Born and Fed

Born and Fed I'm a mom, a nurse, and IBCLC! I'm here to provide Breastfeeding Support* Advocate for Mommas*Infant Reflux Support* Share my Crazy Beautiful Life

Under the Affordable Care Act, prenatal and postpartum lactation counseling and pump rentals is considered covered under...
05/14/2025

Under the Affordable Care Act, prenatal and postpartum lactation counseling and pump rentals is considered covered under the umbrella of preventive care.

π•‹π•™π•šπ•€ π•žπ•–π•’π•Ÿπ•€ π•ͺ𝕠𝕦𝕣 π•”π• π•Ÿπ•€π•¦π•π•₯𝕀 π•žπ•’π•ͺ 𝕓𝕖 𝕑𝕒𝕣π•₯π•šπ•’π•π•π•ͺ 𝕠𝕣 πŸ™πŸ˜πŸ˜% 𝕔𝕠𝕧𝕖𝕣𝕖𝕕 𝕓π•ͺ π•ͺ𝕠𝕦𝕣 π•šπ•Ÿπ•€π•¦π•£π•’π•Ÿπ•”π•– π•‘π•π•’π•Ÿ.

Because there is so much variation between plans, knowing if and how much of your visit is covered can feel confusing. Never fear, I broke it down in two 2 simple steps for you.

Verify Coverage
Book with me!

Check out the follow slides for more details on how to verify coverage from your plan. If you are having trouble with getting answers from your insurance company, or you are told you are not eligible for any coverage, please reach out to me and I can help you.

You are entitled to lactation care. Lets make sure you get it!

As of May 1st 2025, The Lactation Network β€” announce they will no longer by accepting many Blue Cross Blue Shield plans,...
05/07/2025

As of May 1st 2025, The Lactation Network β€” announce they will no longer by accepting many Blue Cross Blue Shield plans, a change that directly harms new and expecting families in Pennsylvania. These services were previously covered at 100%, giving parents access to professional, in-home or virtual lactation care at no cost. The real problem is not TLN, it is that IBCLC's in PA are not authorized to be in-network with many insurance plans.

Denying IBCLCs in-network status not only removes a critical resource for parents β€” it also jeopardizes the viability of small, women owned lactation practices. These are often women-owned, locally operated businesses that have long provided compassionate, evidence-based care. Without the ability to provide care with access to insurance reimbursement, many of these providers may be forced to close their doors.

The Call
We, both families and IBCLCs alike, Demand In-Network Insurance Coverage for IBCLCs in Pennsylvania. Lactation care is preventative care and should be treated as sure. We call on Blue Cross Blue Shield, Cigna and United Health Care to allow IBCLC's in the state of Pennsylvania the right to be in-network providers so we can provide fully covered lactation care.
Support Breastfeeding Families: Demand In-Network Insurance Coverage for IBCLCs in Pennsylvania
Access to skilled lactation care shouldn't be a privilegeβ€”it should be a standard part of preventive healthcare. Lactation Care is Preventive Care and should be treated as such.

https://rallystarter.com/rally/2558/demand-in-network-coverage-for-ibclcs-in-pa?fbclid=IwY2xjawKIt9pleHRuA2FlbQIxMABicmlkETF5NGxubmREdUdjOXNxQ2RkAR5xJEA8nGmA67bNEp-6WTDYS6r2m1WwNDQW0utIGr_9372XOKmJX01WKjPw7A_aem_OmAQDJp9qrv8VOj9H-uo9A

IS YOUR NEWBORN FEEDING WELL?Activity at the breast is an important metric when trying to determine if your baby is feed...
04/21/2025

IS YOUR NEWBORN FEEDING WELL?

Activity at the breast is an important metric when trying to determine if your baby is feeding well. A baby that is falling asleep quickly at the breast, is likely not transferring much milk. This is why know the difference between active swallowing and suckling can be helpful. A baby who is on the breast for 30+ minutes BUT they are sleeping the whole time does not = Successful Breastfeeding.

On the flip side, you have a baby with good activity for the first 5-10 minutes and then they begin to doze… are they done? Maybe not. I often find moms are popping baby off too soon or switching sides before baby has completed feeding on the first side. Most newborns need 15-30 minutes to really empty the breast. That is because they are getting multiple letdowns in one feed. After they complete the first letdown, the intensity slows and they appear to be slowing down until a second wave starts and the swallowing pattern picks up again.

A well rounded feed will look like baby feeding for 15-30 minutes on side one, and an additional 5-15 minutes on side two for dessert (always optional but ENCOURAGED).

Hello, my name is Jessica.I am a RN and   (international board certified lactation consultant). I am here because I had ...
04/14/2025

Hello, my name is Jessica.

I am a RN and (international board certified lactation consultant). I am here because I had really hard babies. Actually, I had one really hard baby, but I try not to point fingers. I had my children while I was still working as a labor and delivery nurse helping other women birth and care for their babies. I was a certifiable expert. Until I held my very own squishy baby in my new mommy arms, I began to understand that I knew nothing. After years of advising women before me, I was striped bare of any certainty. My baby cried and cried and I had no idea what to do. So I cried too. Only when I sought the help of a friend and IBCLC, did I began to uncover there was more to breastfeeding than just latching the baby on. With her help, we ironed out most of my new mommy wrinkles and I successfully breastfed him over a year.

When my daughter came, I was again full of foolish confidence (apparently I am a slow learner). I figured I was truly an expert this time around. My beautiful baby girl nearly brought me to my knees. She cried 𝔸𝕃𝕃 𝕋ℍ𝔼 𝕋𝕀𝕄𝔼. Her infancy was soaked in milk, spit up and tears. She had horrible reflux and was truly miserable. Again, my IBCLC came and pulled me from the deep. She gave me a plan, she gave me encouragement, she gave me confidence. My IBCLC did not solve all my problems, honestly she didn’t need too. My IBCLC was someone who heard me when I was desperate, dark and twisted. She pointed to the light at the end of the dark tunnel while walking next to me the whole way.

Both of my breastfeeding journeys have shaped me as a women and mother. I stand where I am today because I felt called to share all I learned through my experiences. All our children are offerings. Especially the β€œhard babies.” I believe they have a more potent medicine to deliver. My purpose bloomed in my heart while tending my daughter. I stand here today ready to point other women toward the light. Not because I 𝕋ℍ𝕀ℕ𝕂 I know how to push through the hard times in motherhood, but because I have done it. I have made it to the light and now I have come back to walk with other women as they make their own way.

I am against rushing to get a frenectomy. I would rather a family not get a frenectomy, than proceed when they are not p...
03/13/2024

I am against rushing to get a frenectomy. I would rather a family not get a frenectomy, than proceed when they are not prepared. I look at preparation through 3 lenses. Is baby prepared? Is the mother prepared? Is the family prepared? Baby is inextricably connected to mom and family and will require their support for favorable results.

Is Baby prepared? First I look at the body. Is your baby able to express dynamic movement on all planes? If your baby primarily looks in one direction, hates tummy time, or cannot look up when feeding, movement is limited. The tongue and baby’s ability to use it with full range of motion are connected to the body. If the body is restricted after the frenulum is released, the tongue’s mobility will be limited as well. Worse, it will likely heal that way. I am equally concerned with baby’s state of being. Do you have a fussy baby? Is baby dealing with reflux, or colic, or gas? While some may promise this procedure as the solution, it is not. A baby who is unregulated going into the procedure will be more so after. Now they have reflux/colic/gas and a sore mouth. These babies also tend to be full of tension which means the body is also not prepared.

Are you prepared? Momma, you are your baby’s foundation. Baby is going to need you to be there to let them know that they are are safe post procedure. If you are struggling right now, it is okay to wait. Find your footing and do not feel pressured to jump into this right away. In order for baby to thrive after the release, they need to feel safe and supported. If you are struggling, baby feels that. Find your footing before stepping into this. As a mom who did not head this advice, I can personally say I had a very difficult time post release supporting my baby.

Is the family prepared? First, the family needs to decide if a medical procedure is in alignment with their values and beliefs for their baby. If it is, then BOTH parents need to be on board. Separation between parents is acutely felt by children (and babies). This is a stressor that impedes our goal of freedom in baby and the family.

I am not against frenectomies. I am against frenectomies as a

Embracing where you are at this very moment is the first step forward to where you are going.  Resistance is stagnation....
01/30/2024

Embracing where you are at this very moment is the first step forward to where you are going. Resistance is stagnation. I believe the early years of motherhood are hard for a reason. You are laying the foundation of your own evolution. Your baby is an invitation to rebuild from the ground up. Cast away what holds you back, fortify what strengthens you.

Examining our triggers and stagnation can be triggering. If you feel triggered, I invite you to sit in that. Then ask yourself why. Why does this inflame me? Children are the most powerful tool I know for teasing out all our sticky points. Rome wasn’t built in a day, nor do you become the mother you visualized overnight. Each trial is an opportunity to unpack and rebuild one brick at a time.

Where do you feel stuck in motherhood? How are you working to become unstuck?

05/05/2023

Today I went live with Heather discussing our own evolving journeys of self discovery through motherhood.

I keep going back to the question of how do we begin to connect with ourselves after years of disconnection? Really, the root of the matter is right here. It seems so cliche to say the answer is within us, and yet it is. I use to feel so thwarted by comments like that. I would wonder why I could not find the answer within. Was I broken and unable to hear the answers? Was it all bill s**t and there were no answers to be found? Or perhaps I was just ordinary and such revelations were reserved for higher level beings than myself.

The key was unlocking all my doubts, my negative thoughts, my worst fears, and the worst biases against myself… shining a light on all of it and recognizing they were a part of me. Then turning from the dark to the light and fitting the pieces together. I am a dynamic being… and so are you. We need to know all of our self to recognize who we are in full expression.

It’s almost like having a lover. First you get to know them and build intimacy. Once that connection is built, your lover will begin to share with you… who they are, what they want, what they need. Your body is the same. Once your body is seen, it feels safe enough to share. Once you are a lover of your body, your job is to listen.
XOXO

So here I stand, fat, aching, anovulatory and snoring.  Gazing out from where the sidewalk ends asking the scarecrow dir...
04/21/2023

So here I stand, fat, aching, anovulatory and snoring. Gazing out from where the sidewalk ends asking the scarecrow directions to Oz. β€œThat way” he chimes arms crossed pointing to nowhere. Do I follow the yellow brick road or is it time to remove the emerald colored glasses? How many wrong turns do I need before I realize my treasure map was given to me by charlatans? None of the advice was exactly wrong, simply half truths hiding behind the curtain. I know it.

The realization is a shift, a transformational reckoning. My health journey and all the alleyways are really the same allopathic metric driven model I have been rebelling against. Same pig, new lipstick. My symptoms are not my body’s failings. My symptoms are my body speaking in a dead language our world no longer bothers to translate. Each cleanse, each diet, each intervention I take to β€œfix” my body is an attack. It is an unspoken judgement that I need fixing. Am I overweight? Yes. Are my hormones unbalanced? Yes. Do I have SIBO overgrowth? Probably. Am I a tongue tied mouth breather with poor lip competence? Yep.

But none of that really matters. Because it is my belief that my body knows wholeness. My body does not need me to fix it. My body is not only capable but fearfully and wonderfully made to find homeostatic balance. All I have to do is to stop willfully fu***ng it up. I believe in the divinity of nature and the beautiful web that connects us all. I believe separation is an illusion, me a drop in the ocean of creation. My body is a microcosm of the great universe whose pendulum swing is always arching back toward equilibrium. Balance restored when I quit tipping the scales with all my meddling. If I am nature and she is me, the same laws apply.

I believe my body is leading me home. She is answering the call of the wild. Health is all around us and only when we dig our roots deep down into the earth and join the mycelial network connecting us all. The quest for healing is a lie. It is another way we condemn our bodies as broken. I have stopped trying to fix myself and my family. Instead, I am tending. Tending is an act of love.

This week was an ending for me.  Over the past 8 months I have had the privilege to sit at the feet of Michale Chatham] ...
04/14/2023

This week was an ending for me. Over the past 8 months I have had the privilege to sit at the feet of Michale Chatham] . I found Michale because I was searching for something. At the time, I couldn’t even fully articulate what I was looking for. The serendipity that brought Michale into my field now reads like a well marked junction in my life path. She was exactly what I needed when I needed it. I started the mentorship looking to find answers both professionally and personally from Michale. She gave me neither. Instead, she gave me a shovel and taught me how to unearth the answers deep in my own knowing.

It is hard to put all that I have gained from Michale’s bountiful wisdom. I have shifted both professionally and personally after my time with her. She has been a fulcrum for me to pull and strain against. In the straining, I have grown and the expansion has left me fuller through my own power, not through syphoning off those around me.

Today, I stand alone. I am no longer at the feet of my mentor but preparing for the next phase of my evolution. I feel like a seedling, freshly sprouting from moist May soil. Fresh, abundant, and overflowing with the opportunity so bountiful in new life. There is a fragile nature to being so new. I am not the oak, not yet. But the sun is shinning, and my roots are set deep. I am ready to rise.

Thank you Michale Chatham] . Thank you, thank you, thank you.

The other day I was helping a family with a 3 day old learn to breastfeed. It was not a victory easily one, a consult th...
02/13/2023

The other day I was helping a family with a 3 day old learn to breastfeed. It was not a victory easily one, a consult that even left me sweating by the end. As we discussed a care plan for this family, the father shyly observed, β€œYou know, I’ve helped delivery a lot of calves and almost all of them can nurse. It is probably a silly comparison, but it seems funny that it is so hard for our baby.” He laughed self deprecatingly expecting me to tell him how very different a human baby is from a dairy calf. But he had struck a softly thrumming cord already filling my days with a low hum. β€œYour absolutely right,” I responded. β€œHuman babies should be able to breastfeed, just like the calves you helped deliver. It is a biological imperative that our young should be able to feed. The question is, why can’t they?”

I have been plagued by this realization in my practice. Babies are born to breastfeed, yet so many cannot. We place so much emphasis on the a mother’s right to choose how she feeds her baby we have somehow missed the fundamental issue at hand. Our young, just like any other specie, should be equipped with basic skills for survival, including the ability to eat. While humans have found a work around in bottling, a major gliche in our biology remains. Many of our babies cannot eat as biology intended, yet no one seems to be asking why.

It is not just our babies who are unable to breastfeed. Many mother’s are having more and more trouble lactating. Whether it is low supply, oversupply, recurrent mastitis, or the mental fugue of depression stealing their joy and capacity to manage these systems, it is impossible to deny women are struggling too. We can debate the origin of such trends tumbling down the rabbit hole of finger pointing, but I proffer it is conglomeration of inputs culminating in system failure. Just like an ecosystem going into decline, it is rarely one challenge that shifts cosmic balance toward destruction. It is one insult after another that tip the scales. It is no different with mother’s and babies.

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