Frequently Asked Questions

 
 

Looking for answers? Check out some of our frequently asked questions.

Have Other Questions? Contact Us »

 

Can NOBC support me even if I don’t breastfeed?

Yes. At NOBC, we support all feeding plans without judgement.  We provide evidence-based information, and we support individual parents to make the healthiest decisions for their families. We recognize that what is “healthiest” looks different for every family. And we believe that formula-feeding parents still need support and education to ensure that feeding is a safe and positive experience for the family.

 

How can I pay for my Clinic Visit at NOBC?

NOBC accepts most major private insurance companies and each of the Medicaid MCO plans. A copay may be required at the time of your visit, depending on your plan. Visit the payments page for more details.

 

What should I bring to my clinic visit?

  • Please fill out our patient intake questions when scheduling your appointment online.

  • If possible, have your primary care provider (for you or your child) complete a referral.

  • Cards: Bring your identification cards and insurance cards for both the caregiver and baby. We will be registering both of you as patients.

  • Equipment: If you are having issues with pumping, please bring your pump flanges, so we can assess for fit. If you use any other supplies to feed (such as bottles, nipple shells, nipple shields, creams, etc), please bring those so we can evaluate.

  • If you are taking any prescription or herbal medications, please bring them or their written names.

  • Please bring your infant so we can complete an assessment on the infant as well. (Unless your infant is unavailable, or in the hospital).

  • If possible, it is always helpful to have a support person present at your visit. We love to include one partner, father, grandparent, etc!

 

What can I do now to take care of myself and baby?

No matter what the issue is, make sure you are remembering to practice self care:

  1. Eat and drink water often. Small frequent snacks are a great idea.

  2. Rest as often as possible. Try to sleep when the baby is sleeping.

  3. Do as much skin to skin as possible

 

How does the NOBC team work with my current care team?

We believe in collaboration among providers and true continuity of care at NOBC. That is why, we send a visit report to each of our client’s primary care physicians (both parent and child) after each visit. We will gladly accept faxed reports from your office or discuss cases over the phone, to ensure that your patients get the best care possible. Remember that becoming an NOBC client does not replace the care you receive from your primary care physicians.

 

Do I need a referral from my Primary Care Provider for a consultation at NOBC?

A referral is not necessary. Anyone can make an appointment with us. But you will likely receive the best insurance reimbursement if you get a referral from your PCP.

What issues can be cared for at NOBC?

  • Prenatal counseling

  • Evaluation and management of low milk supply and oversupply

  • Management of latch problems including breast refusal

  • Breastfeeding help with premature infants, multiple births and babies with complex health problems

  • Nutritional management of slow weight gain in the infant

  • Treatment of nipple or breast infections including mastitis and thrush

  • Evaluation and management of sore nipples

  • Evaluation of tongue-tie and frenotomy

  • Transitioning from NICU to home

  • Returning to work

  • Feeding and bonding

  • Feeding and mental health

  • Contraceptive counseling (including LAM and FAM)

 

What if I need help now, but cannot get an appointment for a few days?

  1. If this is an emergency, please call 911.

  2. Stay in contact with your primary care providers: We at NOBC are not a substitute for the care you receive from your pediatrician/primary care providers. Please continue to inform them of your situation.

  3. For non-emergency situations, follow these tips:

  4. If you believe your baby is not getting enough to eat, consider supplementation

    • Before trying formula, try supplementing with breastmilk. Express extra drops of breastmilk with your hands or a pump and provide to baby with a clean dropper, spoon, or finger.

 

What should I expect at my visit?

  • Plan to stay a while: Expect to spend 1.5 hours at your visit, because we provide thorough care of both infant and caregiver.

    • We will complete a thorough assessment on both caregiver and infant, including vitals, newborn assessment, postpartum assessment, breast/chest exam, and oral exam, as appropriate.

    • After our assessment, we provide teaching, demonstrations, referrals, and prescriptions as needed.

  • Get comfortable: We provide comfy seating, warm blankets, tea and snacks. Because parents and babies deserve it.

  • Tell us your story. Most of us are used to quick in-and-out visits to the doctor. That’s not NOBC. We know that lots of things can be related to your infant feeding experience, from sleep to bonding to family support. We want to hear your story so we can provide the best support. Consider writing down your questions ahead of time to be sure we can answer them all.

 

Can NOBC support my non-traditional family?

Yes. We support all families at NOBC, regardless of structure. We pride ourselves in being able to provide evidence-based and client-specific support to LGBT families, adoptive families, and more. Inducing lactation, and chest-feeding are just some of the many techniques that we may teach to be able to support your family’s feeding needs. Please don’t hesitate to contact us about your specific needs.

 

My baby is in the hospital. Can NOBC support me?

Yes. We are passionate about supporting families who have a child receiving care in the hospital. Infant feeding support can have a powerful positive impact for these families. We are happy to help with pumping, establishing milk supply, and other feeding issues. We look forward to supporting you.