L A C T A T I O N  
S E R V I C E S

Lactation Consultations

We are able to provide lactation services virtually or in person.

 

Did You Know?

Breastfeeding and postpartum are biological processes designed to:

  • Be completely pain-free from the start

  • Result in an abundant milk supply that actually includes reserves of “extra” milk

  • Be a time in which a new mother feels rested and not sleep-deprived

 

Our initial consultation will be 2-3 hours with two follow-up phone calls. We like to spend enough time to observe at least one feeding.

 

Our initial consultation fee is $250.

We see clients virtually, in their homes, or at our locations in Melrose and Somerville, MA.

For appointment at our soonest availability, please contact us here

Topics we address during consultations include:

  • Latching and Positioning

    • nipple pain

    • difficulty latching

    • weaning from nipple shield

    • how to nurse lying down

    • how to nurse without pillows and Boppy-type products

  • Milk Supply

    • underproduction of milk

    • overproduction of milk

    • change in milk supply upon returning to work or traveling

  • Pumping and Bottle Feeding

    • setting up pumping system

    • bottle refusal

    • producing milk for a premature baby in the NICU

    • milk storage guidelines

    • alternative feeding methods and supplementation

    • returning from exclusive pumping to feeding at the breast

  • Other

    • calming crying and wakeful babies

    • waking sleepy babies to nurse

    • breastfeeding twins

    • family sleep problems

    • tandem nursing

How To Latch

Below is a checklist created by BDC to help families with common breastfeeding/chestfeeding challenges.  These guidelines will be helpful for most parents and babies. However, there can be exceptions to some of these rules, and you might need to experiment with solutions that differ from what you see here.  If latching continues to be painful or unsuccessful, contact BDC or another lactation specialist for a consultation.  This checklist may be reprinted for individual use by families or healthcare providers with credit given to the author, but may not be mass-reproduced without permission.

"How to Latch" Checklist

by Ananda Lowe, Certified Lactation Counselor

anandalowe@outlook.com

  1. Skin-to-skin – important!

  2. Tummy-to-tummy – important!

  3. Baby directly faces nipple – follow the “angle of the dangle.”  (Nipples may point forward, up, down, or to the sides.  Line up baby with your anatomy, which may be different than the placement you’ve seen someone else use.) 

  4. “No pillows or Boppys” is best, allowing for fullest range of motion

  5. Do not remove baby’s hands from mouth or breast.   (Baby uses hands to locate nipple and to stimulate mouth, and will remove hands on their own)

  6. Support baby’s neck

  7. Do not touch back of baby’s head

  8. Do not position baby as far out as the crook of your elbow; move baby closer to the center of your body

  9. Position baby so their jaw is well below the nipple.  Baby will tilt head back, then mouth will align with nipple

  10. Place your hand far behind nipple and areola

  11. Wait for baby’s mouth to open very wide – important!

  12. Hug baby in close to you, so their mouth can take in breast

  13. In case of nipple discomfort, use micro-adjustments.  Move baby a centimeter to the left, right, above, and below nipple, until you find the placement that is not painful.

  14. If baby’s lips are tucked inward around the nipple, you can use your finger to gently flip the lips outward

  15. Do not tolerate pain with latching.  Gently insert finger into baby’s mouth to break suction, and start again.

  16. If latching involves struggle, hold baby to breast when they are not frantic, such as upon waking.  Stop “trying” and simply hold baby tummy-to-tummy and skin-to-skin.  Wait for baby to discover nipple on their own, usually within 5 to 30 minutes.

Program Directors

 

Ananda Lowe

Certified Lactation Counselor (CLC) since 2001; Doula since 1995; advanced lactation training with Healthy Children’s Center for Breastfeeding; college coursework in Maternal/Child Health, biology and psychology; co-author of The Doula Guide to Birth: Secrets Every Pregnant Woman Should Know (Bantam Books); former Breastfeeding Counselor on Boston Medical Center postpartum ward and NICU; long-term breastfeeding mother.

 

Dena Carmosino

Certified Lactation Counselor (CLC) since 2018; Birth and Postpartum Doula since 1987; practiced as a Direct-Entry Midwife from 2000-2012; certified HypnoBirthig Instructor (CHB) since 1997; Placenta Encapsulation Specialist since 2013; Founder and Director of Boston Doula Circle.