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The Life of a Lactation Consultant

as Viewed Through Mary's Story of Breastfeeding Jake
by
Carol Chamblin, RN, MS, IBCLC



Mary and I met when her firstborn was 4 months old. Mary had taken her daughter, Julia to see the doctor and was told she needed to supplement her baby with bottles because the baby had not gained enough weight.  Rather than starting to give Julia bottles, Mary decided to call me for a lactation consultation.  A lactation consultation consists of an assessment of the baby's latch at the breast, measuring how much milk the baby takes at the breast, and intervening with the proper techniques to continue breastfeeding.

We met on a sunny day in the fall of 2001.  I still remember the sunny backroom where we did the consult.  As I prepared to help Mary to position her baby onto her breast, I discussed reasons a baby may not get enough of milk at the breast.  At the age of 4 months, the reasons may vary from an alert baby being easily distracted, to a calm, quiet baby such as Julia, leading to not gaining enough weight.  Most of the time the breastfeeding experience can continue while the issues are resolved.

After Mary and Julia's consult that fall afternoon in 2001, Julia did gain weight without the need for bottles.  They continued to enjoy their breastfeeding relationship until Julia was 15 months old, when Mary became pregnant with Jake.  This time Mary hired me to assist her with breastfeeding her baby soon after birth.  Jake was born on a sunny Sunday afternoon on September 21, 2003  weighing 7lb. 3oz. and I had the opportunity to be present at his birth.  Soon after birth we placed Jake at his mother's breast and he gulped colostrum.  Colostrum is the initial milk present after birth.  In the event that a baby achieves a good latch at the breast soon after birth and gulps colostrum, many breastfeeding struggles seem nonexistent.

The course of Jake's breastfeeding is very different from that of Julia's.  Mary had experienced sore nipples while breastfeeding Julia in her early weeks of life, but not with Jake.  Nipple soreness is indicative of a poor latch onto the breast.  I like to call it the #1 myth of breastfeeding.  It often deters a woman from continuing to breastfeed despite her desires to breastfeed her newborn.  As Mary's lactation consultant, it was my responsibility to assist her with her latching  technique so that soreness was avoided. 

Mary and Jake have been enjoying their breastfeeding experience. His latches reveal wide-flanged lips which extend beyond the nipple area.  His swallows are heard as loud gulps.  He ends his feedings in a placid, satiated state.  His weight gain in his first 2 weeks of life was a whopping 2 lbs.!  Everyone at the doctor's office was amazed at his weight gain!  Within another 2 weeks Jake gained an additional 2 lbs., tipping the scale at 11 lbs. at the age of 1 month.  He's a content, cooing baby who's beginning to really develop his own personality.  It has been a real blessing to be a part of Mary and Jake's life!

Carol Chamblin, RN, MS, IBCLC
Breast 'N Baby Lactation Services, Inc.
525 Tyler Road, Suite L-2

St. Charles, IL  60174      (630) 513-1101