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NATURAL BEGINNINGS
LACTATION CONSULTANTS


LINDA WORZER, IBCLC, RLC
Board Certified Lactation Consultant


SHARON MATTES, IBCLC, RLC
Board Certified Lactation Consultant


linda2

sharon

Office Hours M to F - 8:30 am to 4:30 pm
Call us to confirm appointments

Pump Rentals

Sharon Mattes (972) 495-2805 - home/office address
Linda Worzer (972) 699-3921 - home/office address

Client References


. Physician recommendations

. I.B.C.L.C. - What does it mean?


. Becoming a Lactation Consultant?

. Consultation - what happens?

. Fees for professional services?

. Professional Help with breastfeeding
. When is it needed?

..................................................................................................................

To find a Lactation Consultant
[other than Sharon or Linda]

International Lactation Consultant Association

How to Find Breastfeeding Support Services both local and international



. Fees for Professional Services


Please contact us as soon as you determine you have a problem.
Our normal work hours are 8:30 am to 4:30 pm during weekdays,
but we will try to accomodate your individual needs.

CONSULTATIONS are typically 1.5 to 2 hours in length.
Initial Home or Office Visits are charged per visit, rather than per hour.

[Mileage is free for 20 miles radius. After 20 miles, charge is $0.50 per mile round trip]

______________________________________________________________

OFFICE VISIT: $ 100.00 - HOME VISIT: .$ 140.00

After-hours, holidays and weekend consults, Add $ 50.00 charge per visit.

FOLLOW-UP CONSULTATIONS for the same issues addressed at the initial visit, often require less time and complexity, so the fees cost less and are charged per hour. New issues require an Initial Visit charge.

OFFICE VISIT: $ 40.00 per hour - HOME VISIT: $ 60.00 per hour

________________________________________________________

PHONE / E-MAIL CONSULTATIONS
:


When problem-solving is required, or for after-hours (evening/weekend)
contacts, fee is $ 25.00 for half-hour minimum, or $ 50.00 per hour.

There is No Charge for a simple question.

NURSING / WORKING CONSULTATION
$ 40.00 - 1 Hour private session


FEES are determined by time and intensity required for:

* Consultation and travel

* Recording history of mother and baby


* Examination of mother and baby

* Observe feeding(s), including weighing baby before and after feeding(s)

* Assessment and problem solving

* Developing appropriate Care Plan

Reports to your physician follow each consultation and serve to keep
your health care providers updated on baby's progress, advising him/her
of assessments, care plan and results


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A LACTATION CONSULTATION
in your home or in our office, requires time to examine baby and mother, to take a medical history of birth, infant and maternal health, breastfeeding management, current infant feeding and sleeping patterns, to weigh the baby and to assess baby's breastfeeding effectiveness. Time is required to determine which issues need correction, and to prepare a Care Plan designed to achieve the family's breastfeeding goals and to adjust any issues. The intensity of the nursing challenge may be a factor in determining the fee scale. 'Easy' correction = less time.

HIPAA
- A shortened version of this release form is signed by the client.


An Insurance Superbill showing the appropriate CPT codes is provided
for the client to submit to their Insurance Company.


Included in your Consultation may be: valuable information about breastfeeding, newborn behavior and tips on how to read baby's body language. When problems persist, follow up care addresses both
mother's and physician's concerns and helps redirect any remaining
challenges to guide the nursing couple through their learning process.

If you
'hands-on' help nursing your baby, or help with problem solving, or you need call to arrange a private consultation, either in our office or in your home, we are available for phone consultations and for
general breastfeeding information. [Dallas, TX Area]



. When Do I Need To Seek Professional Help?


There are several 'critical periods' common to new nursing couples
which may present challenges to your comfort or breastfeeding
success. It is always best to address any problem as soon as possible.

Contrary to popular folklore, sore nipples are not normal ! Pain is an
indication that something is not right! After the first week, tenderness
should disappear and any occasional 'ouchie' discomfort should pass.
Pain and/or physical damage to nipples or breasts needs attention asap.

Mother or baby's feeding position, maternal or infant anatomy or some other
condition can impact effective feeding, and some kind of adjustment is required to prevent and/or correct damaged nipples, engorgement, mastitis, slow infant weight gain, low milk supply, and further possible difficulties.

smparents

A nursing mother should feel both secure and physically comfortable.
You may want to seek additional help to correct the following concerns:

BABY'S AGE
FOR MOM - CRITICAL NURSING CHALLENGE

2 to 7 DAYS

sore breasts, breast engorgement and/or baby is not content after feedings, milk not in by 4 days, baby
sleeps at the breast, or seems to feed all the time.

2 to 3 WEEKS

unresolved sore or damaged nipples, breast engorgement,
reflux or colic, 'not enough' breastmilk, slow or no infant weight gain, unexplained infant crying, maternal stress

6 to 12 WEEKS

adjusting feeding and sleeping patterns, pumping
and storing breastmilk, returning to work or school, inadequate infant weight gain, continued crying
 


. Becoming a Certified Lactation Consultant
. Qualifications and requirements
:

Certifiying Organization:

http://americas.iblce.org/faqIBCLC_v2.php

View Current Eligibility Pathways

View Future Eligibility Requirements - beginning 2012

View to Download IBLCE Professional Standards such as:
IBCLC Scope of Practice, Standards of Practice, Clinical
Competencies, Documentation Guidelines, and Code of Ethics

Preparation Programs and Information:

http://www.lactationeducationconsultants.com/lc.html
http://www.bflrc.com/
http://www.ilca.org/
http://www.lalecheleague.org/FAQ/LC.html
http://www.dshs.state.tx.us/wichd/bf/bf1.shtm

Internet yahoo group for LC Candidates:

http://health.groups.yahoo.com/group/IBCLC2B/


 


. What is a Lactation Consultant ?


. Q: I.B.C.L.C. - What do the initials mean?

The initials stand for International Board Certified Lactation Consultant.

...IBCLCs are allied health care providers who, by meeting eligibility
requirements and certifying by passing an independent examination,
possess the necessary skills, knowledge, and attitudes to facilitate breastfeeding.

...With a focus on preventive health care, they encourage self-care
and parental decision-making both prenatally and postnatally. IBCLCs
use a problem-solving approach, to provide appropriate information,
referrals and recommendations, in a variety of settings.

. Q: What is the importance of this credential?

...IBCLC certification alone of all the other certifications awarded,
maintains minimum competency standards and provides on-going
disciplinary and ethical oversight.

...As experienced professionals, we present skillful application of
current techniques, to resolve common or crisis situations and to
provide follow-up & continuing support of the breastfeeding mother.

...Our philosophy is to help each mother reach her personal goals.
Using evidence-based techniques, we are able to offer mothers
experiential knowledge, hands-on-help, as well as the most up to
date, proven breastfeeding-friendly products.

. View IBLCE Principles of Ethical Practice.


 


. Recommendations of Professional Organizations


[The American Academy of Pediatrics]
AAP Breastfeeding Guidelines

The AAP recommends human milk as the preferred feeding for all infants,
and breastfeeding should begin as soon as possible after birth. Newborns
should be nursed whenever they show signs of hunger [crying is a late
indicator
of hunger] No supplement should be given without medical indication. Exclusive breastfeeding is ideal and sufficient nutrition for the first six months. Gradual introduction of iron-rich solid foods may be added after six months. It is recommended that breastfeeding continue for at least twelve months, and thereafter for as long after as is mutually desired for mother and baby.

Revised 2005, AAP Policy Statement on Breastfeeding

[The American Academy of Family Physicians]
AAFP Policy Statement on Breastfeeding

Breastfeeding is the physiological norm for both mothers and their children.
The AAFP recommends that all babies, with rare exceptions, be breastfed and/or receive expressed human milk exclusively for about the first six months of life. Breastfeeding should continue with the addition of complementary foods throughout the second half of the first year. Breastfeeding beyond the first year offers considerable benefits to both mother and child, and should continue as long as mutually desired. Family physicians should have the knowledge to promote, protect, and support breastfeeding.

[The International Chiropractic Pediatric Association]
ICPA

Finding no official 'policy statement' on breastfeeding, there are numerous articles supporting the 'normalcy' and value of breastfeeding.


 

  updated 5-2010
smattes1@verizon.net


     
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