Requests from parents for lactation support have increased significantly in primary care settings. Pediatric nurse practitioners with the ability to assess the newborn as well as the breastfeeding couple are a valuable asset. This article seeks to identify early predictors of breastfeeding problems and how to perform a lactation consultation to address these concerns. Good infant weight gain and maternal comfort while nursing are described as key evaluation criteria when assessing the nursing couple. The importance of achieving a good latch at the breast is stressed. A step-by-step guide to both the lactation consultation and common latch-on techniques are reviewed.
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