After more than 40 years of helping mothers and babies,
Pat has RETIRED and is referring to Brooke Simmons, BA, IBCLC, ALC, CLC - 407-221-4475
(Brooke did a six month internship with Pat and has sat for the IBCLC exam in October 2016)
Visit are at office of Sunshine Pediatrics Monday - Thursday 10:00 - 4:00
Affordable Care Act and Lactation Visits consumer information
Pat Lindsey, IBCLC is not an in-network provider with any insurance company. Fee for service must be paid at time of service in her private practice. All clients will be given a super bill and instructions for filing for insurance reimbursement. Coverage for lactation services are determined by your individual insurance plan. If your insurance policy covers the cost of lactation services, they may or may not reimburse you. Under the Affordable Care Act (ACA), lactation is covered, however, private insurance companies are all doing something different to comply with this new law. You will need to check with your insurance company to see what they offer and if they only reimburse to in-network provider. It is the responsibility of the client to seek insurance reimbursement. No guarantees are made for insurance reimbursement. For more infomation regarding insurance reimbursement for lactation services, see Medela's A Healthcare Insurance Reimbursement Guide For Breastfeeding Families. (Most visits are coded under the mother using preventative medicine CPT of 99404 and ICD-10 Z39.1 with place of service code of 11)
PHONE HELP: 407-803-2024
Only LIMITED HELP can be done by telephone or E-mail. Most breastfeeding problems are best helped with a through face-to-face history and evaluation; however, some mothers are looking for specific information regarding breastfeeding, infant care, special maternal or infant illness or circumstances, or research on compatibility of maternal medication or medical procedures while breastfeeding which may be handled by telephone or e-mail.
Call or E-mail may not be returned until lunchtime, late afternoon or early evening depending on availability to return calls as Pat is seeing patients in her office during weekday office hours. When leaving a telephone voice message, please spell your name and state your phone number slowly two times (cell phones can break up and miss a number or two
on the message making it impossible to return your call).
Lactation Visits are recommended for the following situations:
Latch on and/or positioning difficulties (PLEASE don't try to force the baby to take your breast. Battles at the breast are not pleasant for the mother or the baby and often reinforce the
baby's refusal of the breast. If your baby will not latch, keep your baby skin-to-skin as much as possible, pump your breast if every 2-3 hours and feed the pumped milk to the baby, and
GET HELP as soon as possible.)
If baby has a low output of wets and stools. Expected output - DAY 1-3 at least 2 stools (each larger than a tablespoon) and 2-3 wets; DAY 3-5 at least 3 stools (each larger than a tablespoon) and 3-5 wets; DAY 5 or older at least 2-4 stools (each larger than a tablespoon) and 6-8 wets per day
If baby always falls asleep at breast and doesn't keep up a continuous pattern of suck-swallow for 10-20 minute feeding each breast
If your baby has lost more than 7% of his birth weight
If your breastfed baby is unsettled and cries excessively
If mother is anxious about breastfeeding or in need of reassurance
With any sore, cracked, or bleeding nipples
With engorgement or painful breast
With low weight gain (one ounce weight gain per day is optimal between birth and 4-6 months)
If you think that your supply is low or if you think you may need to use formula
If feedings last longer than 1 hour
If baby is excessively fussy or gassy
With any special circumstances, such as, premature baby, twins, anomalies, or maternal health concerns
If baby has thrush infection and mother's nipples have become sore
The most optimal time to have a lactation visit to insure breastfeeding success and comfort is within 3-5 days of baby's birth.
At first realization of breastfeeding difficulties or problems, don't wait more than a day or two to see if its going to get better. Many mothers think after the first 2-3 weeks their sore nipples will magically get better only to find at the end of 2-3 weeks they still have sore nipples or other breastfeeding problems and have missed out on enjoying the breastfeeding and the baby as fully as they should have.
If you suspect your milk supply has not come or is not adequate for your baby, don't wait...GET HELP. If baby is not gaining adequately, nursing more often and waiting for a week or more while the baby continues to not gain or to lose more weight is NOT the answer. The faster you GET HELP the more likely breastfeeding can be successful.
If you are having to use formula for your baby to be satisfied and/or to gain weight, GET HELP quickly if you want breastfeeding to be successful. Breastmilk supply is dependent on frequent emptying of the breast. Breast should be emptied 8-10 times in the early weeks to signal the body to build a good milk supply. The making of milk is an intrigue system of supply and demand, the more the breast are emptied the faster and more milk the mother produces. When the milk sits in the breast and is not being moved by emptying, the milk production slows and finally stops.
If your baby refuses to latch and you are pumping your breast with an adequate breastpump 8-10 times in a 24 hour period and you are not making enough milk to satisfy your baby and you are having to use 50% or more of formula, it would be best to continue pumping 8-10 times per day till you are pumping 80-100% of baby's daily intake before returning baby to the breast. This will insure a more positive experience for the baby. Latching a hungry baby to a breast without milk only frustrates the baby and reinforces latch-on difficulties. A telephone consult would be of help in problem solving possible reasons your milk supply is not building as well as discussing herbs or medications that may be of help in building your supply. Once the milk supply is more adequate to baby's need, if you are still having problems latching the baby, a lactation office visit would be very helpful.
If you are considering re-lactation or adoptive nursing, a telephone consult or e-mail consult might be best to discuss what is involved before an office visit.
© 2001-2012 Pat Lindsey, IBCLC - Lactation Services all rights reserved.
This internet site provides information of a general nature.
If you have any concerns about your own health or the health of your child, you should
always consult with a physician or other healthcare professional.