Lactation Medicine Consults

Initial and Follow Up Lactation Medicine Consults

Initial consults are a 1.5 to 2 hour in-home visit where our goal is to optimize breastfeeding and work through any hurdles. The visit will entail obtaining the pertinent history, an examination of the lactating parent and baby, breastfeeding observation with weighted feeds, and troubleshooting any barriers or concerns. A plan of care will be provided for you and your medical providers (OBGYN and Pediatrician).

Follow-up visits are either via telemedicine (30 minutes) or in the comfort of your home (60 minutes), intended to address lactation/breastfeeding concerns that are new, continuous, or worsening.

Visits will include an additional five days of messaging support through the patient portal.


LACTATING PARENT ISSUES

  • Pain of the breast and/or nipple
  • Low milk production
  • Oversupply
  • Prevention, diagnosis and treatment of medical conditions related to lactation ( i.e. prescriptions, lab/imaging orders)
  • Supplemental Nursing Systems
  • Pumping assistance/Flange fittings
  • Breastfeeding with variations in breast anatomy
  • Lactating for premature babies, multiples, etc.
  • Complex medical history affecting lactation
  • Return to work guidance
  • Re-lactation

NEWBORN/INFANT ISSUES

  • Latch problems
  • Infant growth challenges
  • Collaborating with baby’s pediatrician to diagnose and treat jaundice
  • Addressing issues such as cow’s milk protein intolerance and gastroesophageal reflux disease (GERD)
  • Tongue tie evaluations
  • Breastfeeding babies with medical complexities
  • Managing bottle preference and/or breast refusal

*This list is not exhaustive; further medical services are available and provided as needed.


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