Lactation Services

• Prenatal Consultations: For patients who have general questions about lactation and breastfeeding, are experiencing minimal breast changes during pregnancy, have a history of breast surgery, have a history of endocrinopathies or infertility. 

• Breastfeeding Concerns: Evaluation and management of patients who are experiencing difficulty with latching, engorgement, mastitis, nipple wounds, and clogged ducts.

• Dysphoric Milk Ejection Reflex (DMER): Patients who are experiencing sadness, nausea, anxiety, fear, dread, etc. during letdown with pumping or direct feeding.

• Pain Management: Evaluation and management of nipple/breast pain during lactation.

• Pumping Support: Guidance for pumping challenges, flange fitting, pump selection, returning to work or school consultations.

• Low Milk Supply: Evaluation and management of low milk supply.

Perinatal Mental Health

Evaluation & Management: We provide evaluation, support, and medication management for perinatal mood disorders such as postpartum anxiety, depression, and mild to moderate postpartum OCD. ​

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*We do not provide medication management for postpartum psychosis, severe postpartum OCD, severe PTSD, or patients with suspected or diagnosed mood disorders such as Bipolar I or II. We do not prescribe controlled substances including Zuranolone.*

Infant Feeding

Difficulty Latching: Evaluation and management of infant latching difficulties including prematurity, uncoordinated sucking, painful latching, poor milk transfer, leaking milk, reflux, coughing/choking/gagging with feeding, and low or slow weight gain.

Bottle Feeding: Evaluation and management of difficulties with bottle feeding including prematurity, uncoordinated sucking, milk leaking, nipple collapse, poor milk transfer, slow or low weight gain, colic, reflux, coughing/choking/gagging with feeding.

Poor Weight Gain: We provide weight checks, monitoring, and management/co-management of infants with poor weight gain due to feeding issues. 

Infant Frenectomy

In Office Frenectomy Procedures: When necessary, due to feeding issues, we perform in office laser frenectomies with a CO2 soft tissue laser. This is a safe and simple procedure that improves feeding, nipple pain, infant comfort, and weight gain when combined with expert lactation/feeding care. ​​

• Billing for Procedures: Frenectomies are billed to the patient's medical insurance. Out of pocket costs will be based on their insurance plan's deductible, cost shares, co-insurance, and co-pays. We are in network with all major commercial insurance plans, local plans, Kentucky Medicaid and Tenncare Wellpoint. ​​​

Who should I Refer?

• Candidates for frenectomy are typically under 17 lbs and under 5 months of age.

• If the baby is older or heavier than these parameters case by case consideration will be made by the provider performing the procedure after in office consultation and evaluation.

• Any family that reports breastfeeding or bottle feeding difficulties should be referred for a full clinical evaluation due to the complex nature of infant feeding.

Support Groups & Classes

Milk Meet Up! Our weekly support group is open to all parents of little ones. This is a free community support group hosted by The Knapp Clinic staff. It is held every Tuesday from 12 - 1pm at the clinic. No registration needed. 

Classes: Check back for updates on classes that will be offered by the clinic in 2025!