There are lots of lactation specialists who go by "lactation consultant" but have different qualifications and have different knowledge and training than others. This can be confusing as you're searching for help! I am an IBCLC (International Board Certified Lactation Consultant) and have been board-certified since 2008. According to the U.S. Surgeon General, "International Board Certified Lactation Consultants are the only health care professionals certified in lactation care."
I offer kind, respectful, comprehensive and professional consultations tailored to your unique needs and goals. Consultations are individualized and completely one-on-one: I uncover the causes of your/your baby’s current issue(s) and suggest effective strategies toward resolution. Along the way I will check with you to ensure that these strategies are consistent with your goals and feel doable for you. I don't have an agenda to push on you. No question — I will support you 100% in how you choose to feed your baby.
Consultations are either conveniently held in your own home, allowing us to work in the environment you're in every day, or in my comfortable office at the Postpartum Wellness Center in Boulder. During the initial consultation I will take a detailed history of your own health and of your baby’s. Importantly, I will ask you about your breastfeeding goals. I will also invite you to feed your baby so I can observe the issue(s) you are facing. I will weigh your baby before and after feeding with the same accurate scale used in the hospital. With your permission, I will gently examine your baby to assess his/her structure and functioning.
Using this information and keeping your goals in mind, I will create a detailed care plan with suggestions you can use going forward. I'll ask you for your feedback to make sure you think this plan meets your goals and feels feasible. With your OK, I will send a report to your baby’s pediatrician and other health professionals you consult. Finally, I will encourage you to stay in touch with me (by text, phone, email) until you feel good about how things are going.
Initial consultations generally last about one and a half to two hours. Follow-up consultations are generally an hour. Follow-ups allow us to assess you and your baby’s progress, discuss any questions or concerns, and to adjust the care plan as needed.
I am an in-network provider for Aetna and am out of network with other insurance companies. For non-Aetna plans, I will provide you an invoice (or a “super bill”) for insurance reimbursement. Here is some terrific information on insurance reimbursement for lactation consults — I highly recommend reading it.
Under the Affordable Care Act (also known as the “ACA” and “Obamacare”), most health insurance plans are required to cover comprehensive lactation support by a trained provider. However, some plans have been “grandfathered” in and are not covered under the ACA. I suggest you check with your insurer about coverage.