We come to your home, weigh the baby and evaluate the baby's mouth, tongue placement and suck through an oral assessment using Alison Hazelbaker's tool. A suck evaluation is important for tongue and lip functioning. All IBCLCs are trained in oral assessment and tongue function. We examine your breasts for any trauma, discuss sore nipples and latch. We sit through a full nursing session with you and your baby and help with positioning, the logistics of the latch and hold. We work together on a lactation care plan which fits for your individual family. No two families are alike. You must do what works for yours.
We start follow up through email and phone conversations. We are happy to do follow up consults in your home as many times as you feel you need us. We recommend at least one follow up. There is a fee for each consult as we do everything we did in the initial consult. Usually you will need extra follow up for encouragement and further direction but we can do that in the capacity you prefer. Your nursing career changes with days, and months and we support you in the entirety of your nursing relationship.