What may be included in a lactation session?
Review maternal and infant medical history.
Physical assessment of maternal breasts and oral infant cavity.
Discussion of breastfeeding goals and challenges.
Observe a breastfeeding session.
Outline a detailed plan of action.
Continued support via text/email (unless follow-up visit is required).
Written assessment (upon request).
Is breastfeeding painful?
When the baby is latched correctly, breastfeeding should not be painful. The key to effective milk transfer..........is the "latch". An incorrect latch may lead to low milk supply, pain, sore nipples, etc. A lactation professional can assist with latching.
What is engorgement?
Engorgement occurs when milk transfer is ineffective. It can occur at anytime during your breastfeeding journey. However, it is most likely to occur when milk transitions from colostrum to mature milk and/or when there is a change in milk removal patterns (i.e., missed feedings, delayed pumping sessions, weaning). When breasts are engorged they tend to feel hard, full, warm, tender, and you may have a fever.
How do you know when to switch sides during a breastfeeding session?
Babies respond to milk flow. If the flow is slow, the baby may fall asleep, squirm, pull away, or rapidly suck without pausing. (Note: this can also occur if the baby wants to burp). Try burping, then return the baby to the breast. If any of the above behaviors are seen, then switch sides.
Will the birthing mother make enough milk for the baby?
Breastfeeding during the first postnatal hour is an excellent way to begin your breastfeeding journey. This is referred to as "The Golden Hour". To ensure the birthing mother reaches her full milk-making potential, keep the baby close by and feed the baby frequently. Responding to the baby's unique feeding cues is key.
When should you contact a lactation professional?
Breastfeeding is a learned skill. A lactation professional can provide evidence-based breastfeeding support during all stages of lactation; perinatal and beyond. They can offer reassurance, guidance, and "troubleshoot" breastfeeding problems. Furthermore, they can provide anticipatory guidance on common breastfeeding challenges. You should contact a lactation professional anytime you have breastfeeding questions/concerns.
Do I need to purchase a breast pump?
A breast pump can be a valuable breastfeeding aid. Before purchasing a pump you should decide how you plan to use the pump..........everyday, occasionally, etc. There are a variety of pumps for purchase or rent. A lactation professional can help you select one that is right for your needs.
How do I select the correct flange size for my breast pump?
Every woman's breast is shaped differently and has its own "sweet spot". Key points to consider in flange sizing: the nipple should be centred in the flange so that it moves freely in and out, minimize the amount of areola pulled into the flange, avoid gaps or trapped air between flange and breast, and after the first few second of pumping there should be no pain.
What are advantages of paced bottle feeding?
Paced bottle feeding is a responsive feeding technique. It allows the baby and/or adult to control the feeding pace. When the bottle is horizontal the nipple is only partially full, this slows the flow of milk. Paced bottle feeding may also reduce the risk of overfeeding and choking.
Can my breastfed baby use a pacifier?
It is best to wait till breastfeeding is well established before introducing a pacifier; usually after 6 weeks. There are many pacifiers on the market: orthodontic, round, symmetric, wedged, etc. A lactation professional can assist in choosing one that is suitable for your baby. (Note: one exception where early pacifier use may be indicated is gastroesophagel reflux disease - GERD).
What is Tethered Oral Tissue (TOT)?
The term tethered oral tissue refers to tongue ties, lip ties, or buccal ties. It occurs when a frenulum is tight; this restricts the mobility of the tongue, upper lip, and cheeks.
What are some common symptoms of TOT in a baby?
Shallow latch, Ineffective milk transfer, Inability to maintain a latch, Fussy baby, Slow weight gain
What are some common symptoms of TOT in a mother?
Sore/cracked nipples, Compressed nipples, Plugged ducts, Low milk supply
Breastfeeding assists with the forward and downward development of the jaw, maintains the broad "U-shaped" dental arch, promotes good swallowing patterns, and fosters proper nasal breathing.