Reasons to See a Lactation Consultant

Reasons to see a lactation consultant BEFORE baby is born

(between weeks 30-36)

• History of fertility problems (this pregnancy or past)
• Breasts haven’t increased in size in this pregnancy 
• Flat or inverted nipples
• Breasts are uneven in size or shape
• Breasts not typical rounded shape regardless of size
• Previous breast or chest surgery including breast implants, reduction, nipple piercings
• History of late onset of first period (14 years or older)
• History of eating disorder anxiety and/or depression 
• History of previous breastfeeding difficulties 
• Relactation or inducing lactation for adoption

Reasons to see a lactation consultant AFTER the baby is born

• Painful breastfeeding or between feeds
• Damaged nipples (bleeding, bruising, blistered, cracked, chapped, etc)
• Baby “pops off” easily or frequently 
• Baby nurses for long periods (45 minutes or more)
• Weight loss in baby
• Slow weight gain
• Baby spits up forcefully, is irritable or gassy
• Baby has pooping issues like green frothy stools
• Mom wants reassurance and information 
• Mom is concerned about having “too much milk” or forceful letdown
• Mom has questions about herbs or medications while breastfeeding 
• Twins or more