Why Prenatal Consultation? While prenatal lactation education and consultation can be useful for all mothers in order to help breastfeeding get off to as smooth a start as possible, for some mothers it can make all the difference! If you have experienced / are experiencing any of the following medical or personal issues, we urge you to consider calling Beyond Birth for a prenatal consultation:

• Difficulties with breastfeeding a previous child for any reason
• Polycystic Ovarian Syndrome
• Infertility/trouble conceiving
• Hormonal imbalances of any kind
• Symptoms of hyperandrogenism, including hirsuitism, acne, male pattern baldness, etc.
• A history of irregular menstrual cycles/amenorrhea
• Minimal or no breast changes during pregnancy (1 or more cup sizes increase, veining and tenderness)
• Gestational Diabetes
• Pregnancy Induced Hypertension
• Maternal illness (chronic or acute)
• History of breast surgery or injury (including breast reduction and breast implants)
• Known fetal genetic or congenital problem
• History of depression or other mental illness
• History of sexual abuse
• Breasts that are unusually shaped or extremely asymmetric in size
• A planned C-section for any reason
• Twin/multiple pregnancy

Postpartum Consultation. While most women can benefit from some "fine tuning" during their early breastfeeding experience, certain situations can be resolved much more quickly and easily the sooner they are addressed. If you are experiencing any of the situations listed below, please consider calling as soon as possible, rather than waiting to see if the situation will resolve itself. Finances should not be a barrier to referral, as we can see low income women on a sliding scale basis.

• A baby who is not latching on within the first 24 hours (please do not use a nipple shield to get a baby to latch before the milk has come in!)
• A baby for whom supplementation of any kind is recommended.
• A baby who is not passing meconium, or ceases to stool after the meconium is passed.
• A baby who is not gaining weight once it appears mature milk has come in.
• A baby who is losing weight rapidly.
• Nipples are sore, cracked, bleeding, blistered, scabbed, or painful in any way. Breastfeeding should not be painful and it is not possible to tell if a latch is correct just by looking - if nipples are damaged something is wrong and should be addressed as soon as possible.
• A baby who resists latching, or is fussy, agitated, or seems uncomfortable at the breast.
• A baby who is nursing "all the time" and never seems satisfied or contented, even if weight gain is adequate.
• A premature or near term (36-38 weeks) infant, or an infant in the NICU for any reason.
• A baby born by caesarian section.
• A baby with any unusual anatomical or genetic defect - especially midline defects: cleft lip, cleft palate, ankyloglossia, hypospadius, esophageal atresia/tracheoesophageal fistula, imperforate anus, conotruncal heart defects and diaphragmatic hernia.
• A mother or baby with any illness or condition.

To purchase a gift certificate, come visit us at Zenana Spa and Wellness Center or call us at 503-232-2229 or toll-free from Clark County, Washington, at 1-877-230-2229 to arrange payment and give us the recipient's name, address, and phone number.

We will then mail the gift certificate to you or, if you prefer, to the recipient on your behalf. Gift certificates can also be given anonymously.
 

Insurance Billing
As a service to our clients, we are now able to bill insurance to request reimbursement for services rendered, or necessary lactation products. Client is responsible for paying for any consultation services or products, on the day services are rendered. If Beyond Birth receives partial or full reimbursement from an insurance company, reimbursed portions will be refunded to client. Beyond Birth gives no guarantee of insurance reimbursement. Please bring your insurance information with you to any visit!

Options for low income families
If you are low income, please do not let that be a barrier to getting the services you need. A sliding scale and/or a grant-funded consultation may be available, at no cost to you, to ensure lactation services are accessible to all who need them.

• Lactation consultation by appointment (or drop in, based on availability) at Zenana Spa and Wellness Center or in the privacy of your home (by appointment only):
  9:00 AM - 5:00 PM Monday - Friday
• Phone advice:
  9:00 AM - 5:00 PM Monday - Friday
• Emergent phone advice and lacation services only: 10:00 AM - 2:00 PM Saturdays
  (emergent consultations by appointment only, no walk-ins)
• CLOSED SUNDAYS