SNOHOMISH VALLEY BREASTFEEDING
I believe that women were perfectly created, by a loving Heavenly Father, to nurture and feed their babies. Sometimes there are unexpected challenges, and I provide care and compassionate support to navigate those trials. I offer professional in-home breastfeeding assistance with an emphasis on education about the normal course of human infant feeding and newborn care.
My goal is to provide support to help mothers continue breastfeeding as long as they and their babies desire and to feel confident in breastfeeding their infants anytime, anywhere. I am committed to helping mothers succeed in their breastfeeding goals,
whatever they may be.
What happens during an appointment?
I will be looking at mom's and baby's medical history as it pertains to lactation and breastfeeding. I will also ask about pregnancy along with labor and delivery history.
I examine mom's breasts if necessary. A full physical exam of the baby including an oral anatomy exam with assessment of oral function is completed. If your appointment is virtual I will send you a document with photo and video requests.
As a result of these exams, I determine if any exercises or therapies might benefit the baby and instruct on those, as needed.
I will also teach correct use of the most appropriate pump for the mom and make recommendations for a pumping plan, as needed.
I observe a feeding, making adjustments/suggestions as needed to improve latch and positioning and address any concerns mom might have about pain, milk transfer or other issues.
If you appointment is in-person I use a scale that is accurate within 2g so that I can calculate pre and post feed weights as part of my assessment. Virtually I can observe a baby's swallow pattern and determine if they are removing milk well.
I will make referrals to any specialists to improve the baby's feeding skills.
I keep a very short list of the top providers in my area that provide the best care for my patients.
At the end of your appointment you will have a customized breastfeeding plan that is tailored to your specific needs.
Which visit is best for you?
A Home Visit allows you to stay in the comfort of your own home and I will come to you. I offer in-home appointments in Snohomish County and East King County. Variably, I can travel further. I do charge a travel fee of $30-$80 depending on location.
Telehealth is ideal if you live outside of my travel area. I also offer this option for prenatal appointments and back to work pumping plans. Virtual appointments can be a great option if you have a few general questions and you are not requiring a full in-person appointment.
INITIAL LACTATION CONSULTATION
$260 single / $310 twins
This initial consultation, usually about 1.5 hours in length, includes observation and assessment of how your baby feeds at the breast, as well as a gentle examination of you and your baby. I allow plenty of time for you to share your story, as well as all questions, concerns and insights you have pertaining to any challenges you are facing. At the end of our consultation, together we will create a care plan that is feasible and workable for you and your family.
I can address a variety of concerns including but not limited to: latch and positioning, plugged milk ducts, sore and/or damaged nipples, low milk supply, pumping, over supply, mastitis, breast tenderness, supplementation needs and tongue tie and/or lip tie.
FOLLOW-UP LACTATION CONSULTATION
$200 single / $250 twins
While some breastfeeding challenges may be addressed in only one initial visit, some challenges may require additional meetings. Follow up consultations are generally 1 hour in length, during which time I will assess your progress and make adjustments to your care plan as needed.
I am available to meet with families during pregnancy to discuss any questions or concerns that you have about breastfeeding.This visit includes a breast assessment, evaluation of any breastfeeding issues you may have had with a prior child, breast/nipple surgeries, flat or inverted nipples, health issues, hormonal concerns such as insulin dependent diabetes, history of PCOS and infertility, multiples pregnancy (twins, etc.) or other concerns that may affect breastfeeding. In addition, a plan of care is provided. Prenatal consults are generally 1 hour in length.
RETURN TO WORK CONSULTATION
$140 Virtual Only
The return to work consult is specific for mothers that work outside of the home. I will assist you in preparing for your return which may include setting up and using your breast pump, discussion of appropriate bottles and best positions to alternatively feed your baby, milk storage, timing of pumping sessions, discussing pumping requirements with your employer and options for private pumping locations. (This visit does not cover breastfeeding assessment and assistance).
A virtual consultation in a great option for anyone who has general breastfeeding questions or concerns but due to distance or time is unable to see me in person. I can address positioning/latch, pumping scheduling and troubleshooting, low milk supply concerns, engorgement and much more.
A virtual consultation can also be used as a starting point to determine if a more detailed in-person consultation is necessary.
MINI VIRTUAL CONSULTATION
A 20 minute video consultation that allows us to chat about your concerns and determine the best course of action. This is a great option if you have basic questions regarding latch, positioning or pumping. If you have more in-depth clinical concerns including tongue-tie, infant weight gain or milk production this will require a full consultation. This would include a full review of both you and your baby's health history and a personalized care plan. I would also send your health care provider my chart notes and provide you with a superbill for insurance reimbursement. This is not included with the mini consult.
I offer in-home consultations in Snohomish County and East King County.
I do charge a travel fee for locations further than 20 minutes from me and travel fees range from $30-$80.
Please text to schedule an appointment