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Breastfeeding FAQs

Frequently Asked Questions (FAQs)

Whether you've found us through a trusted friend’s recommendation, your OB/GYN or pediatric provider, breast pump supplier, or a simple Google search, we understand you may have questions before scheduling your first lactation telehealth appointment. We're here to provide clarity and support!I

What is a lactation telehealth appointment?

A lactation telehealth appointment is a virtual consultation with an International Board Certified Lactation Consultant (IBCLC). This allows you to receive personalized breastfeeding or chestfeeding support from the comfort of your home, using a secure video platform on your phone, tablet, or computer.

What support can I receive during an appointment?

Our lactation consultants can assist with:

  • Latching difficulties
  • Milk supply concerns
  • Pain during feeding
  • Cluster feeding
  • Selecting the right breast pump
  • Breast pump flange sizing
  • Pumping and bottle feeding guidance
  • Return-to-work planning
  • Weaning support
  • Breastfeeding multiples (twins/triplets)
  • Induced lactation and relactation
  • Any and all questions about feeding your baby

What are the benefits of breastfeeding?

Breastfeeding offers numerous benefits for both infants and parents. Babies who are breastfed have a lower risk of asthma, obesity, type 1 diabetes, ear infections, SIDS, diarrhea, vomiting, and respiratory diseases. Parents who breastfeed have a reduced risk of breast cancer, ovarian cancer, type 2 diabetes, heart disease, and high blood pressure.

Can I breastfeed after breast or nipple surgery?

In many cases, yes. With some additional support, breastfeeding after such surgeries is often possible.

Appointment Details

What types of visits do you offer?

We offer various appointment types to support you throughout your feeding journey, answering the following questions and so much more:

 

Prenatal Lactation Education Classes & Consultations (before your baby is born)

  • What should I know about breastfeeding basics before my baby arrives?
  • How to recognize physical changes as my body prepares to produce breast milk?
  • What should I expect during those first few days of nursing and newborn feeding?
  • What are some latching and positioning techniques to use once baby is born? 
  • What breastfeeding supplies do I really need to get started?
  • Will breastfeeding hurt? How can I prepare myself mentally and physically?

 

Initial Postpartum Lactation Consultations (support after birth)

  • Is my baby latching properly?
  • How do I know if my baby is getting enough milk?
  • Why is breastfeeding so painful—what can I do about nipple pain or discomfort?
  • What’s normal when it comes to newborn feeding frequency and duration?
  • I’m overwhelmed. How can I build confidence in feeding my baby?
  • How do I manage breast engorgement, leaking, or milk letdown?

Follow-Up Visits (to address ongoing or new concerns, and to provide anticipatory guidance for preventive support throughout all the transitions along the breastfeeding journey)

  • My baby’s latch has changed—what can I do?
  • I’m worried about my low milk supply. How can I tell if it’s actually low?
  • How do I handle cluster feeding or fussiness at the breast?
  • Is my baby gaining weight appropriately?
  • What can I do about ongoing nipple soreness or clogged ducts?
  • How can I continue breastfeeding even when it feels tough?
  • My baby is reaching a new milestone–how can I expect this to affect breastfeeding?

Back-to-Work Planning Sessions

  • How do I build a breast milk freezer stash before returning to work?
  • How often should I pump at work to maintain my milk supply?
  • What’s the best way to introduce a bottle to my baby?
  • How do I talk to my employer about my pumping schedule?
  • How can I keep breastfeeding and pumping going when I’m away from my baby?
  • What do I need to bring to work to make pumping easier?

Weaning Support Visits

  • How do I start the weaning process in a way that’s gentle for me and my baby?
  • What’s the right pace for dropping feedings?
  • How can I prevent engorgement or clogged milk ducts during weaning?
  • Will stopping breastfeeding affect my hormones or emotions?
  • How do I emotionally handle the transition away from nursing or pumping?

Pumping Consultations

    • How do I choose the best breast pump for my needs?
    • How do I get the most out of my pumping sessions?
    • Are my breast pump flanges sized correctly?
    • How should I store and handle expressed (pumped) breast milk safely?
    • How can I boost my milk output while pumping?
    • When should I start pumping breast milk?
    • How long should I pump each time?
    • How much breast milk will I get when you pump?
    • Do I need to sterilize a breast pump after every use?
    • Can I pump into the same bottle all day?
    • Can I put breast milk back in the fridge after baby drinks from it?

How long will my visit be?

Visit length depends on the type of appointment. If you are unsure about which visit type to choose, our customer experience team will work with you to ensure you are booked into the most appropriate appointment type for your needs.

Do I need to have my baby with me during the visit?

While it's helpful to have your baby present for the consultant to observe feedings and provide real-time guidance, it's not mandatory. We can still address concerns like pumping, weaning, or milk supply without your baby being present.

Our Lactation Consultants

What are the qualifications of your lactation consultants?

Our consultants are International Board-Certified Lactation Consultants (IBCLCs), healthcare professionals with extensive training in anatomy, physiology, counseling, child development, nutrition, and medical terminology. They possess the expertise to provide breastfeeding and lactation care in both routine and high-risk situations.

How can I verify an IBCLC's certification?

You can verify a consultant's certification through the International Board of Lactation Consultant Examiners (IBLCE) public registry, which is updated biannually. (https://ibclc-commission.org/public-registry/)

Billing & Insurance

What insurance do you accept?

We accept hundreds of insurance plans, including many Medicaid plans. If you're uninsured or have a plan we don’t accept, you can still access care using a Health Savings Account (HSA), Flexible Spending Account (FSA), or our discounted self-pay rates. You can verify your coverage by contacting our care team before your visit.

What are your discounted self-pay rates?

One-on-One Visits: $105 - $205
Group Classes: $40
Latch Lounge: $35

*HSA & FSA funds can also be used to cover your visit

Can I use my HSA or FSA for my visits?

Yes, Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to cover lactation services if your insurance doesn't fully cover the visit, requires a copay or we do not accept your plan, payable on the day of the visit.

How much will I owe out of pocket?

If your insurance is accepted, your visit may be fully covered at no cost to you (depending on your plan’s co-pay and deductible amounts). If your plan isn’t covered, we’ll offer a discounted self-pay option or connect you with alternative resources for support.

What if I can’t make it on-time to my scheduled appointment?

We know that life with a new baby (or one on the way!) can be unpredictable, and we always want to be understanding. If something comes up and you can’t make your appointment, we kindly ask that you cancel or reschedule at least 24 hours in advance so we can offer that time to another family in need of support.

Appointments that are canceled, changed, or rescheduled less than 24 hours in advance, or if you arrive late and we’re unable to complete the visit, may be subject to a $25 late cancel/no-show fee. We truly appreciate your understanding and help in keeping our schedule running smoothly for all the families we serve.

Accessibility & Inclusivity

Does Nest Collaborative offer language assistance or accommodations for patients with disabilities?

Nest Collaborative is committed to ensuring that all patients have access to the care and information they need. We provide language assistance services to individuals with limited English proficiency and to those who are deaf or hard of hearing at no additional cost to the patient. To request assistance, please contact our support team at support@nestcollaborative.com. We do not discriminate on the basis of race, color, national origin, age, disability, or sex.

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