After more than 40 years of helping mothers and babies,
Pat has RETIRED and is referring to Brooke Simmons, BA, IBCLC, ALC, CLC - 407-221-4475
(Brooke did a six month internship with Pat and has sat for the IBCLC exam in October 2016)







How do you know when
your baby is well fed?
When your baby looks
like this baby.

 MILK COMA BABY!



BREASTFEEDING
THE VERY BEST
PREVENTIVE MEDICINE AVAILABLE!
Lactation visits are a bargain when you
Your baby is worth the investment!


 LACTATION  VISITS (No Insurance Accepted - Fee for Service Only)
Visit are at office of Sunshine Pediatrics Monday - Thursday 10:00 - 4:00
Pat Lindsey, IBCLC is not an in-network provider with any insurance company.  Fee for service must be paid at time of service in her private practice.  All clients will be given a super bill and instructions for filing for insurance reimbursement.  Coverage for lactation services are determined by your individual insurance plan.  If your insurance policy covers the cost of lactation services, they may or may not reimburse you. Under the Affordable Care Act (ACA), lactation is covered, however, private insurance companies are all doing something different to comply with this new law. You will need to check with your insurance company to see what they offer and if they only reimburse to in-network provider.  It is the responsibility of the client to seek insurance reimbursement.  No guarantees are made for insurance reimbursement.  For more infomation regarding insurance reimbursement for lactation services, see Medela's A Healthcare Insurance Reimbursement Guide For Breastfeeding Families. (Most visits are coded under the mother using preventative medicine CPT of 99404 and ICD-10 Z39.1 with place of service code of 11)




Pat's Office - Maitland, FL

Pat ONLY offers office visits
________________________      

 LACTATION OFFICE  VISITS


 Prenatal Office Visit
Visit will be 45-60 minutes/$85.00
Call for appointment 407-803-2024
Discuss concerns mother may have, teaching of latch-on techniques and suggestions on how to get off to a good start in the early weeks.

Prenatal visits are especially recommended for expectant mothers who are anxious about breastfeeding or have specific concerns such as reduction and other breast surgeries as well as illnesses or medications that could affect the breastfeeding relationship.
 Initial Office Visit
Most visits can be scheduled within 24-48 hours
First time visit will be 75-90 minutes/$110.00
Call for appointment 407-803-2024
NEW CLIENT - History of mother and baby, assessment and evaluation of feeding session, weight check, intake check with Baby weight check, intake check with Baby Weigh Scale, evaluation of infant oral anatomy and mother's breast, and care path to improve the effectiveness and comfort of breastfeeding. This session also includes age appropriate (baby's age) teaching of breastfeeding and infant development in order for the mother to have a better understanding of her baby.  Support person such as dad or grandparents, close friend are welcome at this visit. Expect to spend 60 - 90 minutes at the initial visit.

Plan to bring the following to the visit:
Baby who has not been feed for at least 1.5-2 hrs prior to visit
If you have a pump or are using a nipple shield, or formula and bottle if you are using them, please bring these with you to the visit


 Follow Up Office Visit
Depends on complexity and length of visit
Visit will be from 30-75 minutes/$55.00-$85.00
Call for appointment 407-803-2024
     ESTABLISHED CLIENTS-Though most breastfeeding challenges and problems can be greatly improved with only one visit, some more challenging problems may require more than one visit.  As well as new problems can develop at a later time in the breastfeeding relationship.  Concerns about returning to work, pumping, milk supply issues, breast or nipple discomfort, introduction of solids (optimal nutrition from 6-12 months), fussy/colic baby, reflux, weaning and other issues may require a follow-up visit.

 Pumping in the Workplace Visit
Visit will be 45-60 minutes/$85.00
Call for appointment 407-803-2024
Workplace pumping recommendations are personalized with your job and work situation in mind.  Instructions on when and how to pump in order to protect your supply and insure your baby continues to get the best possible nutrition even though mom has to return to work. How to get started: Which pump is best for your job, which bottles work best for baby to transition back and forth from breast to bottle, how to introduce the bottle, how to pump and store breastmilk, and the logistics of pumping in the workplace. This visit is best when the baby is nursing well and gaining well after the 3rd week, but before the 6th week.

__________

__________

 Starting Baby on Solid Foods................
Optimal Nutrition for 6 months to age 3 years
Visit will be 45-60 minutes/$85.00
Call for appointment 407-803-2024
Commercial baby foods are not optimal nutrition for optimal brain development or for setting up good feeding habits. Low nutritional value foods and eating habits can set the stage for future health problems such as obesity, heart disease and even Type II diabetes. Optimal nutrition also helps little people feel better so they behave better.  Learn how you can feed your baby better and cheaper than commercial baby foods.  Learn what your baby needs in those critical early years to have the best, most optimal brain development and lessen health problems throughout their life.  Optimal feeding of babies and small children doesn't require lots of extra time in meal preparation and it isn't rocket science.  Learn what babies and small children need and how to make sure they get it.  Optimal nutrition is the VERY BEST PREVENTIVE MEDICINE you can give your child.  (more about Nutrition)

_______________________________________________


  LACTATION Telephone or E-mail Consulting
PHONE HELP: 407-803-2024
Only LIMITED HELP can be done by telephone or E-mail.  Most breastfeeding problems are best helped with a through face-to-face history and evaluation; however, some mothers are looking for specific information regarding breastfeeding, infant care, special maternal or infant illness or circumstances, or research on compatibility of maternal medication or medical procedures while breastfeeding which may be handled by telephone or e-mail.   

Call or E-mail may not be returned until lunchtime, late afternoon or early evening depending on availability to return calls as Pat is seeing patients in her office during weekday office hours.  When leaving a telephone voice message, please spell your name and state your phone number slowly two times (cell phones can break up and miss a number or two
on the message making it impossible to return your call).
TELEPHONE SUPPORT


Established Clients
Those who had a lactation visit with this baby. No Charge for follow-up phone
calls or brief telephone help.

Non-Established Clients
For telephone help, please make payment by donation.  Donations can be made by clicking on the purple button.




EMAIL SUPPORT

Established Clients
Those who had a lactation visit with this baby. No Charge for email follow-up.

Non-Established Clients
Please open the following PDF file and follow instructions in the file. Donations can be made by clicking on the purple button.
_______________________________________________

  When is a lactation visit indicated?
Lactation Visits are recommended for the following situations:

Latch on and/or positioning difficulties (PLEASE don't try to force the baby to take your breast. Battles at the breast are not pleasant for the mother or the baby and often reinforce the
baby's refusal of the breast. If your baby will not latch, keep your baby skin-to-skin as much as possible, pump your breast if every 2-3 hours and feed the pumped milk to the baby, and
GET HELP as soon as possible.)

If baby has a low output of wets and stools. Expected output - DAY 1-3 at least 2 stools (each larger than a tablespoon) and 2-3 wets; DAY 3-5 at least 3 stools (each larger than a tablespoon) and 3-5 wets; DAY 5 or older at least 2-4 stools (each larger than a tablespoon) and 6-8 wets per day

If baby always falls asleep at breast and doesn't keep up a continuous pattern of suck-swallow for 10-20 minute feeding each breast

If your baby has lost more than 7% of his birth weight

If your breastfed baby is unsettled and cries excessively

If mother is anxious about breastfeeding or in need of reassurance

With any sore, cracked, or bleeding nipples

With engorgement or painful breast

With low weight gain (one ounce weight gain per day is optimal between birth and 4-6 months)

If you think that your supply is low or if you think you may need to use formula

If feedings last longer than 1 hour

If baby is excessively fussy or gassy

With any special circumstances, such as, premature baby, twins, anomalies, or maternal health concerns

If baby has thrush infection and mother's nipples have become sore

________________________________________________

 When is the best time to have a lactation visit?

The most optimal time to have a lactation visit to insure breastfeeding success and comfort is within 3-5 days of baby's birth.

At first realization of breastfeeding difficulties or problems, don't wait more than a day or two to see if its going to get better.  Many mothers think after the first 2-3 weeks their sore nipples will magically get better only to find at the end of 2-3 weeks they still have sore nipples or other breastfeeding problems and have missed out on enjoying the breastfeeding and the baby as fully as they should have.

If you suspect your milk supply has not come or is not adequate for your baby, don't wait...GET HELP.  If baby is not gaining adequately, nursing more often and waiting for a week or more while the baby continues to not gain or to lose more weight is NOT the answer.  The faster you GET HELP the more likely breastfeeding can be successful.

If you are having to use formula for your baby to be satisfied and/or to gain weight, GET HELP quickly if you want breastfeeding to be successful. Breastmilk supply is dependent on frequent emptying of the breast. Breast should be emptied 8-10 times in the early weeks to signal the body to build a good milk supply. The making of milk is an intrigue system of supply and demand, the more the breast are emptied the faster and more milk the mother produces.  When the milk sits in the breast and is not being moved by emptying, the milk production slows and finally stops.

If your baby refuses to latch and you are pumping your breast with an adequate breastpump 8-10 times in a 24 hour period and you are not making enough milk to satisfy your baby and you are having to use 50% or more of formula, it would be best to continue pumping 8-10 times per day till you are pumping 80-100% of baby's daily intake before returning baby to the breast.  This will insure a more positive experience for the baby.  Latching a hungry baby to a breast without milk only frustrates the baby and reinforces latch-on difficulties.  A telephone consult would be of help in problem solving possible reasons your milk supply is not building as well as discussing herbs or medications that may be of help in building your supply. Once the milk supply is more adequate to baby's need, if you are still having problems latching the baby, a lactation office visit would be very helpful.

If you are considering re-lactation or adoptive nursing, a telephone consult or e-mail consult might be best to discuss what is involved before an office visit.



© 2001-2012 Pat Lindsey, IBCLC - Lactation Services all rights reserved.
This internet site provides information of a general nature.
If you have any concerns about your own health or the health of your child, you should
always consult with a physician or other healthcare professional.