Who specializes in the
medical side of breastfeeding?
Breast and nipple problems that occur during lactation tend to get lost in the shuffle.
Lactation Consultants can't prescribe, Ob/Gyn doesn't always deal with breastfeeding issues, and Breast Centers specialize in cancer. Where is a nursing mom supposed to turn?
Breastfeeding Medicine (AKA Lactation Medicine) is an emerging field that blends Pediatrics, Gynecology, ENT, Endocrinology, and Dermatology in order to support the mother-baby dyad through medical conditions that arise during lactation. Caring for the breastfeeding mother and baby demands a broad base of general knowledge plus experience and familiarity with the impact of our decisions on each member of the dyad.
Regarded as common and simple, but when you're the one suffering you realize it's a big deal. We manage the really tough cases, like breast abscesses and stubborn, recurrent infections. Why not start here when it's 'straightforward,' so we can do it right the first time? With onsite Therapeutic Ultrasound, we've got what it takes to help you heal.
From the mouths of babes, candida typically causes a stabbing pain that shoots toward the back. It can come to dominate your being and bring you almost to your knees (but for the fact that you've got to hold the baby). If you cringe at the thought of nursing, come to the experts. We know how to make it go away and stay away.
Smooshing, clamping, chaffing, and squishing...nipples sure do take a beating. After a while they can become hyper-sensitized, over-reacting to benign exposures like latching, showering and light touch. Small arteries that feed the nipple begin to clamp down, temporarily cutting off circulation. Even if you didn't notice subtle color changes on the surface, searing pain with everyday activities probably won't fly under the radar. Also known as Raynaud's phenomenon, this condition is easily overlooked and grossly under-diagnosed. Often it co-exists with other conditions. However, once recognized, it's readily treatable and something we manage all the time at DyadCare.
Things that go bump on the skin
Rashes and blebs, flaking and itching. During lactation, the breast and nipples receive a constant barrage of irritants, lubricants, allergens, moisturizers, fabrics, plastics and other contraptions--not to mention the baby. Teasing things apart can be challenging, but diagnosis drives management and we're good at recognizing patterns.
Whether it's burning, knife-like, throbbing, or just plain annoying, deep breast pain can be caused by numerous things, often has more than one cause, and the cause can be difficult to diagnose. Contrary to popular belief, it's not "normal" to have breast pain just because you're nursing, and if you want answers and solutions, you've reached the right address.
Supply usually follows demand. When the common pitfalls have been ruled-out, Lactation Consultants turn to us. We have the knowledge, skills, and tools to diagnose a host of endocrine, metabolic, nutritional, and mechanical factors that can affect breastfeeding.
Regarding domperidone, we take a balanced approach and prescribe it when we think it's going to help. We always explain the risks and benefits of treatments we recommend.
Aside from from having a really good eye and a steady hand, we treat every baby like our own and value our integrity more than our bottom line. From diagnosis to procedure, professionals and parents alike
appreciate our honest, realistic assessments, excellent bedside manner, and compassionate service.
Even though your milk finally did come in, the baby keeps latching like it's going out of style, and you're asking yourself, "How in the world is this constant-use body part supposed to heal?" We don't have a magic wand, but we do have have a few tricks up our sleeve and a lot of experience. We'll call on our expertise to help get you back to the races.
Need to make milk for a special delivery? Whether you're starting months in advance or your little package is due to arrive any day now, we can help you induce lactation for surrogacy or adoption. The more lead-time, the more milk you'll end up with, but every drop is solid gold. We'll walk you through the truly remarkable process pioneered by colleagues Jack Newman and Lenore Goldfarb in the early 2000's.
Kevin J. Rodbell, MD
2017 Georgia Breastfeeding Coalition Physician of the Year
International Board Certified Lactation Consultant
Assistant professor, Emory University School of Medicine
Diplomat, American Board of Pediatrics
Member, Academy of Breastfeeding Medicine