Initial and follow-up consults are done in the mother's home, which many women find very convenient. A consult includes a thorough medical history for mom and baby. The baby is examined for oral or suck difficulties, and the mother’s breasts are examined as well.
I observe at least one feeding, with extensive instruction on proper latch and positioning, which are key to successful breastfeeding. Special attention is given to practices to prevent or alleviate sore nipples which can sometimes keep women from continuing to breastfeed.
A pre and post feeding weight on a very sensitive digital scale is used to help determine how much milk the baby got at the feeding, so an evaluation can be made. In addition I keep a supply of breastfeeding aids which I make available to my clients to purchase.
As the mother and I make a care plan, I will communicate my findings to the referring doctor via fax in order to insure partnership in our goals for a healthy mother/baby dyad.
What is a Lactation Consult?
Holly H Newman BSN, RN, IBCLC (209)712-7304
