How does a lactation counseling appointment work?

Importantly, every appointment ends up being a unique experience for every nursing pair that I meet with. Everyone brings their own history, experience, and questions with them, shaping how we spend our time together. But most appointments will follow a certain rhythym to make sure everything is covered.

Typically, an appointment will start with a cozy chat. Your counselor should ask a few questions to get to know you and your baby. Then it's time to understand the breastfeeding questions that brought you in. This will be important whe

n making your treatment plan for more effective and comfortable breastfeeding. Depending on your concerns, this may include questions about your pregnancy, birth, and early breastfeeding days. If it seems appropriate, baby might be asked to demonstrate a feed. That can help with an understanding of the physical elements of feeding that may need adjustment, like positioning, support, or an anatomical assessment. Sometimes, it's possible to leave your appointment feeling better already!

But like all things, chestfeeding takes practice.

If that's the case, you'll leave with a treatment plan. This should include a detailed description of the conversation and how to implement any changes discussed. It may include worksheets to track your pumping schedule and output or links to videos demonstrating a maneouver that may help your situation. Most likely, you'll have a follow up appointment to discuss your progress and make sure you feel comfortable with where things stand.

For any appointment, bring the people who need the information. If you want to come alone, that's a great idea. If your counselor is comfortable with it, maybe you could record that session to make sure you caught everything. If baby's other parent, grandma, or nanny could be helpful or benefit from the conversation they are welcome as well. Do keep in mind, though, that many lactation offices are on the smaller side.

Things to bring:

• Your pump, if that's relevant for your appointment

• Extra diaper and outfit for baby

• Baby blanket

• A pacifier, if you're using one

• Any shields, flanges, or other tools you're working with

• Read out from any tracking apps you might use

Things not to bring:

• Shame or embarassment

• Older children (if possible)

• Someone who stresses you out

• Anyone else's notions of what breastfeeding is or isn't

Now you know how a typical appointment with a lactation counselor works. If this sounds like it might help you, please schedule a constulation. I cannot wait to meet you.

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