Casey Rosen-Carole, MD, MPH, MSEd, NABBLM-C, FABM, is the Founding Chief of the Division of Breastfeeding and Lactation Medicine at the University of Rochester in New York, USA—the first such division in the world. She completed her training in pediatrics at Yale University, followed by fellowship training in general academic pediatrics and breastfeeding medicine under the renowned Dr. Ruth Lawrence at the University of Rochester. Having served on the inaugural board of the North American Board of Breastfeeding and Lactation Medicine, she is currently completing the second of two terms on the board of the Academy of Breastfeeding Medicine.
Dr. Rosen-Carole established and currently directs the LILAC Fellowship, the only NABBLM-certified fellowship in breastfeeding and lactation medicine, as well as the University of Rochester’s in-person departmental fellowship. As a consultant to the Human Lactation Study Center and the Finger Lakes Environmental Health Center, she provides expert guidance on complex breastfeeding cases and concerns from across the globe.
Dr. Rosen-Carole served as a writer and associate editor for the 9th Edition of Lawrence’s Breastfeeding: A Guide for the Medical Profession and is co-editor of the forthcoming 10th Edition. She is widely published across a broad range of topics critical to breastfeeding and lactation management. Her current scholarly focus includes the development and implementation of best practices for the care of lactating families, as well as the advancement and dissemination of postgraduate education in breastfeeding and lactation medicine.
She practices inpatient and outpatient breastfeeding and lactation medicine, helping families with problems as varied as low milk production, recurrent inflammation, and breastfeeding in the context of maternal disease. Dr. Rosen-Carole manages infant oral restrictions, using both scissors and CO2 laser techniques. In her clinical work, she especially enjoys guiding new families through the changes that are associated with parenthood and growing a family.
Outside of work, she enjoys camping, hiking, and canoeing with her blue heeler.

Certified Specialties

Pediatrics - American Board of Pediatrics

Faculty Appointments

Associate Professor - Department of Pediatrics, Breastfeeding & Lactation Medicine (SMD)

Associate Professor - Department of Obstetrics and Gynecology (SMD) - Joint

Connect with Casey Rosen-Carole, M.D., M.P.H., M.Ed.

Division of Breastfeeding & Lactation Medicine

Credentials

Residency & Fellowship

Fellowship, Pediatrics, University of Rochester Medical Center. 2014 - 2016

Residency, Pediatrics, Yale New Haven Hospital. 2006 - 2008

Internship, Pediatrics, Yale New Haven Hospital. 2005 - 2006

Education

MS | Margaret Warner Graduate School of Education & Human Development. 2016

MD | New York Medical College. 2005

Awards

Dean's Teaching Fellow. 2020 - 2022

IBCLC Care Award for UR Medicine. 2019

Ruth A. Lawrence Academic Faculty Service Award in Clinical Service. 2019

Top Submission of an Abstract and Travel Award. 2016

Best Platform Presentation. 2016

Special Recognition Award. 2014

Favorite Doctor and Healthcare Professional. 2013

Achievement in Research Award. 2013

Yale/Stanford Johnson and Johnson Physician Scholar. 2007

Advocacy Award for contributions to CT children. 2007

Charlotte D. Yudell, M.D. '33 Memorial Award. 2005

Magna Cum Laude, Dean's List for Academic Excellence. 2000

1st place Southeastern Conference. 1997 - 2000

Research

Dr. Rosen-Carole's research focus is in systems change for breastfeeding education and support; she is currently investigating the role of stress in mothers whose infants are admitted to the NICU. Other areas of interest include community organizing to address social determinants of health, programm...

Publications

Journal Articles

Seven Years of Breastfeeding Consultations at the National Lactation Study Center-June 2018 to December 2024.

Perez-D'Gregorio R, Rosen-Carole CB, Chiu A, Burtner M, Jee SH, Miller RK

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2025 September 18 Epub 09/18/2025.

A National Survey of U.S. Prescribing Clinicians Who Practice Breastfeeding and Lactation Medicine in Outpatient and Inpatient Healthcare Settings.

Nardella D, Rosen-Carole C, Colmenares Castaño M, Hernández-Aguilar MT, Young M, Swisher Rosa E, Sharifi M, Shabanova V, Standish K

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2025 September 9 Epub 09/09/2025.

Current Scope of Practice for Breastfeeding and Lactation Medicine Physicians and Providers: Description of an Emerging Subspecialty.

Rosen-Carole CB, Prieto E, AlHreashy F, AlJaafar F, Cornelio MC, DeLeon C, Hernandez-Aguilar MT, Paz MJ, Kariuki C, LeFort Y, Mansovsky M, Seo T, Strassman R, Tanaka N, Kellams A

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2025 September 20 (9):601-614. Epub 08/11/2025.

Development of a Breastfeeding and Lactation Medicine Division Over a Seven-Year Period: An Homage to Dr Ruth A. Lawrence.

Rosen-Carole CB, Burtner M, Dozier A, Garver L, Hartman S, Jack A, Jarvinen K, Ly-Mapes O, Palmiter K, Perez-D'Gregorio R, Young BE

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2025 March 20 (3):175-186. Epub 01/03/2025.

Recurrent Nipple Duct Obstruction in Two Breastfeeding Patients: A Case Report and Discussion of the Underlying Pathophysiology.

Sadovnikova A, Greenman S, Young B, Rosen-Carole C

Journal of mammary gland biology and neoplasia.. 2025 February 130 (1):2. Epub 02/01/2025.

Tongue-tie in the Neonatal Intensive Care Unit Compared to Healthy Newborns.

McKenna MK, Rosen-Carole C, Burtner M, Wilson JL, Greenman S, Shah S, Allen P

The Laryngoscope.. 2024 December 134 (12):5152-5159. Epub 07/18/2024.

Academy of Breastfeeding Medicine Clinical Protocol #19: Breastfeeding Promotion in the Prenatal Period (Revised 2024).

Jack A, Mullin C, Brown E, Burtner M, Standish KR, Fields A, Rosen-Carole C, Hartman S

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2024 August 19 (8):575-587. Epub 1900 01 01.

The Rights of Physicians and Future Physicians Who Are Lactating, Breastfeeding, or Chestfeeding: An American Medical Women's Association Position Article.

Patel VJ, Clark B, Thachil R, Rosen-Carole C, Godcharles C, Kumar D, Gebhard R,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2024 July 19 (7):568-572. Epub 04/16/2024.

Association between maternal stress and premature milk cortisol, milk IgA, and infant health: a cohort study.

Rosen-Carole CB, Greenman S, Wang H, Sonawane S, Misra R, O'Connor T, Järvinen K, D'Angio C, Young BE

Frontiers in nutrition.. 2024 11 :1270523. Epub 03/06/2024.

Transfer of Injected Triamcinolone into Human Milk of a Lactating Patient Suffering from Idiopathic Granulomatous Mastitis.

Rosen-Carole C, Datta P, Palmiter K, Starks K, Hale TW

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2023 January 18 (1):74-77. Epub 1900 01 01.

Rosen-Carole CB, Coyle L, Eglash A, Leeper K, Long S, Louis-Jacques A, Michels L, Sriraman N, Stehel EK

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2022 July 17 (7):553-563. Epub 1900 01 01.

Association of Human Milk Antibody Induction, Persistence, and Neutralizing Capacity With SARS-CoV-2 Infection vs mRNA Vaccination.

Young BE, Seppo AE, Diaz N, Rosen-Carole C, Nowak-Wegrzyn A, Cruz Vasquez JM, Ferri-Huerta R, Nguyen-Contant P, Fitzgerald T, Sangster MY, Topham DJ, Järvinen KM

JAMA pediatrics.. 2022 February 1176 (2):159-168. Epub 1900 01 01.

Prenatal Provider Breastfeeding Toolkit: Results of a Pilot to Increase Women's Prenatal Breastfeeding Support, Intentions, and Outcomes.

Rosen-Carole C, Halterman J, Baldwin CD, Martin H, Goldstein NPN, Allen K, Fagnano M, Widanka H, Dozier A

Journal of human lactation : official journal of International Lactation Consultant Association.. 2022 February 38 (1):64-74. Epub 04/06/2021.

Who Makes the Choice: Ethical Considerations Regarding Instituting Breastfeeding in a Mother Who Has Compromised Mental Capacity.

Narang C, Rosen-Carole C, Miller RK, Perez-D'Gregorio R, Shaw MH, Schaffer S, Jee SH

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2021 August 16 (8):603-606. Epub 04/19/2021.

Academy of Breastfeeding Medicine Position Statement and Guideline: Infant Feeding and Lactation-Related Language and Gender.

Bartick M, Stehel EK, Calhoun SL, Feldman-Winter L, Zimmerman D, Noble L, Rosen-Carole C, Kair LR

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2021 August 16 (8):587-590. Epub 07/27/2021.

Using Brexanolone for Postpartum Depression Must Account for Lactation.

Rosen-Carole C, Ito S

Maternal and child health journal.. 2021 July 25 (7):1007-1009. Epub 05/21/2021.

Upper Lip Tie: Anatomy, Effect on Breastfeeding, and Correlation With Ankyloglossia.

Shah S, Allen P, Walker R, Rosen-Carole C, McKenna Benoit MK

The Laryngoscope.. 2021 May 131 (5):E1701-E1706. Epub 10/02/2020.

ABM Clinical Protocol #14: Breastfeeding-Friendly Physician's Office-Optimizing Care for Infants and Children.

Vanguri S, Rogers-McQuade H, Sriraman NK,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2021 March 16 (3):175-184. Epub 02/10/2021.

Characterization of SARS-CoV-2 RNA, Antibodies, and Neutralizing Capacity in Milk Produced by Women with COVID-19.

Pace RM, Williams JE, Järvinen KM, Belfort MB, Pace CDW, Lackey KA, Gogel AC, Nguyen-Contant P, Kanagaiah P, Fitzgerald T, Ferri R, Young B, Rosen-Carole C, Diaz N, Meehan CL, Caffé B, Sangster MY, Topham D, McGuire MA, Seppo A, McGuire MK

mBio.. 2021 February 912 (1)Epub 02/09/2021.

Milk From Women Diagnosed With COVID-19 Does Not Contain SARS-CoV-2 RNA but Has Persistent Levels of SARS-CoV-2-Specific IgA Antibodies.

Pace RM, Williams JE, Järvinen KM, Meehan CL, Martin MA, Ley SH, Barbosa-Leiker C, Andres A, Yeruva L, Belfort MB, Caffé B, Navarrete AD, Lackey KA, Pace CDW, Gogel AC, Fehrenkamp BD, Klein M, Young BE, Rosen-Carole C, Diaz N, Gaw SL, Flaherman V, McGuire MA, McGuire MK, Seppo AE

Frontiers in immunology.. 2021 12 :801797. Epub 12/23/2021.

COVID-19 and human milk: SARS-CoV-2, antibodies, and neutralizing capacity.

Pace RM, Williams JE, Järvinen KM, Belfort MB, Pace CD, Lackey KA, Gogel AC, Nguyen-Contant P, Kanagaiah P, Fitzgerald T, Ferri R, Young B, Rosen-Carole C, Diaz N, Meehan C, Caffe B, Sangster MY, Topham DJ, McGuire MA, Seppo A, McGuire MK

medRxiv : the preprint server for health sciences.. 2020 September 18 Epub 09/18/2020.

ABM Clinical Protocol #33: Lactation Care for Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Plus Patients.

Ferri RL, Rosen-Carole CB, Jackson J, Carreno-Rijo E, Greenberg KB,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2020 May 15 (5):284-293. Epub 04/24/2020.

ABM Clinical Protocol #32: Management of Hyperlactation.

Johnson HM, Eglash A, Mitchell KB, Leeper K, Smillie CM, Moore-Ostby L, Manson N, Simon L,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2020 March 15 (3):129-134. Epub 02/06/2020.

Prenatal Provider Support for Breastfeeding: Changes in Attitudes, Practices and Recommendations Over 22 Years.

Rosen-Carole C, Allen K, Thompson J, Martin H, Goldstein N, Lawrence RA

Journal of human lactation : official journal of International Lactation Consultant Association.. 2020 February 36 (1):109-118. Epub 03/06/2019.

Bedsharing and Breastfeeding: The Academy of Breastfeeding Medicine Protocol #6, Revision 2019.

Blair PS, Ball HL, McKenna JJ, Feldman-Winter L, Marinelli KA, Bartick MC,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2020 January 15 (1):5-16. Epub 01/07/2020.

ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate-Revised 2019.

Boyce JO, Reilly S, Skeat J, Cahir P,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2019 September 14 (7):437-444. Epub 08/13/2019.

ABM Clinical Protocol #30: Radiology and Nuclear Medicine Studies in Lactating Women.

Mitchell KB, Fleming MM, Anderson PO, Giesbrandt JG,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2019 June 14 (5):290-294. Epub 05/20/2019.

ABM Clinical Protocol #30: Breast Masses, Breast Complaints, and Diagnostic Breast Imaging in the Lactating Woman.

Mitchell KB, Johnson HM, Eglash A,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2019 May 14 (4):208-214. Epub 03/20/2019.

Educational Objectives and Skills for the Physician with Respect to Breastfeeding, Revised 2018.

Meek JY,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2019 14 (1):5-13. Epub 01/07/2019.

ABM Clinical Protocol #7: Model Maternity Policy Supportive of Breastfeeding.

Hernández-Aguilar MT, Bartick M, Schreck P, Harrel C,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2018 November 13 (9):559-574. Epub 1900 01 01.

Mothers' Concerns for Personal Safety and Privacy While Breastfeeding: An Unexplored Phenomenon.

Rosen-Carole C, Allen K, Fagnano M, Dozier A, Halterman J

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2018 April 13 (3):181-188. Epub 02/28/2018.

Defining Tip-Frenulum Length for Ankyloglossia and Its Impact on Breastfeeding: A Prospective Cohort Study.

Walker RD, Messing S, Rosen-Carole C, McKenna Benoit M

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2018 April 13 (3):204-210. Epub 03/20/2018.

Low-Level Prenatal Toxin Exposures and Breastfeeding Duration: A Prospective Cohort Study.

Rosen-Carole CB, Auinger P, Howard CR, Brownell EA, Lanphear BP

Maternal and child health journal.. 2017 December 21 (12):2245-2255. Epub 1900 01 01.

Response to Ward et al. re: "ABM Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Neonate, Revised 2017".

Kellams AL, Harrel C, Omage S, Gregory C, Rosen-Carole C, Noble L

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2017 November 12 (9):575-576. Epub 10/23/2017.

ABM Clinical Protocol #15: Analgesia and Anesthesia for the Breastfeeding Mother, Revised 2017.

Reece-Stremtan S, Campos M, Kokajko L,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2017 November 12 (9):500-506. Epub 08/08/2017.

ABM Clinical Protocol #8: Human Milk Storage Information for Home Use for Full-Term Infants, Revised 2017.

Eglash A, Simon L,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2017 September 12 (7):390-395. Epub 06/29/2017.

ABM Clinical Protocol #22: Guidelines for Management of Jaundice in the Breastfeeding Infant 35 Weeks or More of Gestation-Revised 2017.

Flaherman VJ, Maisels MJ,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2017 June 12 (5):250-257. Epub 04/10/2017.

ABM Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Neonate, Revised 2017.

Kellams A, Harrel C, Omage S, Gregory C, Rosen-Carole C

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2017 May 12 :188-198. Epub 03/15/2017.

ABM Clinical Protocol #27: Breastfeeding an Infant or Young Child with Insulin-Dependent Diabetes.

Miller D, Mamilly L, Fourtner S, Rosen-Carole C

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2017 March 12 :72-76. Epub 01/30/2017.

Medical Directors of Breastfeeding Programs at Academic Medical Centers: Duties and Challenges.

Rosen-Carole CB

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2017 12 :58-62. Epub 11/28/2016.

Assessing the Efficacy of a Breastfeeding-Friendly Quality Improvement Project in a Large Federally Qualified Health Center Network.

Rosen-Carole C, Waltermaurer E, Goudreault M, Larimer A, Pokharel-Wood M, Rajupet S, Kouba N

Journal of human lactation : official journal of International Lactation Consultant Association.. 2016 August 32 (3):489-97. Epub 10/23/2015.

Treatment of Narcolepsy with Sodium Oxybate While Breastfeeding: A Case Report.

Gashlin LZ, Sullo D, Lawrence RA, Rosen-Carole C

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2016 June 11 (5):261-3. Epub 04/08/2016.

ABM Clinical Protocol #19: Breastfeeding Promotion in the Prenatal Setting, Revision 2015.

Rosen-Carole C, Hartman S,

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.. 2015 December 10 (10):451-7. Epub 1900 01 01.

"Intramedullary Spinal Cord Metastasis Presenting With Acute Quadriparesis: A Case Report." The Internet Journal of Family Practice. 2005.4(2):2.

Sethi N; Braitsch CC; Torgovnick J, et al.

The Internet Journal of Family Practice. 2005; 4(2): 2.

Intramedullary Spinal Cord Metastasis Presenting With Acute Quadriparesis: A Case Report.

Sethi N*; Braitsch CC; Torgovnick J; et al.

The Internet Journal of Family Practice. 2005; 2: 2.

Books

Breastfeeding: A Guide for the Medical Professional (2021)

Chapter: Appendix K: Medical Education for Basic Proficiency in Breastfeeding

Authors: Rosen-Carole, CB.

Publisher: Elsevier 2021

Breastfeeding : a guide for the medical profession (2021)

Authors: edited by Ruth A. Lawrence, Robert M. Lawrence ; associate editors, Lawrence Noble, Casey Rosen-Carole, Alison M. Stuebe. Lawrence, Ruth A., 1924- author, editor.; Lawrence, Robert M., 1951-; Noble, Lawrence; Rosen-Carole, Casey; Stuebe, Alison M.

Publisher: Philadelphia, Pennsylvania : Elsevier 2021

Neurological Diseases and Pregnancy: A Coordinated Care Model of Best Management. (2018)

Chapter: Breastfeeding in the Context of Neurological Disorders.

Authors: Lawrence R, Rosen-Carole CB

Publisher: Oxford University Press 2018

Ratings & Comments

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Ratings

Care provider's discussion of any proposed treatment (options, risks, benefits, etc.)

5.0

Likelihood of recommending this care provider to others

4.9

Explanations the care provider gave you about your problem or condition

4.9

Care provider's efforts to include you in decisions about your care

5.0

Concern the care provider showed for your questions or worries

5.0

Patient Comments

5.0

The doctor was very thorough and was receptive to questions and gave thoughtful answers

Sep 17, 2025

5.0

I was so impressed by both the lactation consultant and the physician I saw. They both listened to my concerns and we worked through a plan together with shared decision making. I was also so grateful for their patience in navigating latching techniques for me and my newborn.

Nov 15, 2024

5.0

Dr. Rosen-Carole was fantastic. She was very thorough and caring. We left the appointment feeling very empowered about breast feeding journey. I had significantly less anxiety about caring for my child after the visit.

Sep 01, 2024

5.0

Dr. Rosen-Carole was so thorough, friendly, empathetic, matter of fact, and gentle- a great combination. I left feeling really encouraged and optimistic about our ability to make breastfeeding work in a sustainable way. I really appreciate that my goals were used to center the plan. This was such a positive experience for us.

May 10, 2024

5.0

It's a phenomenal team and I am so pleased it's available. In this season of motherhood I was met with grace, compassion and experience by all at the clinic. Their knowledge and kindness created a sincere security.

Aug 18, 2023

5.0

Dr. Rosen-Carole is wonderful and we feel very supported.

Jul 21, 2023

5.0

Dr Rosen-Carole is awesome!

Jul 09, 2023

5.0

Amazing. Already recommended this provider to others. Takes into account and was knowledgeable of alternative treatments. I felt like I mattered.

Jun 26, 2023

5.0

Will definitely be recommending the lactation clinic to others!

Feb 26, 2023

5.0

Dr. Rosen-Carole was great and very attentive to my needs and concerns. I highly recommend her!

Feb 23, 2023

5.0

Dr. Rosen-Carole reached out to me by phone the day after the appointment to follow up and then also responded very quickly to a mychart message I sent. This was above and beyond what I expected

May 05, 2022