Miri is an International Board Certified Lactation Consultant (IBCLC) that provides lactation consultations for breastfeeding moms and babies.  Although breastfeeding does comes easily to a few select women, most moms need some extra help getting breastfeeding established.  A small percentage of women are faced with significant breastfeeding issues and need extensive support from a lactation consultant. Miri is available for all those moms that need extra support, advice, encouragement, diagnosis and treatment of all breastfeeding issues. Breastfeeding consults are offered in our Anacortes office, in the comfort of your own home or through a video visit online. 

Here are some of the lactation services provided to our clients:

Lactation Consultation (Initial)
Mom and baby are seen together for a double visit to evaluate and manage a breastfeeding problem. A full medical history is taken, a breastfeeding session is observed with pre and post weight feedings to determine milk transfer, a physical assessment is performed, and diagnoses are made. A breastfeeding plan is then created together including recommendations for mom and baby. This visit usually lasts
1.5 - 2 hours.

Lactation Consultation (Followup)
Mom and baby are seen for a follow up visit after an initial lactation consultation to assess progress and need for further intervention or support. Observation of a breastfeeding session with pre and post weight feedings is completed, along with a physical assessment. A new breastfeeding plan is created together and the need for further follow up is evaluated. This visit usually lasts 1 - 1.5 hours.

Prenatal Breastfeeding Counseling Session
This session prepares a pregnant mother for breastfeeding ahead of time. For first time mothers, this is a chance to ensure that breastfeeding gets started on the right path. For a mother who has already breastfed, this is a chance to discuss any difficulties she may have had in the past and brainstorm ways to avoid previous pitfalls this time around. Latch and low milk supply issues are the most common topics discussed and prenatal interventions can be effective in avoiding these problems when breastfeeding is initiated. This session typically lasts 30 - 60 minutes.

Baby Weight Check with/out a consultation
Have your baby weighed on a medical grade infant scale to ensure adequate weight gain and get answers to any breastfeeding or newborn questions you might have at the same time!

Preparing for Working and Pumping
Many breastfeeding mothers will be returning to work at some point during their breastfeeding journey. This visit is designed to create a plan for keeping your milk supply up by pumping at work and providing breast milk for your baby while you are away.

Newborn Behaviors and Soothing Techniques
Babies can be a lot of work and for many moms, it can be hard to adjust to live with a new baby. This session focuses on ways to keep your baby calm, happy, and fed along with a discussion of sleep patterns and newborn personalities.

Breastfeeding Class
Miri teaches a prenatal breastfeeding class for mothers who would like to learn more about how to breastfeed before they have their baby. This class is provided in a group setting or one on one in a private session. Any family members with an interest in breastfeeding are welcome to join. Please check out our Classes page for more information.