Lactation Consultation
Focused assessment of your feeding dyad's goals, including breastfeeding/chestfeeding or exclusive feeding of human milk (through exclusive pumping,and/or use of donor breatmilk). This assessment focuses on the use of human milk to nourish, comfort and support the immune system of your infant. Assessment consists of a detailed medical history of the lactating parent(s) and infant, assessment of infant’s feeding and parent’s milk production, discussion of family’s goals and creating a detailed plan to meet these goals.
Ages: Birth through weaning
Prenatal Consult Available
Feeding & Dysphagia Therapy
The most complex task for a newborn baby is the coordination of feeding and swallowing. It requires careful integration of three skills, suck-swallow-breath. Infants who would benefit from a feeding and swallowing evaluation may experience the following:
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Coughing or choking with feeding
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Poor acceptance of milk and/or solids for adequate growth
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Recurrent respiratory illnesses
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Desire to wean from nasogastric or gastric tube feedings
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Congestion during or even outside of feeding
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Parents have any concern with feeding their infant
If completed in person, my consultation involves a detailed medical and social history and an observation of your infant's feeding. Further evaluation through an instrumental swallow study may be recommended. A detailed plan and follow-up will be provided based on the results of the complete assessment.
Ages: Birth - Adult
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Tummy Time!™ Method
TummyTime! Method is a systematic approach to tummy time that allows caregivers and infants to communicate with each other while developing motor skills. TTM is recommended for newborns, infants and families from birth through crawling. Motor development supports achieving the breastfeeding/chestfeeding and infant feeding goals of the family. TTM consult and classes give parents and caregivers the skills they need to achieve motor development goals and make tummy time fun for the whole family.
"Is it okay for a newborn to do TummyTime?" YES! The gold standard is tummy time on a parent's chest (preferably skin to skin) for the first 2-3 weeks of extrauterine life. After this, a blanket on the floor with a loving caregiver is a safe place for tummy time.
Instrumental Swallow Studies
Lillian completes dynamic and thoro videofluoroscopic swallows studies (also called modified barium swallow studies) and Fiberoptic Endoscopic Examination of Swallowing (FEES). These studies assess the oral and pharyngeal function and safety of swallowing in infants-adults. One of these studies may be recommend if the client is showing difficulty with swallowing and more information is needed. Please contact Lillian to learn if this is the best option for you.
Videofluroscopic Swallow Study of an Adult that is Normal
Invited Speaker
Lillian enjoys sharing her knowledge and skills with parents, students, and professionals. She has experiences presenting to parent support groups, students in the academic settings, and at professional conferences at the local, regional, national, and international level. Some of her favorite topics to discuss are dysphagia, breastfeeding/chestfeeding in the complex infant, instrumental swallow studies, and collaborative teams of SLPs & IBCLCs. Please contact Lillian to inquire about her presenting and educating at your next event.
