Lactation is natural

Breastfeeding is learned

Here, I will warmly teach you how to nourish your baby, maintain a healthy supply, and integrate breastfeeding into your unique family’s life.

Prenatal

Lactation consultation

with Katie Madden, RN, IBCLC
This one-hour individualized session is designed to help you and your partner prepare for your unique breastfeeding journey. Katie will conduct a thorough assessment and create a personalized care plan tailored to your needs and goals.

Establishing care during pregnancy ensures you have the option to schedule timely postpartum visits with Balanced Breastfeeding. We recommend attending your prenatal consultation around 28 weeks of pregnancy. 

  • Exploration of goals, expectations, life circumstances, and home support in the first two weeks postpartum and beyond.
  • Access to Client Resource page. Explore a library of custom videos to reinforce what you learned in your prenatal visit and support you through postpartum.
  • Hands on breast exam and practice with a realistic newborn baby doll to determine your ideal breastfeeding positioning for your body.
  • Hands on nipple measurement for ideal pump flange fit.
  • You’ll receive a beautiful hard copy of the Postpartum Support Plan to guide a thoughtful discussion of your essential self-care needs as you begin breastfeeding.
  • You’ll receive a beautiful hard copy of the Keep Track Workbook to help you understand how your baby is feeding and what they need—hour by hour during the first week of breastfeeding.
  • Inclusion of your partner in the consultation to empower them in their vital role as your breastfeeding support person.

Postpartum

Lactation & Newborn Feeding Consultations

with Katie Madden, RN, IBCLC

In this 60-90 minute visit, we will complete a feeding cycle together: directly nursing, bottle feeding, and/or pumping. We encourage your breastfeeding support partner to attend! 

Use of the HATLFF to assess both the appearance and function of the newborn’s tongue to identify any restrictions that may affect feeding.

Demonstration of positioning and support, and paced bottle feeding method

Assistance in choosing the ideal bottle for your baby’s unique needs.

Gentle assistance to execute the unique anatomy specific maneuvers you need to deeply, comfortably latch your baby onto your breast

Measurement of infant consumption of milk while directly latched to the breast through pre and post weighted feeds on a highly sensitive, specialty scale.

Physical assessment of the breasts to identify problem areas that may be prone to poor drainage such as plugged ducts and mastitis; nipples to identify break down or damage. Both assessments are used to create an ideal care plan for your unique body.

Hands on pumping session to evaluate flange fit, adjust cycles and vacuum on your personal pump, and evaluate volume expressed.

  • Follow up is critical to evaluate how the strategic plan worked in real life; we will adjust and revise the plan if we need to.
  • Intake questionnaire to understand pregnancy, birth, lactation and infant feeding to date. It is my goal to start from wherever you are; your lived experience matters a lot.
  • Evaluation of infant feeding: directly latching to the breast and/or bottle feeding
  • Discussion about past newborn feeding experiences, if not your first baby
  • Evaluation of the lactating parent’s breasts.

Assessment of infant oral anatomy and suck
Use of the HATLFF to assess both the appearance and function of the newborn’s tongue to identify any restrictions that may affect feeding.

Attachment focused Bottle feeding support
Demonstration of positioning and support, and paced bottle feeding method. Assistance in choosing the ideal bottle for your baby’s unique needs.

Hands on, direct latching support
Gentle assistance to execute the unique anatomy specific maneuvers you need to deeply, comfortably latch your baby onto your breast

Measurement of infant consumption of milk while directly latched to the breast through pre and post weighted feeds on a highly sensitive, specialty scale.

  • Evaluation of the lactating parent’s breasts:

Physical assessment of the breasts to identify problem areas that may be prone to poor drainage such as plugged ducts and mastitis; nipples to identify break down or damage. Both assessments are used to create an ideal care plan for your unique body.

Hands on pumping session to evaluate flange fit, adjust cycles and vacuum on your personal pump, and evaluate volume expressed.

  • Ample opportunity for questions and learning.
  • Intentional, active inclusion of the breastfeeding support partner.
  • Customized, strategic newborn feeding plan with supporting digital learning materials.
  • Katie Madden can also provide second opinions to new clients when requested.
  • Follow up appointments as needed to review and revise plan
    • Follow up is critical to evaluate how the strategic plan worked in real life; we will adjust and revise the plan if we need to.

Postpartum

Strategy Discussions

with Katie Madden, RN, IBCLC

Planning to make a change, like returning to work or weaning and needing strategic support? Strategy discussions are visits to review your current lactation and infant feeding circumstances to make a plan to achieve your next safe, realistic goal.

  • Managing pumping (exclusively or occasionally).
  • Balancing working and continuing to breastfeed.
  • Starting solids.
  • Managing annoying, uncomfortable behaviors (biting, punching, distractibility).
  • Caring for your mental health and breastfeeding, including discussion of medication safety and sleep protection for the lactating parent.
  • Teaching and empowering your chosen childcare providers to care for your child.
  • Changing infant feeding schedules.
  • Bottle feeding.
  • Food elimination due to allergies or intolerances.
  • Weaning from producing milk.
  • Weaning the child from direct nursing.
  • Post weaning, to reflecting on and process the entire breastfeeding journey.

we provide the kindness & teaching new parents need to feel empowered and successful