Breastfeeding is natural, but that does not always mean it comes naturally. A lactation consultant is a certified health professional who specializes in the clinical management of breastfeeding. Their ultimate goal is to help you feed your baby effectively and confidently.
These pros go through intensive schooling and clinical training. Once certified, they can assess your physical and emotional state, correct painful latches, teach you how to express breast milk by hand, and guide you through weaning when the time comes.
Lactation consultants work in hospitals, pediatric clinics, birth centers, and private practices. This guide covers everything you need to know about finding the right support for your feeding journey.
When to See a Lactation Consultant
You should reach out to a professional whenever you face a breastfeeding challenge you cannot solve on your own. You do not have to wait until you are in agony; early intervention is key.
Here are specific situations where a lactation consultant is invaluable:
- Latch issues: This refers to how your baby attaches their mouth to your breast. If you have cracked nipples, pain during feeding, or your baby slips off frequently, a consultant can adjust your positioning and the baby’s latch.
- Supply concerns: You might worry you aren’t making enough milk, or conversely, you might be dealing with painful engorgement and let-down issues. A consultant can perform a “weighted feed” to see exactly how much your baby transfers and create a plan to manage your supply.
- Emotional hurdles: If your struggles stem from anxiety, past trauma, or fear, a lactation consultant provides a safe space to work through those roadblocks.
- Recurring pain or infections: Some mothers experience thrush or clogged ducts repeatedly. While you may need a doctor for medication, a lactation consultant finds the root cause to prevent it from happening again.
Lactation consultants also help with issues like breastfeeding pain, slow weight gain in the baby, tongue ties, mastitis symptoms, and fussiness at the breast. If home remedies aren’t working, it is time to call in an expert.
How to Find a Lactation Consultant
Finding the right help is easier than you might think. You want to look for an IBCLC (International Board Certified Lactation Consultant), which is the gold standard in the field.
Start by checking with your OB-GYN or the hospital where you delivered. Many hospitals employ consultants who can see you postpartum. This is a convenient option because they already have access to your medical records.
If you are already home, online directories are the best way to find private practice IBCLCs near you:
Word of mouth is also powerful. Talk to other parents in your circle. They can recommend someone they loved working with, which gives you a chance to ask about their bedside manner and availability before you book.
Pro Tip
Questions to Ask Your Lactation Consultant
Your consultant expects you to have questions. This is your time to learn, so do not feel shy about asking for clarification on anything that confuses you.
Consider asking these questions based on your specific needs:
- How often should I feed my baby at this age?
- How many wet and dirty diapers should I expect daily?
- What can I do to safely increase milk production?
- Can you check my baby for a tongue or lip tie?
- What are the best positions for night feedings?
- What foods should I eat to support healthy breastfeeding?
- Which breast pump do you recommend for my situation?
- How do I ensure my flange size is correct?
- What are the guidelines to properly store breast milk?
- How do I introduce a bottle if I need to return to work?
- How do I prevent my nipples from cracking?
- Is breastfeeding a reliable form of birth control for me?
The Cost of a Lactation Consultant
New baby expenses add up quickly, and many parents forget to budget for professional feeding support. The cost varies based on location, credentials, and whether the visit is in-home or in-office.
Hospital-based consultants are often covered during your stay. Some hospitals also run outpatient breastfeeding support groups for free or a low nominal fee.
Private practice IBCLCs typically charge between $150 and $350 for an initial home visit (1). Follow-up visits are usually slightly cheaper. Some consultants offer virtual visits at a lower rate, which can be great for quick questions or troubleshooting.
Insurance and Lactation Consultants
The Affordable Care Act requires most health insurance plans to cover breastfeeding support and supplies. However, implementation varies wildly between providers.
Some plans require you to see an in-network provider, while others will reimburse you for an out-of-network IBCLC if you submit a “superbill” (a detailed medical receipt).
ALWAYS call your insurance company before your appointment. Ask specifically if they cover “lactation counseling” and if there are restrictions on who you can see.
FAQs
Is It Worth Seeing a Lactation Consultant?
Absolutely. If you are struggling with pain, supply, or latching, a consultant can save your breastfeeding relationship. Even one session can provide the tools and confidence you need to continue.
Why Are Lactation Consultants So Expensive?
Their rates reflect specialized clinical training, board certification fees, and continuing education. Additionally, a private home visit involves travel time and often includes weeks of follow-up messaging support.
Can a Lactation Consultant Help With Pumping?
Yes. They can measure your nipples to ensure proper flange fit, teach you how to use your specific pump settings, and help you create a pumping schedule for returning to work.
Can a Lactation Consultant Help a Baby Take a Bottle?
Yes. Consultants can suggest “paced feeding” techniques and recommend specific bottle shapes that mimic the breast to help a breastfed baby accept a bottle.
What Is the Difference Between a Breastfeeding Counselor and a Lactation Consultant?
An IBCLC (International Board Certified Lactation Consultant) has completed extensive clinical hours and college-level science courses. A breastfeeding counselor (like a CLC or CLE) has completed a certification course but generally has less clinical medical training.
Do Lactation Consultants Do Home Visits?
Yes, many private practice consultants offer home visits. This allows them to see where you nurse, check your pillows and chair setup, and help you in your own environment.
Do I Need a Referral to See a Lactation Consultant?
It depends on your insurance. PPO plans typically do not require a referral, but HMO plans might require a script from your pediatrician or OB-GYN to cover the cost.
