How to prepare for a visit

I would try to avoid feeding your child right before the consult, but if it’s needed, please feed your child. Try your best to make it a smaller meal. Remember, we will have time to observe a feed and talk in detail about the plan. If your baby is hungry when I arrive we will observe the feeding first, if not, we will talk first.

Please don’t worry and don’t clean. I would be more surprised to see a clean and organized house when you have just welcomed a new baby into your home! I am not a house guest, I am visiting to help you and your baby. I guarantee you that I left my house with dishes in the sink, toys on the floor and probably an unmade bed.

Have your pumping equipment nearby and ready for use especially if you have milk supply concerns. If you are using any other tool to help with feedings, nipple shields, supplements, formula if used, etc, please have those available.

It’s a good idea to have a record of the infant’s feedings and a number of wet and dirty diapers from the last 24 hours before our appointment. If you’re using formula or donor milk I will be asking about how much you’re offering and how frequently.

If older children will be present at the time of the appointment, if possible, I suggest you ask someone to help entertain them as we work together. We will get the most out of the time we spend together if we can focus on you and your baby. Well behaved pets are fine, if you feel like they will distract us, it might be best if you place them in a separate room.

Payment is required at the time of your visit unless your coverage has been verified by Lactation Network. I accept cash, check or credit cards. You’ll receive an invoice and an insurance reimbursement form for all visits.

As the Coronavirus crisis continues around the world, babies are still being born every day and more and more families may need the support of a Mother-Baby Nurse or a Lactation Consultant. As a nurse, I have worked a lot with babies in the NICU – those most vulnerable to infections. Your baby’s health & well being, as well as yours, is my top priority. This is what I do to ensure the safety of your Family during a home visit:

Prior to the Visit

  1. I screen all my patients for symptoms of respiratory infection a day before the visit via online questionnaire. In case of a confirmation of possible symptoms of a respiratory infection, a virtual visit will be offered instead via a HIPAA compliant telemedicine platform.
  2. I thoroughly clean and disinfect all my supplies using EPA-registered and CDC approved disinfectants before every visit. I also disinfect my charting tablet and my phone before and after each visit using alcohol wipes.

During the visit

  1. Upon arrival, I always clean my hands with soap and water for at least 20 seconds.
  2. I will wear a face mask during our visit, I also require everyone who will be present during the consult to wear face mask, excluding Children under 3 years old.
  3. Throughout the visit, I use gloves every time I touch you and your baby. 
  4. When weighing your baby, I will use a disposable chux pad to place on the disinfected scale. You can use your own receiving blanket, if preferred.

Having a baby is an enormous responsibility. Protecting these most vulnerable members of our community should be of the utmost importance.  With the proper precautions, we can all ensure they stay safe and healthy.

 Recently, I partnered with Lactation Network.  The Lactation Network guarantees every mother three 90-minute, in-home lactation consultations with a registered IBCLC, like me, at no out of pocket cost. They handle the paperwork and bill your insurance directly. To learn more and schedule a consultation with me, visit www.lactationnetwork.com and use my name as the IBCLC who referred  you. If your plan is not covered you can still seem reimbursement on your own after the visit.

The Affordable Care Act of 2012 requires most health insurance companies to cover “breastfeeding support, supplies and counseling” in conjunction with each birth.  This means that most insurance companies should cover a home visit from an IBCLC.

Since most IBCLC’s are out of network providers women with eligible plans have been having problems accessing these reimbursements, or are being charged co-payments, coinsurance, or deductibles and must stand up for their rights.

I’m not an in-network provider for any insurance company but I will provide you with a “superbill” to submit to your insurance for reimbursement. I cannot guarantee you will be reimbursed since each insurance plan is different. I recommend you call your insurance provider in advance of our appointment to check your plan’s reimbursement policy and ask about seeing an out of network lactation consultant.

This toolkit will provide much-needed information about the laws and steps to take to receive reimbursement. I encourage you to contact your insurance company to ask about the coverage and to seek authorization. Toolkit

You might be wondering if the Lactation Consultation is too pricey. Consider reading this article by Best for Babes.   Article

We will meet over a secure video platform. We will be able to discuss your concerns in depth and we will have time to practice skills that your working on mastering. Prior to your visit I ask you to send me some videos and photos. Anything that might be helpful, anything you are noticing about your baby. These can be videos of your baby latching, feeding during letdown and at the end of the feeding and videos of you expressing your milk or anything that is relevant to your situation and can help me understand your concerns. I might also ask you about photos or videos of infant tongue when he is crying, or elevated.

Most clients also receive an oral assessment checklist that will walk you through assessment of your infant mouth.