When should you contact a Board Certified Lactation Consultant or IBCLC?

...as soon as you suspect that something is not going right, and it is not resolving. The longer you wait to deal with the problem, the longer it may take to resolve it.   

For Mom


Nipples

  1. Sore nipples, before during or after breastfeeding

  2. Cracked, blistered, bleeding nipples


Milk Supply

  1. Concerned about not making enough milk or making too much

  2. Has had breast augmentation or reduction surgery, or other breast trauma at any time


Breast Pain

  1. Engorged (swollen, hard, lumpy breasts), and baby cannot breastfeed

  2. Plugged ducts

  3. Being treated for mastitis (breast infection)    


Working

  1. Questions about returning to work while breastfeeding

  2. Maintaining your milk production while separated from your baby


  Medication

  1. Needs to take medication and wants information regarding its safety


  Emotional Concerns

  1.   Having a hard time enjoying breastfeeding, feeling sad or disconnected from baby

For Baby


Underweight or not gaining weight

  1. Not back to or close to its birth weight by        day 12. Your baby should be back to birthweight by two weeks.

  2. Not gaining a minimum of one ounce of weight per day after returning to its birth weight.


Not peeing or pooping enough

  1. •Is not stooling or urinating enough every day. Day 1 - one meconium/dark, tar-like stool & one wet diaper

   Day 2 - two poops & two wet diapers

   Day 3 - three poops & three wet diapers

   

Once your colostrum (first milk) starts to change into more mature milk (usually day 3-5), your baby’s stools will start to change from dark to a yellow, mustardy color, and seedy

in texture. Once this happens, then your baby should have a minimum of three “scoopable” poops every day for at least the first 4 weeks, and 6 wet diapers each day.


Latch or feeding issues

  1. Rarely latches or not all

  2. Falls asleep at the breast too quickly

  3. Seems to be nursing constantly and always seems hungry

  4. Latches well at first, but the latch becomes progressively uncomfortable

  5. Seems upset and frustrated while trying to breastfeed

  6. Makes odd noises while breastfeeding (clicking, slurping, choking, sputtering, wheezing or squeaking)

  7. Can only latch with a nipple shield


Is Jaundiced


Has special needs or medical issues


Is born early (before 39 weeks and not breastfeeding well)


Is receiving formula


Twins or triplets