Lactation

Breastfeeding is instinctual and often occurs without any special help, especially after a gentle birth. Even with an optimal birth, though, breastfeeding challenges can come up. Using a client-centered approach, I offer home and office visits for latch issues, low milk supply, infections and complex problems.


Often, simple  breastfeeding issues can be answered by phone. More complex or  persistent breastfeeding issues benefit from a visit with an  International Board-Certified Lactation Consultant (IBCLC). Some reasons  to seek assistance include (but are not limited to):


  • Mother Issues: low or high milk supply, sore  nipples/breasts, history of hormonal issues/infertility, lactation  support for an adopted baby, past breast surgery, medical  issues/illness, past breastfeeding problems, planning to return to  work/school, not enjoying breastfeeding, lactation support after infant  loss, pregnancy/tandem nursing, pumping issues, weaning support,  post-lactation breast health, other unresolved breastfeeding concerns  (pre-conception, prenatally or postpartum).
  • Baby/Child Issues: weight gain concerns, latch  issues, suck dysfunction, tongue tie, prematurity, multiples, traumatic  birth, jaundice, unresolved fussiness/colic, medical/anatomical issues  that impact feeding, food allergy/sensitivity concerns, baby being  supplemented or using specialized feeding tools, sleep/growth/solid food  concerns, adoption, older breastfeeding baby/child concerns, other  unresolved feeding concerns.

All  consultations are provided by Aszani Stoddard, nurse-midwife and  International Board Certified Lactation Consultant. The first  consultation includes:


  • Time to talk about your pregnancy and birth
  • Review of your breastfeeding and health history
  • A chance to explain your current concerns
  • A gentle oral exam of your baby, along with a nursing assessment and  assessment of you, the mother. You will be invited to feed your baby  during the appointment so that, together, we can see what is happening

Depending on the complexity of the issues, first visits last about 2  hours. Consultation fees are by type of appointment, so don’t worry  about being rushed. We will develop a written care plan for you to take  home with you. I am a prescriber and can write prescriptions as needed.  Referrals to other specialists can be made when these would be helpful.


Follow-up support is done at office or home visits, by phone or by  email, depending on how complex your issue is. Clients are encouraged to  keep in touch until feeling fully confident that problems are resolved  and breastfeeding Is enjoyable and comfortable.



Home Visits

Staying in the comfort of your own home is especially important when there are nursing issues in the early

postpartum period. Home visits are also helpful for women who have other young children, or because the mother prefers to be seen at home. When doing a home visit, I will arrive with a well-stocked bag that includes basic and specialized breastfeeding supplies and a high quality digital baby scale. I serve the greater Twin Cities Metro area. Due to clinic scheduling, I am often not the best choice for urgent lactation visits, but you can always reach out. If I cannot help you, I will refer you to someone who can.



Resources:

Lactation: $75/hr in Office, $100/hr in Home

What Do I Bring to My Appointment?

  • You and your baby
  • Pumped milk for a suck assessment
  • Your partner or support person, if desired
  • Your list of questions and concerns
  • Your pump if you want me to help or assess pumping (not required)

Our clinic does not bill insurance. Since I am an out-of-network  provider for many insurance companies, I can give you a Superbill to submit to your insurance company at every visit. However, you will have to do the legwork on getting reimbursement. I accept credit, debit and  HSA cards, checks and cash.