LINDA WORZER, IBCLC, RLC
Board Certified Lactation Consultant
Linda (972) 699-3921

SHARON MATTES, IBCLC, RLC
Board Certified Lactation Consultant
Sharon (972) 495-2805

Q & A on Lactation Consultation ...

Consultation - what happens?
Fees for professional services?
Cost is determined by?

Becoming a Lactation Consultant?
HIPAA - what are the regulations?
Professional Help...When is it needed?
Physician recommendations on breastfeeding are?
IBCLC Lactation Consultant - what does it mean?

~ Office Consultations

$ 100.00 Inital Visit
$ -40.00 Hourly, Follow ups

~ Office Weight Checks
No Charge
. . . . . . . . . . . . . . . . . .

~ Home Consultation

$ 140.00 Initial Visit
$ 060.00 Hourly, Follow ups
. . . . . . . . . . . . . . . . . . .

~ After-hours and/or
Holidays - Weekends

$ 50.00 Additional Fee

~ Phone Consultation
Simple question - No Fee.

$ 40.00 Per half hour if problem solving is required, or for after-hours phone calls.

Consultation Fees for Initial
Visits are charged per visit
rather than per hour.

A typical consultation will
be 1 1/2 - 2 hours in length.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fees are determined by the time necessary to

~ Consult and travel
~ Take history of mother and baby
~ Examine mother and baby
~ Weigh baby before & after feeding(s)
~ Observe feeding(s)
~ Assess and problem solve
~ Develop appropriate care plan

A Consultation, whether in your home or our office requires time to
examine baby and mother, to take a history of birth, maternal and infant
health, current feeding and sleeping patterns, to weigh baby, to assess
effectivness of breastfeeding, to determine the issues needing correction,
and to prepare a care plan designed to achieve your breastfeeding goals.

Reports to your physician follow each consultation and serve to keep
your health care providers updated on baby's progress, advising them of
assessments and care plans. Insurance reimbursement forms are provided.

Normally included in your consultation will be valuable information
about breastfeeding, newborn behavior and tips on how to read baby's
body language. When problems persist, follow up care addresses both
mother's and physician's concerns and directs any remaining challenges
to guide the nursing couple through their learning process.

If you need assistance with problem-solving, or you need 'hands-on'
help nursing your baby, call to arrange a private consultation, either in
our office or in your home. We are also available for phone consultations
for basic and general breastfeeding information. [Dallas, TX Area]

Sharon Mattes (972) 495-2805

Linda Worzer (972) 699-3921

To find a Lactation Consultant,
[other than Sharon or Linda]
http://www.ilca.org/falc.php

How to Find Breastfeeding Support Services
both local and international

Physician Recommendations

[The American Academy of Pediatrics]
AAP Breastfeeding Guidelines

The AAP recommends human milk as the preferred feeding for all infants,
and breastfeeding should begin as soon as possible after birth. Newborns
should be nursed whenever they show signs of hunger [crying is a late
indicator of hunger] No supplement should be given without medical indication. Exclusive breastfeeding is ideal and sufficient nutrition for the first six months. Gradual introduction of iron-rich solid foods may be added after six months. It is recommended that breastfeeding continue for at least twelve months, and thereafter for as long after as is mutually desired for mother and baby.

Revised 2005, AAP Policy Statement on Breastfeeding

[The American Academy of Family Physicians]
AAFP Policy Statement on Breastfeeding

Breastfeeding is the physiological norm for both mothers and their children.
The AAFP recommends that all babies, with rare exceptions, be breastfed and/or receive expressed human milk exclusively for about the first six months of life. Breastfeeding should continue with the addition of complementary foods throughout the second half of the first year. Breastfeeding beyond the first year offers considerable benefits to both mother and child, and should continue as long as mutually desired. Family physicians should have the knowledge to promote, protect, and support breastfeeding.

When Do I Need To Seek Professional Help?

THERE ARE SEVERAL 'CRITICAL PERIODS' COMMON TO NEW NURSING
COUPLES, which may present challenges to your comfort or breastfeeding
success. It is always best to address any problem as soon as possible.

CONTRARY TO POPULAR FOLKLORE, sore nipples are not normal, and
would be an indication that mother or baby's feeding position or anatomy
is impacting effective latch, and that some other adjustment is required
to correct or prevent damaged nipples, engorgement, mastitis, slow
infant weight gain, low milk supply, and further possible difficulties.

You may want to seek additional help to correct the following concerns:

BABY'S AGE		FOR MOM - CRITICAL NURSING CHALLENGE
2 to 7 DAYS		Tender Nipples, Obvious Physical Damage, Sore breasts, Engorgement, Baby Not Content after feeds, Baby Sleeping or Feeding 'all the time'.
2 to 3 WEEKS		Unresolved Sore Damaged Nipples, Low Milk Supply, Unexplained Crying, Reflux or Colic
6 to 12 WEEKS		Adjusting Feeding and Sleeping patterns, Pumping & Storing Breastmilk, Returning to Work or School

A new mother should feel both secure and comfortable

What is a Lactation Consultant ?

Q: I.B.C.L.C. - What do the initials mean?

The initials stand for International Board Certified Lactation Consultant.

...IBCLCs are allied health care providers who, by meeting eligibility
requirements and certifying by passing an independent examination, possess
the necessary skills, knowledge, and attitudes to facilitate breastfeeding.

...With a focus on preventive health care, they encourage self-care
and parental decision-making both prenatally and postnatally. IBCLCs use
a problem-solving approach, to provide appropriate information, referrals
and recommendations, in a variety of settings.

Q: What is the importance of this credential?

...IBCLC certification alone of all the other certifications awarded,
maintains minimum competency standards and provides on-going
disciplinary and ethical oversight.

...As experienced professionals, we present skillful application of current techniques, to resolve common or crisis situations and to provide follow-up
and continuing support of the breastfeeding mother.

...Our philosophy is to help each mother reach her personal goals. Using evidence-based techniques, we are able to offer mothers experiential knowledge, hands-on-help, as well as the most up to date, proven breastfeeding-friendly products.

Want to become certified as a Lactation Consultant?
To find qualifications and requirements, go to:

Certifiying Organization:
http://www.iblce.org/index.htm
http://www.iblce.org/I_want_to_be_an%20_LC.htm
http://www.iblce.org/docs/misc%20docs/Competencies%20FINAL%20.pdf
http://www.lalecheleague.org/FAQ/LC.html

Preparation Programs:
http://lactationeducationconsultants.com/
http://www.bflrc.com/products/lectures/exam_prep_course_desc.htm
http://www.ilca.org/education/courseguide.php
http://www.dshs.state.tx.us/wichd/lactate/courses.shtm
...click on breastfeeding / trainings

Internet group for LC Candidates:
http://groups.yahoo.com/group/IBCLC2B/