In-Home
Multiples Lactation Care
New! Beginning early July, 2023, serving New London County, CT and the Surrounding Areas
Looking for lactation care focused on multiples, but don’t live in southeastern Connecticut? Explore virtual care HERE.
“When I delivered our first set of twins at 30 weeks, I assumed I wouldn’t be able to breastfeed. Instead, I received amazing lactation support in the NICU and was able to meet my original goals. That experience is the inspiration behind the work I now do. Over the last ten years, I have empowered and guided families towards their breastfeeding goals, under even the toughest circumstances. It’s a dream come true to pay forward the support I received.”
— Lindsay Castiglione, BSW, IBCLC
Founder, Full Hearts Collaborative
Our family is being transferred to a new duty station! As of late June, 2023, the Navy will station us in coastal Connecticut. Virtual classes and lactation care will continue unchanged, but beginning in mid-July my new service area will be Southeastern Connecticut for in-person lactation visits.
Until then, we appreciate your patience if it takes slightly longer to respond to emails and visit requests!
For full details click on one of the consultation options below:
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Prenatal Lactation Visit
Recieving prenatal breastfeeding education is a proven way to help you meet your breastfeeding goals - especially when expecting twins or more.
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In-Home Lactation Visit
This visit with our Multiples Specialist IBCLC will have all of your questions answered, concerns addressed, and leave you with a clear plan for feeding success.
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Exclusive Pumping for Multiples Visit
Based on your unique feeding circumstances and goals, this session will include proven pumping strategies, methods and routines customized for you and your babies.
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NICU to Home Transition Visit
This session with a multiples-specialist IBCLC (and former NICU mama) is designed to offer individualized support to NICU parents with the goal of breastfeeding their preemies.
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Multiples Lactation Follow Up Visit
A follow up session will assess the effectiveness of the strategies and care plan put in place during our initial consultation, and address any new concerns that have come up.
Nursing my first set in the NICU, boys born at 30 weeks
What sets the services I provide apart from other lactation consultants?
Long before I was an IBCLC (International Board Certified Lactation Consultant), I was a new mom of two sets of twins born 2 years apart. I am fortunate to say that I was successful breastfeed two sets of twins - but it was not without challenges! We faced prematurity and NICU time, tongue tie, slow weight gain, and many more challenges along the way. These experiences allow me to provide a level of support for clients that can’t be found with any other lactation consultant. Having an IBCLC who has been in your shoes makes a WORLD of difference.
Reach out today - together we can make your twin feeding goals a reality!
Nursing my second set at home.
Full Hearts Collaborative and Lindsay Castiglione, BSW, IBCLC have partnered with The Lactation Network to establish easy, stress-free coverage for clients with Cigna PPO, BCBS PPO, and Anthem PPO, and some others**. Typically they will approve SIX free consultation visits, quickly and easily. Once your coverage is verified, you will be directed to our scheduling portal to set up your visits.
In urgent cases, you can typically obtain approval and an appointment in the same day.
Insurance Companies are required to provide (no cost to you) breastfeeding services through the Affordable Care Act, but it’s often confusing to use the benefits. The Lactation Network specializes in maximizing your coverage and handles all the details for you, so you can concentrate on what is most important - those amazing newborn snuggles. ♥♥
Clients who do not have Cigna PPO, BCBS PPO, and Anthem PPO: We will provide you with a medical receipt called a Superbill to submit to your insurance company for the full or partial reimbursement of out of pocket costs.
**If you aren’t sure if your policy falls into one of the above categories, please email us at info@fullheartscollaborative.com to discuss further.
Multiples Prenatal Lactation Consultation
1.5-2hrs | $275 | In-Home in New London County, CT & surrounding areas - beginning early July
(For distances greater than 15 miles from Mystic, Connecticut a $35 travel fee will apply)
Why have a Prenatal Lactation Visit?
A prenatal lactation consult is an invaluable resource, as it has been proven to be the best way to increase the initiation and duration of breastfeeding. Nursing twins is surely a challenge in the beginning, but it is much, much easier if you go into it with accurate expectations and strategies!
This type of consultation is perfect for:
First time parents planning to provide breastmilk to their babies
Anyone who struggled with feeding in the past and wants to get off to a better start with their twins or triplets
If you know your multiples are going to be premature due to complications, but you still would like to breastfeed
During this visit we will discuss your health history as it pertains to lactation, and identify any details that potentially could impact making milk or feeding your babies. We will cover expectations for the first week after delivery, tandem feeding positions, feeding two while recovering from delivery (C-section or vaginal), what to do if the babies go to the NICU, how to latch two babies at once, and much more.
Follow Up: One week of secure messaging through your portal is included so that any questions, concerns, and progress can be discussed.
What happens at a lactation home visit after my babies have arrived?
First, we will go over the health history of lactating parent & baby, current challenges, and goals you may have for the visit.
I will observe a feeding/milk expression, whether that is baby nursing, taking a bottle, and/or a pumping session.
I will do a weighted feeding, where I weigh baby before and after a feeding on the gram-sensitive scale that I bring with me. By calculating the difference, we can see how much milk the baby is taking in when nursing.
I may ask to assess oral anatomy of the babies or breast/chest anatomy of the lactating parent if I suspect the issues at hand are related to these areas.
Suggestions and strategies will be offered to improve the feeding both for the lactating parent and the babies.
A detailed Care Plan will be finished following the visit and uploaded into your client portal soon after. I can also fax a care plan summary to your pediatrician and/or OBGYN with your consent.
What WON’T happen during our appointment:
You will not be judged for any of your feeding choices.
You will not be encouraged or directed toward anything that is not in line with your feeding goals.
The cleanliness of your home will NOT be noticed, I promise.
Please do not clean your home for me! I am there for your support and to make things easier for you, not harder. I am a mom of 4, I get it.
Multiples Lactation Consultation
2+ hrs | $275 | In-Home in New London County, CT & surrounding areas - beginning early July
For distances greater than 15 miles from Mystic, Connecticut a $35 travel fee will apply
Are you encountering challenges feeding your multiples, and need assistance from a health care provider who truly understands? Besides being an Internationally Board Certified Lactation Consultant, I am a mother of two sets of twins. The support and guidance I received while struggling to feed my babies changed my life, and enabled me to meet and exceed my breastfeeding goals for each set. I strive to pay this forward to each and every family I work with.
During our 2-2.5 hour in-home consultation we will thoroughly explore your unique situation. We will identify the cause(s) behind any challenges, and supply you with strategies that will set you on the path towards meeting your feeding goals. A Lactation Consultation is the perfect tool to address the following situations:
Supply Concerns
Moving on from Triple Feeding and/or Supplementing
Tandem Feeding Logistics
Latch, Stamina, and Weight Gain
Assess oral anatomy and function of the babies - including checking for ties & palate issues
Evaluate & find feeding solutions for inverted or “flat” nipples, and for painful or damaged nipples.
Follow Up: One week of secure messaging through your portal is included, so that any questions, concerns, and progress can be discussed.
Exclusively Pumping for Multiples Consultation
60-90 minutes | $225 | In-Home in New London County, CT & surrounding areas - beginning early July
For distances greater than 15 miles from Mystic, Connecticut a $35 travel fee will apply
Exclusively pumping for more than one baby is certainly a challenge, but it is achievable & sustainable with the right support and strategies. Even though the basics are similar there are many crucial recommendations that differ when pumping for multiples vs. a singleton. We can help guide you to meeting your feeding goals, no matter what they are.
Whether you are exclusively pumping for babies in the NICU or you chose to exclusively pump from the beginning (or any other reason), we think you are amazing for providing milk for your babies.
Some examples of how we can help with exclusively pumping for multiples:
Bringing in an abundant supply for two or more babies
Evidence-based strategies for increasing supply using a pump
Pumping on the go & while traveling
Milk storage & reheating guidelines
Ensuring the correct flange size usage
Eliminating pain or nipple damage caused by pumping
Strategies when pumping for one baby and nursing the other
Transitioning from exclusively pumping to exclusively latching your babies
Weaning from exclusively pumping
Following our visit you will receive an individualized Pumping Plan containing all of the strategies you need in order to meet your feeding goals. This will be delivered electronically to your client portal no more than 48 hours after our visit.
Follow Up: One week of secure messaging through your portal is included so that any questions, concerns, and progress can be discussed.
Multiples Follow Up Session
60-90 minutes | $200 | In-Home in New London County, CT & surrounding areas - beginning early July
For distances greater than 15 miles from Mystic, Connecticut a $35 travel fee will apply
A follow up session is meant to assess the effectiveness of the strategies and plan we put in place during our initial lactation consultation. We want your initial Care Plan to be working well for you and your babies If it isn’t or something has changed, we will reassess and edit that plan. We also can address any new concerns or issues that may have arisen.
If you had received insurance authorization for your initial visit, follow up visits should also be covered.
Examples of how the time is spent during a follow-up visit:
Visual assessment of a feeding or pumping session
Tandem feeding strategies & routines
Infant oral structure & function (re)evaluation
Discussing milk supply support & strategies
Postpartum maternal nutrition support
Pumping help
Revision to care plan as needed
Collaborate care referrals as needed
Supply dips/increasing supply
Follow Up: One week of secure messaging through your portal is included so that any questions, concerns, and progress can be discussed. You will receive an updated Care Plan if there are changes resulting from this visit.
NICU to Home Transition Lactation Consultation
60-90 minutes | $225 | In-home in Saratoga County & surrounding areas
(For distances greater than 15 miles from Saratoga Springs, a $25 travel fee will apply for each additional 10 miles)
Pumping and establishing breastfeeding/chestfeeding in the NICU, brings very unique challenges. It might feel like just when you’ve gotten the hang of things, your babies are discharged! This is such a joyous milestone! It can also cause anxiety in parents, especially around the process of feeding. Breastfeeding or pumping at home will look much different than it did while the babies were in the NICU, and we are here to help make that transition as smooth and worry-free as possible.
The best timing for this consultation is anytime you may need support around the NICU and lactation, but for planning purposes, one week before expected discharge is ideal.
During a NICU Transition Consultation we address such issues as:
Establishing routines for simultaneously pumping and caring for one or more babies
Working toward eliminating triple feeding (if being used)
Forming tandem feeding routines & strategies
Reducing anxiety around feeding your preemies
Increasing or decreasing supply to match the babies’ needs
Working with “adjusted” or “corrected” age expectations
Managing medications or other health interventions with breastfeeding
Any other challenges or concerns
Following our visit, you will receive an individualized Care Plan containing all of the strategies you need to help meet your feeding goals. This will be delivered electronically to your client portal shortly after our visit.
Follow Up: Two weeks of secure messaging through your portal is included, so that any questions, concerns, and progress can be discussed.