Pre- and Post-Frenectomy Therapy
Occupational Therapy: A Whole Body Approach to Infant Feeding Therapy and Development.
MS, OTR/L, IBCLC, CNT, NTMTC
Lactation Consultant &
Pediatric / Neonatal Occupational Therapist
Rachel is an International Board Certified Lactation Consultant (IBCLC) and Occupational Therapist (OT) specializing in infant feeding and development. She has experience working in several neonatal Intensive Care Units (NICUs) and outpatient settings, with both healthy and medically complex preterm and term infants. This includes a decade working at Children's National Health System (the #1 ranked NICU by U.S. News and World Report) providing infant feeding/swallowing, developmental, and sensorimotor assessments. She has additional training in tethered oral tissue (TOT) and therapy for infants before and after release/revision. Rachel's practice pairs her unique skill set as an OT with the science of lactation to support each client's goals with breast or bottle feeding. Rachel uses a whole body approach to infant feeding and development. She is also a proud former NICU mama of a 33 week preemie who, with a little help, became a breastfeeding champ!
Certified Neonatal Therapist (CNT)
Neonatal Touch and Massage Therapist Certified (NTMTC)
TummyTime! Method Certified Professional
At my baby's two week appointment I was told she was not gaining weight. The pediatrician went ahead to tell me that she has seen this many times and I must not be making enough milk and will need to start using formula. I was confused and overwhelmed and contacted Rachel for help. She was AMAZING. She quickly put me at ease and set me up with a plan that included parallel pumping and feeding the extra pumped milk after nursing. She taught me alternate holding techniques to get a better latch and help my baby more effectively transfer milk. Within a week, I had a fabulous milk supply and went back to exclusive nursing without extra pumping. Thanks to Rachel's expert advice and support, I was able to breastfeed my baby until 18 months when I chose to stop because I was pregnant with number two.
-A.B, Friendship, MD
-A.M, Silver Spring, MD
If I didn't have Rachel, I don't know what I would have done! I would Google my questions everyday and get overwhelmed with the various sources of information as a new mom but Rachel came to the rescue with all of my lactation needs. She answered all of my questions and helped me figure out a real plan that worked specifically for me. Thank you Rachel for being a part of the most vulnerable stage of my life and helping my feel confident with my decisions.
Tethered oral tissue (TOT) can cause a variety of feeding issues. It's important to look at the structures and oral function to determine which types of intervention are needed. Having a tie savvy therapist who is also a lactation consultant is key to maximizing function for breast and bottle feeding, while protecting mom's milk supply. If a surgical release is chosen, therapy pre- and post-release, education on wound care, and neuromuscular re-education are important to getting the best outcomes.
Prematurity & Medical Complexity
These babies are near and dear to my heart and among my specialties. In addition to my own personal experience as the mom of a preemie, I have worked with many premature and medically complex infants on all aspects of feeding, swallowing, and sensorimotor development. And I truly love seeing the big changes that come with small steps.
Low Milk Supply
Let's figure out the cause of your decreased milk production, methods to increase your supply, and things you can do now to help.
Oversupply & Forceful Letdown
While having some extra milk may be a good thing, an excessive amount can cause problems. Let's make a plan to safely regulate your supply without compromising it. Positioning, feeding technique, and other tools can have an immediate impact.
A painful latch can be the symptom of different issues and the cause of others. I will help you correct the latch, may change your positioning, assess infant oral anatomy, and suggest products or care plan to stop any damage that may be present
How do you know if you are using the right size flange? How do you store milk and for how much time? How long and how often should you be pumping? I can help guide you on these and other pumping related questions.
This can be very frustrating for parents and baby. The good news is there are ways to avoid this (if it hasn't already happened!) and ways to work towards fixing the problem.
Whether due to prolonged separation resulting in delayed breastfeeding at birth, a nursing strike, or a new issue, we can work together to develop the right solution.
Back To Work
Going back to work can be both an exciting and stressful time. Let me help you figure out a plan for pumping and storing your breastmilk at work. We can figure out what items may be helpful to you and a plan to get started with the process before returning to work. Visit my Resources page for a link to go over your rights as a breastfeeding mother in the workplace