HIPAA Compliant
AI Medical Scribe for
Lactation Consultants
A feeding assessment needs both your hands and your full attention — you can't chart a latch mid-feed. Medical Scribe writes up the consult while you support the dyad.
Sample note
What your notes will look like
A real example of the documentation Medical Scribe generates for lactation consultants — ready before your patient leaves the room.
Subjective
G1P1 mother, day 10 postpartum with term infant, reports painful latch and a cracked left nipple. Pain 6/10 at latch-on, easing to 3/10 during the feed. Feeding 10-12 times per day; worried her supply is low because baby feeds 'constantly'. No maternal fever or breast redness. Goal: exclusive breastfeeding.
Objective
- Infant weight 3.42 kg today (birth 3.51 kg, discharge 3.30 kg) — regaining appropriately
- Infant oral exam: no tongue restriction observed; palate intact
- Observed feed: shallow latch with asymmetry, LATCH score 6/10
- Weighted feed: 42 mL transfer, left breast
- Left nipple: cracked at tip, no signs of infection
Assessment
Shallow latch causing nipple trauma and pain. Milk transfer adequate and infant weight regain on track — frequent feeding consistent with normal newborn behavior, not low supply.
Interventions
- Repositioned to cross-cradle with deeper asymmetric latch; pain reduced to 2/10 on re-latch
- Nipple care reviewed: saline rinse and purified lanolin after feeds
- Reassurance and education on cluster feeding and supply cues
Plan for Continuing Care
Follow-up with weight check in 5 days. Continue feeding on demand. Contact sooner if pain worsens, fever develops, or output falls below 6 wet diapers per day.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Two patients, one consult, and no free hands
Hands-on care leaves no room for charting
Positioning support, latch correction, and oral assessment happen at the breast, in the moment. The details you'd want in the note are exactly the ones you can't stop to type.
You document a dyad, not a patient
Maternal nipple trauma and supply concerns on one side; infant weight trend, output, and transfer volumes on the other. Every consult is two intertwined records.
Home visits mean notes in the car
Between hospital rounds, clinic consults, and home visits, notes get drafted in parking spots and finished at night — after a day of feeds that ran long.
AI-Powered Documentation
Real-time transcription that understands medical terminology and clinical context.
Specialty Vocabulary
Recognizes terms, conditions, and procedures specific to your practice area.
Save Hours Daily
Generate comprehensive clinical notes in minutes instead of hours.
HIPAA Compliant
Enterprise-grade encryption and security to protect sensitive data.
Built-in templates
Note templates built for lactation consultants
These aren't generic formats — they ship in the product today, structured around how you actually document.
Lactation Consultant's note
Patient Information
Subjective
Objective
Assessment
Plan
Interventions
Plus 280+ templates across every specialty — or build your own in minutes.
Present for the feed, not the keyboard
A lactation consult is bedside, hands-on, and often emotional — a parent in pain, a baby who won’t latch, a supply worry at 2 a.m. of sleep debt. Medical Scribe records the consult from your phone or watch, in hospital, clinic, home, or telehealth, and drafts the full note while you stay with the family.
The whole dyad in one structured note
The built-in Lactation Consultant’s note template organizes the consult into Patient Information, Subjective, Objective, Assessment, Plan, Interventions, Evaluation, and Plan for Continuing Care — pre- and post-feed weights, LATCH scores, latch corrections, and the follow-up plan, each where it belongs. Prefer your own structure? Custom templates take minutes.
Documentation that reflects careful practice
IBCLC recertification, hospital privileges, and insurer reimbursement all lean on thorough records. Because Medical Scribe captures only what was actually said and observed — the transfer volume you measured, the education you gave — your notes stand as an accurate account of skilled care, reviewed and signed by you.
Frequently asked questions
Does one recording cover both mother and baby?
Yes. The Lactation Consultant's note template captures the full dyad in one note — maternal symptoms and concerns in Subjective, infant weights, latch scores, and weighted-feed transfers in Objective, then Assessment, Interventions, and Plan for Continuing Care.
Can I use it on home visits and hospital rounds?
Medical Scribe runs on iOS, Android, Apple Watch, Web, and Mac, and covers in-person and telehealth consults — so the same workflow follows you from postpartum unit to living room to video follow-up.
How do parents consent to recording with a newborn present?
You inform the parent and ask permission just as you would with any scribe or student observer. Recordings are HIPAA compliant and encrypted in transit and at rest, and you control what is kept.
Will the note claim things I didn't observe, like a tongue tie?
No. Medical Scribe documents only what you said and observed during the consult — it never invents clinical findings. You review and edit every draft before it becomes the record.
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