The Breastfeeding Management Clinic provides a comprehensive approach to breastfeeding challenges for the baby and family. We can support any mother and baby having challenges (e.g. low milk, sore nipples) with breastfeeding from birth through older children (e.g. weaning). We see self-referrals, as well as, referrals from community physicians, birth centers and other lactation programs.
Our ‘Trifecta Team’ (pediatrician with breastfeeding expertise, lactation consultant and psychologist) offers a unique multidisciplinary team of services for a comprehensive breastfeeding evaluation of both mother and baby. It is covered by most insurance companies so only a copay is required. This new approach has been presented at national conferences as a novel model of care.
Why choose the Breastfeeding Management Clinic at Children’s Hospital Colorado?
Our unique ‘Trifecta Team’:
Melissa Buchholz, PsyD is a Licensed Clinical Psychologist and an Assistant Professor at the University of Colorado School of Medicine in the Harris Program for Child Development and Infant Mental Health. Dr. Buchholz has expertise in integrating mental health into medical settings, specifically in pediatric primary care. She brings expertise in infant and maternal mental health to the trifecta team. She is passionate about supporting the mother-infant relationship during the breastfeeding experience and beyond.
Maya Bunik, MD MSPH, FABM, FAAP is an Associate Professor at University of Colorado School of Medicine and has Fellow designation as a pediatrician breastfeeding expert by the Academy of Breastfeeding Medicine. She leads the breastfeeding management clinic ‘Trifecta Team’ here at Children’s Hospital Colorado. Her research on breastfeeding and combination feeding ‘los dos’ was cited in the Surgeon General’s Call to Action on Breastfeeding, January 2011. She recently published her first book, Breastfeeding Telephone Triage and Advice published by the American Academy of Pediatrics, a helpful resource for physician practices and anyone providing telephone advice for breastfeeding.
Lorry Watkins, RN, IBCLC is a Board Certified Lactation Consultant (since 1999) and has worked at Children’s Hospital Colorado for 30 years, primarily as a critical care nurse in the Neonatal Intensive Care Unit (NICU). She has been helping mothers of the most complex and gravely ill infants with the accompanying lactation and breastfeeding challenges. Her expertise as part of the Trifecta is invaluable in helping infants with latch and trouble-shooting any issue.
Breastfeeding issues addressed by the Trifecta include:
Infant refusal at breast or sucking difficulties that interfere with breastfeeding
Slow weight gain or failure to thrive in the breastfed infant
Breastfed infant with reflux
Infants born early 36-38 weeks who are sleepy at the breast
Breastfeeding a premature infant
Breastfeeding children with special healthcare needs such as Down syndrome, Cystic Fibrosis and heart disease
Breastfeeding while mother is using medications (e.g. choice of contraception, anti-depressant)
Breastfed infant with bloody stools or suspicion of food intolerance, allergies
Breastfeeding while returning to work or school
Mothers with breast pain
Mothers with over-abundant milk supply
Infants who are pulling away or clicking while feeding
Breastfeeding more than one infant (multiple births)
Prevention and management of sore nipples and engorgement
Maintaining mother's milk and/or breastfeeding when the mother and infant are separated
Promotion of ample milk production
Challenges with mother or child-led weaning
Services offered at the Breastfeeding Management Clinic
- Outpatient clinics at various locations on Monday afternoon, Tuesday afternoon, Wednesday morning and Thursday morning. Phone consultation warm line.
- Comprehensive breastfeeding evaluation of mother and baby that includes history of mother and infant with attention to risk factors for milk supply, pre and post weight feeding assessment, medical evaluation and support and advice from board certified pediatrician with expertise in breastfeeding as well as an experienced nurse lactation consultant with years of work in the Neonatal Intensive Care Unit.
- Integrated infant mental health and child development specialist to support caregivers navigating the transition to parenthood.
- Focus on maternal-infant bonding and promoting positive caregiver-baby relationships related to breastfeeding.
- Receive support and strategies to manage stress, sleep-deprivation, sibling adjustment and other challenges related to breastfeeding.
Contact the Breastfeeding Management Clinic
To learn more about the Breastfeeding Management Clinic at Children's Hospital Colorado please call (720) 777-3605. To schedule an appointment during one of the times below please call (720) 777-2740.
If you are a referring provider please download this referral form for the Breastfeeding Management Clinic.
Below are the times and locations of our clinics:
Mondays, 1-4:30 p.m. at Children’s Hospital Colorado at Parker Adventist Hospital
Tuesdays, 8:30-11 a.m. at Children’s Hospital South Campus at Highlands Ranch
Wednesdays, 8:30-11 a.m. at Children’s Hospital Colorado at Saint Joseph Hospital
Thursdays, 8:30-11 a.m. at Children’s Hospital Colorado Outpatient at the Village Pavilion