Lactation Support

Feeding your newborn is one of the most special moments you will share and helps nurture your infant both physically and emotionally.  How to feed your newborn is a very personal decision that you and your family should discuss before the baby is born.  Breastfeeding offers many benefits to both mother and baby and is the recommended source of nutrition for all infants until age 6 months, at which age complimentary solid feedings may be added.  Breastfeeding can be intimidating, and challenging, to many new mothers.  We are here to help! 

Prenatal Visit

Please take the time during this visit to discuss feeding options with the PAMPA provider you are meeting.  We can help answer questions and soothe concerns.  If you do plan to breastfeed, we can offer guidance on the first days in the hospital and what to expect in the first weeks.  Also contact your delivery hospital about their breastfeeding classes and resources.

Lactation Visits with Kelly Sierra, CFNP, CLC

Our front office would be happy to help you schedule a lactation consult with our Nurse Practitioner Kelly Sierra, who is a Certified Lactation Consultant. She can meet with you and your baby during an office visit to discuss questions, positioning, supply, and your nutrition; she will check your newborn’s weight and perform a brief physical exam.  She can be a fantastic resource during this important time.  For your appointment, we do provide a “boppy” pillow at our Sprayberry and Towne Lake locations; please feel free to bring any regular supplies/supports you need for breastfeeding. If you desire, also please bring a drape or cloth to maintain your modesty and comfort during the appointment.  For your breastfeeding visit, we recommend feeding your infant at least 2.5 hours before your appointment time, but no sooner than one hour prior.   If you are considering a breastfeeding consultation, we recommend Kelly see your child within the first 10 days to help you address any questions or concerns. We are happy to see you and your child at any point during your breastfeeding journey.

Tips to successful breastfeeding initiation:

  1. Offer the first breastfeed as soon as your obstetrician feels you and the baby are ready – preferably in the delivery room.
  2. Ask for help when you are in the hospital from both your nursing staff and the lactation team.
  3. Skin-to-skin holding is an important way to establish bonding with your baby, provide warmth and soothing, and is something we encourage both parents to do.
  4. Initiation of breastfeeding is high demand physically for the mother, with frequent feeds during the newborn phase, as often as every hour during parts of the day. Try to rest when your baby rests. Loved ones can assist by making sure Mom is well hydrated and nourished and helping tend to other household matters.
  5. Avoid using a pacifier until breastfeeding is well-established – meaning it is becoming easier for both you and the baby, and you are starting to have a good milk supply.
  6. Feed your newborn on demand – when she is hungry rather than watching the clock.   Most newborns will nurse every 1-3 hours, with a rare 4-hour nap.  At least 8-12 feedings in 24 hours ensures adequate intake.
  7. Newborns lose weight in the first several days of life – this is normal, but also one of the reasons the first visit, 2-3 days after hospital discharge, is so important.  Your PAMPA provider will let you know if we think your baby’s weight loss is concerning.
  8. Some newborns do need formula supplementation until breastfeeding is well established – please ask us or lactation about how to supplement if you feel your newborn is still hungry.
  9. Be patient!  Most new mothers find it can take up to 2 weeks to feel very comfortable with nursing – if you really want to feed you baby breastmilk, it will work – keep asking us for help and guidance.  Family/friend support and encouragement of the mother during initiation and continuation of breastfeeding is helpful for long term success.

There are many resources for breastfeeding information, and your delivering hospital will offer breastfeeding classes and lactation consultants for guidance.One trusted source is the American Academy of Pediatrics Healthy Children page:





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PAMPA is a pediatric medical practice in north Atlanta, Georgia consisting of ten pediatricians, four nurses,
and three locations in Roswell, Woodstock,and Marietta. area.
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