How long is a typical consultation?
  • Initial consultations last about 1.5-2 hours

  • Follow-up consultations last about 1 hour

What happens during/after my consultation?
  • Discussion of your breastfeeding goals, with focus on any problems and concerns you have

  • Review of a comprehensive medical history

  • Physical assessment of your breasts and your baby's anatomy/sucking abilities

  • Observation of latching and breastfeeding session

  • Measurement of milk transfer from session through weighing of baby before and after

  • Determination of likely cause(s) of any issue(s)

  • Development of tools and tips to help you and your baby breastfeed more easily 

  • Creation of a personalized, effective care plan for you and your baby that will cover the next 48 hours or beyond

  • Delivery of a report to your healthcare team to ensure that everyone is on the same page regarding the care of your baby and you

  • Follow up with us to let us know how things are going and ask any additional questions - we CARE


How do I prepare for a consult?

Before the day of your visit:

  • Hackettstown office: call your insurance company to make sure we accept your policy. Hoboken office is no longer affiliated with Mahala, please visit Loving Hands Lactation

  • Complete the two forms - these are all fillable on the computer - or you can print them and fill them out. Filling them out, saving them to your computer and emailing them as soon as possible is preferred, as they will provide your consultant with background knowledge that can make your time with her more efficient.

  • Write down any questions/concerns you want to address with your consultant


Day of your visit:

  • Make sure your baby is hungry, but not overly so. A good gauge is to feed him/her about 2 hours before the visit.

  • If he/she is very hungry within the two-hour window, limit the time of feeding at breast or provide a smaller feed (via bottle, if supplementing either with your expressed milk or formula). Please don't worry if you need to feed again sooner for any reason - we need a happy, hungry (but not frustrated and starving!) baby.

  • Don't forget to feed yourself, too! Bring a snack along, if you like! You'll be with us for a while.


You should bring with you:

  • Anyone you want to be there with you, including dad, grandma, or other member of your support system

  • Any tools you might be using - your pump, nipple shield, etc. *It's not necessary to bring your nursing pillow.

  • Any supplements and bottles (pumped milk or formula, at least one feeding) if you are using them.

  • Any questions or concerns you have - it helps to write them down beforehand.










When do I need a consult?
You would benefit from a consultation with an IBCLC if you:
  • have a history of nipple or breast surgery (augmentation, reduction, biopsy, piercing, etc)
  • have a history of hormonal or anatomical challenges (thyroid issues, flat or inverted nipples, insufficient glandular tissue)
  • did not experience breast changes during pregnancy
  • have noticeably asymmetrical breasts
  • have had a difficult previous breastfeeding experience
  • are adopting a baby (yes, you CAN breastfeed!)
  • have a premature baby
  • gave birth to multiples
  • have a special-needs baby
  • have experienced a separation from baby after birth
  • are having latching or positioning difficulty
  • baby's mouth is causing difficulty breastfeeding (cleft lip or palate, tongue or lip tie, etc)
  • are experiencing breast engorgement
  • have not noticed your "milk coming in" by day five
  • are experiencing breast/nipple pain or trauma
  • baby is not gaining weight or gaining weight slowly, and diaper output is insufficient
  • baby falls asleep quickly at breast or sleeps through feedings
  • baby is jaundiced
  • baby is crying, colicky, nursing very frequently, "never seems satisfied" after feedings
  • need reassurance about how breastfeeding is going
  • have questions about breastfeeding while pregnant
  • need help with bottle feeding/supplementing
  • are returning to work or school and have concerns
Why do I need to see an IBCLC?

IBCLC is the highest level credential for healthcare professionals who specialize in the clinical management of breastfeeding. In order to be eligible for certification, candidates must meet strictly defined requirements in education and experience and pass a rigorous test. In order to maintain the credential, IBCLCs are required to enhance their knowledge and skills through ongoing continuing education.

Is there a difference between breast and bottle feeding?
Every drop of your milk is precious. Your milk gives your baby everything he needs to grow strong and healthy. Feeding your baby milk from a bottle is necessary for some mothers and babies at certain times. Yet, there are compelling reasons why direct breastfeeding, whenever possible, matters. We can help many non-latching babies directly breastfeed! 


Call for breastfeeding help today!

254B Mountain Ave, Suite 303

Hackettstown, New Jersey


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Please Note:

Mahala Hoboken is now Loving Hands Lactation



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