Lactation Consultation Options and Fees
The length consultations can vary, depending on the situation. For that reason, I charge a flat fee, which takes away the time pressure – you don’t have to worry about the passing minutes and what that will do to your bank account. My objective is to either solve the problem or properly assess, compose a care plan and refer as needed.
All options include unlimited phone calls, emails and texts.
Full Service Consult:
There are many reasons you may need a full consult. Though this is not an exhaustive list, some examples of what calls for a consult are: If you’re having trouble getting baby latched, if you’re concerned about baby’s weight gain, if breastfeeding is painful and you can’t figure out why, if your milk never “came in,” or if you’re engorged and can’t get relief, you need a full consult.
Full service consults include weight check, breastfeeding evaluation including latch and positioning techniques. It also includes a complete infant evaluation for tongue-tie and structural issues that may contribute to feeding difficulties. You will receive a care plan specific to your situation and referrals, if needed, to appropriate care providers to correct issues and bring breastfeeding back on track.
I work hard to ensure all challenges are resolved in our first visit and that your care plan is specifically designed for you, detailing steps needed to resolve challenges that may need more time. Sometimes follow-up visits are needed to keep your progress moving forward. Phone follow-up is always included with an in-home Lactation Consultation and I won’t suggest an in-person follow-up unless I truly believe that it is needed to help you. Follow-up weight checks (only) in my office are free, and by appointment.
In your home:
- $175 (initial visit, usually 1.5-2 hours, but can be up to 2.5 hours in complicated situations)
- $125 (follow up, if needed, usually about an hour, sometimes 1.5 hours)
In my office at the Birth Education Center of San Diego:
- $125 (initial visit)
- $90 (follow-up)
Travel is included up to 20 minutes from my office. After that I charge a fee of $10 per 10 minutes of drive time.
Evaluation Only (In my office):
- $65 (up to 30 minutes). Includes follow-up by phone and email.
If you have been told your latch and positioning are great but it still hurts – THIS consult is for you!
Sometimes moms don’t need help with latch and positioning – they just need to know why breastfeeding hurts or why baby is unable to feed well from bottle or breast. A short evaluation is a great way to figure out what the main issues are and set a plan going to get breastfeeding back on track.
- Evaluation for tongue-tie and muscular tightness and/or structural issues that contribute to difficulty with breastfeeding.
- A personalized care plan to protect your baby and your milk supply
- Referrals to appropriate care providers to assist your situation and correct issues.
NOTE: This is not a consult to evaluate position, latch or baby’s breastfeeding skills.
- $100 (up to 50 minutes) – pre-paid, by appointment
For basic questions (10-15 minute quick chat) phone counseling is available 7 days a week and is free. If you have a question about breastfeeding – any question – please feel free to call.
If however, you have a specific situation that will require more than just a quick chat, a phone consult would be best. Let me know that you will need more than a quick chat and we can either schedule a time that is convenient for both of us or perhaps even start right then if time is available or schedule for a later time.
On a phone consultation, we can address concerns that do NOT need an in-person visit such as:
- going back to work
- milk supply issues
- prenatal consult to discuss breastfeeding challenges with a prior baby and how to avoid them with the next
We will discuss specific details that concern your situation, so be prepared to answer questions so that I can give you the best possible help. If you are unsure which type of consult would be best, please call and let’s talk. I am in the habit of saving you time and money – if you don’t need an in-person visit I won’t recommend it.
More Details for your information – what to expect:
Whether I come to your home, or you to my office, my aim will be to address any issues you face without judgment and with compassion – and usually, a little humor, too. If I come to your home, PLEASE DON’T CLEAN UP! When I say “without judgment,” that’s what I mean! As the time of your appointment draws near, just relax, knowing that help is on the way.
In my experience, the best lactation consult takes place in your home. This is because we work within your environment using what you have available. While a clinic setting can be quite successful using the clinic’s chair and/or pillow, many moms find that recreating their breastfeeding experience at home may be more of a challenge since often times they don’t have just what the clinic had. When I work with you in your home we can find just the right position for you and your baby anywhere you choose!