Lacta Consult Ottawa

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Lacta Consult Ottawa Evidence-based lactation support with Roshena Moledina, RN, BScN, IBCLC.

In-person and virtual consultations available to help families feel informed, supported, and confident in their feeding journey.

This Thanksgiving, I’m grateful to every family who has trusted me with their feeding questions and welcomed me into suc...
10/12/2026

This Thanksgiving, I’m grateful to every family who has trusted me with their feeding questions and welcomed me into such a personal part of their lives.

And to the parent feeding their baby while dinner is being served, I hope someone brings you a plate, keeps you company, and asks how you’re doing, too.
You spend so much time making sure your baby is cared for. You deserve that care as well.
Happy Thanksgiving from Lacta Consult. 🤍

Roshena Moledina, RN | BScN | IBCLC

Many breast pumps come with one or two standard-size fl**ges.Bodies do not come in standard sizes.Measuring the ni**le c...
10/08/2026

Many breast pumps come with one or two standard-size fl**ges.

Bodies do not come in standard sizes.

Measuring the ni**le can offer a starting point, but fl**ge fitting should not end with a number on a ruler.

The breast and ni**le also need to be observed while the pump is working.

How does the tissue move?

Is there rubbing, pinching, blanching, swelling, or pain?

Is the vacuum comfortable?

Is milk being removed effectively?

Current research around fl**ge sizing is still evolving.

That is why a single sizing formula cannot replace an individualized assessment.

Sometimes more than one size needs to be tried. The fl**ge, pump settings, tissue response, comfort, and milk removal all need to be considered together.

The goal is not to force your body to tolerate the equipment.

The goal is to find a pumping setup that works with your body and supports your feeding plan.

Roshena Moledina, RN, BScN, IBCLC provides compassionate, individualized, and evidence-informed feeding support.

📍 Ottawa and virtual lactation support
Learn more through lactaconsult.ca

The first hour after birth is often spoken about as though it has to unfold perfectly.For many families, it does not.A C...
10/01/2026

The first hour after birth is often spoken about as though it has to unfold perfectly.

For many families, it does not.

A Caesarean birth, prematurity, resuscitation, medical care, exhaustion, or an unexpected separation can change what those first moments look like.

Immediate and uninterrupted skin-to-skin contact is recommended when parent and baby are medically stable. It can support early feeding and help a newborn adjust after birth.

But skin-to-skin does not belong only to the delivery room.

If it was delayed, interrupted, or not possible at first, you did not fail.

Skin-to-skin can be offered later and continued in hospital or at home. It can create another opportunity for warmth, familiar touch, feeding behaviours, and quiet time together.

You do not have to recreate a perfect beginning.

You can begin with the moment available to you now.

For safety, the caregiver should be awake and alert, with the baby’s face visible and airway clear. If the caregiver becomes sleepy, the baby should be moved to a safe sleep space.

Skin-to-skin is not a test of how birth went.

It is one of the ways closeness can continue from wherever your story begins.

Roshena Moledina, RN, BScN, IBCLC provides compassionate, individualized, and evidence-informed feeding support.

📍 Ottawa and virtual lactation support
Learn more through lactaconsult.ca

Breastfeeding asks parents to trust a process they cannot easily see.There is no line on the breast showing ounces. No s...
09/22/2026

Breastfeeding asks parents to trust a process they cannot easily see.

There is no line on the breast showing ounces. No single feed tells you exactly how much milk your baby received.

It is understandable to look for certainty in how long a feed lasts, how full the breasts feel, or how soon a baby wants to feed again.

Those details can offer context, but none of them can answer the question alone.

To understand whether a baby is getting enough breastmilk, we look at the whole pattern.

For a newborn, that includes age-appropriate wet and dirty diapers, expected weight changes, feeding frequency, signs of swallowing and milk transfer, and the baby’s overall alertness and wellbeing.

By around day six, six or more wet diapers in 24 hours is one reassuring sign that feeding may be going well. It is still only one part of the picture.

We also consider how feeding feels for the parent.

Is there pain?

Can the baby remain attached?

Do feeds seem consistently exhausting or ineffective?

A baby may feed frequently and still be receiving enough milk. A baby may also appear calm while needing a closer assessment.

This is why reassurance should be based on evidence, not assumptions.

You do not have to measure every moment to understand how feeding is going.

You need the right signs, considered together.

If output, weight, or your baby’s alertness is concerning, timely assessment matters.

Roshena Moledina, RN, BScN, IBCLC provides compassionate, individualized, and evidence-informed feeding support.

📍 Ottawa and virtual lactation support
Learn more through lactaconsult.ca

Breastfeeding is often spoken about as though it is one skill you learn at the beginning and then carry forward unchange...
09/15/2026

Breastfeeding is often spoken about as though it is one skill you learn at the beginning and then carry forward unchanged.

But babies do not stay the same.

In the early weeks, you may be learning how to recognize swallowing, find a comfortable position, and understand a newborn who wants to feed often.

Later, the questions may be different.

Your baby may become more efficient, more aware of their surroundings, or begin feeding in a different rhythm. Returning to work, introducing pumping, developmental changes, starting complementary foods, or moving toward weaning can all change what feeding looks like.

That does not mean you have gone backwards.

Breastfeeding is a relationship between a growing baby and a changing parent. Both bodies continue to adapt, and what worked during one stage may need to be understood differently during the next.

Sometimes the support you need is practical.

Sometimes it is reassurance that a change is expected.

Sometimes it is a closer look at milk transfer, comfort, milk production, or feeding behaviour.

Needing support again is not starting over.

It is responding to the stage you and your baby are in now.

Roshena Moledina, RN, BScN, IBCLC provides compassionate, individualized, and evidence-informed feeding support.

📍 Ottawa and virtual lactation support
Learn more through lactaconsult.ca

Sometimes your baby comes to the breast because they are hungry.Sometimes they come because they are tired, overstimulat...
09/08/2026

Sometimes your baby comes to the breast because they are hungry.

Sometimes they come because they are tired, overstimulated, unsettled, or simply need to feel close to the person who feels familiar.

At the breast, babies find more than milk. They experience warmth, touch, your scent, your voice, and the steady rhythm of sucking.

Research has even found that breastfeeding during painful procedures can reduce newborns’ observed pain and crying. Comfort is not meaningless. It can have a real calming effect on a baby’s body and behaviour.

Babies are not born knowing how to regulate every feeling on their own. They first learn through co-regulation, relying on responsive caregivers for closeness, reassurance, and comfort. Research has linked responsive caregiving with stronger behavioural and physiological regulation in infants.

You are not creating a bad habit by responding to your baby.

Your baby is communicating a need and learning that someone will respond.

Because comfort is not the opposite of nutrition.

Comfort is a biological need.

Roshena Moledina, RN, BScN, IBCLC provides compassionate, individualized, and evidence-informed feeding support.

📍 Ottawa and virtual lactation support

Learn more through lactaconsult.ca

A latch is often judged by one question:“Is the baby getting milk?”Milk transfer matters, but feeding is a much more com...
09/01/2026

A latch is often judged by one question:

“Is the baby getting milk?”

Milk transfer matters, but feeding is a much more complex process.

During breastfeeding, your baby’s tongue, jaw, lips, palate, and throat work together while the nervous system coordinates sucking, swallowing, and breathing. Infant feeding involves multiple cranial nerves, many muscles, and several areas of the brain working together in a carefully timed sequence.

A deep, comfortable latch can help create the conditions for effective milk removal and more coordinated feeding. Signs of effective attachment may include a wide-open mouth, the chin touching the breast, and slow, deep sucking with pauses.

But no two babies or feeding relationships look exactly the same.

If feeding feels painful, your baby struggles to remain attached, feeds feel unusually long or tiring, or you are unsure about milk transfer, you do not have to diagnose the problem alone.

A feeding assessment looks beyond what the latch appears like from the outside. It considers comfort, positioning, oral function, milk transfer, and how your baby coordinates the entire feeding experience.

Because a latch is not only about attaching to the breast.

It is part of a full-body process you and your baby are learning together.

Roshena Moledina, RN, BScN, IBCLC provides compassionate, individualized, and evidence-informed feeding support.

📍 Ottawa and virtual lactation support
Learn more through lactaconsult.ca

Skin-to-skin can look like a simple, quiet moment.But beneath that moment, important biological processes are taking pla...
08/24/2026

Skin-to-skin can look like a simple, quiet moment.

But beneath that moment, important biological processes are taking place.

Against a caregiver’s chest, a baby experiences warmth, touch, smell, voice, heartbeat, and the familiar rhythm of another body. These sensory experiences can help support temperature control, calmer behaviour, early feeding, and physiological regulation.

Skin-to-skin contact may also support the release of oxytocin and reduce stress responses. Research involving parents and preterm babies has found increased oxytocin during skin-to-skin contact, along with reduced infant cortisol and greater responsiveness during parent-baby interactions.

This is co-regulation in action.

Your baby is not expected to manage every sensation and emotion alone. In the beginning, they borrow calm from the people caring for them.

Through warmth.

Through touch.

Through closeness.

Through thousands of small, responsive moments.

Skin-to-skin is not only about bonding.

It is one of the ways a baby’s body experiences safety, regulation, and connection.

Roshena Moledina, RN, BScN, IBCLC provides compassionate, individualized, and evidence-informed feeding support.

📍 Ottawa and virtual lactation support
Learn more through lactaconsult.ca

Feeding is often measured by ounces, weight gain, and how long a baby stays at the breast.Those things matter.But feedin...
08/17/2026

Feeding is often measured by ounces, weight gain, and how long a baby stays at the breast.

Those things matter.

But feeding is also a full-body experience for your baby.

During breastfeeding, babies coordinate sucking, swallowing, and breathing while responding to the warmth, touch, smell, voice, and familiar presence of their caregiver.

These repeated experiences can support regulation and help babies feel settled and secure.

Babies are not born knowing how to regulate every feeling and sensation on their own. At first, they rely on co-regulation through closeness, responsiveness, touch, and the steady presence of the people caring for them.

Sometimes your baby comes to the breast because they are hungry.

Sometimes they are also looking for the person who helps them feel safe.

Feeding is not only about filling a tummy.

It is also communication, regulation, and connection.

Roshena Moledina, RN, BScN, IBCLC provides compassionate, individualized, and evidence-informed feeding support.

📍 Ottawa and virtual lactation support
Learn more through lactaconsult.ca

People often think I help babies latch.Sometimes I do.But mostly, I help parents breathe again.I answer the questions th...
08/10/2026

People often think I help babies latch.

Sometimes I do.

But mostly, I help parents breathe again.

I answer the questions they have been carrying for days or even weeks.

I reassure them when they are doubting themselves.

I help them understand what their baby may be communicating and what could be making feeding feel difficult, painful, or overwhelming.

Yes, we may work on positioning.

Yes, we may assess latch, milk transfer, oral function, and feeding coordination.

But those are only part of the story.

My goal is for every parent to leave a consultation feeling more informed, more confident, and more connected to their baby than they did before.

Because milk matters.

But confidence changes everything.

Roshena Moledina, RN, BScN, IBCLC provides compassionate, individualized, and evidence-informed feeding support.

📍 Ottawa and virtual lactation support
Learn more through lactaconsult.ca

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