Double D Lactation Services

12/10/2025

The families I work with will tell you, I am extremely picky with my referrals. One would never have knee surgery without plans for physical therapy and rehabilitation. So why is it so common to release lip and tongue ties without that same sense of collaboration?

I say all of this as someone who's breastfeeding relationship was saved by an "off the street" lip tie release. But I look back at my daughter's journey, and her unreleased tongue tie significantly affects her to this day, and recognize that this isn't optimal. That says nothing about the OBVIOUS body dysfunction she was clearly suffering from through infancy...YIKES! Something about "hindsight being 20:20..." applies here.

My patients who take a fully collaborative journey to tongue tie release have a higher level of success and less chance of reattachment than those who go straight to frenectomy. When you work with me, we will plan to work on building functional skills before seeing a pediatric dentist to get your baby primed for a successful release. Dr. Sage is my go-to referral for release in San Antonio and has consistently shown to be the best provider for my families. We are so thankful to collaborate with her and her team at Alamo Heights Pediatric Dentistry and Orthodontics

12/10/2025

Bit of a scheduling update for the middle of December. I will be spending a lot of time over the next two weeks tending to my family, which doesn't leave much time for everyone else's littles. As a result, I will be opening up limited weekend availability the next two weekends for families who can't wait until Christmas to be seen. This availability will not be reflected on my booking widget, so you will have to message me directly.

That said, I will likely also be a bit slower to respond to messages so I ask for a bit of patience and grace!

We'll be back to regular scheduling soon!

12/06/2025

Looking back on the early weeks with this family feels surreal now that their little one is about to turn one.
Supporting them through those first challenges and watching them grow in confidence has truly been an honor.
As they approach a full year of breastfeeding, receiving words like these means more than I can ever say. 💜

12/05/2025

I’m now offering in-home fl**ge fittings using the FITS™ Guide, taking the confusion out of trying to match your anatomy with "standard" size fl**ges.

If you’ve ever tried to pump with the fl**ge that came in the box and thought, “Why does this hurt?” or “Why is this so intense?”...you’re not imagining it! The sizes that come standard with most pumps are way too big for most people. The classic 24mm?
That’s the same size used to milk cows.
Also, a quarter is 25mm.
Also-also…these devices were largely designed by men.
(Can't believe I have to say this: most women do not have ni***es the size of cow udders.)

I have found that a majority of my clients get their best, most comfortable and effective pump session between 13–17mm, nowhere near 24mm. See now why proper fl**ge fitting matters so much?

When I come to your home for a Fl**ge Fitting Consult, I bring a full pump bag loaded with dozens of hard plastic fl**ges in sizes ranging from 10mm up to 30+, in multiple shapes. Ni**le anatomy is not one-size-fits-all. Your pump setup shouldn't be either.

The Fl**ge FITS™ method looks at optimizing your pump session by assessing multiple different factors. At the end: does it feel good and is your milk spraying?

It’s a complete, body-aware way of understanding how your tissue responds to pumping versus just relying on what the pump manufacturer decided you needed.

If pumping hurts, feels too intense, or your output isn’t matching what you expect, the fl**ge is often the culprit. And no one should be suffering through pumping because of a piece of plastic that was never sized for their body in the first place.

If you want support in finding your true fl**ge size, one that actually matches your anatomy and protects your comfort and supply, I’m happy to come to your home and walk you through the whole process.

Send me a message or book a consult on my website.
Let’s get you pumping efficiently with your comfort as the priority.

**geFitting **geFITSGuide **geSize

12/04/2025

I have been meaning to post this for a while, but social media is not my forte! I recently finished the Oral Habilitation of the Breastfeeding Dyad Master Class and am really excited about how this has changed my practice over the last year and what it means for the families I support.

So…what does this mean for you?

It means I’ve spent the last year learning to understand how a baby’s oral function develops and how that affects feeding, comfort, and bonding from birth. Feeding isn’t just about latch. It engages the full body system: tongue, jaw, palate, nervous system, and whole-body coordination, working together so feeding can be efficient and comfortable for BOTH of you.

Oral habilitation is about restoring function, not just compensations for individual symptoms!

If you’re experiencing painful feeds, clicking, a shallow latch, slow weight gain, or you suspect your baby might have a lip or tongue tie…this training gave me the tools to support you with a more complete, gentle, baby-led approach.

Feeding shouldn’t hurt. It shouldn’t feel like a fight. But when it does, comprehensive support means you're not fighting alone!

If you’re working through feeding challenges, or just want to be sure everything is on track, I’m happy to come out to your home and meet you where you are. Send me a message or book a consult on my website, and we’ll work to optimize feeding for your baby, your body, and your goals.

10/05/2025

She’s glitter, she’s chaos, she’s…pretty sure it’s this b**b first. 💫

And that's on "The Life of a Breastfeeding Mom"

Shared with permission

08/02/2025

Happy World Breastfeeding Week! 🎆

07/14/2025

Heads up everyone! Dawna will be out of the country for her honeymoon and we will be closed to appointments through July 25th! Additionally, as Dawna will be in Jamaica, we will not be available for any phone calls or via text during this time. If you need any assistance, please use the Contact form on our website or email dawna@doubledlactation.com Emails will be answered sporadically and based on urgency!

We look forward to seeing all the new babies on our return!

07/07/2025

Dee will be offering those who are affected by the flooding complimentary virtual lactation counseling. During emergency situations it is recommended to breastfeed your infant. If you need assistance please reach out!

04/01/2025

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Since 2012, Congress has allocated funds to the CDC Hospitals Promoting Breastfeeding program. These funds support a wide range of efforts, from improving maternity care practices to helping businesses support their breastfeeding employees. An...

01/06/2025

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Discover our comprehensive in-home lactation services in San Antonio, Boerne, Bulverde, Seguin, and New Braunfels. With compassionate and professional lactation support from our team of IBCLCs, we're here to empower your breastfeeding journey. Explore our services today!

01/01/2025