Lactation Support
Breastfeeding support from certified lactation counselors
Our certified lactation counselors help with supply difficulties, nipple pain, proper latch, trouble gaining weight, and pumping. Consultations are available at all three office locations.
How to schedule
Book online through the patient portal or call any office to schedule a lactation consultation.
Book Online↗Our lactation support team
What we offer
- Breastfeeding history review and physical examination to understand your unique situation
- Oral anatomy evaluation to assess milk transfer and identify ties or structural issues
- One-on-one latch observation with hands-on positioning guidance
- Personalized feeding plan development with follow-up support as your baby grows
- Pumping guidelines including schedule setup, flange fitting, and supply maintenance
- Nipple care education to address soreness, cracking, and other common concerns
Breastfeeding Guide
What to expect in those first days and weeks.
The first few days
- Colostrum — the thick, yellowish early milk — is all your baby needs in the first 2–3 days. It's small in volume but packed with antibodies and nutrients.
- Your mature milk typically comes in between day 2 and day 5. You may notice fullness, firmness, or leaking — all normal.
- Feed on demand. Most newborns nurse 8–12 times per day. Watch for feeding cues: rooting, hand-to-mouth, lip smacking. Crying is a late hunger sign.
Signs things are going well
- 8 or more feeds per day in the first weeks.
- 4 or more wet diapers per day by day 4.
- Stools transition from black (meconium) to green to yellow by day 4–5.
- You can hear your baby swallowing during feeds.
- Baby seems satisfied after feeds and is gaining weight.
Growth spurts
- Expect cluster feeding (more frequent, longer feeds) around: the first few days, 1 week, 2–3 weeks, 4–6 weeks, 3 months, 4 months, and 6 months.
- Cluster feeding is normal and helps build your supply. It does not mean you aren't making enough milk.
Vitamin D
- All breastfed babies need 400 IU of vitamin D daily, starting in the first few days of life. Breast milk alone doesn't provide enough vitamin D. We can recommend a supplement at your visit.
When to call us
- Red-orange stains in the diaper after day 3.
- Black stools after day 4.
- Fewer than 8 feeds per day in the first weeks.
- Persistent nipple pain that doesn't improve with repositioning.
- Baby seems lethargic, difficult to wake for feeds, or not producing enough wet diapers.
Helpful links
- KellyMom— Evidence-based breastfeeding info
- La Leche League USA— Support groups & resources
- AAP Breastfeeding
How to schedule
Book online through the patient portal or call any office to schedule a lactation consultation.
Book Online↗What families say
“Dr Scott is absolutely amazing. Her demeanor is so gentle and kind. She always invests time in her patients to make sure they are heard and helped in the best way possible.”
“We absolutely adore Dr San Juan! As first time parents to a preemie it was so daunting and every step of the way she has been our partner in this journey.”
“Dr Alias has been the doctor to all three of my kids since birth and she truly is the best! All three of my kids actually love going to the doctor.”
“From fantastic providers like Nancy Montville, Susan Korb, and Julia Higashio, to awesome nurses, friendly receptionists, and the ever so useful portal I can't say enough good things about this office!”