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Sponsored by: Scripps 1-800-SCRIPPS
PREPARED BY: THE SAN DIEGO COUNTY BREASTFEEDING COALITION Revised May 2006 |
Click here to download a PDF version of the Resource Guide.
Table of Contents
1. Is Your Baby Getting Enough Milk?
2. Breastfeeding Support Services
Classes
Your Milk Supply
Breastfeeding Specialists
Breastfeeding Helplines
3. Providers of Breastfeeding (Lactation Services)
Central San Diego/La Jolla/Beach Cities
North County Coastal
North County Inland
South Bay
East County
Hospital Breastfeeding Services
Other Resources
HOW TO TELL IF YOUR BABY IS GETTING ENOUGH MILK:
Every mother-baby pair is different! That makes it hard to say exactly how your baby should be eating. In the first few days, your baby is getting rich, yellow colostrum (first milk). Signs that your baby is getting enough milk are:
- An alert, bright-eyed infant
- A baby who wants to eat every 2-3 hours and is satisfied between feedings
- At least 3-4 wet diapers per day by day 3 of life
- The normal change in stools over the first 2-5 days of life: meconium (dark green, tarry) to transitional stools (lighter green) to true breastmilk stools (yellow, seedy, curdy or loose). The number of stools will increase each day.
After 3-5 days, when your milk "comes in", you will also notice:
- Your breasts feel full before a feeding and softer afterwards
- A letdown sensation or milk dripping from the other breast
- You can hear your baby swallow
- You can see milk in your baby's mouth
- The processed product (stool!) coming out the other end!
After the first week, your baby should:
- Nurse at least 8-12 times in 24 hours (every 2-3 hrs)
- Nurse about 10-20 minutes at each feeding
- Be happy during and after a feeding
- Gain about 4-7 oz per week (after a small weight loss the first week)
- Return to birth weight by 2 weeks of age
- Have 6 or more pale colored, wet diapers in 24 hours
- Have 4-12 stools in 24 hours
- Be alert and bright-eyed
Call your baby's doctor if:
- Your infant sucks only briefly, very softly or irregularly
- Your baby is very jaundiced (yellow) and getting more yellow
- You have severe, constant nipple pain
- Your baby fights the breast or cries after a minute or two
- Your baby has fewer than 6 wet diapers a day
- Your baby has little or no stool, or has dark green mucus stools
- Your baby seems weak, tired, or not interested in feeding
HOW TO FIND HELP - BREASTFEEDING SUPPORT SERVICES
We often assume that breastfeeding is such a natural process that anyone should be able to do it. The truth is, breastfeeding is a learning process for both mother and baby. Problems that arise can often be managed with help. Breastfeeding support services offer information, support, and technical assistance, both before and after your baby is born. This is a guide to those services.
BREASTFEEDING CLASSES
Prenatal breastfeeding classes can provide general information on breastfeeding basics, teach ways to make it easier, and suggest ways to solve problems. Knowing the normal course of breastfeeding and how to avoid the most common pitfalls before the baby is born will lead to a longer, more satisfying breastfeeding experience. The knowledge and confidence you get is worth the few hours you will spend in a prenatal class.
Classes may be offered as part of a childbirth preparation series, as a separate class at a hospital, as a part of WIC services, or be taught privately. Fees may vary, or the classes may be free. Small group classes are best. Bring the baby's father, a friend or family member with you. Classes may include demonstration of techniques. After your baby is born, a follow-up by phone or personal consult may be included. You can use this directory or ask your childbirth educator, hospital or health care provider for a referral.
More information can be found in a good breastfeeding book or from other nursing mothers. Mother-to-mother support groups like La Leche League are also good resources. See this directory for phone numbers.
YOUR MILK SUPPLY
You may feel that you do not have any milk in your breasts for the baby during the first few days. YOU DO! The nutrition your baby gets at your breast for the first few days is colostrum, or "first milk". It is creamy and yellowish in color. Although it is a small amount, it will help your baby fight infection.
After 2-4 days the colostrum changes to "mature" milk and gradually becomes bluish-white. Breastmilk is both food and drink to your baby. It is balanced to meet all your baby's needs, and changes according to your baby's age. When your milk starts "coming in" your breasts may become very firm and feel warm and tender. This is due to more blood supply, some swelling, and the milk. Feeding your baby often will relieve the fullness.
If your breasts become very full, your baby may have trouble getting on the breast (latching-on). Apply warm, wet towels or take a warm shower to start your milk flowing. Try expressing some milk by hand or use a breast pump briefly to soften your breasts. Cold, wet towels or ice bags after feedings may reduce swelling. Breast fullness should decrease as your baby learns to empty your breasts. If your breasts are still very full and tender after 1-2 days, call your lactation specialist or doctor for help.
BREASTFEEDING (LACTATION) SPECIALISTS
Finding and choosing a breastfeeding professional can be a confusing matter. There are many people offering services to help you breastfeed. They may call themselves Lactation Educator, Lactation Consultant, or Lactation Specialist. To find a qualified person that you can work with, consider the following:
Academic Credentials and Experience: What kind of education about breastfeeding do they have? Where did they get their training? A practitioner may have no formal training, may have taken a university certification course, may have passed a written certification exam, or taken a correspondence course. They may be a doctor (MD), nurse (RN, LVN), nurse practitioner (NNP, CPNP), certified nurse midwife (CNM), registered dietitian (RD), occupational therapist (OT), certified lactation educator (CLE), certified lactation consultant (CLC or IBCLC), or certified lactation specialist. You can ask to see their credentials if you wish. Training and experience vary widely, so ask about it. How does the practitioner keep up with the current research and issues in breastfeeding? Is the practitioner currently a member of a professional lactation organization?
Services: What kinds of services do they offer? Classes, in-person home or office consults, phone counseling, rental and/or sale of breast pumps or other breastfeeding accessories are possible. Where are services provided? Are home or hospital visits made? When are services available? Can you get help on evenings, weekends, or holidays? Is the practitioner affiliated with a hospital or medical group?
Fees: What are the fees for the various levels of service? Costs may be eligible for insurance reimbursement. Fee schedules vary, so shop around. Ask for an official bill to submit to your insurance carrier.
BREASTFEEDING HELPLINES *Spanish spoken
Grossmont Hospital Women's Center(619) 740-4983
Kaiser Permanente Lactation Clinic(619) 516-6129
La Leche League of San Diego County(858) 646-9779
Naval Medical Center San Diego(619) 532-5261
North County Health Services*(888) 477-6333
Palomar Pomerado Health(858) 613-4605
Scripps Memorial Hospital - Chula Vista(619) 691-7272
Scripps Memorial Hospital - Encinitas(760) 633-7850
Scripps Memorial Hospital - La Jolla(858) 626-6268
Scripps Mercy Hospital(619) 260-7098
SDSU Foundation WIC* (888) 999-6897
Sharp Women's Pavilion Chula Vista(619) 482-5848
Sharp Mary Birch Hospital for Women(858) 939-4127
Tri-City Medical Center(760) 940-7745
UCSD Medical Center(619) 543-7149
Breastfeeding and Drugs Information UCSD (619) 543-6971 (toll free)
PROVIDERS OF BREASTFEEDING (LACTATION) SERVICES
Although listed by address, the sources listed below provide services
throughout San Diego County. The credentials listed after their
names are listed as the individual requested and have not been verified
by the San Diego County Breastfeeding Coalition. The San Diego County
Breastfeeding Coalition does not certify or guarantee any services provided.
Some breastfeeding services accept insurance and Medi-Cal. Ask when you
call. *Spanish spoken
CENTRAL SAN DIEGO/ LA JOLLA/BEACH CITIES
Beach Area Breastfeeding (858) 454-4596 Beautiful Beginnings (858) 650-3305 Healing Connections (619) 794-6771 Lactation Consultants of San Diego (858) 740-7900 Milkmade at Home (619) 325-1630 Not to Worry, Inc. (619) 718-4871 The Sweetest Milk (619) 222-1043 Attach (760) 929-0325 ext. 20 Babies in Bloom (760) 940-BABY HoneySuckle & Mommy (858) 792-8867 Breastfeeding Beyond Bedtime* (760) 758-1440 Momma's Pump, Inc.* (760) 929-8400 The Original Comfort Food Lactation Services* Barbicare Lactation Services (760) 788-1051 Becker Pediatrics (951) 600-2681 North County Lactation Services (858) 513-1327 Shari's Lactation Services (858) 271-0913 A Better Birth (619) 434-9188 Family Health Centers of San Diego* (619) 515-2300 Happy Health Moms and Babies (619) 992-1933 HOSPITAL BREASTFEEDING SERVICES:
SCRIPPS HEALTH LACTATION SERVICES Kaiser Permanente Hospital OB Patient Education Naval Medical Center San Diego (619) 532-5261 Paradise Valley Hospital (619) 470-4158 PALOMAR POMERADO HEALTH LACTATION SERVICES (800) 628-2880 SHARP HEALTHCARE LACTATION SERVICES Tri-City Medical Center (760) 940-7745 Warm line UCSD Medical Center, Lactation Services (619) 543-7149* Children's Hospital and Health Ctr (858) 576-1700 x4678 La Leche League of San Diego County (858) 646-9779 Birth Resource Network (619) 525-7753 Wellstart International (619) 295-5192 March of Dimes (858) 576-1211 WIC (Women, Infants, & Children) PROGRAMS UCSD Extension (858) 964-1014
agateannie@san.rr.com
Annie VerSteeg, IBCLC, RLC. 10 years as a Board Certified Lactation
Consultant! For all your postpartum needs, from breastfeeding and newborn
care to pumping, returning to work, referrals and weaning. All done in
the comfort of your home.
www.beautifulbeginnings.org
Education, Support and Referrals for Childbirth Education Classes,
Fitness Classes, Labor Support Doulas, Postpartum Doulas, Breastfeeding
Support, Massage Therapists, Trainings.
trzesiewicz@aol.com
Teresa Rzesiewicz, RN, BSN, PHN, IBCLC, CIMI. Lactation visits and
infant massage in your home.
www.BreastfeedingSanDiego.com
Annalee Hulburt, IBCLC, RLC. Professional Lactation Consultations Customized
care for the breastfeeding issues concerning you and your baby. Please
see our website for much more information; Bébé au Lait retailer.
www.breastpumpsandiego.com
4045 3rd Avenue, # 302, San Diego, CA 92103
Eve Moeran, RN, IBCLC. Professional and informative lactation consults
in our office or at your home; free breastfeeding support groups three
days a week; Medela breast pump rentals, sales & accessories; and many
other nursing products.
7801 Mission Center Ct. Suite 106 San Diego 92108
Faith Jones R.N,.B.S.N. High quality daytime and over-nighttime care,
breastfeeding support at home for postpartum moms, newborns, and infants
in San Diego and North County.
www.thesweetestmilk.com
Margaret Goebel, IBCLC,RLC. Consultations and breastfeeding support
in your home.
www.attachbaby.com
Amy Ma, IBCLC, RLC, CLE, Carlsbad, CA. Breastfeeding classes, consults
in office or client's home, support groups, Mommy & Me classes, & Montessori
(cont) preschool. Breast pump rental & sales, nursing bras and accessories.
Bilingual in Chinese.
www.babies-in-bloom.com
161 Thunder Drive #102, Vista, Ca 92083
Rochelle McClean CLEC, CCE. Classes, support and natural products for
your baby & family: breastfeeding supplies (including Medela breast pump
rentals & sales), slings, cloth diapers & more. Office & in-home appointments.
2673 Via de la Valle Suite H, Del Mar, CA 92014
Nazie Moalemi, Lactation Educator, BS in Nutrition. Breast pump sales
with all additional accessories, pump rentals, beautiful nursing bras,
Mustela baby care, free lactation support by phone or in person.
Regina Vasquez, IBCLC. Full range of lactation services. Evening hours:
home visits 5:30-8:30 pm and Phone consults 9-12 pm. Se Habla Español.
mommaspump@aol.com
5205 Avenida Encinas, Suite F, Carlsbad, CA 92008
Rose Kast, BS, RN, IBCLC. Breastfeeding classes; consults in office
& client's home; breast pump rental and sales with home delivery. Specialists
in assisting working mothers. Se Habla Español.
North County (760) 941-0855, San Diego (619) 395-3960
www.theoriginalcomfortfood.com
Veronica Tingzon, IBCLC, RLC. Helping the breastfeeding mother with
a wide gamut of lactation services. Breastfeeding consultations and support
in your home, Hollister/Ameda breast pumps and products for purchase.
Se Habla Español.
http://members.cox.net/barbicare
Barbara Eastwood, RN, IBCLC (619) 850-5822 Consults in your
home with one F/U session and phone support included. Individual clinic
sessions available. Medela breast pump rentals and product sales.
41011 California Oaks Road #101, Murrieta, CA 92590
Lynn Becker RN, IBCLC. Breast pump rentals, supplies, consultation.
12621 Hedgetree Court, Poway, CA 92064
Ann Russell, IBCLC, LLLL. Breastfeeding consultations and support in
your home or my office, breast pump rentals and sales.
slsilady@san.rr.com
Shari Silady, LLLL, AAPL, IBCLC. Breastfeeding consultations and support
for mom and baby either in the comfort of your home or in the privacy
of my office. Medela breast pump and scale rentals and breastfeeding supplies
for purchase. We carry the "babymoon breastfeeding pillow".
www.a-better-birth.com, babycatcherglr@cox.net
3802 Alameda Way, Bonita, CA 91902
Gerri Ryan, Certified Doula (DONA), CCE, CLE. A Better Birth offers
complete, highly personalized midwifery services for birth and postpartum
and well woman care.
www.fhcsd.org
Lourdes Sanabria, Supervisor, Perinatal Support Services Logan Heights
Family Health Center (619) 515-2428 1809 National Ave. San Diego,
CA 92113
www.hhmb.org
Rose deVigne Jackiewicz RN, IBCLC. Breastfeeding assistance/referrals
and classes.
Scripps Mende Well Being 1-800-SCRIPPS or (858) 626-7024
www.scripps.org
4305 La Jolla Village Dr. Ste. L-5, San Diego, CA 92122
Breastfeeding classes, outpatient consults and support groups; breast
pump rentals and sales; other services.
Scripps Mercy Hospital (619) 260-7098
4077 5th Ave, San Diego, CA 92103
Breastfeeding classes; inpatient consults; breast pump rental and sales;
other services.
Scripps Memorial Hospital-La Jolla (858) 626-6268
9888 Genesee Ave, La Jolla, 92037 Breastfeeding classes; inpatient
consults; breast pump rental and sales; other services.
Scripps Memorial Hospital-Encinitas (760) 633-7850
354 Santa Fe Drive, Encinitas, 92024
Breastfeeding classes; inpatient and outpatient consults; breast pump
rental and sales; other related services.
Scripps Mercy Hospital-Chula Vista (619) 691-7272
435 H Street, Chula Vista, CA 92190
Breastfeeding classes; inpatient consults; breast pump rental and sales;
other services.
(619) 528-5013 (inpatient) (619) 516-6124 (outpatient)
4647 Zion Ave, San Diego, CA 92120
Breastfeeding classes; consults in office and hospital. Breast pump
rentals and sales, call (619) 528-5153. Kaiser members ONLY.
34800 Bob Wilson Drive, San Diego, CA 92134-5000
Breastfeeding classes; office and hospital consults, with help for
special needs mothers and infants; staff and client education.
2400 East Fourth Street, National City, 91950
Breastfeeding classes, hospital consults, inpatient consults, other
services.
www.pph.org, tlc@pph.org
Palomar Medical Center (760) 739-2434
555 E. Valley Parkway, Escondido, CA 92025
Breastfeeding classes; inpatient and outpatient lactation consults;
telephone advice warmline; other related services.
Pomerado Hospital (858) 613-4605
15615 Pomerado Road, Poway, CA 92064
Breastfeeding classes; inpatient and outpatient lactation consults;
telephone advice warmline; other related services.
Palomar Pomerado Women's Health Connection Boutique (858) 613-4894
Christine Gleason, RN, CLE, cwg@pph.org
15725 Pomerado Road, Suite 100, Poway, CA 92064
Medela breast pumps for rental or purchase; pump kit accessories, nursing
bras, breast-care products, breastfeeding classes and support groups.
Grossmont Hospital Women's Center (619) 740-4983
Cindy Szold, RN, IBCLC, cindy.szold@sharp.com
5555 Grossmont Center Drive, La Mesa, CA 91942-4998
Inpatient and outpatient support services; individual consultation,
group classes & support groups available; breast pump rentals & sales.
Sharp Chula Vista Medical Center Women's Pavilion (619) 482-5848,
please leave a message after the beep.
751 Medical Center Court, Chula Vista, CA 91911
Sharp Mary Birch Hospital for Women & New Beginnings Boutique (858)
939-4127
3003 Health Center Drive, San Diego, CA 92123. Hours: M-F 9-6, Sat 9-5,
Sun 10-3.
Breast pump rentals and sales, nursing apparel, large selection of
nursing bras in many sizes, breastfeeding accessories, books and videos,
breastfeeding classes and inpatient & outpatient lactation consultations.
4002 Vista Way, Oceanside, CA 92056
Inpatient consults, classes (760) 940-5784; clinic appointments (760)
940-5500; and support group every Wednesday at 9:15 a.m. - 10:45 a.m.
200 West Arbor Drive, San Diego, CA 92103
Lactation consults; help for special needs mothers and infants; breastfeeding
classes; support groups; staff and client education; breast pump rentals
and sales.
3020 Children's Way, San Diego, CA 92123
Inpatient lactation consults.
www.lllusa.org/web/SanDiegoCA.html
International Headquarters 1-800-LA LECHE (847) 519-7730
www.lalecheleague.org Mother-to-mother
support via monthly meetings & phone help countywide.
www.birthresourcenetwork.org
3802 Alameda Way, Bonita, CA 91902
Gerri Ryan, Founder and President. BRN is a non-profit professional
association of independently practicing doulas serving all of San Diego
county.
Audrey J Naylor, MD and Ruth A Wester, CPNP.
info@wellstart.org, ajnaylor@aol.com,
wester@wellstart.com
Professional education and consultation services.
Lorraine Y. Martinez, MPH lmartinez@marchofdimes.com
9325 Sky Park Court, Suite 250, San Diego, CA 92123
Planning for a healthy pregnancy and a healthy baby. Pre-conception
information, prenatal, presentations, and referral.
WIC offices offer classes, support groups, counseling and other services.
Ask your local WIC office for details.
American Red Cross WIC Program* (800) 500-6411
www.sdarc.org/wic
3950 Calle Fortunada, San Diego, CA 92123
North County Health Serv WIC Program* (760) 471-2743
(888) 477-6333, Warm Line in Eng & Span, M-F 8am-4:30 pm
150 Valpreda Rd, Suite 202, San Marcos, 92069
SDSU Foundation WIC Program* (888) 999-6897
8057 Vickers St. San Diego, CA 92111-1917
Scripps Mercy Hospital WIC Program* (619) 260-7054
550 W. Washington, #520, San Diego, CA 92103
San Ysidro Health Center WIC Program* (619) 426-7966
1655 Broadway, Suite #18, Chula Vista, 91911 & 4004 Beyer, San Ysidro,
92173 Remedios G. Reyes, J.Salazar@ext.dhs.ca.gov
http://extension.ucsd.edu/healthcare,
unexhealthcare@ucsd.edu
0170-E, Healthcare Department, 9500 Gillman Drive, La Jolla, CA 92093-1070
Suzanne Kennedy. Lactation Educator/Counselor Programs, Lactation Consultant
Specialized Certificate; class room and clinical education; BRN & CDR
available.