Why should I see a private IBCLC?
An International Board Certified Lactation Consultant (IBCLC) is an integral part of a family's healthcare team - working with your doctors, midwives or other providers in your healthcare support system. An IBCLC possesses extensive training to provide clinical care in the management of lactation. From pregnancy to weaning, an IBCLC uses clinical skills and education to support parents to overcome physical and other challenges to successfully breastfeed.
While many families receive excellent care from LCs in the hospital, they often find that lactation issues change as milk comes in, as their baby grows, or for many other reasons. A home visit with an IBCLC focuses exclusively on you, and gives you the time and space for a full evaluation of you and your baby. This may include latch assistance, pumping techniques and much more. IBCLCs assist not only healthy babies, but critically ill and premature babies as well.
Do you take insurance?
Lactation Solutions of Princeton is in-network with both Aetna and Amerihealth. The vast majority of Aetna policyholders are entitled to 6 fully covered lactation visits, which will be submitted for you. Please check with Aetna to ensure that your policy has this type of coverage. Amerihealth claims will also be submitted for you - please contact Amerihealth to determine the number of visits covered by your policy.
If you do not have Aetna or Amerihealth, you will provided with a detailed invoice, with diagnostic codes, to submit to your insurance for reimbursement. How you are reimbursed depends on your particular policy, but it is important to know that IBCLC visits should be covered by law (The Affordable Care Act) as a preventative service. For more information on how to discuss coverage with your insurance company, please read these excellent articles:
What are your fees (for non-in-network visits), and what is included?
Initial In-Home Lactation Consultation (~2 hours): $240 (parent/baby), $265 (parent/twins) - personalized visit to go over your health history
including pregnancy, labor and delivery as it relates to your breastfeeding questions and concerns - poor latch, slow weight gain, supply
concerns, exclusive pumping, return to work/pumping planning, introducing solid foods, weaning and more.
Follow-Up In-Home Lactation Consultation (~90-120 minutes): $200 (parent/baby), $225 (parent/twins) - for previous clients that would like to
have personalized follow-up care.
Prenatal Consultation (60-90 minutes): $125 - review of your health history as related to breastfeeding, and an overview of topics designed for
getting breastfeeding off to the best start.
Other Consultations offered (inquire for pricing) - return to work planning, starting solids, weaning, and more. Any topic relating to your
Your visits include pre-visit emails or phone calls, a comprehensive home visit, 2 weeks of follow up by phone or email to continue the care plan, and reporting to your healthcare providers. For clients with insurance other than Aetna or Amerihealth, payment is taken at the conclusion of the home visit and is payable by cash, check or credit card.
What breastfeeding issues can you help me with?
I provide personalized home visits, lactation education and support for pregnant, new, and experienced parents in the greater Princeton area. Areas of specific expertise include latch and positional support, increasing supply, planning for breastfeeding/pumping while returning to work or school, aiding babies with slow weight gain, balancing breast and bottle feeding, helping a baby return to the breast after difficulties, exclusive pumping, introduction of solid foods, weaning, and much more. I am available by phone, email, text and home visits to help families achieve their breastfeeding goals.
Can I contact you with follow up questions after a home visit?
Definitely! Solving breastfeeding problems is a dynamic situation which makes follow-up a critical component for your success. Each visit includes 2 weeks of follow up by email or phone to work on the care plan relating to your visit.
How should I prepare for a home visit?
Please do not spend any time cleaning your home for my visit! The best way to prepare is to fill out the health history and consent forms so that we can both have a good overall view of what led you to the appointment, and to schedule the appointment for a time when your baby is ready to nurse, but not too hungry or too full. If we have discussed any possible strategies prior to the visit, it would be helpful for you to have gone over the resources (such as any articles or videos) prior to the visit, and practiced the techniques if possible.
Will you work with me if I use bottles or supplementary formula?
Absolutely - your goals are my goals! When breastfeeding is going well (latch comfortable, baby gaining weight), it is not necessary to use bottles. A baby must drink milk or formula to sustain growth and stamina, so for a baby struggling at the breast (or mother in pain), providing supplementary milk or formula can be important or even essential. And, depending on the situation, there are many reasons babies need, or parents would like to use, formula or pumped milk from bottles. In the process of working toward your breastfeeding goals, we can explore temporary or more sustained use of supplementary feedings for your baby. This can be with bottles, but other options are available as well. In fact, for babies that are drinking from bottles, part of the assessment of a baby's overall ability to feed is evaluating how they "latch" to a bottle. It is not uncommon for a baby that is having difficulty with breastfeeding to also show signs of difficulty with bottle feeding.
Will one visit solve all of my concerns?
It depends on what issues brought you to the visit. Some breastfeeding problems have quick solutions, and others require a more complex long-term solution. For some families, a home visit with follow up emails/phone calls is sufficient. For others, follow up visits are preferable, or even necessary in the days and weeks following the first visit.
Very often parents have new concerns that require support as they go through different stages of the breastfeeding journey, for those new questions and concerns we would schedule a follow up visit.
Where can I find resources for breastfeeding support in the first few weeks?
We have prepared a Breastfeeding 101 resource page - Check it out!
Frequently Asked Questions
COPYRIGHT 2016 © LACTATION SOLUTIONS OF PRINCETON | ALL RIGHTS RESERVED
LACTATION HOME VISITS THROUGHOUT THE GREATER PRINCETON NJ REGION
908-715-5454 (CALL/TEXT) LESLIE@lactationsolutionsofprinceton.COM
REGISTERED IN THE STATE OF NJ AS LESLIE R KOWALSKI, PHD, IBCLC LLC
(ORIGINAL FORMATION 2014, DBA LACTATION SOLUTIONS OF PRINCETON)
In network with Aetna and Amerihealth