Palo Alto Medical Foundation

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For Newborns

  • Feeding
    • Lactation Consultations
    • Successful Breastfeeding
    • Baby Refuses to Bottlefeed
    • Blebs, Nipple Blisters and Plugged Ducts
    • Breast Engorgement in the First Week
    • Check List for Latch On Breastfeeding
    • Formula Feeding
    • Nipple Confusion
    • Pacifiers and Breastfeeding
    • Pumps, scales and bottles
    • Producing the Right Amount of Milk
    • Reducing Risk For Future Allergies
    • Storing Breast Milk
    • Understanding Your Breastfeeding Newborn
    • Working and Breastfeeding

Lactation Consultant Services

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Breastfeeding Help for You and Your Baby


Why do some mothers and babies need help with breastfeeding?
Breastfeeding is a natural process, but it is not instinctive. The mother and baby actually learn how to breastfeed together. In some societies, a breastfeeding woman is a common sight and women learn by growing up in this environment. However, in our society many new mothers have never held a newborn infant prior to having their own and are unfamiliar with breastfeeding. A lactation consultant can help new moms develop the skills needed for successful breastfeeding.

How do I know if I need help?
A visit with a lactation consultant can be helpful if you are:
  • Confused and frustrated by breastfeeding
  • Overwhelmed by breastfeeding
  • Unsure that the baby is feeding well
  • Experiencing pain while breastfeeding
  • Not enjoying breastfeeding
Remember, every baby is different. Even mothers who have breastfed successfully in the past may need to learn different techniques when they have a new baby.

What is a lactation consultant
A lactation consultant is a specialist in all aspects of infant feeding. She can give you the help and support you need to enjoy breastfeeding and will work with you to resolve any problems that may occur. As she does this, she will also share her wealth of knowledge about newborn behavior and infant care.

How do I find a lactation consultant?
If you are having difficulty breastfeeding while in the hospital, arrange a consultation with the hospital lactation consultant before you are discharged. If feeding difficulties continue or develop after you are discharged, you can contact one of our consultants listed below.

Joanna Koch, IBCLC, Palo Alto Medical Clinic
For appointments, call 650-853-2992. For phone advice, call 650-967-8715 daily.

Gail Fiock, RN, IBCLC, Fremont Center
For appointments, call 510-498-2800. For phone advice, call 510-498-2146 Monday through Friday.

What does IBCLC stand for?
The Palo Alto Medical Foundation’s lactation consultants are certified by the International Board of Lactation Consultant Examiners. Recertification is required every five years.


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Lactation Consultations
Joanna Koch instructing a new mother.
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