What to expect at an Office Lactation Consultation: A thorough health history of the parent and baby, and prior breastfeeding/lactation experiences.​​ We will evaluate the breastfeeding relationship and address your concerns and questions. Education related to breastfeeding/feeding and handling challenges will be covered. A breastfeeding-specific exam of the lactating parent and assessment of the baby/babies is included. A pre-breastfeeding weight of your baby and a post-breastfeeding weight are included to evaluate transfer of breast milk. High accuracy scale present. An observation of a complete breastfeeding/feeding session. A care plan will be developed with your input and goals. If applicable, a bottle feeding session will be evaluated with recommendations for improved bottle skills.  A flange fitting and pump evaluation is also offered if needed. This may be scheduled as a separate visit sometimes A written summary of the evaluation and care plan is provided with written recommendations.  Collaboration with health care providers involved in your care. What to bring? Bring your baby. Bring your pump and all its parts & power cable if you want to review pumping or fitting. Bring a bottle of pumped milk or formula if you have been having difficulty nursing. Any additional items that have been helpful to you, such as nipple shields, cups, etc. There is room for a stroller in my office (use the handicapped entrance on the right side of the building). I have regular pillows and breastfeeding pillows for your use. If you plan to breastfeed at the visit, please don't feed your baby 1 1/2 hr to 2 hours before your appointment. If your baby is hungry as you are about to leave home, breastfeed briefly or give a small amount of milk so that your baby is not too unsettled. ​If you are scheduled for bottle feeding struggles or bottle refusal, please bring your baby well rested and partially fed. I have room for you, a second adult, and your baby in my office

What to expect at an Office Bottle Feeding Skills Consultation:​ - Help choose an appropriate bottle/nipple for your baby. - Assist with teaching bottle skills. - Teach methods that protect breastfeeding and bottle-feeding skills. If you are struggling with bottle refusal, I can't make your baby take a bottle but I can help discover why your baby is challenged with this skill and give you a plan to make progress. This includes an evaluation of your baby, an oral exam, feeding observation, and action steps & recommendations. A summary of my evaluation and care plan is provided with written recommendations. Collaboration with health care providers involved in your care.