Coming to your appointment prepared will ensure you get the most out of your appointment. Any information you bring about feeding and diapers will be very helpful so, consider writing down or using an app to record feeding times and duration as well as, wet and dirty diapers. It will also be helpful to see any devices you have been using at home such as nipple shields, bottles and pump and flanges (especially if dealing with engorgement and/or mastitis) so that we can verify sizing and assist you with maximizing your pump use. Of course, observing your baby feed will be very important so you’ll want to bring your baby hungry, if possible. If your baby is bottle feeding, bring enough formula or breastmilk to observe a bottle feed.  If the baby becomes hungry just before your appointment, try giving the baby just enough to settle them until you are taken back to the lactation room.   

During your first visit we will typically begin by discussing your main concern in detail. Because certain health issues can directly impact breastfeeding, it’s important to review mom’s and baby’s complete health history.

The lactation consultant will observe the baby feeding to assess baby’s latch, suck and assist with optimal positioning for you and your baby. Test weights will help us to see how much the baby is taking in at the breast. 

Every patient will also be seen by a physician during their visit. Our craniofacial surgeons are also dentists, which brings a unique level of expertise in assessing oral structure and motor function, ensuring the most thorough exam. Treatments such as tongue and lip tie release, if necessary, can be performed in our office.  

After a full assessment of baby’s feeding and any factors that may be affecting baby’s feeding ability or mom’s milk production, we will discuss recommendations together that mom feels are attainable and fit her unique breastfeeding goals.