Petite Pediatrics

Appointments: (805) 845-1221
Expecting

Expecting? Request a Prenatal Visit Now.

Expecting

Having or adopting a baby is one of the most rewarding experiences in your life. We are committed to keeping your baby healthy.

Our professional team provides the quality care your child needs and the advice and counsel you want. Our Pediatrician is board-certified by the American Board of Pediatrics and a Fellow of the American Academy of Pediatrics.

Prenatal Consultations

Pediatrician Visit

Dr. Barry offers expecting parents prenatal consult.  Most insurance companies cover this important visit. The visit shoud occur prior to the third trimester of pregnancy. This visit allows expectant parents to find out where we are and provides an opportunity to meet us.

Lactation Nurse Visit

A Prenatal Lactation Visit with Kathy Klammer, RN, IBCLC is recommended for expectant mothers who are anxious about breastfeeding or have specific concerns such as reduction and other breast surgeries as well as illnesses or medications that could affect the breastfeeding relationship. This provides a unique opportunity to discuss concerns, teaching of latch-on techniques and suggestions on how to get off to a good start in the early weeks.

 

 Lactation Services

Petite Pediatrics offers in home or office lactation consultations with Kathy Klammer, RN, IBCLC.  Kathy is available to assist mother and baby with breastfeeding success at the beginning and throughout the breastfeeding period. However, the most optimal time to have a consultation is within 3-5 days of baby's birth.  But anytime there may be breastfeeding difficulties or problems such as decreased milk supply or difficult latching, a lactation consultant can be very helpful. 

How do I set-up a visit?

For new or expecting parents, please contact Petite Pediatrics directly to set-up a new patient consult. Please fill out a lactation consent form that may be downloaded from our website and bring to your first visit. Contact Petite Pediatrics directly for pricing information.

Does my child need to be a patient of Petite Pediatrics to have a Lactation Consultation?

No. The lactation services are available to both established and non-established patients of Petite Pediatrics.

You may contact Petite Pediatrics to set-up a home or office visit for lactation services. Once the initial consultation has been provided, parents may correspond by e-mail or phone:

How is a phone or e-mail consult helpful?

Only limited assistance can be provided by telephone or e-mail.  Most breastfeeding problems are best helped with a thorough face-to-face history and evaluation; however, some mothers are looking for specific information regarding breastfeeding, infant care, special maternal or infant illness or circumstances, or research on compatibility of maternal medication while breastfeeding which may be handled by telephone or e-mail.  

Calls or E-mails might not be returned until the next business day.  When leaving a message, please leave your name, your child's name and date of birth, and your daytime contact number.

When is a lactation visit indicated?

Lactation Visits are recommended for the following situations:
  • Latch on and/or positioning difficulties
Don't try to force the baby to take your breast.  If your baby will not latch, keep your baby skin-to-skin as much as possible, pump your breast every 2-3 hours and feed the pumped milk to the baby, and seek assistance as soon as possible.
  • If baby has a low output of wet diapers and stools; expected output:
Day 1-3 at least 2 stools (each larger than a tablespoon) and 2-3 wets;
Day 3-5 at least 3 stools (each larger than a tablespoon) and 3-5 wets;
Day 5 or older at least 2-4 stools (each larger than a tablespoon) and 6-8 wets per day
  • If baby always falls asleep at breast and doesn't keep up a continuous pattern of suck-swallow for 10-20 minute feeding each breast
  • If your baby has lost more than 7% of birth weight
  • If your breastfed baby is unsettled and cries excessively
  • If mother is anxious about breastfeeding or in need of reassurance
  • With any sore, cracked, or bleeding nipples
  • With engorgement or painful breast
  • With low weight gain (one ounce weight gain per day is optimal between birth and 4-6 months)
  • If you think that your supply is low or if you think you may need to use formula but are reluctant
  • If feedings last longer than 1 hour
  • If baby is excessively fussy or gassy
  • With any special circumstances, such as, premature baby, twins, or maternal health concerns
  • If baby has thrush infection and mother's nipples have become sore

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