Why Should I Schedule a Lactation Consultation?

A breastfeeding consultation can be a great way to confirm that breastfeeding is going well when new parents just want reassurance. Any questions you or your family member(s) have can be addressed.

If you are experiencing difficulties with breastfeeding, a lactation consultant can help you problem-solve and develop a care plan. Ask for help if you are experiencing any of the following:

Nipple pain–seriously, breastfeeding should not hurt

Inadequate weight gain in baby after day 4

No breast changes or feeling of “fullness” by day 5

Sore nipples or any injury to nipples

Difficulty in latching

Inadequate diaper output

Very long feedings after day 3…more than an hour

Baby feeding less than 8 times in 24 hours

Previous difficulties breastfeeding

History of polycystic ovarian syndrome (PCOS)

Maternal diabetes and/or gestational diabetes

Maternal history of infertility

Inverted nipples

Inducing lactation for adopted or intended child

Other situations that might benefit from a one-on-one consultation include:

Premature babies, multiples or difficult birth experience

Breastfeeding after breast surgery

What is an IBCLC?

“An International Board Certified Lactation Consultant® (IBCLC®) is a healthcare professional who specializes in the clinical management of breastfeeding. An IBCLC is certified by the International Board of Lactation Consultant Examiners® (IBLCE®), independently accredited by the National Commission for Certifying Agencies (NCCA) of the Institute for Credentialing Excellence (ICE). An IBCLC works in a wide variety of settings, providing leadership, advocacy, professional development, and research in the lactation field.”   http://www.ilca.org/why-ibclc/ibclc

What are the advantages of using an IBCLC?

IBCLC’s are professional members of the healthcare team.While there are various breastfeeding support specialists that have some training and knowledge of breastfeeding, the IBCLC is the only lactation consultant to have passed the rigorous requirements set forth by the International Board of Lactation Consultant Examiners (IBLCE) including:

  • higher levels of education in the health sciences
  • hours of education in human lactation and breastfeeding
  • hours of clinical practice in lactation and breastfeeding

To maintain certification, the IBCLC candidate must adhere to professional ethics, demonstrate proof of continuing medical education and re-take certifying exams every ten years.

What are the advantages of a private in-home consultation?

A private in-home consultation allows us to see you in the environment where you will most often be feeding your baby. Unfamiliar clinical environments can lead to higher stress levels and exacerbate the challenges of breastfeeding while also making it difficult to replicate issues faced by mother and baby in the home.

How should I prepare for a consultation?

Feel free to write down any questions you’d like answered during our visit. Try to feed your baby no sooner than 2 hours before your appointment.  We would like to see what your baby does when he/she is hungry and observe a feeding. For home visits – Please do not worry about straightening up or dressing up! Our only focus is helping you with your breastfeeding concerns.

Can my family member(s) attend the consultation?

Family members are ALWAYS welcome and encouraged to be a part of any consultation. The support of your partner and family is important to the breastfeeding relationship.

What can I expect during a consultation?

The purpose of a consultation is to identify your primary concerns and help you develop a plan to address those concerns. We will listen and respect your desires while giving you evidence-based solutions to help you accomplish your breastfeeding goals.

A consultation may include any or all of the following:

Health history of mom and baby

Oral examination for the baby

Baby’s weight before and after a feeding

Baby’s suck evaluated for strength and range of motion

Observation of a feeding

Observation and assessment of a pumping session

Discussion and strategy for returning to work

Answers to mom and partner’s questions

Additional resources and referrals, if necessary

What Kinds of Support Do I Receive After my Consultation?

We  believe that a consultation is just the beginning of a relationship.  You can always reach us by phone or email with your breastfeeding concerns.  If it looks like you have a lot of questions or concerns, we may recommend a follow-up appointment.  

What payment methods are accepted?

Payment is due at time of service. Payment may be made by cash, check, or credit card.

Will insurance cover the consultation?

Many insurance companies are beginning to cover part or all of in-home lactation services. At your request, we can provide a lactation superbill for you to submit to your insurance company for reimbursement. Reimbursement is not guaranteed but worth pursuing. For additional questions check with your insurance provider. The National Women’s Law Center has a resource here for understanding your coverage under the ACA. 

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