Re: ] referral from pediatricians

[Guest guest]

i do. here it is:

or What Issues is Prenatal Lactation Consultation Useful?

While prenatal lactation education and consultation can be useful for all mothers in order to help breastfeeding get off to as smooth a start as possible, for some mothers it can make all the difference! When you have a client who has experienced / is experiencing any of the following medical or personal issues, we urge you to consider referring to Beyond Birth for prenatal consultation:

Difficulties with breastfeeding a previous child for any reason

Polycystic Ovarian Syndrome

Infertility/trouble conceiving

Hormonal imbalances of any kind

Symptoms of hyperandrogenism, including hirsuitism, acne, male pattern baldness, etc.

A history of irregular menstrual cycles/amenorrhea

Minimal or no breast changes during pregnancy (1 or more cup sizes increase, veining and tenderness)

Gestational Diabetes

Pregnancy Induced Hypertension

Maternal illness (chronic or acute)

History of breast surgery or injury (including breast reduction and breast implants)

Known fetal genetic or congenital problem

History of depression or other mental illness

History of sexual abuse

Breasts that are unusually shaped or extremely asymmetric in size

A planned C-section for any reason

Twin/multiple pregnancy

When should I consider referring for a post partum lactation consultation?

While most women can benefit from some "fine tuning" during their early breastfeeding experience, certain situations can be resolved much more quickly and easily the sooner they are addressed. If you have a client who is experiencing any of the situations listed below, please consider referring as soon as possible, rather than waiting to see if the situation will resolve itself. Finances should not be a barrier to referral, as we can see low income women on a sliding scale basis.

A baby who is not latching on within the first 24 hours (please do not use a nipple shield to get a baby to latch before the milk has come in!)

A baby for whom you are recommending supplementation of any kind.

A baby who is not passing meconium, or ceases to stool after the meconium is passed.

A baby who is not gaining weight once it appears mature milk has come in.

A baby who is losing weight rapidly.

A mother whose nipples are sore, cracked, bleeding, blistered, scabbed, or painful in any way. Breastfeeding should not be painful and it is not possible to tell if a latch is correct just by looking - if nipples are damaged something is wrong and should be addressed as soon as possible.

A baby who resists latching, or is fussy, agitated, or seems uncomfortable at the breast.

A baby who is nursing "all the time" and never seems satisfied or contented, even if weight gain is adequate.

A premature or near term (36-38 weeks) infant, or an infant in the NICU for any reason.

A baby born by caesarian section.

A baby with any unusual anatomical or genetic defect - especially midline defects: cleft lip, cleft palate, ankyloglossia, hypospadius, esophageal atresia/tracheoesophageal fistula, imperforate anus, conotruncal heart defects and diaphragmatic hernia.

A mother or baby with any illness or condition.

[PHISH] referral from pediatricians

Might anyone have a brief list of reasons to refer to an LC for pediatricians? I just want to send a "Hey, I'm out here for you" mailing to pediatricians in my area and thought if someone doesn't mind sharing, or point me in the right direction to find such a list, I'd be grateful. I know a couple points would be, slow wt gain or wt loss, need to supplement with AIM, low supply, sore nipples, so if there's more, also would appreciate suggestions.

Sorry to not have been active on this list, but a cervical disc problem and then family stuff has kept me reading only until now. I appreciate the specific private practice issues that are discussed. From awhile back, I should add that I, too, have suffered a decline in my private practice, thus my current outreach to peds. When I get this small mailing package assembled I'll be glad to share with all, as well.

Thanks in advance!

Barbara Latterner

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