Ask the Lactation Consultant

Like all the Guides at About.com, I'm a real person. If you have general questions or comments, please feel free to email me at breastfeeding.guide@about.com.

Please understand that it is difficult to assess breastfeeding problems or issues by email. In these cases, it is important to be seen by a lactation consultant . However, I may add appropriate questions to my FAQ's.

F.A.Q.

1. Q. I'm pregnant and hear conflicting advice about breastfeeding. Should I wait to see a lactation consultant until after I've given birth or beforehand? I want to be successful, but I don't know if it makes sense without having the baby there yet.
   A. I always recommend taking a prenatal breastfeeding class so that you are armed with all the pertinent information before you deliver. A comprehensive breastfeeding class will cover all aspects of breastfeeding and give you confidence going into the process and experience. The only women who regret their decisions are the ones who didn't have information before they gave birth.
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2. Q. What will a lactation consultant do if I have one come to my house?
   A. The issues of a breastfeeding mother vary, and the lactation consultant will tailor her visit to the problems presented. She will most probably examine your breasts, assess your milk supply, and most importantly, observe a full feeding. She will give tips on better positions and latch-on and answer any questions you may have. Aside from the interventions she suggests, she should follow-up with you within a few days to make sure all is going as discussed during the consultation.
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3. Q. What if I need ongoing, regular support? Will a lactation consultant follow me through the entire time I breastfeed my baby?
   A. Many lactation consultants offer unlimited follow-up phone calls after they've had a consultation with a mother. Others may require additional visits. The lactation consultant should tell you all of this information in your initial phone call. If this is not an option, many hospitals, community centers, and organizations (such as La Leche League) offer ongoing breastfeeding support groups for a nominal fee. This is also a great opportunity to meet other mothers!
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4. Q. Will insurance cover a consultation?
   A. Many insurance companies are reimbursing for lactation consultations. You should call your insurance carrier to see what they require. In addition, quite a few lactation consultants accept insurance, so be sure to ask during your initial phone call. Many companies that offer flexible spending plans allow consultations to be covered as well.
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