Mother childBreastfeeding and Lactation, Jacksonville, Florida707-MILK 904-707-6455

 

 

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Call to arrange a consultation | 904-707-milk (904-707-6455)

What will your lactation consult visit be like?

Initial Visit

IBCLC giving breastfeeding help

Initial breastfeeding consultation generally lasts between 1.5 to 2 hours.

A complete birth, health, and breastfeeding history and health history as it relates to breastfeeding for both mother and baby.*

Weighing baby on a hospital grade scale accurate to within 2 grams (about a half teaspoon) before and after feeding so that we can see how much the baby is taking in at that feeding.

Observation of feeding in mother's own environment as she usually does it, to know best how mother and baby can best be helped

Assistance with positioning and latch

Assessment of mother's breasts and baby's oral anatomy. infant oral assessment

Breastfeeding care plan

A report sent to baby's/mother's doctor as indicated

Phone support as needed

 

Follow-up visits

Typically last 45 minutes to an hour and a half, depending on the situation

Assessment of progress

Weight check of baby, including pre and post feeding weights if useful for the situation.

Re-evaluation/updating of care plan

Phone support as needed

Preparing for a visit

Please don't feed the baby to satiety shortly before the visit. The baby needs to be hungry enough to want to latch on but not hungry to the point of frustration. (If in doubt, it is better to err on the side of giving the baby enough to tide over their hunger.)

Please don't be hungry, yourself! You will remember things better if you are keeping yourself fed and hydrated!

We need a hard, level area for the infant scale. Examples are kitchen tables and coffee tables.

Decide where you would like the consultation to take place. Whereever you normally nurse the baby is a good place to be.

Babies have their tongue motions and sucking reflex assessed most accurately when they have access to milk. If you have a teaspoon of expressed milk to dip our gloved finger in as we do the oral assessment it would be helpful. If you don't, that is also fine.

If you have a history of baby's weight checks, please have it nearby so that I can know the growth pattern that your baby has been experiencing.

Please don't run around cleaning the house in preparation for our visit. I don't care about any clutter and do not expect new mothers to have a tidy house. Just focus on your baby.

Payment is due at the time of visit. Initial home visits are a flat fee of $160. We can also arrange to see you in-office, depending on availability, for $100. Discounts are offered to active-duty military and their dependants for both home consults and office consults.

*If we have an appointment, you may fill out your medical history prior to our visit to make our time more effective.

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When to call:
Trust your instincts and call anytime you feel that you need help breastfeeding. If more than two feedings in a row are painful, this is a good time to call for breastfeeding support. Problems addressed earlier are easier they are to fix. We will see babies at all ages.

You may benefit from a home consultation from Breastfeeding and Lactation of Jacksonville if you have:
sore or damaged nipples
breast pain
difficulty latching baby or keeping baby latched on
pain during or after breastfeeding
concerns about weight gain or milk supply
recent revision of your baby's tongue or lip tie
concerns about oversupply or foremilk/hindmilk imbalance
use of nipple shield
pumping in the first few days after birth
supplementing your baby, either with breastmilk or infant formula
previous breast surgeries
PCOS
large, flat or inverted nipples
questions about a possible tongue-tie or lip tie
a baby that struggles at the breast, choking, sputtering, and pulling off before he is finished
a baby who is often sleepy at the breast but wakes as soon as he comes off the breast
breastfed less than 8 times in 24 hours
fewer wet or dirty diapers than appropriate for age of baby
 

 

weighing baby on accurate scale