Prenatal Lactation Consultations: Everything You Need to Know

Preparing for the arrival of your baby can be a whirlwind of emotions and decisions. One of the best ways to set yourself up for breastfeeding success is by scheduling a prenatal consultation.

These sessions are designed to provide personalized guidance, address common concerns, and help you feel confident as you embark on your breastfeeding journey.

Whether you’re a first-time parent or looking to have a smoother experience this time around, a prenatal consult can make all the difference. Below, we’ll explain what to expect and answer frequently asked questions to help you feel prepared.

What to Expect During a Prenatal Lactation Consultation

A prenatal lactation consultation is all about preparing you with the knowledge, tools, and confidence you’ll need for breastfeeding. Here’s what typically happens during the session:

  1. Initial Discussion:
    The session begins with an open conversation about your goals, concerns, and any medical or personal history that could affect breastfeeding, such as previous experiences, breast surgeries, or hormonal conditions.
  2. Breastfeeding Education:
    Your consultant will provide an overview of what to expect in the first days and weeks of breastfeeding. They’ll discuss topics like proper latch, milk supply, common challenges, and tips for feeding positions.
  3. Personalized Planning:
    Together, you’ll develop a customized plan tailored to your specific needs and circumstances.
  4. Hands-On Preparation:
    Your consultant may guide you on how to use essential tools, such as breast pumps or nursing pillows, and demonstrate techniques for holding and positioning your baby.
  5. Confidence Boost:
    By the end of the session, you’ll feel more confident and empowered, equipped with the tools and knowledge to navigate breastfeeding successfully.

Prenatal Lactation Consultation Checklist:

Before the Consultation:

  1. Schedule Your Appointment Early:
    • Book your consultation during your third trimester (28–36 weeks) to give yourself enough time to prepare.
  2. Write Down Questions or Concerns:
    • List specific topics you’d like to discuss, such as latching, pumping, milk storage, or past breastfeeding challenges.
  3. Share Medical History:
    • Be ready to discuss any relevant medical details, such as breast surgeries, hormonal conditions, or previous breastfeeding experiences.
  4. Prepare Your Space:
    • Choose a quiet, comfortable location for the session, especially if it’s virtual.

What to Bring or Have on Hand:

  1. Breastfeeding Tools:
    • Nursing pillow
    • Breast pump (if purchased)
    • Milk storage bags or containers
  2. Cell Phone:
    • Take pictures of positions for future reference.
  3. Partner or Support Person:
    • Invite your partner or a support person to join and learn how they can assist you.
  4. Comfortable Clothing:
    • Wear clothing that allows for easy demonstration, such as a nursing bra or top.

During the Consultation:

  1. Be Open and Honest:
    • Share your goals, fears, and concerns openly so the consultant can tailor advice to your needs.
  2. Take Pictures:
  • If desired, take pictures during the consult for future reference.

After the Consultation:

  1. Review Your Care Plan:
  • Go over the care plan provided by your consultant and make note of next steps.
  1. Follow-Up Options:
  • Schedule postnatal consultations or inquire about ongoing support if needed.
  1. Continue Your Preparation:
  • Practice techniques, set up your breastfeeding area, and gather any additional tools suggested by your consultant.

Frequently Asked Questions About In-Home Lactation Consultations

General Questions

What is a prenatal lactation consultation, and why is it important?

A prenatal consultation is a one-on-one session with a lactation consultant designed to prepare you for breastfeeding. It helps you understand what to expect, address concerns, and develop a personalized plan to set you and your baby up for success.

It’s ideal to schedule your consultation in the third trimester, around 28–36 weeks of pregnancy, to allow time to prepare before your baby arrives.

Most sessions last 60–90 minutes, depending on your needs and the topics covered.

Common topics include breastfeeding basics, proper latch techniques, common challenges, milk supply, pumping, and how to handle potential obstacles like tongue-tie or low milk supply.

Look for consultants with CLC or IBCLC certification or ask for recommendations from your healthcare provider.

Many insurance plans cover prenatal lactation consultations under preventive care. Check with your provider to confirm your coverage.

Specific Breastfeeding Preparation Questions

What if I’m not sure I’ll breastfeed? Should I still book a consultation?

Yes, even if you’re undecided, a consultation can provide valuable information to help you make an informed choice and prepare for all feeding options.

A prenatal consultation is especially helpful in this case. Your consultant can address past challenges, identify potential solutions, and help you feel more confident this time.

Absolutely! Your consultant can guide you on how to use a breast pump effectively, establish a pumping routine, and store milk safely.

Your consultant can help you create a plan for combining breastfeeding and pumping to maintain your milk supply while returning to work.

Yes, consultants are experienced in supporting parents expecting twins, triplets, or high-risk babies, tailoring advice to your unique needs.

Definitely! Involving your partner or support person can be incredibly helpful, as they’ll learn how to support you during the breastfeeding journey.

Preparing for a Prenatal Lactation Consultation

What should I do to prepare for a prenatal consultation?

  • Write down any questions or concerns you have about breastfeeding.
  • Share details of your medical history, including any breast surgeries or hormonal conditions.
  • Have a notebook or phone handy to take notes during the session.
  • A comfortable space for the session, whether it’s virtual or in person.
  • Any breastfeeding tools you’ve purchased, like nursing pillows, pumps, or storage bags.

Download our Prenatal Lactation Consultation Checklist for a detailed guide to prepare for your session.

Follow-Up and Support

Will I get a written care plan after the consultation?

Yes, most consultants provide a personalized care plan outlining steps to support your breastfeeding goals.

Absolutely! Many consultants offer postnatal visits to address any challenges that arise after birth.

Most consultants offer ongoing support via email or additional sessions to address new concerns.

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