding Bottle Breakthroughs to lead up to a full bottle refusal consult with a real family in real time. Watch and learn as Rachel implements everything she's taught you in this 11 CERP course, including:
  • why parents need bottles (hint: it's not just about work)
  • everything to ask in a bottle refusal intake form
  • what baby assessments are crucial for understanding the whys of bottle refusal

  • how to teach the specific oral exercises for exactly what this baby needs
  • choosing the right bottles and nipples on a case-by-case basis
  • writing the perfect care plan to support families to reach their bottle feeding goals
Write your awesome label here.

Includes instructor feedback!

Knowledge Gap

Understanding why babies "refuse" bottles and how to guide families through teaching their baby to effectively feed from the bottle



Students will know the reasons babies refuse bottles, and will be able to educate these issues to families to empower them to work WITH their babies and not AGAINST their babies by teaching about oral function, and guiding parents to understand what is causing the problem.


Students will be equipped to bust common bottle refusal myths that are dangerous for babies and stressful for parents, allowing parents to feel confident in the process and assured that their baby will not be harmed.


Students will be prepared to offer bottle refusal consults to their clients including a care plan and expectations for follow-up within a set time frame.

IBLCE Content Outline Areas

I Development and Nutrition

I A 1 feeding behaviors at different ages
I A 3 infant anatomy and anatomical/oral challenges
I A 7 normal infant behaviors
I A 10 skin tone, muscle tone, reflexes
I A 11 term development and growth 

III Pathology

III A 1 ankyloglossia
III A 3 congenital anomalies

V Psychology, Sociology, and Anthropology

V A Transition to Parenthood
V D Employment- beginning or returning to work
V E Family lifestyle
V G Maternal mental health
V H Maternal psychological/cognitive issues
V I Breastfeeding dyad relationship

VI Techniques

VI E Milk expression
VI G Refusal of bottle

VII Clinical Skills

VII A 1 feeding devices
VII A 5 Pumps
VII B 1 Active listening
VII B 2 anticipatory guidance
VII B 3 care plan development and sharing
VII B 4 Educating mothers and families
VII B 6 Emotional support
VII B 7 Empowerment
VII E 1 Advocate for BFHI
VII E 3 Advocate for mother/infant in health care system
VIII C 2 Clinical Competencies
VIII C 3 Code of Professional Conduct (CPC)
VIII C 5 WHO Code- advocacy and policy
VII D 1 Apply evidence based practice
VII E 2 Advocate for compliance with World Health Organization International Code of Marketing of Breast-milk Substitutes (WHO Code)

Course contents

Open to learners carrying a valid lactation credential. Other registrants are subject to refund minus a $50 processing fee. Contact us if you have questions about your eligibility.
Guaranteed Security using one of the most advanced encrypted systems on the market.
The information in this page is being processed and encrypted securely using industry-leading encryption and fraud prevention tools.