What to Expect at a Lactation Consultation

Whether you elect to see your lactation consultant for breastfeeding help at a Clinic or your home, you can expect your lactation consultant to offer a full breastfeeding assessment pertinent to your situation.  This assessment might include evaluation the following:

Mother With Newborn Baby Talking With Health Visitor At Home


  • Full health, lifestyle, pregnancy, and birth history as it pertains to lactation.
  • Breast and nipple examination to assess structure and functionality, including glandular abnormalities, breast lumps, infections, engorgement, etc. (as needed)
  • Identification of breast or nipple conditions that might affect breastfeeding, such as flat or inverted nipples, cracked nipples, blisters, scar tissue from piercings or surgery, etc.
  • Milk assessment relative to your stage of lactation (colostrum, transitional milk, and mature milk), including volume assessment and transfer to your baby.


  • A complete oral examination to assess development, anatomy, and suckling ability.
  • Diaper movement assessment.
  • Feeding history and assessment.
  • Weight checks, including pre- and post-feeding test weights (as necessary).


  • A complete feeding assessment.
  • Positioning counseling and guidance.

Follow Up

  • You will receive a comprehensive care plan and supporting documentation specific to your breastfeeding concerns.
  • You are welcome to contact us at any time to discuss how your care plan is working for you and for minor alterations to the plan.
  • Some breastfeeding situations require multiple visits and additional consultations might be suggested.
  • Documentation will be sent to your healthcare provider as needed.
  • For home and community-based consults, you will receive a Lactation Visit Receipt (LVR) and supporting documents to file with your health insurance company for reimbursement.
  • Participation in Breastfeeding Support Groups is highly recommended.
Your lactation consultant is a professional and a recognized member of your healthcare team,  however, her approach is anything but clinical.  During your consultation, you can expect a warm, relaxing approach to your breastfeeding situation.  The goal is to normalize any breastfeeding issues and to help fit breastfeeding into your day-to-day life.  Your lactation consultant will work with you and your baby (and your family) to develop a care plan for breastfeeding that is personalized and realistic for your situation.
Read about your lactation consultant if you’d like to know more about her before your visit.