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Thread: Visit to LC, what to expect

  1. #1
    Join Date
    Dec 2008
    Posts
    13

    Default Visit to LC, what to expect

    Since my 3 1/2 week old LO went back to going two days without any weight gain, and since he's back to pooping only every few days (although when he does it's normal in appearance, etc.) we're going to see a LC in my OB's office today. After so many bad experiences with medical professionals relating to nursing since his birth I'm really nervous. The LC in the hospital told me that by 30 hours postpartum I should be able to pump 1-2 ozs. in addition to every 2 hour feedings. What is a typical LC visit like? Also, she told me not to feed him at all for 2 hours prior to the visit. Is that typical? I'm so nervous, and I'm nervous I won't "perform" in her office re: let down and then she'll tell me I have to wean.
    ~Sara
    Married to DH since 6/98, blessed homemaking mommy to Asher (7 1/2), Gianna (5 1/2), Xavier (4) Kieran (1 1/2) and Phillip Alexander
    (12/13/08)

  2. #2
    Join Date
    Sep 2008
    Location
    Maine
    Posts
    255

    Default Re: Visit to LC, what to expect

    Congratulations on your LO! I am not sure if the 2 hours is typical, but I am sure that she wants the baby to be hungry enough to feed because she wants to observe the feeding. As you know, newborns do not feed on a schedule and if they are hungry they cannot wait. Maybe you could try to make sure to offer the breast so that the baby would be full 1.5 - 2 hours before your appointment (or his usual timeframe between feeds) to allow the best chance for the baby being hungry and taking in a full feed while you are there? IME, the visits consist of a pre- and post-feed weight and the LC will observe the feeding offering pointers as necessary and talking to you about what you have been experiencing with your LO. Other LCs may do things different though. Best of luck on your appointment.
    2001 2004 2008

  3. #3
    Join Date
    Jan 2009
    Location
    Toronto, Ontario, Canada
    Posts
    431

    Default Re: Visit to LC, what to expect

    As the previous poster said, the 2 hours no feeding prior probably has to do with wanting to observe a feeding and get an idea of how much your LO is getting during her feeding session. My LC never told me not to feed her beforehand but I always tried not to just so that she could get a good idea of how a regular feed goes for us (obviously sometimes this didn't work out or i ended up with a starving screaming baby by the time we got there!)

    Also I don't know what the heck the LC at the hospital was talking about but DD is 3 and a half weeks as well and I still can't pump much of anything, and at 30 hours post partum your milk more then likely hasn't come in! What a silly thing to tell you and get you worried about.

    Good luck with the appointment! I know my LC was an absolute lifesaver and such a resource of great information, hopefully yours will be the same
    First time mom to Kalyna born December 14th 2008

    Born: 7lbs 7oz
    Month 1: 8lbs
    Week 5: 8lbs 6oz
    Week 7: 9lbs 5oz
    Week 9: 10lbs 2.6oz
    Week 17: 14lbs 7oz

    Nursing a 3.5 year old!
    Love , and

  4. #4
    Join Date
    May 2006
    Posts
    23,795

    Default Re: Visit to LC, what to expect

    There isn't really a "typical" visit with an LC, since every one is different, just like every pediatrician is different, but here are some things that might happen:
    - Observing a feed. Your LC will probably want to watch you nurse your baby so she can see how he latches on, what his sucking pattern is like, and hear how much swallowing is going on. Don't get freaked out if she gets really close- I know I felt a little weird the first time my LC was watching my baby suck and she was about 2 inches from my naked booby, but I got over it.
    - Weighing your baby. A lot of LCs will weigh a baby before and after a feed to determine how much milk was transferred over the course of a feeding. If milk transfer is good, then you can generally rule out insufficient milk or ineffective sucking as causes for poor weight gain. Ask your LC if she is planning to do this. If not, ask for it. It's really informative!
    - Taking a look at your baby's mouth. A LC will do this in order to check for tongue tie, something which can reduce a baby's ability to nurse effectively.
    - Feeling your baby's suck. A lot of LCs will stick a (clean!) finger in your baby's mouth in order to feel their sucking. Some babies have suck-swallow coordination problems, or ineffective suck problems which can make it hard for them to nurse.

    I'm so nervous, and I'm nervous I won't "perform" in her office re: let down and then she'll tell me I have to wean.
    Don't worry! I highly doubt that your LC would tell you to wean. And if she does, then she's not very good at her job.

    Before you take the LC's advice, you should probably ask her about her credentials. Does she have the IBCLC (International Board Certified Lactation Consultant) credential, or some other widely recognized degree? If she does, she's really a specialist and not just a nurse who took a short breastfeeding course and now thinks she knows it all.

    Good luck! I hope your visit goes really well.

  5. #5
    Join Date
    Jul 2007
    Posts
    928

    Default Re: Visit to LC, what to expect

    I hope the new LC can help. My experience at the appt was very like the PP described.

    1-2 oz after 30 hrs? I highly doubt that 'most' women can pump that much, that soon. I couldn't pump anything until after 4 weeks, and then only an ounce or two a day, if I was lucky. And I never had supply issues, my body just took a while to learn to respond to the pump, which from what I've read is totally normal. Also, my LC told me it's best not to pump before 4 or 6 wks because it can mess with the body's natural method of figuring how much milk to produce by responding to baby's needs. But I think if someone is not producing a lot, a LC may recommend pumping earlier to help with supply.

    Re: 2 hrs. We saw a LC at around 2 or 3 wks and she wanted to see DS latch and nurse. I think she suggested nursing him for a few mins before leaving the house so he'd have a little in his tummy (so he wouldn't need to nurse right before the appt), but not be full. IMHO the problem with refusing to nurse for two whole hours is that he would get too hungry and then be too upset to latch on. But maybe that's just my baby. I'm a little surprised the LC didn't ask you how frequently your baby nurses and then figure out a good time to nurse before the appt to ensure baby's not too hungry but she still gets to see you nursing.

    Re: telling you to wean. I very much doubt that would happen. But even if it did, you wouldn't have to take the advice. My ped told me I might need to wean at one stage and I was distraught at losing his support, but it never occured to me to do so. Do you own research and come here and ask questions. There's nearly always another solution that doesn't involve weaning. I shared my info with the ped and he did some more of his own and agreed with me that continuing to BF was best.

    I hope it goes well.
    Last edited by @llli*purple.monkey; January 8th, 2009 at 05:27 PM.
    Emma

    J from Aug '06 to Nov '08 and S from April 2009

  6. #6
    Join Date
    Apr 2007
    Posts
    1,610

    Default Re: Visit to LC, what to expect

    Quote Originally Posted by @llli*mommal View Post
    Before you take the LC's advice, you should probably ask her about her credentials. Does she have the IBCLC (International Board Certified Lactation Consultant) credential, or some other widely recognized degree? If she does, she's really a specialist and not just a nurse who took a short breastfeeding course and now thinks she knows it all.
    There are good and bad and ok LC's just like in every profession. Asking about an IBCLC is a good step in ensuring she's had more than just a weekend course like PP said.
    Also many IBCLC's are LLL Leaders or once were. That's actually who started the IBCLC certification. La Leche League!

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