Breastfeeding Care | Initial
Breastfeeding Care | Initial
Includes one Breastfeeding Medicine Consultation for mother and baby in the comfort of your home. Visits are typically 90-120 minutes in length, scheduled directly with Dr. Renno at a time that is convenient for you. Your registration also includes seven days of support via telephone and text.
Concerns that can be addressed during this visit are listed below. Please refer to Frequently Asked Questions for additional information.
Maternal Concerns
Milk Production: Delayed lactogenesis, low milk supply, hyperlactation/oversupply.
Painful Feeding: Nipple damage, plugged ducts, milk blebs, dermatitis, vasospasm.
Infections: Mastitis, thrush, mammary dysbiosis.
Maternal Wellbeing: Debilitating fatigue, postpartum depression, dysphoric milk ejection reflex.
Anatomic Barriers: Flat or inverted nipples, insufficient glandular tissue, history of breast surgery/injury.
Medical Barriers: Maternal thyroid disease, PCOS, medication contraindications.
Complex Nursing Scenarios: Nursing multiples, nursing in the NICU, tandem nursing, inducing lactation for adoption.
Pumping: Exclusive pumping, painful pumping, returning to work, milk storage.
Weaning: Abrupt weaning due to medical emergencies, difficulty weaning when desired.
Infant Concerns
Growth: Neonatal weight loss, slow weight gain, failure to thrive.
Jaundice: Will work closely with your pediatrician to accurately diagnose and manage.
Latch: Painful, shallow, inefficient, losing suction, choking, nipple shield dependence.
Tongue Tie: Frenotomy during the visit if indicated, non-invasive management options.
Medical Complications: GERD, cow milk protein intolerance, food allergies.
Challenging Cases: Cleft lip and palate, Trisomy 21, prematurity, hypotonia, anatomic barriers.
Infant Refusal: Bottle preference, breast refusal, bottle refusal.
Follow-up Breastfeeding Care for mother and baby can be arranged after this initial consultation, if needed.