Need Breastfeeding Support? Nipple/Breast Pain, Latch Problems, Supply Issues, Engorgement, Plugged Ducts, Mastitis, Blisters/Blebs, Green Poop or Other Questions or Concerns?

If so I can help. I’m a board certified lactation consultant(IBCLC). I come to your home so that you don’t have to travel. I will come to you even over the weekend or in the middle of the night.

 

“I have a chronic health condition that set me up to be at risk of have little or no milk supply and we were prepared for the worst with breastfeeding leading up to the birth. But now our son is 2 months old and super chunky (36th percentile in weight at birth and 75th percentile in weight now) and couldn’t be healthier and I have been able to exclusively breastfeed and enjoy breastfeeding. I know for a fact that Sejal helped with this a ton and I attribute a lot of this to her support.”

Anonymous

“I never thought my baby will latch and drink milk directly from my breast ever. Sejal spent more than 3 hours with me and the baby on the 1st day and latched her successfully.”

Kavindya

I can help you with any of the following problems.

Fussiness and crying while nursing.

After nursing a little, your baby gets fussy and pulls off. If you put the baby back the same thing repeats. You feel like the baby is not happy with you.

Baby latches and unlatches over and over again

Baby latches for a while and then unlatches on their own. Often turning their head away and arching their back. Sometimes without letting go of your nipples.

Long (often many hours) cluster feeding.

Baby wants to nurse continuously and you don’t get any rest.

Shallow Latch

Baby won’t open their mouth big and wide enough for a proper latch. Cannot get the lower jaw to open wide and lips to flange?

Green and/or Mucousy Poop?

Baby has loose dark green and/or mucousy poop. And you’re wondering what it could be? Milk imbalance or allergies?

“Snacking” Baby

Baby eats a little bit all day long, every hour? Even wanting to eat every couple hours in the night? And it is driving you crazy.

Plugged Ducts or Recurring Plugged Ducts

Suspecting you’ve a plugged duct? Or recurring plugged ducts? Blocked nipple pores? Worried it might turn into infection/mastitis?

Not Enough Milk Supply

Not enough supply? Supply still low even after all the hard work with pumping? Or do you have an oversupply and you are worried about engorgement and mastitis?

Weaning off the Nipple Shield

Baby just won’t latch without the shield? Worried that using the shield might cause supply issues?

Milk/Blood Blisters/Blebs

Milk blister is not going away and is painful or keeps recurring.

Questions, How often, How long, How much?

You really want clear answers to questions like, how often should the baby eat?, how long should the feedings be, how much should the baby be eating? And many more?

If you need help with any of the above mentioned issues, contact me right away.

 

“We were struggling with fussy, reflux babies, tired, run down and looking for answers. After one visit with Sejal our babies were calmer and so were we. She brought new ideas, knowledge and expertise to the table. She taught us new techniques and tips for feeding, sleeping, etc. It was like night and day with how our babies responded. I felt like she was the one person who really listened to what I was saying and helped find solutions. This has allowed me to get the rest I need to be a better mother and wife.”

Hollie Palke

Initial Visit

  • Up to 2.5 hours long
  • $175 per visit

Followup Visit

  • Up to 1.5 hours long
  • $85 per visit

“The difference between Legacy/Providence lactation and Sejal was that Sejal did not rush things. She spent whatever the time new born needs and tried to fix issues. “

Kavindya

During the visit, I:

  1. Take a history of the mother, focusing on any chronic conditions that might influence breast development, nutritional and hormonal support for milk production, and early management of breastfeeding.
  2. Take a history of the baby, with particular focus on birth interventions and medications, medical procedures required after birth, and feeding history prior to the lactation visit.
  3. Assess the mother’s anatomy.
  4. Assess the mother for postpartum mood disorders and psychosocial needs.
  5. Assess emotional adjustment to the maternal role.
  6. Counsel parents around any problems, provide referrals if needed.
  7. Assess the baby’s neurological functioning, muscle tone, state stability, autonomic stability, global, craniofacial and oral anatomy and function, bilateral symmetry, any malformations or deformations, and their likely effects on feeding.
  8. Assess the baby’s health and nutritional status, maturity, and feeding skills.
  9. Assess breastfeeding skills and interactions in both the mother and baby dyad.
  10. Watch a feeding, looking particularly at postural control, state stability, ability to find and attach to the breast (using sense of smell, hands, cheeks, lips, tongue), suck:swallow:breathe coordination, effort of respiration, ease of initiation of suckling, ability to sustain the latch. Sucking burst organization, milk transfer, ability to feed until nutritional needs are met.
  11. Assess and evaluate problems identified, rate the relative contribution of each to the breastfeeding difficulties, identify changes, including the new things to be done and the old things to be stopped that might be appropriate for both mother and the baby together as a unit.
  12. Confirm observations with oral examination, digital suck exam, breast palpation, cervical auscultation, test weights, etc as needed.
  13. Allow time for the mother and the baby to practice the new techniques.
  14. Teach the mother to use her breast pump or hospital grade breast pump – flange fitting, adjusting the sucking and the cycle speed, etc.
  15. Recommend specific rental equipment if needed.
  16. Prepare a written care plan, and go over it with the parents.
  17. Teach parents how to use, care for, and clean any feeding equipment used in the care plan.
  18. Provide anticipatory guidance, what to expect, signs that feeding is improving, when to call the doctor, when to follow up with the IBCLC.
  19. Refer the mother to breastfeeding support groups (I facilitate one at Zenana Spa every Wednesday from noon to 1:30 pm).
  20. Write a report to/communicate with the baby’s (and mother’s, if applicable) primary health care provider detailing findings and interventions and identifying any areas that require medical follow-up.
  21. Provide the phone and email follow up after the consultation!

Go ahead and contact me now to schedule a visit.

 

“No one else in the medical community gave us faith that I would be able to breastfeed after what we’d been through. Sejal, however, never doubted I would recover and be able to fully feed my daughter.“

Demaree Reveaux

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