Sometimes feeding your baby goes differently than expected...
 

Dr. MacGregor MD IBCLC is pleased to offer breastfeeding and infant nutrition support in conjunction with an international board certified lactation consultant (IBCLC), Julia Mio. This assistance is provided at no cost to those with Alberta Health Care.

A first visit takes approximately 90 minutes and includes a full medical history, feeding observation and assessment, weight and/or transfer checks with hands-on help. All follow-up visits take approximately 45 minutes. At every visit, patients spend time with both Dr. MacGregor and Julia Mio, IBCLC, blending both the art and science of this complex area of care.

Julia Mio (L) & Dr. Kelly MacGregor (R)

Julia Mio (L) & Dr. Kelly MacGregor (R)

At your visit, multiple aspects of feeding will be addressed such as, but not limited too:

  • Medication management

  • Body mechanics

  • The presence/absence of tethered oral tissue(s)

  • Discussion and prescription of breast milk substitutes as needed

  • Parental/family goals and limitations

  • Physical, mental and social factors impacting feeding and child-parent relationship

  • Review and management of past and present medical conditions, possible ordering of investigations

If indicated, Dr. MacGregor performs lingual (tongue) and labial (lip) frenectomy. She is trained in release of both “anterior” and “posterior” restrictions. This procedure is provided at no cost with Alberta Health Care and is completed with scissors. While these issues are often suspected prior to a visit, to ensure appropriate diagnosis, a successful outcome and a timely workflow, a full intake assessment will be completed regardless of suspicion. If frenectomy is appropriate, infant and parent return for a shorter appointment within 7 days. To ensure the provision of thorough, evidence-based care, no exceptions to this policy will be made. A post procedure visit is scheduled 3 to 10 days after the procedure.

Dr. MacGregor recommends post frenectomy wound care to reduce the risk of reattachment. When done correctly, this care is respectful, gentle and non invasive. To support families and reduce worry during this time, we provide comprehensive after care instruction in the form of hands-on support, handouts and videos.