Why See a Lactation Consultant?

A lactation consultant — specifically an International Board Certified Lactation Consultant (IBCLC) — is a healthcare professional who specializes in breastfeeding support. Whether you are having difficulty with latch, worried about milk supply, or simply want reassurance that everything is going well, an IBCLC can help.

What Happens During the Session

A typical initial consultation lasts 60 to 90 minutes. Here is a general outline of what to expect:

Health history review. Your consultant will ask about your pregnancy, delivery, and any previous breastfeeding experience. They will also ask about your baby's birth weight, current weight, and feeding patterns.
Observation of a feeding. You will be asked to nurse or bottle-feed your baby so the consultant can observe latch, positioning, and your baby's sucking pattern.
Oral assessment of the baby. The consultant may gently check your baby's mouth for tongue-tie or other structural issues that could affect feeding.
Weighted feed (if needed). Your baby may be weighed before and after a feeding to estimate how much milk was transferred.
Personalized care plan. Based on the assessment, you will receive specific recommendations, exercises, or follow-up steps.

How to Prepare

Write down your questions and concerns ahead of time.
Keep a feeding log for the 24 to 48 hours before the appointment — note feeding times, durations, and diaper output.
Have your insurance card handy. Many plans cover lactation support under the ACA preventive care mandate.
Wear a comfortable nursing top or button-down shirt.

What to Bring (In-Person Visits)

Your baby (fed or hungry — either is fine).
Any bottles, nipple shields, or pump parts you have been using.
A blanket or change of clothes for the baby.
Your hospital discharge paperwork, if available.

What to Bring (Telehealth Visits)

A device with a working camera positioned so the consultant can see you and your baby during a feeding.
Good lighting in the room.
Any bottles or pump parts nearby for discussion.

Common Questions Answered

Do I need a referral? Usually not. Most IBCLCs accept self-referrals, and Latched makes it easy to book directly.

Will my insurance cover it? Under the Affordable Care Act, most insurance plans must cover breastfeeding support and supplies. Check with your plan for details, or use Latched's superbill feature for out-of-network reimbursement.

Can my partner come? Absolutely. Having a support person who understands the plan can make a big difference.

What if my baby is fussy during the visit? That is completely normal and expected. Your consultant is used to it.