Find a Lactation Consultant Near You in Houston and San Antonio

A young mom came to us during her first pregnancy. She had a breast reduction as a teenager and had never been told it might affect breastfeeding. She wanted to try.

We met prenatally to talk through what was realistic and build a plan. During pregnancy, she experienced enough breast tissue changes to suggest some milk-producing capacity remained.

We saw her again the day she came home from the hospital. The plan focused on early, frequent stimulation: pumping, lymphatic drainage massage, and hands-on support. Progress was slow and uncertain for several weeks.

By eight weeks postpartum, she had built a full milk supply. She continued breastfeeding with regular check-ins until her baby weaned at around two and a half years.

Shared by a BCB IBCLC with more than 20 years of experience supporting complex lactation cases, including prior breast surgery.

When we first met this mom, she was a month into her first baby’s life. The baby was underweight. Her supply was very low. Nursing was painful. The baby had a tongue tie that prevented effective milk removal. She also had type 1 diabetes and undiagnosed thyroid dysfunction, both of which can suppress milk production.

We coordinated the tongue tie release. With an at-breast supplementer, she nursed and pumped for a year. She never produced more than 4 to 6 ounces a day, but she fed her baby with everything she made.

She returned during her second pregnancy. This time we addressed thyroid management and nutrition early and prepared her body before delivery. The second baby also had an oral restriction. With bodywork and feeding support starting from day one, the restriction did not need release.

She produced close to a full supply this time. Her baby took 30 to 36 ounces a day and grew on nearly all maternal milk, with only a few ounces of formula daily. She breastfed for over two years.

Shared by a BCB IBCLC who specializes in supply challenges related to metabolic and endocrine conditions, including diabetes and thyroid dysfunction.

This mom came to us with a clear goal. She was preparing to adopt and wanted to breastfeed. She had breastfed years earlier, so she knew induced lactation was possible. She also knew she did not want to use Domperidone or Reglan.

We built a protocol around targeted pumping, breast preparation, and planning for an at-breast supplementer.

She began pumping before the baby arrived and produced a small initial supply. Once her baby came home, she fed at the breast with the supplementer. Her supply increased gradually. Over the following months, she built a full milk supply.

She fed her adopted baby at the breast for the full duration of her breastfeeding goals.

Shared by a BCB IBCLC with experience supporting induced lactation, including non-pharmaceutical protocols for adoptive and non-gestational parents.

This mother has had five children over eleven years. Four of them needed frenectomies, each performed by a different surgical provider. One IBCLC has been with her through every one.

Her first breastfeeding experience did not work. She left it feeling she had failed. With her second baby, she came to us earlier. We identified that her first baby had likely had unaddressed oral restrictions. We assessed her second baby, identified the tongue tie, and coordinated the release with one of our provider partners. She had already had four months of pain by that point, but feeding improved after the release.

By her third baby, she booked her appointment for the day she left the hospital. That baby had a severe anterior tongue tie. We coordinated a release the same weekend. She nursed comfortably for three years. After that pregnancy, she told us: “Next time, I’m calling you before I even get pregnant.”

She did exactly that. For her fourth, she came in prenatally so we could plan. She delivered at a birth center. We saw the baby the day after birth. The baby needed time before release because of birth trauma, but with preparation in place, feeding established well.

She did the same with her fifth. By that fifth procedure, she described being more prepared than at any previous one. Pre-procedure consultation with her and her husband. Coordination during the release. Wound checks and exercises through recovery. Bodywork as part of the plan. Mental state check-ins along the way. Her baby healed faster than in any previous frenectomy.

In her own words: “What set these two apart? I received support before, during, and after the frenectomy.”

She was tandem nursing both younger children when we last spoke.

Shared by a BCB IBCLC who has been this family’s care partner through five pregnancies.

This mom’s pediatrician noticed her baby was not gaining well and recommended supplementing after nursing. The advice missed a critical piece: when formula replaces breast stimulation, supply drops. She supplemented after every feed for five weeks without pumping. By the time she came to us, her supply was critically low.

She wanted to continue breastfeeding. We introduced an at-breast supplementer so the baby stayed at the breast while taking the supplementary feed. We fitted her flanges properly and built a structured pumping routine. We recommended specific supplements based on her clinical picture. Photobiomodulation therapy was added to the plan as part of our coordinated chiropractic care.

Over several weeks, her supply rebuilt to full.

Shared by a BCB IBCLC.