Congratulations on taking this important step in your breastfeeding journey! We will contact you within the next 24hr to help you complete your booking.

Please review the following essential pre-appointment information

For Our Office Visits

- You’re welcome to bring your partner or another support person
- Having support during your breastfeeding journey can be invaluable

Insurance card
Any pumping equipment you have questions about:
- Bottles you’re currently using
- Wearable pumps
- Pump shields/flanges
1-2 oz of breast milk or formula if supplementing

No need for nursing pillows – we have them here
No need for Spectra or Motif Luna pumps – we have these available for flange fittings

- Please text your consultant before the visit with:
  - Best parking spot or parking instructions
  - Which entrance we should use (front door, side door, etc.)
  - Any helpful tips for identifying your home (e.g., “blue house with red door,” “apartment 3B”)

No need to clean or tidy up for us! We understand you’re in the postpartum period, and our focus is entirely on supporting you and your baby
If possible, have your feeding supplies (pillows, pump parts, etc.) nearby where we’ll do the consultation
If you have any expressed milk available, having a small amount (0.5-1 oz) can be helpful for our assessment, but don’t worry if you don’t

If possible, arrange for another adult to help with older children during the consultation
We kindly ask that pets be kept in another room during the visit for everyone’s comfort and safety

Login details will be sent to your email either the day before or the day of our consultation
- Your baby latching and feeding (including during letdown and end of feeding)
- Baby’s tongue position when crying
- How you position baby during feeds
- Any specific concerns you’d like to show me
- Feel free to send any photos or videos ahead of time that you think might be helpful:

Taking good pictures requires 2 people. A tongue selfie does no one any good. One person lifts the lip or the tongue and the other snaps the picture.
Try using a good lighting source. Natural light near the window or phone flashlight might be helpful.
Proper positioning – the lip and the tongue should move up for normal breastfeeding. Getting your fingers under the lip or under the tongue is important for testing if you can easily pick the tongue up. Here’s the IMAGE of positioning
Here’s a VIDEO on how to elevate the lip or the tongue
For the person taking the picture, make sure you position yourself so you can bring the entire frenulum in view. One trick is to have the focus already set by focusing on the mouth before you do the elevation.
On iPhones (and possibly Android phones), holding your finger on the desired area of focus for several seconds will result in a locked “autofocus/autoexposure”, so that it won’t try to refocus as the baby moves. Another trick is to just hold the shutter down and take a rapid burst of photos to see if you can find a suitable picture. Along similar lines, you could take a video and then choose a screen shot later.

Try not to feed baby right before our appointment time
If baby needs to eat close to our start time, consider offering a small “snack” feeding rather than a full feed
This allows us time to discuss your questions and complete initial assessments before observing a feeding