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Prenatal and postnatal breastfeeding appointments are available.
Prenatal appointments are appropriate for women with history of any breast/nipple surgery, flat or inverted nipples, insulin dependent diabetic, history of PCOS and infertility, pregnancy with twins or more, and other medical issues in which mothers will be on maintanence medication during lactation.
Postnatal appointments (when the baby arrives) involves physical exam of mother's breasts, areola, nipples, and milk supply as well as review of pregnancy and labor events. Baby's suckling ability, mouth structures, head and neck features, weight, and ability to transfer milk from breasts during feeding are also examined. Mother's breastfeeding technique is observed and teaching done to enhance breastfeeding experience. Initial visit generally lasts 1 1/2-2 hours with follow-up visits lasting about 1 hour.
Fees: Prenatal consultation: $100 Home lactation consultation (new): $250 1 hour follow-up visit: $125 Skype or Telephone counseling: 20min $25 In-hospital lactation consultation: $250 Overnight consultation: 10p-7a $675 Use one of the following to request a private consultation: Click here to book your appointment. 646-334-3830
Areas serviced: All areas of Manhattan and The Bronx Brooklyn: DUMBO Brooklyn Heights Cobble Hill Carroll Gardens Boerum Hill Fort Green
Queens: College Point Whitestone Astoria Sunny Side LIC East Elmhurst
 Tamara Hawkins is not a provider of any insurance company. Fee for service must be paid at time of visit. A super bill ( medical receipt) will be given to you that you can submit to your insurance carrier for a possible reimbursement. Tamara does not handle insurance reimbursement requests. Medela Reimbursement Guide has great written resources to help you navigate the process. It also helps to get a letter of medical necessity or a prescription from your OB or pediatrician to see a lactation consultant to submit to your insurance carrier. When is a lactation visit indicated? Lactation Visits are recommended for the following situations: - Mother with prior breast reduction surgery
- Mother feeding a premature baby discharged from the NICU
- Mother breastfeeding infant born between the ages of 35-37 weeks gestation and experiencing milk supply or any other breastfeeding issues
- Mother breastfeeding twins or triplets with difficulties
- Any Latch-on and/or positioning difficulties
- PLEASE don't try to force the baby to take your breast. Battles at the breast are not pleasant for the mother or the baby and often reinforce the baby's refusal of the breast. If your baby will not latch, keep your baby skin-to-skin between your breast as much as possible (most babies will begin to root on the chest in search of the breast and this is the most optimal time to give gentle guidance to the breast). If baby doesn't begin to latch on, pump your breast every 2-3 hours and feed the pumped milk to the baby, and GET HELP as soon as possible.)
- A newborn who has lost more than 10% of his birth weight and does not begin to gain adequately (1 oz per day) by the time mother's milk comes in
- A mother who doesn't feel her mature milk has come in by day 5 postpartum
- A baby who resists latching, or is fussy, agitated, or seems uncomfortable at the breast
- A baby who is not passing meconium, or ceases to stool after the meconium is passed
- If baby has low output in diapers. Expected output: DAY 1-3 at least 2 stools (each larger than a tablespoon) and 2-3 wets. DAY 3-5 at least 3 stools (each larger than a tablespoon) and 3-5 wets; DAY 5 or older at least 3-4 stools (each larger than a tablespoon) and 6-8 wets per day
- Over 4-6 weeks of age, 6-8 very heavy wets per day and might stool frequently each day or might stool once every few days an exceptional large amount of stool
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