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Writer's pictureCathy Walker, MA, RN, IBCLC

When should I meet with an IBCLC?

Updated: Jul 20


when should i meet with an ibclc

What is an IBCLC?


IBCLCs are the gold standard in Lactation Care. IBCLCs are certified by the International Board of Lactation Consultant Examiners (IBLCE), which requires re-certification every five years. To become an IBCLC we complete 90 hours of lactation-specific education, take health and science courses or hold a degree in a health sciences field, and have 1000 hours of lactation-specific supervised clinical experience. To achieve the re-certification we must take 75 hours of continuing education. IBCLCs collaborate with other members of the healthcare team.


When should you consult an IBCLC? The answers are not limited to this list:


  • Endless Feedings (usually this is more than 12 feeds in 24hr repeatedly)

  • You are not sure if your baby is getting enough to eat

  • Pain while nursing

  • Breast or nipple pain

  • Nipple damage (sore, cracked, blistered or bleeding)

  • Low milk supply

  • Oversupply

  • Plugged ducts/ Mastitis

  • Your baby has difficulty handling the flow of the milk

  • Baby is not latching or not able to maintain the latch

  • Baby is sleepy at the breast, not nursing actively

  • Tongue Tie/Lip Tie/Buccal Tie

  • Your baby has weight gain issues

  • Concerns about potential reflux

  • Prematurity

  • Twins/Triplets

  • Positioning

  • Pumping/Flange fit

  • Transition to solids

  • Back to work planning

  • Special health care needs

  • Breastfeeding and Lactation Education

  • Weaning/Milk Suppression

This list is not meant to cover every reason to consult an IBCLC.


IBCLCs can help in numerous ways in common, and complex feeding issues. We are uniquely positioned to assess and create a workable care plan with your feedback that keeps your specific goals in mind. 


I highly recommend having a post-natal lactation consultation even if you feel that the feedings are going well. You can learn so much and know what to expect for the future. You will likely learn how to prevent problems. Everyone deserves that time to get their questions answered.


~Cathy Walker, MA, RN, IBCLC

Registered Nurse and Lactation Consultant



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