Board-Certified. Evidence-Based. Booking This Week.
IBCLC · RN · 15 Years Clinical Practice · 4,000+ Families Supported
"Most of the mothers I see have already done everything right — they attended the class, read the books, asked the nurses. They arrive in my office exhausted and certain the problem is them. It never is. Breastfeeding is a learned skill with a narrow window, and what you need is not encouragement, it's a clinical assessment and a precise plan. I'll tell you exactly what's happening and exactly what we're going to do about it."
Dr. Rachel Monroe, IBCLC, RN
Lead Lactation Consultant, Latch Practice
Credentials & Affiliations
Three areas where clinical
precision changes outcomes.
Latch Assessment & Correction
A dysfunctional latch is the most common reason breastfeeding fails in the first two weeks — and the most correctable. I conduct a full oral motor assessment, observe a complete feeding, and provide hands-on positioning correction in the first session. Most families leave with a working latch the same day.
Anonymized Case Summaries
Infant, 6 days old. Shallow latch, maternal nipple pain rated 8/10. Posterior tongue-tie identified and referred for release. Asymmetric latch technique introduced.
The evidence is in
the outcomes.
Presented with bilateral nipple trauma and infant weight loss of 11% from birth weight. Following single in-home session: latch corrected, pain resolved within 48 hours. Infant regained birth weight by day 12.
Referred by NICU team for transition from tube feeding to breast. Paced bottle feeding established for NICU nurses. Direct breastfeeding achieved prior to discharge. Mother reported feeling 'finally understood by someone who wasn't guessing.'
Previous breastfeeding attempt ended at 6 weeks with undiagnosed posterior tongue-tie. Infant assessed; referral for release provided. Supply protocol initiated. Mother established full supply by week 3 — outcome she described as 'the thing I didn't think was possible.'
Booked on behalf of partner following discharge from hospital with no plan. Telehealth session completed within 24 hours. Positioning corrected via video assessment. Partner noted: 'I just needed someone to tell us what to actually do.'
First session within
48 hours of inquiry.
In-home visits (San Francisco Bay Area) and telehealth available nationwide. 90-minute initial consultation includes written care plan.
Booking as a gift?
For partners or family members booking on behalf of a new mother