Lactation Consultation and Breastfeeding Support Services
I am a maternal/child home health care nurse with more than 25 years experience helping new moms and babies — and the wonderful dads and others that support them — get off to a healthy start. I have been a certified lactation consultant since 1998 and have worked with new families in both the hospital and clinic settings — and visited hundreds in their homes — providing personal, practical support to help them get off on the right foot.
I love my work. I truly believe breasts are best and the investment you make in breastfeeding is one of the best gifts you can provide your baby. I provide gentle, supportive, breastfeeding help in a family-centered environment as I work with you, your baby, your supporting cast and healthcare providers.
An in-home lactation visit includes a detailed history of mother/infant, an assessment of maternal/infant anatomy, observation of a feeding for evaluation of technique and effectiveness of feeding and recommendations for management to improve and/or resolve breastfeeding related issues. All clients are provided with a written and/or verbal care path to improve breastfeeding concerns. Each consult generally lasts about 90 minutes (some will go longer, some can be shorter depending on your needs). I will also follow-up a couple days after with a telephone call or email to check on your progress.
While one visit (with the included telephone/email follow-up contact) is often all that is required, additional in-home follow-up visits are sometimes necessary to successfully resolve some breastfeeding problems and are billed separately.
Remote visits. Extended consults via Skype (or FaceTime, Google Hangout), regular telephone or even e-mail are a flexible option that can also help to address many concerns/questions.
My specialties include:
- Prenatal breastfeeding assessment and counseling
- Positioning and latching problems
- Prevention and management of engorgement and sore nipples
- Establishing and increasing milk supply
- Sucking difficulties that interfere with breastfeeding (e.g. tongue-tied)
- Monitoring and encouraging infant weight gain
- Working with twins (multiples)
- Premature babies
- Infants with neurological issues or physical disabilities
- Creating a feeding plan for returning to work
- Mom-to-Mom (and Veteran Mom-to-Dad or Significant Other) support for Mom’s emotional/physical needs (I've been there! :) )
- Providing general maternal/child medical information, as required
I happily furnish written reports/telephone consults to your healthcare provider, as required or requested.
Availability for home visit lactation consultation:
Self-referrals are accepted.
Weekend visits are generally available.
To request a home consult, please email or call me at (360) 474-7092.
Please call or email for cost of services. I accept cash, check or credit card at the time of our consultation.
To keep my costs low (and to keep things simple), like most home-based lactation consultants I do not direct-bill insurance companies. Instead, I provide you with a detailed "super-bill," which is in the format insurance companies require, that is ready to be submitted directly to them for reimbursement.
The Affordable Care Act now requires all but a few older medical insurance plans to fully cover — without a copay or co-insurance — lactation support services for as long as you choose to breastfeed. Much more information is available here.
Unfortunately, at this time I am not contracted to provide services to Medicaid clients, which falls outside the Affordable Care Act.
Please check out my "Buzz" page to see what some of my clients have said. (And I'd be grateful for any feedback you provide.)