Prenatal Lactation Consultation - Office

A 60 minute prenatal lactation consultation at Donna Bruschi’s office. That’s me. Add this service to a shopping cart and complete your purchase. You can expect a phone call or text from  845-750-4402 (that’s my phone number) within a few hours.

Prenatal Consult #1:

Prepare for breastfeeding with education and evaluation. Breastfeeding purchases, doulas, Insurance pumps and how to succeed at breastfeeding. Learn about possible challenges you may face, if you have: 

• Inadequate breast development (tubular breasts, hypoplasia, extreme size difference.
• Gestational diabetes
• PCOS
• Scheduled C-Section
• Pre-Eclampsia
• History of failed breastfeeding
• History of infertility

Plan for your educational appointment between 20 and 32 weeks.

Prenatal Consult #2:

Plan for birth and first feedings, clearing your schedule, hand expression, pumps and pump unboxing (if you have your pump).

• Learn and practice Hand Expression. Hand expression helps mothers feel confident and is proven to increase milk production.
• Learn Colostrum Harvesting and get a free sterile Silicone Collector. If your baby needs supplementation, you can feed them your milk instead of formula.
• Discuss selecting the insurance pump that meets your needs.
• Unbox your pump, if you have one. Press all the buttons and learn what they do.
• Flange Fitting to get an idea of what size flange you will need when your milk comes in. You can get a perfect fit later.

Book your Prenatal Consult #2 for week 36, or after.

Prenatal Consult #3, #4, #5….

You like to ask questions, learn and know things. You like to plan and be prepared. You feel anxious and can’t sleep when something is unfinished. You are the gold medalists, trial lawyers, valedictorians, wedding planners, accountants, journalists, brain surgeons, etc.of the world. 

A word to the unknowing: Babies are notorious for being uncontrollable. Breastfeeding is super hard for people who like to control things. This is a great time to let it go and meet your baby with a fresh outlook on your life as the mother of an uncontrollable human being.

Why do you need a Prenatal Lactation Consultation?

In my experience, pregnant moms and dads-to-be are more confident and prepared after prenatal education, because we live in a bottle feeding culture, and breastfeeding is wildly different than bottle feeding.

• You can learn the fundamentals of breastfeeding without interruption, while your brain is still working, and you are reasonably rested.
• You can learn the fundamentals of human baby behavior as compared it to other mammal babies such as whale calves, cow calves, fawns and joeys.
• You will come away with a vague idea of what to expect 😊 and support for when things get real..
• You will have a trusted source of knowledge for your many questions and challenges (Donna and verified sources)
  

It's OK if you don't think you need help. Many parents felt just this way and benefitted from this guidance.

If you need more information about your particular situation, you can text or call Donna at (845) 750-4402. 

During the prenatal lactation consultation, you can request any of these:

• Get all the details about any difficulties you are experiencing or anticipating
• Take a health and breastfeeding (if applicable) history
• Answer your questions
• Watch a video of a newborn breastfeeding
• Screen for nipple and breast health
• Teach about baby feeding cues and milk production work together.
• Teach you about latch, positioning and other comfort measures
• Teach hand expression, milk storage guidelines, pumps and flange fit
• Refer you to someone who can better help you with your problem, if need be
• Create a breastfeeding plan that will accommodate your lifestyle, your goals and your baby 

Here are my standards:

We make sure your baby is well fed. My first choice of food is your breast milk, either at your breast, expressed or from your stored supplies. My next choice would be donor milk from a milk bank or other donor. If that isn't possible, we will use formula.

We make sure you aren’t in pain forever and ever. Tenderness is normal. Toe-curling pain is not. Your nipples will not toughen up. You do not have to endure pain for some magic number of days-weeks-months.

I have a three-step process for pain free nursing. You will have access to additional resources. If you are in pain, you will move through it in days, not weeks. 

I respect you, your baby, your breastfeeding goals, opinions, culture, lifestyle, and family.

I have an evidence-based practice. What we do has been studied and shown to work and you won't get stuck with some folklore, bizarro habit.

I am the expert in human milk feeding. You are the expert in your baby, (even if you don't feel like it, yet.) You set the pace and decide if you like something, or don't.

I prefer to keep babies calm. It is essential to be gentle with the baby and ease into breastfeeding rather than making lots of changes and upsetting your baby, and you.

I follow current American Academy of Pediatrics guidelines and track weight, stools and wet diapers, so you are confident your baby is getting enough milk.

I keep your situation, problem, solution, and story private. Please note that I, like all health care providers, have a responsibility to report as mandated by law.

I wear an N-95 mask at every appointment. I use HEPA air filtration and UV disinfection in my office so everyone has clean air to breathe.

After you purchase the consultation, you will receive a text or call from me, Donna, (845) 750-4402 to set a time. You can also call me at that number.

I see prenatal clients by appointment and mostly in my office. If you need a home visit, please purchase a Home Lactation Consultation or make a note in the checkout. Travel fees apply for home visits.