Resource Guide - ENGLISH
Resource Guide - ENGLISH
SAN DIEGO COUNTY
3160 Camino Del Rio South, Suite 115
San Diego, CA 92108
For Additional Copies
Call: 1 800 371-MILK (6455)
Fax: (619) 222-0443
BY: San Diego County Breastfeeding Coalition
Editors: Heidi Burke-Pevney, IBCLC and Nancy E. Wight MD, IBCLC, FABM, FAAP; December 1, 2014
Sponsored in part by: AAP-CA3 http://www.aapca3.org/
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:
- 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
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 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: www.breastfeeding.org
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! 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.
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 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.
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/ BEACHES
Beach Area Breastfeeding (858)454-4596 (h), (619)540-7153 (c)
Annie VerSteeg, IBCLC, RLC firstname.lastname@example.org
Since 1996! For all postpartum needs for you and your family, care in the privacy of your own home. Please visit my website to learn more: www.beachareabreastfeeding.com
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, IBCLC, CIMI email@example.com Lactation visits and infant massage in your home.
San Diego Breastfeeding Center, LLC (619) 606-2211 www.sdbfc.com Robin Kaplan, M.Ed., IBCLC, RLC
In-home and in-office private lactation consults; reduced fee breastfeeding clinics; free weekly support groups; prenatal breastfeeding classes; Breastfeeding and Parenting blog (www.sdbfc.com/blog) and host of The Boob Group podcast (www.theboobgroup,com)
Mamas & Milk (858) 218-MILK (6455)
Dawn Dickerson, M.Ed, IBCLC, RLC CD(DONA), RYT firstname.lastname@example.org
Private lactation consults in your home or at our office; prenatal breastfeeding classes; prenatal and mama yoga www.mamasandmilk.com
Serenity Breastfeeding (619) 990-6479
Christine Hennes, IBCLC, CCE email@example.com
Breastfeeding consultations and support in the comfort of your home. Over 10 years experience working with moms & babies.
The Sweetest Milk (619) 222-1043
Margaret Goebel, IBCLC,RLC www.thesweetestmilk.com
Consultations and breastfeeding support in your home.
Sweet Life Lactation 858.869.7001
Sarah P. Lin, IBCLC firstname.lastname@example.org
In home lactation consults; group and private prenatal and back to work classes; free drop in support group. www.sweetlifelactation.com
North county Birth and Beyond
Dianne Randall, IBCLC, LCCE 858-481-2450
Breastfeeding consultations in your home or my office
prenatal breastfeeding classes
serving central San Diego to Encinitas
visit my web site at: www.northcountybirthandbeyond.com
Amber Burvall, IBCLC (619) 944 4772
Caring support in your home to meet your breastfeeding goals. Over 10 years experience with moms and babies specializing in positioning and latch, milk supply maintenance, preterm and late preterm infants. Home visits include telephone/email follow-up as needed. Breastfeeding is the gift that lasts a lifetime!
NORTH COUNTY COASTAL
Babies in Bloom (760) 940-BABY (2229)
Rochelle McLean IBCLC, CCE, CD 1948 Via Centre, Vista, CA 92081 www.babies-in-bloom.com
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 breastpump 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
Wendy Colson, RN, IBCLC (619) 857-1665
Nurse Wendy has over 18 years’ experience helping moms and babies; specializing in pre-term and term suck issues, latch difficulties, lip and tongue-tie management, office and private in-home consultations , monthly prenatal classes, corporate lactation programs, community mentor for nursing and lactation students, and a free weekly support group located at the Cap Wellness Center(Dr. Capetanakis) in Encinitas every Thursday. ACCEPTS MOST INSURANCES
Vicki Wolfrum CNM, IBCLC (619) 507-6108 (cell)
www.WholeLifeHomeCare.com (858) 369-5930
2235 Encinitas Blvd, suite 206
Encinitas, CA 92024
Home visits. Over 30 years experience: specializing in multiples, preemies, suck and milk supply problems.
Alyssa McPherson, IBCLC
T: (858) 324-4180
Supporting San Diego breastfeeding families with in-home consultations and private breastfeeding classes. Aetna In-Network Participating Provider
James G. Murphy, MD, FAAP, FABM, IBCLC
Including lip and tongue-tie releases.
509 S. Cedros Ave, Suite D, Solana Beach, CA 92075
NORTH COUNTY INLAND
Breastfeeding with Grace LLC (858) 271-0913
Grace Magill, IBCLC , RLC, LLLL. email@example.com
Breastfeeding consultations and support in your home or in my office. Private prenatal breastfeeding clases. Rental of breast pumps and scales, sales of breastfeeding aides. Specializing in milk supply issues, latch and suck-related problems and multiples. Military discount. www.mybreastfeedingconsultant.com
Cindy Hartshorn, CLEC, IBCLC (760) 214-2983 firstname.lastname@example.org
I am a Private Practice LC working with new moms in the comfort of their own homes with breastfeeding support. After visit support, available via email, text or phone. I am based in North County but will travel anywhere in San Diego County. I am also available for one-on-one education prior to the birth of your baby and can assist with pumping and back-to-work issues.
Happy Healthy Moms and Babies (619) 992-1933
Rose deVigne Jackiewicz RN, IBCLC www.NurseRoseOnline.com
Breastfeeding assistance and referrals. Online breastfeeding classes.
Leilani Wilde IBCLC; DONA Certified Postpartum Doula; Labor Doula
Specializing in tongue ties, preemies, low/insufficient milk supply
In-home private lactation consults; free weekly breastfeeding support groups
Family Health Centers of San Diego* (619) 501-9073
Gabie Burke Armijo, Nutritionist/CLE, 1845 Logan Ave, San Diego, CA 92113 www.fhcsd.org
New Birth New Beginnings (619) 318-7490
Bertha Goins, MS, RN, IBCLC email@example.com
PO Box 211236, Chula Vista, CA 91921-1236
In-home lactation consults, classes, support groups
HOSPITAL BREASTFEEDING SERVICES
Kaiser Permanente Hospital OB Patient Education (619) 528-5013 (inpatient) (866) 940-2218 (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.
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
PALOMAR HEALTH LACTATION SERVICES
Palomar Breastfeeding Warmline (365 days/year including weekends and holidays): (760) 796-6802
Palomar Health Outpatient Lactation Services: Medela hospital grade Breast Pumps and Medela Newborn Scales for rent; Free Breastfeeding Support Groups; and Prenatal Breastfeeding Classes in Poway and Escondido. For more information about rental pumps and scales and Free Breastfeeding Support Groups please call: (760) 796-6802, or Pomerado Hospital Lactation Office at 858-613-4053, or Palomar Health Downtown Escondido Lactation Office at 760-739-2434; for Prenatal Breastfeeding Classes please call The HealthSource (800) 628-2880, or go to www.pph.org Classes and Events.
Palomar Downtown Inpatient Lactation (760) 739-2434
555 E. Valley Parkway, Escondido, CA 92025
Pomerado Hospital Inpatient Lactation (858) 613-4053
15615 Pomerado Road, Poway, CA 92064
Rady Children\'s Hospital San Diego (858) 576-1700 x2531
3020 Children\'s Way, San Diego, CA 92123. Inpatient lactation consults.
SCRIPPS HEALTH LACTATION SERVICES
1 (800) SCRIPPS or www.scripps.org
Scripps Mende Well Being (858) 626-7024 4305 La Jolla Village Dr. Ste. L-5, San Diego, CA 92122. Breastfeeding classes and support groups; breast pump rentals and sales.
Scripps Mercy Hospital (619) 260-7098
4077 5th Ave, San Diego, CA 92103. Breastfeeding classes, breast pump rental and sales. Nursing Notions Store open 9 a.m. – 2 p.m.
Scripps Memorial Hospital La Jolla Outpatient Lactation (858) 626-4444 Erin Walsh, MA, IBCLC, CCC-SLP Speech-Language Pathologist
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.
SHARP HEALTHCARE LACTATION SERVICES
Grossmont Hospital Women\'s Center (619) 740-4983
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. 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 9-7, Sat 9-6, Sun 10-5. Certified lactation educators to answer your breastfeeding questions 7 days/wk. Breast pump rentals and sales, nursing apparel, large selection of nursing bras in hard to find sizes, breastfeeding accessories, breastfeeding support groups and classes, and inpatient and outpatient lactation consultations.
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: www.tricitymed.org, Breastfeeding support group every Wednesday 9:15-11:00am.
UCSD Medical Center, Lactation Services (619) 543-7149*
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.
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.
TONGUE-TIE (ANKYLOGLOSSIA) CLIPPING:
James W. Ochi, MD, FAAP (858) 792-4800
Children’s ENT of San Diego, Inc. 477 North El Camino Real Suite C303, Encinitas, CA 92024 http://ent4mykids.com
Children’s Specialists of San Diego, Division ofOtolaryngology/Head & Neck Surgery
http://www.childrensspecialists.com/body.cfm?id=21&action=detail&ref=17; 3030 Children\'s Way, Suite 402, San Diego, CA 92123
Phone: (858) 309-7701. Additional clinics in El Centro, Encinitas, Escondido & Murrieta.
La Leche League of San Diego County (858) 848-6455 (MILK) www.lllofsandiego.com
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 www.sandiegowic.org 3950 Calle Fortunada, San Diego, CA 92123
North County Health Services 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 Research Foundation WIC Program* (888) 999-6897
9210 Sky Park Court, Ste 150, San Diego, CA 92123; www.sdsuwic.com
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
Jeannette Salazar: firstname.lastname@example.org
Remedios G. Reyes: email@example.com
1655 Broadway, Suite #18, Chula Vista, 91911
UCSD Extension Lactation Training (858) 534-9262 http://extension.ucsd.edu/healthcare or www.breastfeeding-education.com , Email: firstname.lastname@example.org 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 & CDR available.
Persimmon Scientific, Inc. (877) 705-6060
EPiBi® Antimicrobial Nursing Pads are designed to manage moisture, abrasion, and fungal infections. EPiBi Diaper Liners wick away ammonia and urine from baby\'s bottom. Happy Moms, Happy Babies! is our motto. Please visit www.epibi.com to locate your nearest retail store.
BREAST PUMP COMPANIES
Hygeia II Medical Group – San Diego based “green” manufacturer of hospital & professional-grade breastpumps and accessories. To locate your nearest retail location, visitwww.Hygeiababy.com 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. www.Limerickinc.com
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:///www.medelabreastfeedingus.com
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. www.ameda.com
BREASTFEEDING HELPLINES * Spanish Spoken
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
Palomar Health (760) 796-6802
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 (619) 543-7149
+ 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) www.infantrisk.org
National Library of Medicine: www.toxnet.nlm.nih.gov
(click on “LactMed”)