The lactation consult: problem solving, teaching, and support for the breastfeeding family.

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.