Breastfeeding Medicine Consultation

Lisa Kahikina, MD, IBCLC

Physician-Owned Practice

Board-Certified by the American Board of Pediatrics.

International Board Certification Lactation Consultant (IBCLC)

All babies need milk. That is a fact.

You may have heard that “breast is best.” But does that mean if you don’t have enough breast milk, then you are not giving the best to your baby?

We all want the best. We try to be the best that we can. Babies need milk, and sometimes that is breast milk, but sometimes it is other milk. And that is okay.

At Mahinaona, no judgement. Come as you are. We will help to customize a plan that is the best for you and your baby.

Your visits can be Telehealth or In-person. We got you.

NEW TO HILO: We have in-person services in Hilo! Contact Us Now to Learn More!

What we do differently

Our story: Breastfeeding and providing breast milk to your baby is the first step that you choose to take in growing your baby optimally. But to our practice, breastfeeding is not only providing your baby the best nutrition you can, but about the kind of relationship you are choosing to have with your baby. Through breastfeeding, you observe more, deduce more, try to “figure out” what your baby is telling you, because you don’t always know if you are doing it right…is that a hunger cry, a tired cry, or a “change my diaper cry”? Did I feed my baby enough? Why is my baby spitting up? Is this amount of gas normal? Is that poop normal? And just when you think you got it down, your baby grows up and is now distracted at the breast, or you went back to work and maybe your milk supply is being affected, or your baby was sleeping through the night, but is now waking up….is it teething? Is it 4 month sleep regression? Is it my milk supply? Every stage of development can affect nursing. Every change in your life, can affect nursing. And when your baby is sick or you are sick…well, that can affect nursing too. Therefore, understanding normal infant and child development, understanding the nutritional needs of a growing infant over the first 2 years of life, understanding medical problems for you and/or baby related to breastfeeding, and also medical problems that are unrelated to breastfeeding but have an impact on breastfeeding or milk production…well that’s where a medical expert, like a pediatrician that specializes in breastfeeding can provide a different kind of care. It is more than a lactation consultation…this is breastfeeding medicine. And that is what we do.

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Child Development, Nutrition And Breastfeeding, Prenatal to the first 2 years

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