Resource Guide – ENGLISH

Prinatable SDCBC_2017BFResourceGuide-ENGLISH_8.5×11 FINAL 7.15.17

Resource Guide – ENGLISH


c/o AAP-CA3
3160 Camino Del Rio South, Suite 101

San Diego, CA 92108

For Additional Copies
Call: 1 800 371-MILK (6455)
Fax: (619) 222-0443

YEAR 2017

BY: San Diego County Breastfeeding Coalition
Editors: Heidi Burke-Pevney, IBCLC and Nancy E. Wight MD, IBCLC, FABM, FAAP; April 2017

Sponsored in part by: AAP-CA3


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:

  • One or two periods per day when your baby is alert, bright-eyed, and looking at your face
  • A baby who wants to eat every 1-3 hours and is generally satisfied between feedings, however–it is common for newborns to “cluster feed” (need to be breastfeeding very frequently) for a daily 4-6 hour stretch, often followed by a long period of sleep. This is normal behavior and helps stimulate an ample milk supply as your baby becomes an expert at latching and removing milk.
  • Nurse at least 8-12 times in 24 hours
  • 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 or brown) to true breastmilk stools (yellow, seedy, or loose). The number of stools will increase each day.

After 3-5 days, when your milk increases, 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, “cluster feeding” periods are normal)
  • 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 for several periods each day

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


We often assume that breastfeeding is such a natural process that anyone should be able to do it. The truth is, breastfeeding is a learned process for both mother and baby. Preparing for success before your baby’s birth– by reading, taking classes, and attending a support group– will help you to know what is normal and how to prevent common problems. If challenges do arise they can most often be minimized or managed with skilled help.

Talk to your midwife, doctor, or birth attendants about your plans to breastfeed and find out what kind of breastfeeding support is available at the place and time you give birth. Partners and grandparents can also be included in learning how to encourage your success! There are a variety of breastfeeding support services that offer information, support, and technical assistance, both before and after your baby is born. This is a guide to those services.


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 good breastfeeding books, recommended websites, and from other successful nursing mothers. Mother-to-mother support groups like La Leche League are also a good place to observe breastfeeding styles and learn practical tips. See this directory for phone numbers and visit our website for more links to helpful websites, articles, resources and information for parents and professionals:

You may feel that you do not have any milk in your breasts for the baby during the first few days. YOU DO! During pregnancy your body has been preparing for feeding your baby by producing colostrum, or “first milk”. This rich yellowish fluid is perfect for your newborn’s needs. Holding your baby skin-to-skin right after delivery is a powerful and important way to help you both recover from the delivery process and get breastfeeding started. If medical needs of mom or baby prevent you from having this special time in the first few hours, then be sure to ask to hold your baby skin-to-skin as soon as you both are stable.

Continue to enjoy lots of skin-to-skin time with your newborn, especially at feeding times. This actually increases the levels of important bonding and milk-making hormones, and increases long-term breastfeeding success!

After 2-4 days the colostrum begins to change into “mature” milk and gradually becomes bluish-white. Breastmilk is both food and drink to your baby, and breastfeeding provides warmth and comfort as well. 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.


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 international board certified lactation consultant (IBCLC-the gold standard), 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.


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


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


Beautiful Beginnings (619) 583-1129
Education, Support and Referrals for Childbirth Education Classes, Fitness Classes, Labor Support Doulas, Postpartum Doulas, Breastfeeding Support, Massage Therapists, Trainings.


Healing Connections (619) 794-6771                           

Teresa Rzesiewicz, RN, BSN, PHN, MBA, IBCLC  Lactation visits and infant massage in your home.


San Diego Breastfeeding Center (619) 606-2211
Robin Kaplan, M.Ed, IBCLC; Anna Choi, BS, IBCLC; Melanie Cromwell, RN, IBCLC; Ali Murray, RN, IBCLC

In-home and in-office private lactation consults; free weekly support groups; prenatal/postpartum breastfeeding classes. Specializes in tongue/lip ties, latch difficulties, milk supply challenges, premature babies, multiples, reflux, etc. Aetna Preferred Provider, authorized Tricare Provider, authorized UCSD Managed Care provider, reduced fee for MediCal.



Serenity Breastfeeding 619-990-6479
Christine Hennes, IBCLC, RLC, CCE
Private lactation consults in the comfort of your home.
Experience working with over 15,000 moms & babies
Visit my website at:

The Sweetest Milk (619) 222-1043
Margaret Goebel, IBCLC,RLC
Consultations and breastfeeding support in your home.

Mamas & Milk (858) 218-MILK (6455)
Dawn Dickerson, M.Ed, IBCLC, RLC CD(DONA), RYT
Private lactation consults in your home or at our office; prenatal breastfeeding classes; free weekly support groups; prenatal and mama yoga. In-Office consults and Support Groups are held at: 15706 Pomerado Rd. Ste 108
Poway, CA 92064

 North County Birth and Beyond (619) 851-2445
Dianne Randall, IBCLC, LCCE
Breastfeeding consultations in your home or my office. Prenatal breastfeeding classes. Serving central San Diego to Encinitas
visit my web site at: 


Breastfeeding Consultants of San Diego, LLC (619) 677-2730
Heather Shabestari  BS, IBCLC
Provides in-home and in-office lactation consultations; free breastfeeding support groups; breastfeeding classes, knowledgeable in milk supply issues, tongue-tie, other difficulties such as fussy baby, baby not gaining weight, reflux, milk blister, clogged ducts, etc.



Babies in Bloom  (760) 940-BABY (2229)

Rochelle McLean IBCLC, CCE, CD  1948 Via Centre, Vista, CA 92081

Rochelle has been supporting breastfeeding families since 1998. Babies in Bloom Birth Center & Boutique offers classes, support and natural products for your baby & family: breastfeeding supplies and accessories (including breast pump and scale rentals), nursing bras and more. We offer breastfeeding classes, free support groups, and personal lactation consultations in our office or your home.

Latching With Love, by Wendy Colson RN, IBCLC
Nurse Wendy has over 20 years experience helping moms and babies; specializing in pre-term and term suck issues, latch difficulties, low milk supply, lip and tongue-tie management; offers private in-home consultations, corporate lactation programs, and a community mentor for nursing and lactation students; Founder of Boobie Bar ACCEPTS MOST INSURANCES

Best Baby Ever at Whole Life Home Care   (858) 369-5930

2235 Encinitas Blvd, #206

Encinitas, CA 92024

Kimberly Loeser-Murphy RN, IBCLC & Karla Grenstad RN, IBCLC
Home and Office visits available within 24 hrs. Experienced with insurance reimbursement. All private PPO insurances billed. Authorized TriCare provider.  Over 35 years of experience specializing in ow milk supply, latch difficulties & pain, tongue/lip tie Issues, breast refusal, multiples and preemies, Supportive Holistic Postpartum Care with doulas, nannies and lactation.


Babylove Lactation  (858) 324-4180

Alyssa McPherson, IBCLC

Supporting San Diego breastfeeding families with in-home consultations and private breastfeeding classes.  Aetna In-Network Participating Provider.




Breastfeeding with Grace (858) 271-0913
Grace Magill, IBCLC , RLC, LLL
Working in the breastfeeding community since 1976.  Breastfeeding consultations and support in your home or in my home office. Private prenatal breastfeeding classes. Rental of breast pumps and scales, sales of breastfeeding aides.  Specializing in tongue and lip tie issues, milk supply issues, latch and suck-related problems, premies and pumping/supplementing.


Carolyn Tompkins, IBCLC

Breastfeeding Education and Lactation Consultations


Kara Nellor-Sunderland, BSN, RN, PHN, IBCLC

ASTECC Certified Lymphatic Massage Wellness Therapist

Kara, RN IBCLC, assists parents and newborns at two San Diego hospitals.  In addition to providing infant feeding consultations, Kara specializes in lymphatic massage for engorgement, edema, surgical recovery, and stress relief.



Happy Healthy Moms and Babies (619) 992-1933

Rose deVigne Jackiewicz RN, IBCLC

Breastfeeding assistance and referrals. Online breastfeeding classes.


Leilani Wilde IBCLC; DONA Trained Labor & Postpartum Doula  Specializing in tongue ties, preemies, low /insufficient milk supply. In-home private lactation consults; group and private prenatal breastfeeding classes; free weekly breastfeeding support groups 619-922-0808;


Precious Hours Birth Doula Service

Private lactation consults along with reduced fee breastfeeding clinics. One on one or small group prenatal breastfeeding classes; Breastfeeding Doula and Childbirth Education blog



Family Health Centers of San Diego

Postpartum Education Center (619) 906-4621

1827 Logan Ave. Suite 2, San Diego, CA 92113

Patients enrolled in our Comprehensive Perinatal Services Program (CPSP) receive breastfeeding educational sessions during their pregnancy, and lactation support post-partum throughout 9 sites across San Diego county.

Education & support is given by our team of CLEs and IBCLCs.




Kaiser Permanente Hospital OB Patient Education (866) 940-2218 (outpatient), 4647 Zion Ave, San Diego, CA 92120. Breastfeeding classes; consults in office and hospital. Breast pump sales, call (619) 528-5153. Kaiser members ONLY.


Naval Medical Center San Diego (619) 532-6914
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.


Naval Hospital Camp Pendleton (760) 725-1331

Susan Mojica RN, MSN, 149 Los Padres Dr., Oceanside, CA, 92058




Prenatal Breastfeeding Classes: Call (800) 628-2880 to register

Outpatient Lactation Services: Breast Pump or Baby Scale Rental, availability of outpatient lactation consultations, or information on free Thursday Breastfeeding Support Group in Poway call:  (858) 613-4053
For info on free Monday Breastfeeding Support Group in Escondido call:  (442) 281-3089

Telephone Support Services:
Pomerado (Poway) Lactation Office – (858) 613-4053
Palomar (Escondido) Lactation Office – (442) 281-3089
Please leave a message and Lactation Consultant will return your call during normal business hours


Vista Community Clinic 760-631-5000 x 1070 (Breastfeeding Warm Line), 1000 Vale Terrace, Vista, CA 92084 , In office lactation consultations before and after birth, in Women’s Center and Pediatric Departments. Breastfeeding Support Group Mondays 10-11, Classroom 2.

Rady Children’s Hospital San Diego (858) 576-1700 x2531
3020 Children’s Way, San Diego, CA 92123. Inpatient lactation consults.



1 (800) SCRIPPS or

Breastfeeding classes and support groups; breast pump rentals and sales (858) 626-4538

      Scripps Mercy Hospital (619) 260-7098
4077 5th Ave, San Diego, CA 92103. Breastfeeding classes, breast pump rental and sales

     Scripps Memorial Hospital La Jolla Outpatient Lactation (858) 626-4444 Erin Walsh, MA, IBCLC, CCC-SLP Speech-Language Pathologist – consultations; (858) 626-4538

    Scripps Memorial Hospital-Encinitas (760) 633-7850
354 Santa Fe Drive, Encinitas, 92024. Breastfeeding classes; inpatient and outpatient consults; breast pump rental and sales. Nursing Nook store: Open daily. Also breast pump rentals, sales and breastfeeding supplies.

    Scripps Mercy Hospital-Chula Vista (619) 691-7272
435 H Street, Chula Vista, CA 92190. Breast pump rental and sales.


     Grossmont Hospital Women’s Center (619) 740-4983
Breastfeeding support warmline. 5555 Grossmont Center Drive, La Mesa CA 91942. Inpatient and outpatient support services. Breastfeeding support group available every Monday 1-3:30pm and Thursday 9-11:30am; breast pump rentals & sales.

    Sharp Chula Vista Medical Center Women’s Pavilion

(619) 502-5848, please leave a message.  751 Medical Center Court, Chula Vista, CA 91911

    Sharp Mary Birch Hospital for Women & Newborns- New Beginnings Boutique (858) 939-4127 3003 Health Center Drive, San Diego, CA 92123 Inpatient and outpatient support services available. The onsite New Beginnings Boutique provides nursing supplies including breast pump rentals and sales, nursing bras, apparel and breastfeeding accessories. Certified lactation educators are available to answer your breastfeeding questions 7 days/wk. Hours: M-F 9-6, Sat and Sun 9-5. Breastfeeding support groups occur Mondays 3:30-5; Wednesdays and Fridays 2-3:30 pm and NICU Mother’s Milk Club Wednesdays 1230 – 1:30 PM. Call for classes and outpatient appointments.


Tri-City Medical Center (760) 940-7745

Breastfeeding support warmline.  4002 Vista Way, Oceanside, CA 92056. Inpatient consults & outpatient clinic services by appointment (free) (760) 940-5500. Childbirth & breastfeeding classes:, Breastfeeding support group every Wednesday 9:15-11:00am.


UCSD Health Systems Lactation Services (858) 249-5727

Jacobs Medical Center 9300 Campus Point Dr. La Jolla Lactation support group Tuesdays 1:00 – 3:00 pm First Floor Conference Room (1-737)

To check support group schedule please reference postpartum care/support group under: s/default.aspx

200 West Arbor Drive, San Diego, CA 92103. Lactation consults; help for special needs mothers and infants; breastfeeding classes; support group:

 Premature Infant Nutrition Clinic (PINC)

7910 Frost Street, Suite 350, San Diego, CA 92123

Eyla Boies, MD and Terry Lawson, RN, IBCLC

Assistance in helping premature infants transition to breastfeeding, help to mothers with breastmilk supply issues, evaluate fortified breastmilk feeds and monitor growth. Wednesdays 8am –11 am; call 858 496-4800 for appointments.



La Leche League of San Diego County  (858) 848-6455 (MILK)  Mother-to-mother support via monthly meetings & phone help countywide at no charge.

La Leche League Helpline:  877-4-LALECHE


WIC (Women, Infants, & Children) PROGRAMS 

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  3950 Calle Fortunada, San Diego, CA 92123

North County Health Services WIC Program: (888) 477-6333

Warm line in Eng & Span, M-F, 7:30am-4:30pm

150 Valpreda Rd, San Marcos, CA 92069  for WIC info and clinic locations

SDSU Research Foundation WIC Program* (888) 999-6897

9210 Sky Park Court, Ste 150, San Diego, CA 92123;

Scripps Mercy Hospital WIC Program*  (619) 260-3400

3660 7th Ave., 2nd floor,  San Diego, CA 92103

San Ysidro Health Center WIC Program * (619) 426-7966

1655 Broadway, Suite #18, Chula Vista, 91911


UCSD Extension Lactation Training (858) 534-9262 ,  Email:   Healthcare Department, 9500 Gillman Drive, 0170-E, La Jolla, CA 92093. Online & in-class Lactation Specialist, Lactation Educator/Counselor and Lactation Consultant Specialized certificate; classroom and clinical education; BRN available.



Hygeia II Medical Group – San Diego based “green” manufacturer of hospital & professional-grade breastpumps and accessories. To locate your nearest retail location, visit or call (760) 597-8811.

Limerick – Offers the leading national Workplace Lactation Program and designs and manufactures PJ’s Comfort ® Hospital Grade (multi-user) breast pump, a lightweight 1 – ½ lb unit that goes from hospital to home to work.

Medela – Medela, Inc. (800) 435-8316. A long-time champion of breastfeeding, Medela is the only company to develop products based on research by the world’s leading lactation experts. http:///

Ameda – Ameda Breastfeeding offers the most safe and effective breast pumps and accessories available to today’s modern hospitals, retailers and WIC agencies. For more than 65 years, Ameda products have been used by mothers and professionals to achieve breastfeeding goals. To learn more about Ameda products and breastfeeding programs, contact Ame Raila at (818) 512-6824.



American Red Cross WIC* (800) 500-6411

Grossmont Hospital Women’s Center (619) 740-4983

Kaiser Permanente Lactation Clinic (866) 940-2218

La Leche League of San Diego County # (858) 848-6455

Naval Medical Center San Diego (619) 532-5261

North County Health Services WIC* (888) 477-6333

Pomerado (Poway) Lactation Office – (858) 613-4053
Palomar (Escondido) Lactation Office – (760) 739-2434

Scripps Memorial Hospital – Encinitas (760) 633-7850

Scripps Memorial Hospital – La Jolla (858) 626-4538

Scripps Mercy Hospital (619) 260-7098

SDSU Foundation WIC* (888) 999-6897

Sharp Mary Birch Hospital for Women+ (858) 939-4127

Tri-City Medical Center (760) 940-7745

UCSD Medical Center (858) 249-5727

+ Spanish part-time (Mon 11-3, Wed, Thurs)

# Spanish (858) 792-5009


Breastfeeding and Drugs Information

Mother to Baby California (866) 626-6847

Thomas Hale’s InfantRisk Center: (806) 352-2519 (Mon-Fri, 8am-5pm Central Time)

National Library of Medicine:

(click on “LactMed”)

leonardbrunoResource Guide – ENGLISH