Private feeding consults allow time for us to review the comprehensive health history of both the feeding parent and baby, thoroughly explore questions and concerns, assess issues, and develop a customized Care Plan. Common reasons for seeing an IBCLC include:

  • preparing for birth or induced lactation/adoptive feeding
  • sore and/or damaged nipples
  • breast or nipple pain 
  • baby not latching/difficulty latching
  • concerns about milk production and/or supply
  • concerns about baby’s weight loss
  • previous feeding challenges
  • guidance about feeding methods
  • concerns about TOTs (tethered oral tissues, also known as tongue, lip, and/or buccal ties)
  • difficult pregnancy or birth
  • excessive spitting up 
  • suspected food sensitivities
  • strategies for pumping
  • need or desire to wean
  • support after loss

PRIVATE PRENATAL CONSULT  |  1-1.25 hours

The Private Prenatal Consult is a focused, one-on-one session to address your specific feeding questions and concerns in preparation for baby’s arrival. This visit generally includes (but is not limited to):

  • a comprehensive review of your health history
  • discussion of primary concerns and feeding goals
  • review of biological norms, infant cues, baby behaviors
  • breast assessment
  • how milk supply is established and regulates
  •  techniques for optimizing positioning and latch
  •  tips for sleep and self-care
  •  finding and building a support system
  • when and where to go for more help
  • development of the individualized Care Plan to meet your goals
  • supporting evidence-based links and/or electronic handouts
  • documents for insurance reimbursement.

INITIAL FEEDING CONSULT  |  1 hour

The Initial Consult is a family-centered block of time dedicated to listening to parent concerns, doing some detective work, and establishing first steps for action to meet your goals. A spouse, partner, or other important support person is welcome to accompany you to the appointment with your consent. This family-centered visit generally includes (but is not limited to):

  • comprehensive review of health histories
  • discussion of primary concerns and feeding goals
  • recording baby’s weight, both before and after feeding (when appropriate)
  • feeding observation; techniques for optimizing positioning and latch
  • assessment of breast tissue and milk production
  • evaluation of baby’s feeding patterns, structural anatomy, and oral function
  • review of biological norms, infant cues, baby behaviors
  • education and information about complementary therapies and/or practitioners (when appropriate)
  • demonstration of techniques and tools
  • development of the individualized Care Plan to work toward the parent’s goals for feeding
  • supporting evidence-based links and/or electronic handouts
  • reports sent to primary care health care teams
  • documents for insurance reimbursement.

FOLLOW-UP FEEDING CONSULT  |  1 hour

The Follow-up Consult takes place a few days to a few weeks after our Initial Consult to continue working on persistent and/or longer-term issues. A spouse, partner, or other important support person is welcome to accompany you to the appointment. This family-centered visit generally includes (but is not limited to):

  • check-in and follow-up on how the Care Plan is working
  • assessment of change(s) since prior visit
  • evaluation of and adjustment to Plan as needed
  • supporting evidence-based links and/or electronic handouts
  • reports sent to primary care health care teams
  • documents for insurance reimbursement .

TUMMYTIME!™ METHOD PRIVATE CONSULT | 30-45 minutes | 4 session series

Most parents hear that they need to put baby into “tummy time” each day, but what happens then? Does baby fuss or cry? Seem uncomfortable or spit up? Many parents stop completely if something happens, oftentimes because they don’t know what to do after that. Babies may find tummy time unpleasant due to:
  • difficult (long labor, forceps/vacuum used, surgical) or fast birth
  • lack of experience on tummy
  • tense neck or trunk
  • a strong head-turning preference/torticollis
  • head molding/flattening (plagiocephaly, brachycephaly, etc)
  • tethered oral tissues (tongue/lip/buccal ties)
  • sensitive to movement or sounds.

Though it might seem like it’s best not to continue when things are hard, these babies are generally the ones who need it the most!

The TummyTime!™ Method is an interactive, therapeutic, evidence-informed program developed by an occupational therapist, designed to address healthy nervous system function and connection with parents/caregivers in the first months of life. This active consult covers (but is not limited to):
  • recognizing and responding to baby’s cues
  • foundations of posture
  • organizing movements
  • fostering appropriate developmental progression
  • visual development
  • optimizing oral function
  • sensory skills
  • neurodevelopment
  • socialization
  • and more!
I will demonstrate ways to make tummy time easier and more enjoyable in the precrawling period, suggest specific strategies to address your concerns, and equip you with skills for facing challenges. These sessions are wonderful for the whole family, and another caregiver is welcome to participate.