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Nourish Lactation NH - Sara Ann Alanis IBCLC

Holistic Lactation & Infant Feeding Support

Sara Alanis RN, IBCLC, IFS

Lactation Consultant, Feeding Specialist, Registered Nurse

What can you expect from a visit?

A focused medical history
A detailed assessment of the presenting concerns
An anatomical and functional assessment of baby
Hands on assistance with breast and/or bottle feeding and/or pumping
A weighted feeding
Feeding aids at no additional cost*
A thorough written plan of care tailored to your needs, desires, and goals
Information, education and support
Referrals and advocacy
One month of follow up support via email or the patient portal

Consultations are available in my conveniently located home-like office space (pictured above), or in the comfort of your own home. They are confidential, comprehensive appointments that can include:

Partners and/or support persons are encouraged to attend visits! Sibling play space is available if needed :)

*except all bottles are $5, and the Ninni Co pacifier is $12

Services & Areas of Expertise

Ultrasound Prenatal Education - Nourish Lactation NH

Prenatal Education

Prenatal preparation guidance
General breastfeeding education
Combination feeding education
Planning for exclusive pumping
Review of previous feeding experiences
Planning for a new feeding experience
Troubleshooting specific concerns, such as breastfeeding after reduction, family history of ties, or questioning IGT
Induced lactation / co lactation

Breastfeeding/Chestfeeding

Latching difficulties
Breast and nipple pain
Infant weight concerns
Food intolerances or allergies
NICU graduates / special needs babies
Anatomical concerns
Clogged ducts, blebs, mastitis
Breast preference or refusal
Scheduling & feeding plans
Weaning

Bottle Feeding & Bottle Refusal

Latching and feeding difficulties
Infant weight concerns
Infant comfort concerns
Bottle system selection and use
Baby led feeding technique
Bottle refusal
Return to work preparation
Feeding aversion
Formula selection and preparation
Breastmilk storage and preparation

Tongue Tie - Nourish Lactation NH

Tongue & Lip Ties

Anatomical and functional assessment
Release decision making assistance
Patient specific provider referrals
Pre-release feeding support
Anticipatory guidance
Preparation for release
Care team collaboration
Post release care & follow up

Pumping - Nourish Lactation NH

Pumping & Pump Flange Fitting

Pump selection
Pump use & settings review
Professional flange fitting
Pump efficacy concerns
Milk supply / output concerns
Exclusive pumping guidance
Return to work preparation
Weaning

SNS Milk Supply - Nourish Lactation NH

Milk Supply Concerns

Low milk supply
Oversupply
Breastfeeding after reduction (BFAR)
Breast hypoplasia / IGT
Endocrine mediated supply concerns
Supply concerns related to illness/injury
Targeted supplementation guidance
Relactation

I am an LGBTQAI+ ally, and I have lots of experience in supporting diverse family structures.

I have extensive experience in complex clinical concerns, but I also really love to support biological breastfeeding when things are going well!

I understand that different families have different needs, wants, and goals; and my care plans will never be anything other than supportive of each families unique desires. Some of my families are very western medicine motivated, and some of my families take a very traditional or holistic approach to living. Your care plan is written for you and with you.

I report to pediatricians only when families request me to. I am more than happy to collaborate with a care team, but I also respect parental autonomy.

Check for insurance coverage here

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