HOLISTIC LACATION CONSULTING
Frequently Asked Questions
International Board Certified Lactation Consultants are qualified to treat and manage all breastfeeding issues. Below are some of the issues we can help you to manage.
- Low or high supply
- Nipple pain
- Damaged nipples
- Nipple thrush
- Nipple Vaso spasm
- Mastitis and breast infection
- Weight gain issues
- Babies with silent reflux
- Reflux babies
- Fussy babies
- Breast refusal
- Tongue tie assessment
- Weaning from a nipple shield
- Moving from top ups or expressing to -direct exclusive breastfeeding
- Weaning from breastfeeding
No, breastfeeding should not be painful. Nipple pain can be normal in the early days for the first few seconds of each feed only. If the pain persists beyond the first 15 seconds of a feed then the latch needs to be improved. Breastfeeding is all about the latch. Without a good latch milk transfer is poor and from there most breastfeeding problems can develop. Do not let people tell you that pain while breastfeeding is normal. It is not. If you are experiencing nipple pain while feeding please get in contact with me.
Yes, mastitis is a breastfeeding problem best managed by a Lactation Consultant. On occasion antibiotics may be required. However it is important that all women who are treated for mastitis see a lactation Consultant to manage the cause of the Mastitis and prevent reoccurrence.
I have been expressing and bottle feeding but would really like to get back to just breastfeeding. Is this possible?
Absolutely. If your baby is exclusively breastmilk fed via a mix of breast and expressed bottle feeds then the transition to exclusive breastfeeding can be quite simple. If all of your babies intake is made by you, and your baby has no weight gain issues, then you do not have a supply issue, you have a milk transfer issue. This can be solved with improvements to positioning and attachment.
Yes you can. Together we can work with your individual baby to navigate how best to get your baby feeding directly at the breast. This will begin with adjustments to positioning and attachment and involve changes to timing of feeds among other techniques. Shields can be a brilliant bridging tool to assist mothers through the early weeks of breastfeeding. When you feel it is time to move on to direct breastfeeding please contact me for assistance.
My baby is refusing to breastfeed. He gets very upset as soon as I put him to the breast and this makes me very upset
This is unfortunately a very common breastfeeding problem. However it can be very distressing to the mother. Your baby does it hate breastfeeding. Your baby just can’t quite get comfortable and relax at the breast. This is caused conditioned dialling up at the breast. This can be caused by a number of reasons including
- Frequent attempts at the breast where the baby is positionally unstable.
- A baby who has been forced onto the breast by often well meaning helpers however this can cause breast refusal.
- Baby has had enough milk and is wanting a change in sensory environment but we keep trying to offer the breast.
- Attempts to lengthen feeds in the hope of increasing gaps between feeds.
- Attempting a feed play sleep routine in a breastfed baby can cause breast refusal.
Yes, very few women can not physically make enough milk to feed their babies. Some women may make enough to partially breastfeed and others may not make any. However what is most important is frequency and efficiency of milk removal from the breasts. This comes from a good latch that allows good milk transfer. Depending on your situation we can together formulate a plan to boost your supply.
My baby pulls on and off the breast constantly. He appears in pain and I think he has reflux or wind. Is this something you can help me with.
Very often babies are diagnosed with silent reflux or pathological reflux without a breastfeeding assessment. If a baby is not positioned well at the breast and feels positionally unstable they will pull off frequently and arch their back, often crying. They may appear uncomfortable and distressed or even in pain. This is very often a positional issue resulting in a babies inability to transfer milk effectively, or an inability to swallow rapidly enough. For most babies a positional change will remove this constant pulling off and back arching without the need for medication or elimination diets.
I am having trouble managing sleep deprivation as a new Mum. I don't want my baby to cry. Can you help me?
Yes I can. At Holistic Lactation Consulting and infant sleep support I ensure the most gentle approach to sleep. I do not believe that babies need to cry, fuss or protest to sleep. I also believe babies need comfort and connection with their caregivers to feel safe and secure and able to peacefully find sleep. By using the Possums approach to neurodevelopmental care of the infant I will help you to reduce night waking while keeping your days fun and enjoyable. No crying for you or baby.
Timing of bed time is very important. But often not in the way we are often led to believe. We are often told to choose an early bed time to avoid overtiredness. However research shows us that babies often sleep better and fall asleep more easily with a later bed time. Most importantly we are waiting for sleep pressure to rise high enough for sleep to come easily. If bed time is taking hours it is likely that your little one is not tired and their distress is a signal for more activity in the evenings, not less. Our sleep consultations will discuss how infant sleep is regulated by the circadian clock and the sleep-wake homeostat. Armed with this information you will be able to plan your days to make bed time and day time more enjoyable for the whole family.
Yes absolutely. When a baby’s sleep patter does not align with the parents this can cause significant stress to the family unit. I can work with you to improve a baby’s night sleep and make nights more manageable for you.
My baby wakes at night and has a “party” he is sometimes awake for 1-2 hours, just wide awake. Can this be helped?
Yes it can. This sounds very much like your baby’s sleep regulators are not aligned. There is lots we can do to re set your baby’s circadian clock and improve their sleep overnight.
I have a busy and enjoyable social life and I am worried that a sleep program may force me to be at home all the time.
The Possums Sleep approach supports families getting out and about and enjoying life and letting their baby fall in with the fun. I do not encourage strict routines or limiting activity at all. Quite the opposite in fact.
I am not interested in letting my baby cry or sleep training my baby. I want to improve her sleep but I am committed to supporting and meeting my baby’s needs 24/7 can your program help me?
Absolutely. This is just the program for you. The Possums approach to infant sleep focus’s on supporting your baby’s needs. Supporting attachment models of parenting and ensuring we respond to our baby any time they need help, without delay. The aim of this program is to reduce excessive night waking and improve sleep health for the whole family. However, night waking and night feeding is normal in infancy. It is important that we are able to manage this in an enjoyable and supportive way to maximise parental sleep.