When to refer your patient to a lactation specialist…

As a healthcare provider, you might wonder when to refer your patient for a lactation consult. Here are a few key signs that a lactation specialist could really help:

Parent Concerns: If a parent is worried about their baby’s feeding or has questions, a lactation specialist can help put their mind at ease. Whether things are on track or there’s something to look into, talking it over with a specialist can make all the difference.

Pain for the Parent: Any pain during nursing, including cracking or bleeding, is a sign something’s off. A referral for latch and positioning guidance can make a world of difference.

Less than 3-4 Stools per Day (under 6 weeks): While some breastfed babies do stool less frequently, fewer than 3-4 per day in the early weeks is often a red flag that their baby isn’t getting enough milk or isn’t feeding efficiently.

Slow or No Weight Gain: We often assume low weight gain is due to milk supply issues, but the real problem can be a less-than-ideal latch or feeding pattern. A full latch and oral assessment can help ensure baby is feeding effectively.

Reflux or Spitting Up: Reflux and frequent spitting up can sometimes be caused by issues with latching and positioning. If medication isn’t improving symptoms, consider a referral to address possible underlying causes.

Mastitis or Recurrent Clogged Ducts: These issues, especially if they’re recurring, can also point to latch or positioning issues that a lactation specialist can help improve.

Perceived Low Milk Supply: True low milk supply is less common than parents often think; many feeding issues mimic low supply but actually stem from latch or feeding efficiency. Taking a step back to evaluate the whole picture can uncover the real cause.

These are just some of the common reasons a referral can make all the difference for a parent’s feeding journey. I often say, “When in doubt, refer out.” Breastfeeding can reduce postpartum depression risk, but if it’s not going well, it can have the opposite effect. This is why I encourage clients to reach out at the first sign of struggle. Waiting only makes it harder.

Remember, nursing a baby is natural but learned, and it’s normal for parents to need help. The best way you can support them is to work alongside a lactation specialist, giving them that extra layer of support they need. It truly takes a village, and that includes us as providers!

If you’d like to learn more about how I support parents, I would be happy to schedule a phone call with you to discuss this further and answer any questions.