Does your patient need a lactation consultant?

MATERNAL INDICATORS

• Breast or nipple pain and/or trauma
• Low milk supply
• History of lactation failure
• Breast surgery, such as reduction or implants
• Minimal breast changes during pregnancy
• Chronic illness or hormonal conditions
• Breast or nipple asymmetry/tubular breasts
• Severe engorgement/plugged ducts/yeast
• Multiple births
• Desire to wean off supplemental feeds
• Re-lactation and adoptive breastfeeding
• Difficult or traumatic birth experience
• Anxiety related to breastfeeding

INFANT INDICATORS

• Loss of weight or slow weight gain
• Difficulty achieving or maintaining latch
• Insufficient sucking abilities
• Lethargic or very sleepy
• Malformations (e.g. cleft palate or lip)
• Down syndrome, hypotonia
• Premature
• Refusing breast when offered
• Pulling off of breast repeatedly
• Post-birth separation from mother
• Suspected oral aversion, trauma, or pain
• Suspected constant hunger
• Difficult or prolonged birth

What services do you offer?

• One-on-one, in-home consultations
• Video consultations
• Breastfeeding crisis management
• Prenatal consultations
• Group and private breastfeeding classes
• Identifying risk factors to continued breastfeeding
• Help with overcoming health and lifestyle issues that may affect breastfeeding