- - - - - -

- - LINDA WORZER - - - - - - SHARON MATTES - - - - - -DIANA GIFFORD

Office Hours M to F - 8:30 am to 4:30 pm
Call us to confirm your appointment
Pump Rentals - - - - Client References

Sharon Mattes - 972.495.2805 - home-office address
Linda Worzer - 972.699.3921 - home-office address
Diana Gifford - 469.844.3574 - home-office

. Physician recommendations

. I.B.C.L.C. - What it means

. Becoming a Lactation Consultant

International Lactation Consultant Association

How to Find Breastfeeding Support Services both local and international
______________________________________________________________

. Fees for Professional Services

Fees are charged per visit rather than per hour.

OFFICE CONSULTATION

$ 100.00 1st Visit – 1 1/2 hrs
$   50.00 Follow up

HOME CONSULTATION

$ 140.00 1st Visit – 1 1/2 hrs
$   75.00 Follow up

After-hours /Weekends

$ 50.00 Additional Fee

PHONE / E-MAIL CONSULTATIONS:

$ 25.00 per half-hour. . . when problem-solving is needed, or for those
after-hours calls - including evenings and/or weekends.

Electronic interactions present some communication challenges, and are
more time intensive (therefore may incur more cost for time spent).

NURSING / WORKING CONSULTATION
$ 40.00 - 1 Hour private session - by phone or in office

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 hours in length.
Initial Home or Office Visits are charged per visit, rather than per hour.

[No charge Mileage for 20 miles radius.
After 20 miles, $0.50 per mile round trip]
______________________________________________________________

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 ______________________________________________________________

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
* to record current and prior breastfeeding management
* to record current infant feeding and sleeping patterns
* to weigh the baby and to assess baby's breastfeeding effectiveness.
* to determine and prepare a care plan for the individual issues

A FOLLOW-UP CONSULTATION is strongly recommended.
* to weigh the baby and assess growth
* to determine if the current care plan is correcting the issues
* to direct the breastfeeding management towards mother's goals
* to assess the need for referral to other practitioners for therapy

WHEN PROBLEMS PERSIST, follow up care addresses both mother's and
physician's concerns and helps to redirect any remaining challenges to guide
the nursing couple through their learning process.

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

*AN INSURANCE SUPERBILL is provided by our consultants, which will show
the CPT insurance codes required for consulting and treatment, which the client
can submit to their Insurance Company for reimbursement for services.

* Included in your Consultation may be: Newborn education on initiation
of breastfeeding, normal newborn behavior, reading your baby's body language
and common concerns.

* One of our Board Certified Lactation Consultants are available for phone consults
and for general breastfeeding information. [Dallas, TX and surrounding 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.

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

. 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:

Accreditation and Approval Review Committee (AARC) on Education in Human Lactation and Breastfeeding
http://www.aarclactation.org/download/AARCApprovedCourses.pdf

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
http://www.breastfeeding-education.com/consultant.shtml

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.