lactation consults

Just like pregnancy, every breastfeeding journey can be completely different - whether this is your first nursing experience or you've had multiples. We come to you in the comfort of your home to ease the difficulty of trying to time a feeding with getting your baby out of the house. Our International Board Certified Lactation Consultants (IBCLC’s) hold the gold-standard in lactation care and are certified by IBLCE. We are happy to serve the greater Wilmington area and surrounding counties (Home-visits are available within a 10 mile radius - If you are outside of this area, please give us a call and we will try our best to work with you!)

When & why to schedule:

  • Sore and/or cracked nipples

  • Difficulty latching

  • Plugged nipple pores

  • Engorged or painful breasts

  • Returning to work

  • Weight checks / Slow weight gain or weight loss

  • You’re unsure baby is getting enough

  • Multiples

  • Adoptive nursing & induced lactation

  • Infant supplementation

  • Using a nipple shield

  • Plugged Milk Ducts

  • Any concerns with the color of baby’s stool

  • Any concern perceived as a breastfeeding challenge and/or problem


Let’s face it, navigating this path is not always easy, especially when it’s your first-time…every mother-baby’s needs are unique & distinctive


How to Prepare:

  • Forms: These can be filled out before-hand to save time during the consult

  • Keep a record (dates/times) for 24 hours prior to consult of:

    • Nursing sessions - approximate times and duration

    • Supplements (if applicable) - frequency, volume, feeding method

    • Pumping(if applicable) - frequency, volume expressed, type of breastpump

    • Baby’s output - number of stools and wets

  • It’s preferable for your baby to be somewhat hungry during our visit (btw-we definitely don’t want you to starve your baby either - “hangry” babies are difficult to latch!) Babies are not designed for schedules, so don’t stress if this is not the case the day of your consult!

What to expect:

  • 1.5-2 hour appointment

  • Detailed review of Mother and Baby’s medical history (including labor and delivery

  • Address concerns and challenges

  • Full assessment of mother and baby - breast assessment for mother, suck/oral assessment for baby

  • Initial and intake/transfer weights for baby - **baby will be weighed pre- and post-feeding on a calibrated BabyWeigh Scale

  • Education to help you make informed decisions about your feeding plan

  • Observe, provide hands-on assistance and adjustment(s) as-needed with latch and positioning

  • Develop a written personalized feeding plan

  • Communication & follow-up with other health-care team providers


baby-weight checks

If you are concerned that your baby is not gaining adequate weight, having a weight check can give you enough confidence to keep moving forward in your breastfeeding journey. You even get to avoid potentially picking up germs at the pediatrician's office since we bring our scale to you, and we send all information directly to your Pediatrician within 24 hours! 

These type of visits are typically 20-40 minutes in duration.

  • An initial weight is a quick 15-20 minute appointment with a brief medical history overview and one weight taken.

  • An intake-weight (“aka” transfer-weight”) is an appointment designed to help in determining baby’s ability to transfer milk independently and directly from the breast. This can give a clearer picture of precisely how much milk volume your baby is transferring from the breast at a feeding.  Includes: initial weight-check upon arriving at your home, followed by a pre-feeding weight just before latching your baby. After you nurse, we will follow-up with a post-feeding weight so you can see exactly how much milk your baby transferred!


Classes

We all know that education, more than anything else, improves our chances of building better lives
— Nelson Mandela
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prenatal breastfeeding classes 

That old expression "it must be in the water" often rings true for making babies as well! To keep it fun, you and your friends can do a group class together. These classes are designed for expectant and/or breastfeeding moms and can be customized to suit your group's needs.  Classes can be held at a location of your choice. 

Happy moms make excellent employees! We can help employers provide support, education, and be a resource for their breastfeeding employees. Let us design a  customized package for your place of business that will lead to benefits such as: reduced sick time taken by moms and dads, and increase in workplace morale and a decrease in health care claims and insurance costs.  

INDIVIDUAL

Prenatal Home Visit- Let a Breastfeeding Educator come to you in the comfort of your own home! We will provide you with all of the information to empower you to make informed decisions about your feeding plan, teach you the basics of breastfeeding, assess your breasts, and coach your partner on how to best help you with breastfeeding. 

PUMP EMPOWERMENT

Using a breastpump for the first time can be intimidating and overwhelming, but it doesn't have to be! Being educated on how to make it easy and get as much milk as possible can make a world of difference. We are here to help you work through the challenges of using a breast pump and maintaining or increasing your milk supply.  Whether you are pumping to increase supply, exclusively pumping due to inability to latch, or returning to work, let us take the stress off your plate. We can also help you learn the technique of hands-on-pumping, which can increase pumped volume by 50% for some Mom's!

going back to work 

  • Need help navigating the transition of returning to work and using a breastpump? This educational session will help you with planning pumping sessions and a feeding plan for one of the most difficult transitions of motherhood! We will also discuss ways to help caretaker's with different methods of feeding that can ease baby's transition between breast and bottle. This class can coincide with a Pump Educational Session as well!

PUMP DELIVERY: Trying to rent a hospital-grade breastpump in the immediate post-partum period can be stressful. Let us take some of that stress away by hand-delivering your pump to your residence, or we can even meet you before discharge at New Hanover Regional Medical Center. We also have all of the supplies that you will need for pumping if you don't already have them.

**Delivery fees may vary