Lactation Support
Aloha! I am Rachel Litchfield, an International Board-Certified Lactation Consultant (IBCLC), providing office, home and virtual lactation consultations and support both before and after the baby(ies) arrival. During our consult, we are able take our time to get an idea of the whole picture and work together to come up with a plan of care that suits your and your family's specific needs. Breastfeeding is not a one size fits all and I am here to support you every step of the way.
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Reasons to see an IBCLC (but aren't limited to):
- Prenatal breastfeeding education and guidance
- Slow infant weight gain
- Difficulty latching
- Breast or nipple pain/damage
- Clogged ducts/ mastitis
- Supplemental feedings
- Pump assessments and flange fittings
- Introducing bottle/bottle refusal
- Prepare to go back to work/school
- Concerns with supply
- Suspected/diagnosed oral restrictions (tongue, lip and cheek ties)
- Starting solids
- Weaning
- Ceasing lactation (suppressing lactation)
- Inducing lactation

Services
Office Visit
Located in the serene Pualani Terrace Plaza in Kealakekua. Offering a private and comfortable space where you can receive personalized support for your lactation needs. The facility is equipped with a range of lactation supplies to assist you, and we warmly welcome siblings to join in the experience.
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Prenatal Consultation | $100
Initial Consultation | $150
Follow-up Consultation | $125
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*Ask about pricing for QUEST integration plans*
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Provides personalized breastfeeding support in your own home. I will bring a pediatric medical scale and essential supplies for a thorough lactation assessment. This ensures privacy and convenience while addressing your unique needs.
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Prenatal Consultation | $125
Initial Consultation | $175
Follow-up Consultation | $150
Travel fee | varies
Home Visit
Telehealth
TRAVEL FEE​S:
Free/ 0-15min from lower palisades
$15/ 16-30min from lower palisades
$22.50/ 31-45min from lower palisades
$30/ 46-60min from lower palisades
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INSURANCE COVERAGE:
I am able to accept some insurance through The Lactation Network (TLN). If you have Blue Cross Blue Shield PPO (HMSA PPO), or MultiPlan (includes some Aetna, United Healthcare, and BCBS plans), please click here to verify your insurance coverage with TLN. If approved your visits will be covered (apart from applicable travel fees).
PAYMENT and PRIVACY PRACTICES INFORMATION
​If self-paying, payments must be made at the time services are rendered. Cash, check, all major credit cards (including FSA/HSA cards), are accepted. A superbill will be given to you to provide your insurance company. Insurance companies reimburse at varying rates for lactation services and is not guaranteed.
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I do believe every parent is entitled to support so if you need assistance, please reach out for information on payment options. Finances should not determine whether you can get quality lactation support.
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