Suggested Covid-19 resources for pregnancy and lactation

Lactation care and breastfeeding support are always essential, but perhaps even more so during crises like the one we’re facing today, dazed by social isolation.

Photo by Sasha Freemind on Unsplash

Like many states responding to the Covid-19 pandemic, The Academy of Lactation Policy and Practice (ALPP) is required to comply with Massachusetts Governor Baker’s emergency order and stop in-person operations. Healthy Children Project, Inc. has also been required to halt in-person operations, including the Lactation Counselor Training Courses (LCTC) for the time being. ALPP is continuing to process Certified Lactation Counselor (CLC) recertification requests remotely.  

Despite the current situation, the spirit of CLCs shines. In the CLC Facebook Group, lactation care providers are engaging in conversations about telemedicine, HIPAA compliance, and protective equipment and how to best serve families amidst the unknown. 

ALPP Executive Director Ellie MacGregor, MPH, CLC mentions that there are other important exchanges happening in  ALPP’s Community of Practice portal like current research and practice recommendations.

“We’re doing our best to share all of the evidence-based information although it’s changing every day,” MacGregor says.  

Photo by Luiza Braun on Unsplash

Healthy Children Project’s Cindy Turner-Maffei, MA, ALC, IBCLC has compiled resources for maternal child health care providers to reference when helping their clients navigate life during a pandemic. 

General Statements and Resources

For formula-feeding families

For expectant parents 

  •  Ready Set Baby curriculum produced by The Connecticut Department of Public Health (CT-DPH) in partnership with the Carolina Global Breastfeeding Institute (CGBI)

For personal sanity 

  • The meditation app, Ten Percent Happier, has made a set of meditations entitled “Coronavirus Sanity Guide” available to the general public.  In addition, they are making their full app available at no charge to healthcare workers who are responding to the virus outbreak. They invite health workers to email them for instructions at 
  • Yale’s Dr. Laurie Santos will host a Coursera Live Q&A event featuring ways to cope and process our emotions during the Covid-19 pandemic.
Photo by Greg Rakozy on Unsplash

Going forward, the United States Breastfeeding Committee (USBC) and MomsRising are inviting health care providers, pregnant and breastfeeding families, and all public health stakeholders to share how the pandemic is impacting the infant feeding experience. MomsRising points out that with the situation constantly evolving, personal experiences can make an impact on decision-making and help elected leaders understand how to best meet the needs of families.

Toxic Stress, Resilience Building, COVID-19 and Breastfeeding

As I write this, I’ve logged exactly two weeks at home in self-quarantine due to Covid-19 with my husband and three children. Technically, we’ve only made it through the kids’ scheduled spring break, but they’ll start an indefinite distance learning journey on Monday.

Our socially-distanced days have been filled with laughter of a couple kinds. The pandemic has offered us the opportunity to connect without the distraction of our robotic, go-through-the-motion schedules. We find simple entertainment: puzzles, charades, tiptoeing along sidewalk cracks. The situation has helped me rediscover how to be playful, and I’ve surprised myself and  kids with genuine laughter (or maybe it’s because I’m utterly deranged) over things that might have otherwise made me blister in anger. 

When I look outside my household, I laugh in discomfort. It’s this disturbed kind of cackle; a psychological response to the panic, the destruction, the trauma, the unknown that this pandemic has burdened the globe with. 

My most recent interviews with Nikki Lee about breastfeeding policy in shelters and Healthy Children Project’s Anna Blair and Karin Cadwell about their upcoming webinar on Covid-19, breastfeeding and resilience went this way: we seemed to laugh more than in interviews before the pandemic hit our country. 

Photo by Toa Heftiba on Unsplash

For me, I laughed because it was a simple joy to hear my friends’ and colleagues’ voices, to connect with those outside my immediate family. But even when the conversations turned dark, still I laughed. I laughed until I actually started sweating. What is the matter with me?

Blair and Cadwell pointed out something about the status of the crisis we’re currently in. When a hurricane tears through a community, we know there’ll be an end to the devastation. With Covid-19, we have no idea when this ends, and that’s sure to threaten mental health

Cadwell shares that while she does not consider herself a joyful person, she often thinks about joyful things in the future. 

“One of the things this has done for me is it has taken away my anticipation of joy,” she says. 

Some will argue that we’ve gained something through the shared experience; we’re together by being apart. “Rediscovered humanity,” in the words of the head of my children’s school.

We’ve lost a lot though too. Lives most importantly and second to that, control. 

In Hidden Brain’s episode An Unfinished Lesson: What The 1918 Flu Tells Us About Human Nature guest Historian Nancy Bristow recounts, “To remember the flu would be to admit to the lack of control that people had had over their own health. It would be to admit that the U.S. was not necessarily all powerful but was like everywhere else in the world subject as victims to something beyond their control.”

Almost a century later, these words ring true. Where there was opportunity for control, or a fair degree of preparedness at least, our nation failed. 

Cadwell has pointed out time and time again that our country has better emergency preparedness plans for our pets than we do for our moms and babies. 

“The unfortunate reality of the coronavirus pandemic is that it has shown how unprepared and underfunded the public health infrastructure in the U.S. is to address the basic needs of our citizens,” Monica R. McLemore begins in her piece COVID-19 Is No Reason to Abandon Pregnant People. 

Now we’re in what feels like an impossible place. 

Kimberly Seals Allers exposes the fact that infant formula quantities are scarce.  

“There, I said it! Cue swarm… I have time,” KSA begins in a Facebook post. “Everybody is talking about ‘choice’ & blasting #breastfeeding advocates until there’s a global pandemic, a panic-induced international run on infant formula & quantities are scarce. Now the ‘just give a bottle’ folks want to teach you how to re-lactate.” 

Doulas have been deemed non-essential, partners of birthing people considered visitors. (Refer to McLemore’s piece above.)

“We are taking so many steps backward,” Blair comments.

She continues: “We have heard so many times, not just locally, but colleagues around the country that there has been a misunderstanding about what the protocols are for babies being born now.  Babies are being automatically separated from their mothers for two weeks in some cases, even if the mother is Covid-19 negative. That is not best for the baby and that is not best for the family. Story after story. It worries us tremendously.” 

A member of the Certified Lactation Counselor (CLC) from ALPP Facebook group shared this account: 

“Mom had baby yesterday and was forced to wear a mask and gloves for all of labor and delivery. She had low o2 sat(91%) when coming into the hospital. No other symptoms. She is now separated from baby. Baby with dad in postpartum room and she in ICU pending covid test. She has not seen baby since and they will not let her until she gets a negative (test pends for 5 days apparently. They gave her a pump but didn’t show her how to use it. She’s a young first time mom and has now pretty much given up breastfeeding and seems highly depressed. She claims the hospital told her the CDC said to quarantine moms away from baby.” 

Later, the member provided an update.

“She’s with him now and he is currently latched <3 she’s still mentally in a dark place but things are looking up now that she’s finally got to hold him skin to skin without gloves or a mask.” 

Another participant suggested that this mother might need timely birth trauma therapy. 

The original poster replied: “I completely agree. She is very flippant and now seemingly unbothered and lacking emotion. Dad is worried and said he’s never seen her like this before.” 

Dr. Amy Gilliland of Doulaing the Doula is raising questions about mother baby separation on her social media outlets.

In one post Gilliland describes the effects of separation after birth: “The infant experiences loss and has a grief response – that’s the only interpretation – Where did my mother go? And it’s a loss they never recover from because their initial impression is abandonment and isolation. We are screwing up their capacity to trust and creating insecurity. We know this from research and therapy with young children, older children and adults. (also the Alliance for Infant Mental Health)…” 

Photo by Gift Habeshaw on Unsplash

Toxic stress is bubbling up in mothers, babies, families and equally their care providers.

What’s worse, Cadwell explains, is that many of us have accumulated toxic stress over our lifetime and in the current situation, many of our regular stress relief outlets have been stripped from us.   

Gutted by the situation, Cadwell and Blair put together Toxic Stress, Resilience Building, COVID-19 and Breastfeeding, a webinar that focuses on how to build resilience in ourselves and in others. 

“How can we find a resilient future?” Cadwell wonders. 

The webinar refers to Dr. Kenneth Ginsburg’s The 7 Cs: The Essential Building Blocks of Resilience

Healthy Children Project and Health Education Associates are offering the webinar at no cost. Continuing education credits for nurses, lactation consultants and lactation counselors are available.

You can request the free module here

In closing, I offer you this PSA:

“Unless you have prior experience navigating the emotional, psychological, and financial implications of a global pandemic- all while suddenly becoming a homeschool teacher to kids with cabin fever and unlimited snack requests… give yourself some grace.”  

Photo by Miguel Bruna on Unsplash

And one of my favorite quotes, quite applicable when the entire world is becoming unglued, “As long as there is breath, there is hope.”

Helping families flourish in southeastern Alaska

As a young child, Jasmine Esmay, RNC-OB, CLC, now a nurse at a Baby-Friendly critical access hospital in southeastern Alaska, watched a mare birth her foal. 

Esmay was struck by the “reverent atmosphere”. The horse has fresh hay and water. Calm and quiet hushed over the scene. 

“I was in awe of the whole process,” she says, making the connection early on that we, too, are mammals.

Most young children play house at some point, but I was never interested in pretending to cook or playing house,” Esmay shares. “I wanted all my friends to pretend they were in labor and I was the midwife, much to the dismay, I think, of their parents.”

Then when Esmay was 17, she was invited to attend the hospital birth of a friend she babysat for. 

“Again, I was in awe of the power and strength and miracle of new life,” she says. 

Her personal birth stories further shaped her passion and work within maternal child health, fully realizing the importance of evidence-based practice. These stories were a sharp contrast to the gentle, supported births she had witnessed, and she began to understand that how women experience birth can influence outcomes such as bonding, breastfeeding rates and  postpartum depression occurrence. Early on in her work, she realized the significance of a calm, patient-centered approach. 

Latching babies or empowering parents 

Esmay eventually volunteered with WIC, making house calls and inviting others to her home to help with breastfeeding whenever she could. Since 2008, she’s been working solely as an OB nurse. 

“…It seemed wherever I was working in an obstetric unit people would always say “Go find Jasmine, she can get any baby to latch!’” she shares. 

In 2017, she completed the Lactation Counselor Training Course (LCTC)

“What [our instructors] taught me through that course was to put my hands in my pockets and take in the entire picture, and then to help the breastfeeding dyad to find their own ways to be comfortable and successful with breastfeeding,” she explains. 

“They really stressed starting newborns with laid back positions, to encourage instinctual feeding behaviors, and to help new parents be comfortable and confident in their ability to breastfeed,” Esmay continues. “It was so hard those first few months to trust the process. I had to learn that my method of so-called helping was really not helpful.”

Esmay found it helpful to remind herself of the words of Cindy Turner-Maffei: “You may be able to get a baby to latch, but is it teaching the parents or empowering the parents so that when they go home, breastfeeding is successful?” 

Over time, Esmay says she came to realize that confidence is half the battle.

“I’ve heard over and over ‘I didn’t think I could do it’ or ‘I couldn’t have done it without all the help and support’,” she reports. “It’s nice to know that we not only encourage breastfeeding, but that we give people the tools they need to really succeed at breastfeeding and enjoy it. I really hope that those feelings of success and empowerment reach into the rest of parenting and pass down into generations.”

She’s noticed too that parents prefer a hands-off approach most of the time. 

“As this approach was implemented, I began to see less parents coming back supplementing or with nipple pain or other breastfeeding issues,” she reports. “It is very rewarding to see the parents’ confidence grow, and see how that affects bonding and the integration of the newborn into the family.” 

Expanding lactation care support 

Esmay plans to take the IBCLC exam in April, a process she’s been working toward for five years. 

“I can honestly say that out of all the trainings and books and lectures and conferences I attended, the training I received through Healthy Children Project changed my practice the most,” she comments. 

Esmay was recently honored as a member of USLCA’s advisory board.

“My hope is that through knowledge and idea sharing we can think outside the box on ways to expand lactation support and education to marginalized populations,” she reflects on her new role. 

Esmay shares that she has conflicting thoughts regarding the exclusive use of IBCLC credentialing for “the gold standard” of lactation care. 

She explains: “It is important to recognize credentials, and licensing will help with getting lactation care reimbursed, but I also know from experience how expensive it is to obtain and maintain. The reality is that obtaining an IBCLC at this point is just not possible in many rural and marginalized populations. 

I think more focus should be on training all healthcare workers in normal breastfeeding support and the importance of breastfeeding. Statistically breastfeeding is just as important to overall health as teaching cardiac wellness and cancer screening. The focus should be on breastfeeding as a normal part of maternal child health, with referrals to experienced lactation care professionals when there are complicated feeding issues.” 

Barriers and triumphs 

In her work today at the critical access hospital, Esmay and her colleagues serve 15 remote communities. Their hospital was the first tribal affiliated hospital in the state to receive Baby-Friendly status. 

Esmay says their patients are plagued by many of the same barriers as those in the rest of the nation; namely, limited access to evidence-based breastfeeding support, physical distance and travel barriers for perinatal care, breastfeeding not being the socially acceptable norm, abysmal parental leave, little or no workplace pumping accommodations and/or childcare. 

“I think our biggest barrier though is in the current medical model of care where there is a lack of continued support throughout the postpartum period,” she says. “It doesn’t make sense to have 10 plus prenatal visits, and then only one postpartum follow up 4 to 6 weeks after a baby is born.” 

Adopting the midwifery model of care could offer many solutions in regard to postnatal care, she adds. 

Location lends itself to some challenges too. 

“It seems the very nature of where I live lends itself to always being a bit understaffed. Living on an island has its challenges and some of the community is transient by nature due to seasonal work or contract work.

 I think it is well known that healthcare in general is a very mentally and physically challenging calling. For obstetric care in general, I think that is why it is so important to get more feet on the ground for lactation support. If we can encourage routine breastfeeding education and training to all women and children’s nurses and providers, that will lessen the burden and improve access to breastfeeding support.

In my opinion, if you work anywhere in healthcare, but especially maternal child health, then basic breastfeeding knowledge should be the standard, not the exception. There are always those special feeding needs that will require a higher level of care, but every women’s and children’s healthcare provider should know what normal breastfeeding patterns look like, how to support a breastfeeding dyad and how to spot problems.”

Despite the aforementioned barriers, Esmay and her fellow colleagues are unrelenting in their service. The team offers a variety of breastfeeding support programs including:

    • Postpartum phone call 7 to 10 days after birth as a safety net between 3 to 5 day check and 2 week newborn follow up
    • Free lactation clinic 
    • Monthly peer breastfeeding support group 

Alaska scores quite well on their breastfeeding rates compared to U.S. national averages. Esmay attributes this in part to necessity. 

“Many of the communities in southeast Alaska are very remote and cannot always rely on shipments of food or formula to survive,” she explains. “I think it speaks to the importance of family-centered communities and the knowledge sharing that happens in extended families.”

Community is strong in her area, and there’s strong community awareness of the state of maternal child health in America. 

Esmay brings attention to community gatherings like that of a group called NEST (Nurture, Empower, Support, Transform). She recently partnered with the Alaska Breastfeeding Coalition and the hospital to implement a “Breastfeeding Welcome Here” campaign for area businesses.

Encouraging trauma informed care 

While Alaska is making a difference with small changes, Esmay sheds light on an area that needs improvement: trauma informed care.

“The statistics in Alaska for women experiencing trauma are astronomical,” she begins. “Thirty-seven percent of women in Alaska have been victims of sexual violence– that rate goes to 50 percent if you are an Alaskan Native Woman– and in some areas of the state that number can be more than 90 percent. 

When women who have survived sexual violence give birth, there are triggers. Often the traumatized person is not expecting these triggers. How care is given during prenatal visits and throughout the birth process can affect how a labor progresses, how parents bond and how they view themselves as new parents. 

It can make the difference between a healing and empowering experience or becoming a victim of violence once again. If care is taken adhering to the principles of trauma informed care, there will be better birth outcomes, like less postpartum depression and a higher rate of breastfeeding success. 

Ultimately it will lead to healthier families, and that’s really the long term goal of healthcare for women and children.” 

Esmay recommends When Survivors Give Birth by Penny Simkin and Phyllis Klaus to help us understand how to best care for the pregnant person who has experienced trauma. 

Esmay shares a few closing thoughts:

    • Approach breastfeeding from a preventative healthcare point of view. A study reported in the Surgeon General’s Call to Action found that if 90% of U.S. families followed guidelines to breastfeeding exclusively for six months, the United States would save $13 billion annually from reduced direct medical and indirect costs and the cost of premature death.  
    • Populations most affected by dangerous diseases have the least access to breastfeeding support and education. 
    • Breastfeeding is a global health issue of the highest importance. Corporate healthcare and governments need to invest as much money and energy as possible into promoting breastfeeding. 
    • We need human donor milk available in every hospital, we need equitable and affordable access to breastfeeding support, and we need the U.S. to uphold the WHO code of marketing to prevent formula companies from preying on vulnerable populations. We need the organizations that support breastfeeding to brainstorm new ways to improve education and access for all. 
    • Really the answer to world peace could be in breastfeeding, but that’s a topic for another day.

LCP and yoga instructor partner to open milk depot

For a brief moment, Donna Ellis, RN, MSN, CLC, IBCLC  thought, “Oh dear, what have I gotten myself into?”

In the fall of 2018, Ellis attended a La Leche League conference where she met a doula and yoga instructor with a toddler attached in a sling. Ellis recently moved to Maine after many years working and living in Germany, and she was taking every opportunity to increase awareness of banked donor milk in her new community.

Ellis eventually began attending the instructor’s adaptive yoga practice.

“As I began taking classes, this instructor and I realized how much we enjoyed one another and shared similar interests,” Ellis begins. “I provided breastfeeding information to one of her prenatal yoga classes and attended the LLL group that met at the studio.” 

Later in the fall, Ellis attended a Maine State Breastfeeding Coalition presentation by Cynthia Cohen from the Mother’s Milk Bank Northeast who’d reported on the role and the need for milk depots. At that time Maine had only two depots, both a distance from the Southern Maine communities where Ellis lived. 

Ellis became excited about the prospect of setting up a milk depot in her community, the yoga studio seemed a good community location. The instructor was delighted and also thought it was a good fit.  

The process began. Ellis registered as a volunteer with the milk bank and gained basic education on the process for receiving and shipping frozen donor milk.

Setting up the milk depot would require a deep freezer, a roughly one to two thousand dollar piece of equipment, which is either purchased or donated by the community. This seemed to be the major hurdle. Ellis started to wonder what she’d gotten herself into. After only a few emails to local appliance businesses though, a local business man quickly volunteered to anonymously donate a new freezer.

Ellis says she was surprised and pleased! 

The milk bank then provided online HIPAA training for Ellis and the yoga instructor. They also provided a temperature monitoring device for the freezer which sets off an alarm if the temperature becomes too high. 

The milk depot officially opened on May 30, 2019 with press coverage, a ceremonial ribbon cutting and cake. The event was attended by several representatives of the Mother’s Milk Bank Northeast and Maine families who had donated their milk.

Ellis explains that the original space was tucked into an old mill that at one time produced fabric. It had old wood floors and wide open space. Just inside the entrance was a lounge area with comfortable chairs and a small kitchen and toys for children to play. Partly because parking was a challenge though, the studio/depot recently moved to a new location just down the street with plenty of parking, ramps that accommodate strollers and a quiet environment. 

So far, Ellis reports that only two mothers have donated to the milk depot, as a result of frequent travel, the unexpected move of the yoga studio and many individuals choose to donate directly to the milk bank with the convenience of FedEx’s milk shipping services.  

“The donation of human milk is an amazing gift making a major difference in the lives of families reaching beyond today into the future,” Ellis says. “Those who provide their milk are quiet heroes.” 

She points out some important things about donor human milk:

  • Donor milk contains bioactive components, hormones, and enzymes that optimize infant growth and development.
  • It is species specific working best with the newborn’s immature gut, liver, kidneys and immune system. 
  • It is just the right mix of nutrients – not only for the newborn and preterm infant, but to nourish the microbes composing the gut microbiome.
  • It has immune properties – Secretory IgA.  Infants don’t have any Secretory IgA so the first bits of colostrum from the mother or expressed milk provide a protective coating, keeping nasty bacteria from causing infections like NEC – a severe bowel condition that targets preterm infants and other serious illnesses and infections.

Once milk is collected and sent to the milk bank, safety is guaranteed through the history and serology of donors, bacteriology of the milk and subsequent heat treatment destroying HIV, Herpes, CMV and other viruses. Still, Ellis reports, around 90 percent of the beneficial components remain. And while the cost of donor human milk might look expensive at first glance, coming in around four to six dollars per ounce, when we consider it’s a medication, it’s truly cost effective. 

There was a recent public hearing in Maine regarding access to donor milk. A Maine State Breastfeeding Coalition member who works with the Maine State Legislature attended and indicated that LD 1938 (donor breast milk reimbursement in MaineCare) passed unanimously through the HHS Committee. Amendments were made, so the HHS Committee will have another opportunity to review the language. Once that is accomplished the bill should go to the house floor for a vote. 

In the summer of 2019, Connecticut passed a law requiring Medicaid coverage of donor human milk under certain circumstances. A New Jersey law went into effect in January 2019 requiring all health insurers in the state to cover donated human breast milk for infants under certain circumstances as well. Ellis believes these milestones will serve as inspiration for what is to come in Maine. 
If you’re interested in setting up a milk depot in your area, visit the Human Milk Banking Association of North America (HMBANA)  website here. Ellis encourages us to share information about the incredible gift of milk donation whenever possible. Mothers’ Milk Bank Northeast has incredible donation stories on their blog including those of bereaved parents.

Getting off to a good start

Photo by Ksenia Makagonova on Unsplash

If you’re a mother living in Colorado, chances are you’ve breastfed your baby. Statistically, Colorado fares well compared to U.S. national average breastfeeding rates. 

Jodi Heiser RN, CLC, ANLC, IBCLC and Bonnie Garcia RN, CLC, ANLC, IBCLC, lactation specialists working in a private pediatric practice in the Denver metro area, attribute this phenomenon to Colorado being a “pro-health” state in general. 

“People are very active here,” they begin in an email interview.  “We spend a lot of time outside, hiking, biking or just being outside.  This is probably due to the fact that 300 out of the 365 days a year are sunny.”

“This healthy lifestyle also supports healthy eating,” they go on. “Since the healthiest meal for babies is breastfeeding, most families plan and want to breastfeed their children.” 

Nearly fifty percent of Colorado parents give birth in a Baby-Friendly facility too, according to the latest CDC Breastfeeding Report Card

“This gives us a bit of an advantage as breastfeeding is considered the standard for feeding newborns,” Heiser and Garcia comment. “[Dyads] are given support and a good foundation for being successful at breastfeeding.” 

Although Colorado parents are often off to a great start, Heiser and Garcia notice that their feeding situations tend to become more challenging once they’ve left the hospital. 

Short hospital stays mean that mothers’ milk may not have yet transitioned from colostrum, and feeding and latching challenges might start to arise in the first few days at home. 

“That’s where we feel our pediatric practice can be a unique place to provide support,” the duo writes. 

Heiser and Garcia provide care all week at three offices located throughout Denver. They’re also available by phone to field breastfeeding questions and triage lactation issues. 

Cultivating a breastfeeding-friendly culture comes easy to the team in the pediatric care setting. They’re able to fulfill the American Academy of Pediatrics’ recommendation for a newborn feeding assessment be done at day 3 to 4 of life by a qualified lactation professional. 

“The wonderful thing about providing lactation care in the pediatric setting is that it is all a part of the continuum of care that the mom and baby are already receiving,” they write. “If a mom is having breastfeeding issues, we can provide assistance right there at her pediatrician’s office… It eliminates her having to find another resource…” 

Heiser and Garcia find success in each family and are inspired by parents’ resilience. 

“What I love best about what Bonnie and I get to do is that we are able to build relationships with these moms and their children,” Hesier shares. “We watch the children grow, we watch siblings be born, we get the blessing of helping them feel good about feeding their babies. It really is a long term relationship we have been able to develop with our families over the years.” 

She recalls “Sarah’s” story, a mother in their practice with her first child “Charlie”, at the time three days old. 

Sarah struggled with low milk production and severe nipple pain and no confidence that she would be successful at breastfeeding her child, Heiser remembers.  The provider wanted to start formula supplementation because Charlie was down 12 percent from birth weight.

“I felt Sarah’s milk was coming in and that helping Sarah correct Charlie’s latch would minimize nipple pain and help him be more effective at breast,” Heiser continues.

The provider agreed to wait one more day. Sarah triple-fed for the next 24 hours and Charlie bounced up 2 oz the next day. 

Sarah went on to successfully and confidently breastfeed Charlie until she became pregnant with her daughter “Valerie”. 

For at least two to three years, Heiser and Garcia have been working to implement  newborn feeding assessments as part of routine care and getting insurance to pay for the service.

“We have felt strongly that this should not be a service available only to only those who can afford to pay out of pocket for this service,” Garcia states.

“We are finally, in the past year, seeing successful insurance reimbursement rates which has allowed us to offer this service to any new mom and baby that would benefit from a feeding assessment,” she goes on. “It is more and more becoming just a natural part of their postpartum/neonatal care and insurance companies are (for the most part) paying for this service.” 

The team has also recently created “Baby Bistro”, a monthly get together for new parents. 

“We want it to be a place where there is peer support and relationship bonding between mothers,” they write. 

In addition, Heiser and Garcia plan to speak briefly about a breastfeeding topic at the Baby Bistro and offer a Q&A session as well as the chance to set up a feeding assessment for more challenging feeding concerns.  

For more information about the team’s work, visit them here