Should I seek lactation support before my baby is born?

I work with many clients who choose to seek lactation support before their infant is born. This may be because they themselves or their infant has a predisposed medical condition that may pose potential breastfeeding challenges and needs to be addressed, or they are interested in getting as much information as possible to set themselves up for breastfeeding success. It is true that the act of breastfeeding is instinctual but the learned process can sometimes take time and often requires practice. We often hear that it is “normal” for a mother’s nipples to be sore, or even cracked in the beginning weeks of their breastfeeding career as it is considered the time in which the nipples have to “toughen up.” Fortunately, this is not necessarily true, and can be avoided with prenatal lactation care. And fortunately, discussing and practicing latch and positioning with someone who knows the ins-and-outs is important to ensure comfort and ease of breastfeeding from the beginning.

An important aspect to consider in getting prenatal breastfeeding care is that each year more and more breastfeeding information and research comes out and often debunks older “facts” or theories. There are more colleges, universities, research centers, etc. that are constantly researching different aspects of breastfeeding in order to provide the most up to date, evidence-based information. It is not uncommon to hear a breastfeeding myth and take it as factual. This is because traditional information has been around for many, many years and old habits (information) can die hard.  Fortunately, with the support of a lactation specialist the new, evidence-based information will be given and the older information will be phased out.

As I have previously mentioned, certain medical conditions and health history factors can make breastfeeding slightly more challenging or complicated. It is always a good idea to consult with a breastfeeding professional before baby is born to not only have a plan in place but to receive support for potential interferences. These potential interferences are not limited to the mother’s health history but may include infant’s health history, as well as past breastfeeding experiences. I have outlined some of those conditions and health history factors below:

  • Polycystic Ovarian Syndrome (PCOS)
  • Fertility problems
  • Multiples (twins +)
  • Diabetes (gestational, type 1 & 2)
  • No noticeable breast changes during pregnancy
  • Minimal breast changes at menarche (age of first menstrual period)
  • History of breast surgery or augmentation
  • Previous injury to breast(s)
  • Knowledge that infant will have a congenital or genetic condition
  • Hormonal imbalance(s)
  • Current or history of depression or anxiety
  • Pregnancy induced hypertension
  • Planned cesarean

If you or your infant has a condition listed (or not listed) above that you would like support around, consider seeking advice from a lactation professional prenatally to help develop a thoughtful breastfeeding plan.

As you can see not only are unknowns eliminated with prenatal lactation care but the thoughtful support a mother receives from a specialist is monumental. The more support for the breastfeeding dyad the more she will trust herself, her body and her infant throughout this process which allows for a long, successful breastfeeding journey.


Links to evidense-based research:
Stanford School of Medicine

© 2016 Megan Maltby, Lotus Lactation, LLC

Big Latch On 2016

The time has come again to celebrate world breast-feeding week by latching on those babes! At 10:30 AM on August 6, women and babies around the world will be breast-feeding at the same time to try and beat last year’s record of breast-feeding moms. Come and help us normalize breast-feeding and not only support women and families in our own neighborhood, but also, women and families across the globe.

Join our community and Lotus Lactation for this years event located at: 12400 SW 1st Street, Beaverton, OR 97005

Find our Event details here: Facebook Event Sign-up

To find a location in your area click here.

Introduction of Solid Foods

I am often approached by families who have questions regarding infant feeding and when to begin the introduction of solid foods. Some of the most common concerns are: at what age should we introduce foods? Should we start with rice cereal? Do I need to make special food for my baby or buy specialized baby food from the store? These are extremely important questions and with this blog post I am hoping to shed a little light on the topic.

The American Academy of Pediatrics and the World Health Organization agree that an ideal feeding schedule for the human infant is exclusive breastfeeding for the first six months of a life, followed by the introduction of solid foods (when baby shows signs of readiness) hereafter. Six months of age is not a concrete time in which solid foods can be introduced as some babies may be ready the day they turn six months and some may possibly be ready sometime after. It is expected that solid foods between the ages of six months to one year are mainly for fun and to ascertain a more diverse palate by trying different foods and flavors while breastmilk is still providing most of the nutrition in the infant’s diet. Why is it important to wait until your baby is six months old?  Breastmilk is specifically made for each individual growing baby. It is nutrient dense as it has just the right about of fat, protein, sugar, vitamins, etc., for the infant where foods (although still nutritious) may be lacking in a certain component a baby needs at the time. It is also not uncommon to find babies who were introduced to solid foods a little earlier than they were ready to show some signs of food sensitivity. What do I mean by a baby must show signs of readiness? Babies are born with a tongue-thrust reflex. This reflex protects the infant from choking by reflexively thrusting the tongue to expel objects (other than liquid) out of the mouth. You could imagine it being hard to feed a baby solids with this reflex! This reflex is typically lost between 4-6 months of age, with the more common timeframe being the latter.  The absence of this reflex is a one sign of readiness. Another sign is the infant’s ability to sit up on his/her own without support. This allows the infant to be in an upright position and permits the infant to appropriately and safely swallow foods. The infant must also be willing and able to chew foods.  Another sign of readiness is the infant is wanting to be an active participant in mealtimes. And what I mean is, the infant gazes at the food and is trying to grab and put it in his/her mouth. It is important to look at ALL the signs of readiness in your baby as the absence of one may mean he or she is not quite ready to start solids.

Must my baby’s first food be rice cereal? Rice cereal is commonly recommended as baby’s first food because it is relatively tasteless (often mixed with formula or breastmilk to make it more familiar to the infant) and does not really need to be chewed much before swallowed. If you waited until your baby is six months old to begin introducing solid foods there is no real need to start off with rice cereal or specially made baby foods. It is perfectly acceptable to take a little something that is un-spiced and easily mashed off of your plate (such as an avocado, sweet potato, well-cooked carrot, bananas, squash, etc.) and mash it up a little to give your baby a taste. Many health care professionals recommend introducing one solid food at a time and waiting a few days before introducing another food. The purpose of this is to be aware of your baby’s bodily reactions to each food and if a sensitivity shows up, there will be no question about which food was at fault. Luckily the afore mentioned foods are pretty low on the food sensitivity scale and may be fun to try.


  1. Bonyata, K. Is baby ready for solid foods? KellyMom. Accessed January 14, 2016.

This article should not be taken as medical advice. All questions and concerns regarding the starting of solid foods should be had with your infant’s primary health care provider.

Copyright 2016, Megan Maltby, Lotus Lactation, LLC


Welcome to Lotus Lactation where I support families throughout their entire feeding career, no matter what that looks like. I am here to offer unbiased support, evidence based knowledge and thoughtful alternative care. 

I currently offer prenatal breastfeeding appointments where we go over positioning, latch basics, what to expect in the first few months with answers to a variety of questions; post-natal breastfeeding appointments where we address questions, assess transfer,etc., as well as back to work/school appointments which are focused on maintaining milk supply while away and supporting the dyad during that transition. I offer in-home appointments, as well as email and phone support. 

New Parent Support Group: Every Wednesday from 10am-11:30am.

Our first prenatal breastfeeding class will be held on January 30th, 2016 right after our first working moms support group!

Lactation Services