ALL THINGS FEEDING BABIES
Milk Bird Health offers…
Prenatal Feeding Education
FOR EXPECTING PARENTS in the THIRD TRIMESTER
Welcome to your 1:1 infant feeding & postpartum prep class! A prenatal session is especially helpful for parents who have struggled with breastfeeding in the past, who have a scheduled c-section or induction, whose baby has a known congenital complication that may impact feeding, or simply is unsure how this whole breastfeeding thing works!
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Normal newborn behaviors when it comes to feeding and sleep
Latch and positioning
How to know your baby is getting enough
What you should track (and what you don’t need to track)
Introducing a bottle & pacifier
Planning ahead for back-to-work
Strategies for common early challenges
Anticipatory support for postpartum mental wellness
How your partner/family can best support you postpartum
You will leave with a plan for breastfeeding success, and an established relationship with a lactation specialist (me!) for any bumps in the road that may arise during your breastfeeding journey.
Breast & Bottle Feeding Support
FOR PARENTS OF BABIES & TODDLERS
Many new parents find themselves surprised by the unexpected challenges of breastfeeding. How could something so natural be so challenging? And bottle feeding introduces even more complicating factors! I offer holistic support for both you and your baby, whether you are two days or two years postpartum.
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Milk supply (oversupply or low supply)
Slow weight gain
Aversion to breast or bottle
Baby falling asleep during feeds
Suspected tongue tie/lip tie
Difficulty feeding after c-section or difficult birth
Baby has low tone, tension, or medical issues impacting feeding
Lactating parent has hormone or health issues impacting supply
Nipple pain, breast pain, mastitis, and engorgement
Support with understanding normal newborn feeding
Introducing a bottle
Pumping and milk storage
Planning for back to work
Weaning or suppressing lactation
Most families see a change after just 1-2 visits. With the right support and guidance, you can be on the road to comfortable, relaxed feeding! Let’s get you there!
Tongue/Lip Tie Assessment
FOR PARENTS OF BABIES AGE 0-6 MONTHS
Tethered oral tissues (TOTs), also called tongue tie and lip tie, can significantly impact a baby’s ability to feed comfortably and feel good in their body. If you suspect your baby has a tongue/lip tie, an assessment can give you strategies and a plan for next steps. The assessment will include a thorough birth and medical history, hands-on assessment of your baby’s oral motor skills and whole-body tension, observation of a feeding, and evaluation of nipple damage and pain.
Oral motor/feeding therapy is recommended both before and after tongue tie release to support your baby to develop the strength, mobility, and stamina to feed well.
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BABY
Biting or chomping at the breast
Popping on/off the breast during feeds
Shallow latch or can’t sustain the latch
Tongue clicking sounds during feeds
Slow weight gain
Reflux or gas
Arching or pushing away from the breast
Leaking milk during breast or bottle feeds
Colic, unexplained fussiness, & constant discomfort
Mouth breathing
Tongue tip is heart-shaped
Unable to stay awake during feeds
Jaundice
Snoring or congested breathing
MOMNipple pain or tenderness
Nipple damage (cracked, blistered, misshapen, bleeding)
Milk supply dropping in spite of frequent feeding
Recurrent plugged ducts, mastitis, engorgement
Feeds seem to last forever and baby never seems satisfied
Starting Solids & Toddler Feeding
FOR PARENTS OF BABIES AGE 6+ MO. & TODDLERS
Feeding therapy guides your family towards joyful, comfortable, and safe feeding experiences for you and your baby. I draw on evidence-based principles of baby led weaning, responsive feeding, and motor learning, while helping you and your little one enjoy mealtime together!
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Your baby is ready to start solids but you’re not sure how to get started
Your baby screams, cries, and pushes food away when you offer
Your baby/child is transitioning from tube feeding to oral feeding
Your baby spent time in the NICU, and you’re not sure if they’re actually ready to start solids yet
Your child has medical issues or anatomical differences impacting their ability to safely eat
Your baby/child has sensory needs impacting the variety of flavors and textures they’re able to eat
Your child is so much more than just a list of milestones or points on a growth curve. My approach to feeding therapy focuses on emotional regulation, attachment and relationships, family culture and values, sensory needs, motor development, and medical history.
*Note: In-person toddler feeding visits are only available in WA state at this time.
Compassionate weaning guidance
FOR PARENTS OF BABIES & TODDLERS
Deciding you’re ready to wean from breastfeeding and/or pumping can bring a swirl of emotions: relief, sadness, excitement, worry, guilt. Whether you’re just a few weeks or several years into your lactation journey, weaning means physical, hormonal, emotional, and behavioral changes for you and your little one.
Figuring out how to manage these changes isn’t something you have to do alone. I’ll support you with a repertoire of tried-and-true strategies—rooted in physiology and psychology—that will allow you to move through this weaning process with ease.
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What to expect hormonally, physically, and emotionally
How to support your mental wellness during this higher-risk time
Supporting your baby’s attachment needs without nursing
Honoring the end of this chapter in a meaningful way
Cold turkey vs. gradual weaning
Night weaning vs. complete weaning
How your partner/family can support
Addressing all your worries & questions
Our sessions will be…
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Individualized
Your ideas, values, and goals for feeding your baby will guide every session. There is no “right way” to raise your little one, and all my recommendations will be tailored to meet your family where you are.
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Integrative
Your baby’s wellness is about so much more than where they plot on a growth chart or a checklist of milestones. We will consider their attachment, regulation, sensory needs, and more.
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Collaborative
Our work together is a collaboration between you, me, and your baby, and I will never push, pressure, or guilt you into doing something. I trust you and know that you are the expert on your baby & body.
FAQs
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I partner with The Lactation Network, which allows me to accept several insurance plans for lactation-related visits (such as feeding therapy that includes lactation support, prenatal lactation consults, and weaning consults). If you have Anthem PPO, VA OptumEast, UnitedHealthcare PPO and HMO, UMR, Oxford, Meritain Health, First Choice Health, Aetna of Oregon, Federal Employee Health Benefit Programs (FEHB), and Oregon Office of Personnel Management Plans (OPM), or a plan that includes MultiPlan or the PNOA logo on your insurance card, please use this link to check for insurance coverage through The Lactation Network. Visits are covered in full, at no cost to you.
For all non-lactation services (e.g., families where there is no lactating parent, toddler feeding therapy) or if your plan is not listed above, I am an out-of-network provider. I am happy to provide superbills for you to submit to your insurance to request reimbursement for out-of-network coverage.
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For those with insurance not accepted by The Lactation Network, my out-of-pocket fees are:
Prenatal Visits
Prenatal visits are offered at a sliding scale ranging from $125 - $225 for a 2-hour home visit. This sliding scale option is intended to make prenatal lactation education accessible to more families in our community, including those who are uninsured or financially struggling.If your family consistently has enough income to spend on leisure activities, has access to significant savings, and never worries about basic needs being met, the suggested rate is $225.
If your family usually has enough income to cover basic needs, you have access to some savings, and you have some expendable income, the suggested rate is $175.
If your family finds it stressful or difficult to afford basic needs, does not have access to savings or expendable income, or has significant debt or other financial barriers, the suggested rate is $125.
This sliding scale works on an honor system. I trust that you will choose an amount that is appropriate for your family at this time. For families paying the higher end of the scale, know that your honest self-selection into a higher rate makes prenatal lactation care accessible to more families in our community—thank you!
Postpartum Visits
Weaning consults are $175 for a 60-minute home visit.
For all other lactation and feeding therapy visits, the initial evaluation is completed during a 2-hour home visit, billed at $245.
Follow-up visits for all visit types are billed at $175 for a 60-90 minute home visit.
Telehealth visits are billed at the same rate as in-home visits.
Payment is due at the time of your appointment. I accept payment via cash, check, and Venmo.
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Yes! Lactation counseling is for you if you need support with any part of lactation, including exclusive pumping for bottle feeding, combo feeding (feeding both formula and breast milk), or pumping for NG/G-tube feeding. I also support parents who are ready to wean or suppress lactation, including suppressing lactation after stillbirth and infant death.
Whatever your lactation goals are, I’m here to encourage, equip, and empower you!
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Yes! The Portland/Vancouver area has a rich community of birthworkers and postpartum providers. I often refer families to specific providers for things like infant physical therapy, pregnancy massage, postpartum support groups, midwives and doulas, and providers who can address suspected tongue ties.
If you are a pregnancy, birth, or postpartum provider in the Portland/Vancouver area, I’d love to connect! Please feel free to reach out via email at hello@milkbirdhealth.com.
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