Nourish is moving to Denmark in spring of 2018, so we’re no longer accepting new clients. Existing clients may call for an appointment.

The best time to seek breastfeeding help is as soon as you experience difficulty with breastfeeding, before issues get entrenched! But even if they have been going on a while, we can work toward getting things to a good place for you and your baby.

For mothers/babies who have urgent needs, same day or next-day appointments are often available. Call 585-310-1713 to schedule an urgent consultation.

Nourish is in-network with Aetna. That means most parents with Aetna are covered 100% for up to six prenatal and postnatal in-office appointments. Parents with other insurance still need to file for reimbursement themselves.*

An initial postnatal appointment runs 1-1.5 hours. It generally involves these elements:

  • an exploration of the mother’s breastfeeding goals;
  • a history of the pregnancy and labor;
  • a history of the breastfeeding to this point;
  • a physical exam of the mother’s breasts, areolae, and nipples;
  • a physical exam of the baby’s mouth structures, head, and neck;
  • a physical exam (by gloved finger) of the baby’s ability to coordinate sucking;
  • a pre- and post-feed weight check (accurate to 2 grams) to measure the baby’s ability to transfer milk;
  • an observation of the mother and baby’s current breastfeeding technique;
  • suggestions for improving the success of breastfeeding;
  • a written care plan that the mother (and often partner) and I create together, based on the mother’s breastfeeding goals and what she finds manageable;
  • an update sent by fax to the physicians involved in care.

For a mom/baby with more complex or long-term issues, we start with the most critical issues and then schedule additional appointments as needed.

To find out current rates and to book an appointment, call 585-310-1713.
(Families who have a household income <$70k may provide proof of last year’s income and request a 25% discount for in-office consultations. Mothers who are eligible for WIC or Medicaid may request a 50% discount for in-office consults.)

When deciding whether to seek care, some parents find it helpful to consider that formula-feeding an infant for a year costs between $2000 and $4000, depending on the formula used. Two to four visits with an IBCLC for breastfeeding care is very inexpensive in comparison!

**I prefer to have consultations in my office because all of my tools and resources are readily available to me there.

Call 585-310-1713 to discuss your situation and see whether you will need an appointment.

*Insurance note: 

I will provide you with a superbill that you may use to file a claim with your insurance company. Coverage for classes varies, and the negotiation with the insurance company regarding this reimbursement is your responsibility. I would love to be in-network with all the insurance companies that offer a decent reimbursement; however, as the insurance companies come into compliance with the ACA, it’s complicated for now. I do accept FSA/HSA cards for payment.