Credentials & Affiliations
Evidence-Based
Feeding Support.
No Guesswork.
Board-certified IBCLCs providing clinical-grade assessments for postpartum mothers, NICU families, and pediatric referrals — when the standard advice has stopped working.
Clinical Team
The people behind
the protocol.
Every consultant holds active IBCLC board certification renewed on a 5-year clinical recertification cycle.
Dr. Margaret Holloway
RN, IBCLC, FILCAClinical Director
Fifteen years of NICU-side feeding support and 600+ tongue-tie evaluations. Trained at UCSF Medical Center; fellowship in infant oral function through the Academy of Breastfeeding Medicine.
Clinical Focus
- Ankyloglossia assessment
- Suck-swallow coordination
- NICU transition protocols
- Pediatric referral coordination
Specialization
Tongue-Tie Assessment & Oral Motor Function
Claire Osei-Bonsu
CNM, IBCLCLead Postpartum Consultant
Certified Nurse Midwife and IBCLC with a subspecialty in oversupply, low supply, and return-to-work pump planning. Co-author of the Latch Postpartum Protocol used by three regional hospital systems.
Clinical Focus
- Latch biomechanics
- Supply regulation
- Pump fitting & output optimization
- Return-to-work planning
Specialization
Postpartum Home Visits & Milk Supply Management
James Whitfield
PhD, CCC-SLP, IBCLCInfant Feeding Specialist
Speech-language pathologist and IBCLC who bridges clinical feeding therapy with lactation support. Specializes in infants with neurological complexity, cleft palate, and diagnosed feeding aversion.
Clinical Focus
- Sensory feeding aversion
- Bottle-to-breast transition
- Supplemental nursing systems
- Cleft & craniofacial feeding
Specialization
Feeding Therapy & Sensory-Based Feeding Aversion
Service Comparison
Every tier, every detail.
Side by side.
No hidden scope. Each service tier is defined by clinical protocol, not marketing language.
| Service Detail | Prenatal ConsultationBefore birth | Most RequestedPostpartum Home VisitMost requested | NICU Transition SupportComplex cases |
|---|---|---|---|
| Session Format | Video telehealth | In-home visit | Bedside + telehealth |
| Session Length | 60 minutes | 90 minutes | 75 minutes |
| Follow-Up ProtocolKey differentiator | 1 written plan + 1 email check-in (72 hrs) | 2 check-ins at 48 hrs and 7 days | Weekly until discharge + 2-week post-discharge |
| Infant Assessment | Prenatal oral anatomy review (ultrasound-based) | Full latch biomechanics + oral motor eval | Suck-swallow-breathe sequence + NOMAS scoring |
| Documentation | Written feeding plan PDF |
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| Insurance CompatibilityKey differentiator | ACA-compliant; most PPO/HDHP plans | ACA-compliant; PPO, Medicaid (select states) | Case-by-case; superbill provided |
| Pump Consultation | Pump selection guidance | Flange fitting + output optimization | Hospital-grade pump protocol + PISA schedule |
| Included Resources |
|
|
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| Pediatrician CoordinationKey differentiator | Optional referral letter | Included — weight-gain summary sent within 24 hrs | Included — integrated into care team communication |
| Session Fee | $185 | $265 | $310 / visit |
| Book a Session | Schedule → | Book Now → | Schedule → |
All sessions include a superbill for out-of-network reimbursement. ACA Section 2713 mandates insurance coverage for lactation services — most PPO plans cover without cost-sharing.
Clinical Outcomes
The evidence
speaks clearly.
Outcome data drawn from 2022–2024 clinical records. Internal audit, N=847 completed consultations.
of clients meet personal feeding goals
families supported since 2009
average clinical satisfaction rating
resolve primary concern in single session
Case Summaries
Representative clinical cases — anonymized per HIPAA protocol.
Postpartum — Shallow Latch & Weight Stall
Presentation
Primiparous mother, 11 days postpartum. Infant at 88% birth weight (below 10th percentile threshold). Reported pain at 9/10 with every feed; considering formula transition.
Assessment
Posterior tongue-tie (Grade II, Hazelbaker score 8/14). Shallow latch secondary to restricted tongue mobility. Infant compensating with lip flanging; inefficient milk transfer confirmed via pre/post-feed weight (8g transfer vs. expected 20–25g).
Intervention
Same-day referral to preferred pediatric ENT for frenectomy. Temporary SNS protocol initiated to maintain supply and infant weight during healing. Latch re-education at 5-day post-procedure follow-up.
Outcome
Infant at 103% birth weight at 3-week follow-up. Mother reported pain score 1/10. Breastfeeding continued exclusively at 6-month check-in.
NICU Transition — 32-Week Premature Infant
Presentation
Twin B, born at 32+2 weeks. Gavage-fed for first 3 weeks. Parents requesting transition to breast prior to discharge; NICU team uncertain about readiness.
Assessment
Non-nutritive sucking organized but nutritive sucking disorganized (NOMAS: dysrhythmic pattern). Suck-swallow-breathe ratio 1:1:3 (immature). Skin-to-skin time limited to 30 min/day due to NICU protocol.
Intervention
Developed staged transition protocol: increased SSC to 2 hrs/day, introduced breast before bottle per Nyqvist protocol, co-managed with SLP on staff. Weekly bedside assessments over 4 weeks.
Outcome
Full oral feeds achieved at 36+4 weeks corrected age. Discharged home breastfeeding with one supplemental bottle per day. Mother maintained full supply throughout NICU stay.
Supply Management — Oversupply & DMER
Presentation
Mother of 7-week-old reporting forceful letdown, infant choking at breast, and intense negative emotional response during milk ejection (described as "dread and doom"). Considering weaning.
Assessment
Clinical oversupply confirmed (pump output 55–70 oz/day vs. infant need of ~28 oz). Dysphoric Milk Ejection Reflex (D-MER) identified based on symptom timing and duration. Infant showing signs of foremilk/hindmilk imbalance (green frothy stools, gassiness).
Intervention
Block feeding protocol (4-hour blocks) initiated. D-MER psychoeducation provided; referral to perinatal mental health provider. Positioning modifications (laid-back nursing) to manage letdown force.
Outcome
Supply normalized over 3 weeks. D-MER symptoms reduced to mild (patient-reported 3/10 at 6-week follow-up). Breastfeeding continued at 6 months.
All case summaries represent composite clinical presentations. Identifying information has been removed. Outcomes are not guarantees of individual results.
Next Steps
Two ways to begin.
Both take under two minutes.
Feeding Assessment
Guide
A 14-page clinical reference written for parents — covering latch evaluation criteria, milk transfer benchmarks, red flags that warrant same-day assessment, and a structured feeding log you can bring to any provider.
- 14-page clinical PDF
- Latch self-assessment checklist
- Milk transfer benchmarks by age
- Red flag symptom reference
- Structured 7-day feeding log
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Check Insurance
Coverage
Under ACA Section 2713, most insurance plans are required to cover lactation counseling without cost-sharing. Enter your provider and plan type to receive a coverage summary within one business day.
ACA-mandated
Most PPO & HDHP plans
Medicaid
Select states — we verify
Superbill
Provided for all sessions
OON reimbursement
We help you submit
HIPAA Compliant
All records encrypted and protected
Evidence-Based
Protocols aligned with WHO & ABM guidelines
Hospital Affiliated
Credentialed at 3 regional health systems
Responsive
Same-day response during business hours