Stork and Cradle
Empowering Childbirth and Parenting Preparation

In home lactation consultation 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 11/2-2 hours
with follow-up visits lasting about 1 hour.
Fee for initial consultation $175 1 hour follow-up visit $75
Overnight consultation: 10p-7a $450
payable in-person by check or credit card via pay pal on website.
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 consultation to submit to your
insurance carrier.
Visits are generally scheduled in the evenings with limited weekend
availability. Please call or email to set-up a consultation.
646-334-3830
tam@storkandcradle.com email to Tamara
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 a exceptional
large amount of stool
Copyright Stork and Cradle, 2008