Nourish, Holistic Lactation and Infant Feeding Support
Lactation and infant feeding support. Breastfeeding, bottle feeding, pumping. Home, office, virtual. Genuine, concise, honest and motivated. Always on time.
Sara: An empath, advocate, ally, critical thinker, and steadfast supporter. A little bit type A and a little bit carefree. Introverted but entirely too talkative. Crunchy but somewhat mainstream. Has a healthy distrust of authority & all of the things that we "know". Never gives up. Relishes in the success of others.
07/21/2025
From July 25th until August 10th I will be away on my annual family camping trip. I will not have cell phone service during this time. If you are in need of assistance please reach out to somebody from www.nhlactation.com, or you can call any local hospital lactation department. Peace, Love, Hermit Island!
07/14/2025
Today is the LAST DAY to get pre-approved insurance coverage for lactation services if you have BCBS/Anthem. If you are pregnant please sign up now. After today, all BCBS/Anthem patients will have to pay out of pocket for services, and then seek reimbursement.
I am still accepting United, Aetna, and Cigna plans- as well as any subsidiaries. This change was not my decision... BCBS dropped us ALL.
The Lactation Network
07/12/2025
I am overbooked and firmly closed to new patients through August 18th. Please go to www.nhlactation.com to locate an alternative provider. Repeat clients please email for availability.
New Hampshire IBCLC Board Certified Lactation Consultants in Private Practice. Home Visits. Office Visitis. Telehealth.
07/02/2025
IMPORTANT FOR BCBS PATIENTS: The Lactation Network is going out of network with all BCBS on July 14th. For new patients: in order to have insurance coverage up front you will need to submit your TLN request before that date! For current patients: if you have approval currently you will not loose it. After July 14th all *new* BCBS plans will be private pay only- you can still get reimbursed, you just can't go through TLN.
Just a reminder we have a Mom Club at the Bedford Location every Tuesday 9:30-11 am. Toddlers and all wee ones get a free mini cronut bite or free gluten free and vegan donut hole. And mom’s get 10% off. We can start one up at the Goffstown location too if y’all ask us to do it!!
🚀☕️COMMUNITY LIVES IN ITS ACTIONS🚀☕️
This makes Blue Cross, Anthem, United, Cigna, First Health, Meritain, VA CCN, Sutter Health AND Aetna ALL covered insurers! (*select plans)
05/01/2025
Meet my wonderful new IBCLC student, Olesia! You can expect Olesia to accompany me at visits for the next year or two, and we have hopes of her joining my practice thereafter! 🙂
05/01/2025
Attention current BCBS / Anthem patients!
TLN has gone out of network with *some* BCBS / Anthem plans as of May 16th 2025, and they have put visit limits on others. Please see your TLN Portal to see if this change has impacted you. If it has, you can always still submit for reimbursement for your care! Many of these plans cover out of network. New patients with BCBS and Anthem are still encouraged to check for coverage, as this change does only impact a few plans.
Send a message to learn more
04/15/2025
This is a really great video of many of the things that I assess every new baby for :)
When they can’t move well, they can’t feed well.
03/27/2025
This is a really great article put out about bottles by a few of my Massachusetts IBCLC colleagues! It talks about bottle systems, ni**les flow rate, and ni**le shape.
These are all things that I help with in person too.
Feeding issues? It might not be the baby, but the bottle. Parents and experts report wide variations in flow rates for some baby bottles.
03/11/2025
Cigna is now fully covering formula feeding support!
What can I help with?
- Bottle system selection. Different bottle styles ask your baby to use their mouth in very different ways. I can help you find the bottle that your baby functions most comfortably on. This can help with gassiness, spitting up, and general unrest.
- Formula composition. All formulas are not equal. Not all babies do well with all compositions. Some families want to avoid certain ingredients. I understand what makes each and every type of formula different, and I can help you to find the one that your baby is most comfortable with.
- Feeding technique. Positioning matters. When your baby is comfortable during feeding both you and them will have a more positive feeding experience.
From birth, your tongue is actually connected to your toes through an intricate network of connective tissue known as fascia.
If your tongue is not resting correctly in your mouth due to mouth breathing, things can get out of alignment in your mouth and the rest of your body.
Tongue posture can lead to a foot imbalance and vice versa because the tongue guides all myofascial continuity structures that run from the inner arch of the foot up through the middle of the body to the tongue and jaw muscles.
When the tongue sits on top of the palate, it seals the oral cavity and holds the throat open like a tent. These muscles support the neck, keep your posture straight, help you breathe, and maintain your posture upright.
Your tongue also acts as a rudder and support system through a fascial line, and when the tongue is down, we breathe through our mouth, and the head falls forward due to lack of support, which leads to poor posture and increased energy expenditure.
Be the first to know and let us send you an email when Nourish, Holistic Lactation and Infant Feeding Support posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.
Contact The Practice
Send a message to Nourish, Holistic Lactation and Infant Feeding Support:
Hello! My name is Sara Ann Hiland, and I am an International Board Certified Lactation Consultant. I am also a Registered Nurse, with most of my experience centered in Maternity Nursing, Newborn Nursing, and Neonatal Intensive Care Nursing. My passion for helping mothers with breastfeeding began shortly after the birth of my first child in 2012- my daughter, Adalynn. At the time I I did not have much knowledge of breastfeeding, nor did I have a very good support system. My daughter and I experienced some latching difficulties in the hospital that led to pumping, finger feeding, and ni**le shield usage.... and subsequently I had some problems with oversupply, with weaning her off the shield, and inevitably, with low milk supply. I struggled with not knowing what was normal, and what was not. I felt scared and alone and unsupported. Luckily, a friend of mine from a childbirth class that I had taken reached out, and she directed me to a couple of local nursing moms groups. I quickly found the support that I needed, and I. Was. Hooked.
In the spring of 2013 I completed coursework to become a Certified Lactation Counselor. Shortly there after I obtained my current RN position, working with moms, babies, and families postpartum. In December of 2014 I had my second child, Elijah. As a CLC and RN who worked with breastfeeding moms, I felt very well prepared to breastfeed this time. Little did I know, I was in for quite a struggle. I realized that something was really wrong almost right away. Every time my son nursed I was in agonizing pain. And he was ALWAYS hungry. ...He could not effectively exchange milk. I sought the help of the hospital lactation consultants, and my son's pediatrician, but everybody said "his latch looks good!". Upon learning of my struggles a good friend reached out with a recommendation to see a Private Practice IBCLC. She came to my home the very next day for a consultation, and she immediately knew what the problem was. My son had a thick and very restrictive posterior tongue tie. Within a few days we were in NY for a laser release. The difference in nursing him was remarkable right off the bat. From there we went on to battle numerous food intolerances and allergies, but in the end, with the help of my amazing IBCLC and a wonderful community of moms, we were able to overcome the allergies and nurse for over three years.
The limitless knowledge of the Private Practice IBCLC, her genuine desire to help me, and the benefits from all of the advice that she provided while I was having such a difficult time nursing my son, further fueled my fire to delve into the world of Lactation Consulting. I wanted to be Just. Like. Her. She was remarkable. So, while still nursing my son, I completed hundreds of hours of coursework and clinical experience, and in October of 2016 I passed the IBCLC board examination with one of the top scores of any candidate internationally.
In June of 2018 I was a NH Breastfeeding Taskforce award recipient for my work promoting, protecting, and supporting breastfeeding mothers in NH. That same day, I was asked if I would be willing to step in for a local Private Practice IBCLC, who was moving out of state. ...OF COURSE I would!
And so, here I am now. Offering both in-home and in-office consultations. My dream job.
Since that time, I have been blessed with two step-children, Nathaniel and Gabriella, and I have had a third child, Charlotte. I have continued to work in the same nursing position that I held before, as well as with the lactation and childbirth education departments at the hospital. I have taught breastfeeding, newborn, and sibling classes, and I currently lead a nursing moms group. I am a member of the NH Breastfeeding Taskforce, the NH Association for Infant Mental Health, the Holistic Moms Network, and the International Lactation Consultant Association. I am active in a local natural parenting group, and I administrate a large online breastfeeding support group. I have received advanced training in the areas of infant oral assessments, tongue tie assessments, trauma informed care, birth story listening, and crisis intervention. In my personal time I lead a Girl Scout troop for the town of Bedford, and I enjoy spending time with my children and family, camping, gardening, crafting, and photography. Professionally I have interests in epigenetics, the biology of breastfeeding, oral motor dysfunction, supporting family dynamics, and maternal mental health. I believe that every family has the right to make their own informed decisions about the way that they feed, raise, and nurture their children. I am an advocate for women and children's rights, and for normalizing breastfeeding in our culture.
And I am so honored- so so honored- to be able to offer my knowledge, my understanding, and my support, to mothers like me.