In-home lactation consultation
Cara Banks, IBCLC, will come to your home for a private, custom-tailored lactation consult. Every breastfeeding journey is so unique, which is why every in-home visit looks different.
Generally, a consult takes about 90 minutes to 2 hours and you can expect that we will:
discuss the main reasons you need a lactation consultation
discuss the details of your pregnancy, birth and early breastfeeding
assess your baby’s latch and positioning
observe a feeding and talk about signs of good milk transfer
assess your breasts/nipple health, if needed
address any issues or concerns
provide education/information surrounding your concerns
evaluate any pumps or other tools you’re using
create a plan that works for you, your baby, and your family
provide relevant written materials for your review and reference
develop a customized plan that works for your unique situation
provide goal checkpoints and follow-up plan
help with insurance reimbursement, if needed
Common concerns we can help with include:
nipple pain/damage
latch and positioning issues
slow/low weight gain
oversupply
low supply
engorgement
overactive letdown
reflux/spitting up
mastitis and “plugged” ducts
pumping, pump output and flange sizing
premature infants
introducing bottles/alternative feeding methods
identifying signs of tongue/lip tie
twins/multiples
breastfeeding after reduction surgery
baby refusing breast/nursing strikes
co-nursing
lactation without birthing/inducing lactation
relactation after a period of stopping
Bottle Refusal Consultation
When you can’t be with your baby, you may need them to take a bottle. If you’re returning to work or school, and your baby’s caregiver requires bottles, it is super stressful when your baby refuses to take a bottle.
Ideally, we will work together to troubleshoot exactly why baby is refusing a bottle, talk about the steps baby needs to take for bottle feeding, and how they are different from breastfeeding. We will address any oral defensiveness or other issues that may cause your baby to reject the bottle. We will develop a customized training plan to help baby accept a bottle and provide recommendations for bottles/nipples that would work best for your unique baby, AND MORE!
Generally, a bottle refusal consult takes about 60 to 90 minutes.
Though each bottle refusal journey is quite unique, we will generally discuss:
breastfeeding history
bottle feeding history
baby’s health and wellness history
After discussing all your info, I will perform an oral assessment to see what’s going on inside baby’s mouth that might affect bottle feeding. I will explain what I am looking for and how your baby’s response to these different exercises/assessments shows us information relevant to bottle feeding.
We will then do a “bottle trial”, which based on your history and baby’s oral anatomy and response to oral stimuli, I will recommend a bottle/nipple that’s appropriate for your unique baby and provide you with that bottle to try with your baby (I will have several sanitized options, but you may need to work with a bottle that is different than the recommended one until you can order the appropriate bottle)
I will then give you exercises (these are really fun games to play with your baby!) to help to train them to do the things that are needed to accept a bottle.
We will then have up to THREE WEEKS of follow-up via phone, text, or email to be sure you’re making progress!
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