The short answer? You don't have to wait until something goes wrong. Many mums benefit from seeing a lactation consultant before challenges arise. Let's break down the ideal times to seek support.

During Pregnancy (Prenatal Consultation)

Consider booking a prenatal lactation visit if:

• This is your first baby and you want to feel prepared
• You've had breastfeeding difficulties in the past
• You've had breast surgery (reduction, augmentation, or biopsies)
• You're expecting multiples (twins, triplets)
• You have a medical condition like diabetes, PCOS, or thyroid issues
• Your baby has been diagnosed with special needs (such as cleft lip/palate)
• You have flat or inverted nipples and want to understand your options

A prenatal consultation typically covers positioning techniques, what to expect in the first few days, recognizing hunger cues, and developing a feeding plan. It's a chance to ask questions and build confidence before the sleep-deprived early days begin.

Immediately After Birth (First 72 Hours)

The first few days are critical for establishing breastfeeding. Many hospitals offer lactation support before discharge, but you should definitely request help if:

• Your baby is struggling to latch or keep latching
• Feeding is consistently painful (more than initial tenderness)
• Your baby isn't feeding at least 8-12 times in 24 hours
• You're unsure if your baby is swallowing milk
• Your breasts become severely engorged when your milk comes in

Early intervention prevents bigger problems later. A small latch issue caught on day two is much easier to fix than persistent damage and supply problems weeks later.

Ongoing Breastfeeding Challenges (Weeks 1-12 and Beyond)

Seek help promptly if you notice:

Physical pain or damage:

• Persistent nipple pain, cracking, or bleeding
• Signs of mastitis (fever, red or hard areas in the breast, flu-like symptoms)
• Thrush symptoms (burning pain, shiny nipples, white patches in baby's mouth)
• Breast refusal or nursing strikes

Supply concerns:

• Worrying you're not making enough milk
• Baby seems constantly hungry or unsettled after feeds
• Oversupply causing choking, gagging, or excessive spit-up

Baby's health indicators:

• Weight loss exceeding 10% of birth weight
• Not regaining birth weight by two weeks
• Fewer than 6 wet nappies in 24 hours (after day four)
• Persistent jaundice
• Consistently fussy at the breast

Feeding patterns:

• Marathon feeding sessions that leave you exhausted
• Baby falling asleep immediately at the breast without feeding
• Clicking sounds or dimpling of cheeks during feeding

Life Transitions and Changes

Lactation support isn't just for problems. You might benefit from consultation when:

• Returning to work or study: Developing a pumping routine, understanding milk storage, and maintaining supply
• Introducing solids: Navigating the transition while continuing to breastfeed
• Planning to wean: Whether gradually or more quickly, an IBCLC can guide you through weaning while minimizing discomfort
• Extended breastfeeding: If you're nursing a toddler and have questions or concerns

If you've never seen a lactation consultant before, you might wonder what to expect. Here's what typically happens:

Initial assessment (20-30 minutes):

• Discussion of your breastfeeding goals and concerns
• Review of your medical history and baby's birth history
• Questions about current feeding patterns and baby's output

Physical assessment:

• Breast examination (checking for anatomical issues, engorgement, or infection signs)
• Baby examination (checking for tongue tie, palate shape, and reflexes)
• Observation of a full feeding session

Hands-on support:

• Guidance on positioning and latching techniques
• Demonstration of different holds and strategies
• Adjustments in real-time as you feed your baby

Personalized plan:

• Clear recommendations tailored to your situation
• Written instructions or resources to take home
• Follow-up plan (whether in-person, phone, or telehealth)

Most consultations last 60-90 minutes. Some situations require follow-up visits, while others can be resolved in a single session with phone support afterward.

Start with these trusted resources:

Professional directories:

• Lactation Consultants of Australia and New Zealand (LCANZ): The peak professional body for IBCLCs in Australia. Use their find a consultant search to locate IBCLCs near you.
• Check that consultants list "IBCLC" after their name—this confirms their certification.

Healthcare referrals:

• Ask your midwife, obstetrician, or GP for recommendations
• Many pediatricians work closely with lactation consultants
• Some maternal and child health nurses are also IBCLCs

Hospital services:

• Most major hospitals have IBCLCs on staff
• Some offer outpatient lactation clinics you can access after discharge

Telehealth options:

• Many IBCLCs now offer video consultations
• Particularly helpful for positioning and latching concerns
• More accessible if you're in regional or remote areas

Cost and Medicare: Some consultations may be bulk-billed or covered under private health insurance. Check with the consultant beforehand and ask about payment options if cost is a concern. Some community health services also offer free or low-cost lactation support.