Tag Archives: lactation consultant

“Lactation Consultant”: What Does That Mean?

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Lately there seems to be a lot of confusion about just who is qualified to dispense breastfeeding advice. Historically, the term “lactation consultant”refers to a health care professional who has met the qualifications for, and passed the exam given by, the International Board of Lactation Consultant Examiners. Passing the exam permits her to use the letters IBCLC after her name. Unfortunately the term “lactation consultant” is not trademarked so there are no regulations about who uses that term. If you’re seeking help for breastfeeding be sure that your consultant has received extensive training, including at least 500 supervised clinical hours specific to lactation.

In the last 10 years or so some organizations have begun offering certifications for programs that involve a mere week or so of didactic instruction. The coursework is valuable, but does not provide the depth and breadth of training required to become IBCLC. On the other hand, other healthcare professionals, such as MD’s, have 1000’s of hours of clinical training and experience, but usually very little in the area of lactation.

Here is a partial list of professionals and others who sometimes get confused with lactation consultants. This list pertains to the US only. Other countries have different certifications. Continue reading →

Think Lactation Consultants are Expensive?

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 10580213_10203228359002618_6651418701367509838_nYour breastfeeding adventure is likely to have some bumps and twists and turns along the way. Some challenges, if not addressed promptly, can lead to complete cessation of breastfeeding. That’s where the IBCLC comes in. The lactation consultant in private practice bridges the gap between the place of birth and ongoing success with breastfeeding. Continue reading →

Tongue Tie: More than “Just” a Breastfeeding Problem

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Tongue-tied newborn

Tongue-tied newborn

Let’s assume for a moment that breastfeeding is not important. That the oral development that breastfeeding provides is inconsequential. We will ignore, for just a moment, the fact that the act of breastfeeding helps develop the baby’s jaw, his facial muscles and properly shapes the palate to make room for his future teeth. We’ll ignore all of that so that I can give you a few other reasons to agree to have your baby’s frenulum clipped. Just in case the possibility of pain free, effective breastfeeding is not a good enough reason for you.

The reason I’m being just a bit sarcastic is because there are plenty of health care professionals out there who do not “believe in” freeing a tongue tied baby’s tongue “just” so he can breastfeed. “After all,” they say, “..you can just feed your baby pumped milk or formula from a bottle.” Continue reading →

My Baby is Tongue Tied?

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Type I tongue tie–tip of tongue “tied” to floor of mouth.

My lactation consultant told me my baby is tongue tied and she needs to get her frenulum clipped so she can breastfeed. What is a frenulum? Why does my baby need this procedure?

The frenulum is a (usually) thin, fibrous band of connective tissue that connects the underside of the tongue to the floor of the mouth. The mere existence of a lingual (tongue) frenulum is not an indicator of a problem. The important thing is whether the frenulum restricts the movement of the tongue in a way that interferes with its normal functions.  If it does, your baby has a condition known as tongue tie or ankyloglossia. Continue reading →

Breast Engorgement and Cabbage Leaves?

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Let’s be honest. Overly full, engorged breasts are uncomfortable and sometimes downright painful. Fortunately, under normal circumstances true engorgement can be prevented with frequent breastfeeding in the first few days/weeks after the birth of your baby. Some breast fullness and tenderness is to be expected in the first week postpartum as your breasts prepare to provide nourishment for your baby or babies. It may feel like you have enough milk to feed the entire neighborhood, but keep in mind that much of the swelling you are experiencing is simply that—swelling. It’s not just milk “coming in” that is making your breasts feel so full. After the birth of your baby; water, blood and lymphatic fluid rush to your breasts in preparation for breastfeeding. With adequate breastfeeding, the discomfort usually passes in a day or 2. Many mothers don’t experience anything but mild fullness.

Currently, however, many birthing people in the U.S. experience births that are anything but biologically “normal.” Epidural anesthesia requires that mother receive an IV of fluids. Inducing labor with pitocin requires extra fluid. C-sections require IV’s. If a mother receives any extra fluids via IV, she will continue to retain the fluid for some time even after the birth of her baby. That extra fluid often results in swollen ankles, fingers and even breasts!

Continue reading →