Breastfeeding Management: An IBCLC’S Role & Key Topics

Latch Assessment and assistance

When it comes to breastfeeding, a good latch plays a vital role right from the start. As an International Board Certified Lactation Consultant (IBCLC) I am trained to assess a baby’s latch. The latch refers to how the baby attaches to the breast for nursing. For both the mother and the baby, a good latch sets the foundation for a successful breastfeeding journey.

An IBCLC carefully evaluates the latch because it directly affects the milk transfer and the overall breastfeeding experience. A proper latch ensures that the baby is effectively extracting milk from the breast, stimulating the let-down reflex, and receiving all the essential nutrients.

During an assessment, an IBCLC will observe if the baby's mouth is wide open, covering a large portion of the areola. This position enables the baby to have a deeper latch and helps prevent nipple pain and trauma for the mother. The baby's lips should be flanged outward, forming a seal around the breast, allowing them to create a vacuum and maintain a steady flow of milk.

A good latch not only benefits the baby but also supports the mother's milk supply. When the baby latches properly, their sucking triggers the release of prolactin, the hormone responsible for milk production. Additionally, a correct latch ensures that the milk ducts are sufficiently stimulated, maintaining a healthy milk flow.

An IBCLC plays a crucial role in guiding mothers on achieving a good latch. They assist in positioning the baby correctly to ensure a deep and comfortable latch for both parties. They also help address any challenges, such as inverted nipples, tongue ties, or breast engorgement, that may hinder the establishment of a good latch.

Remember, a good latch is the cornerstone of a successful breastfeeding journey. It not only provides the baby with optimal nutrition but also strengthens the bond between mother and child. So, if you need support with latching or any other breastfeeding concerns, reach out to an IBCLC who can help you get off to a great start.

Tongue and lip tie, two common conditions, can greatly affect breastfeeding by hindering infants from latching properly and efficiently extracting milk. Tongue tie occurs when the frenulum, a tissue that connects the tongue to the mouth floor, is too tight, limiting movement. Lip tie, on the other hand, involves an abnormal attachment of the upper lip to the gum. These conditions can result in pain, nipple damage, poor milk transfer, and frustration for both the baby and the breastfeeding parent.

Thankfully, International Board Certified Lactation Consultants (IBCLCs) possess the necessary expertise to identify and address tongue and lip tie concerns. They are skilled at recognizing these issues, referring families to appropriate providers for evaluation, and providing continuous support throughout the process.

IBCLCs can assist parents with positioning techniques, offer guidance on achieving a proper latch, and connect families with healthcare professionals for evaluation and potential revision procedures if needed. With their wealth of knowledge, empathy, and evidence-based guidance, IBCLCs serve as a valuable resource for families facing breastfeeding challenges caused by tongue and lip tie.

Tight oral Tissue (tongue & Lip Tie) Assessment & Guidance

Low Supply: Causes, support, & Help

Low milk supply is a common concern among breastfeeding mothers, but there are several potential causes. One possible cause is an ineffective latch, which can prevent the baby from receiving enough milk. Production of breastmilk relies on “demand and supply”, which means if a baby is not effectively removing milk from the breast, the breast does not realize it needs to make more milk.

Another cause may be infrequent or inefficient breastfeeding sessions that don't stimulate milk production adequately. Certain medications, stress, maternal health issues, and hormonal imbalances can also contribute to low milk supply. The longer these conditions continue without help and intervention, the more likely a mom may experience irreversible low supply.

Early intervention in the breastfeeding relationship can educate a mom about how to properly latch her baby and how frequently to allow the baby to remove milk from the breast, which will ultimately improve her overall milk supply, often allowing a mom to recover from perceived low supply.

An International Board Certified Lactation Consultant (IBCLC) can play a crucial role in assessing and addressing low milk supply. Through a comprehensive evaluation, an IBCLC can assess the baby's latch, milk transfer, and breastfeeding techniques to identify areas of improvement. They can provide guidance on positioning and assisting mothers in optimizing breastfeeding sessions.

Additionally, an IBCLC can help mothers increase milk supply through strategies such as frequent breastfeeding, pumping, and implementing a proper nutrition plan. Their expertise and support can significantly improve breastfeeding outcomes for both mother and baby, ultimately enhancing the breastfeeding experience.

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