Lactation Consultant

Lactation services are provided by Tiffany Carter Skillings, CPM, IBCLC

Breastfeeding can be one of the most natural and enjoyable interactions between a parent and their child–but that doesn’t always mean that it is easy.  If you are facing breastfeeding or bottle feeding challenges, I am here to help you and your family.

As an International Board Certified Lactation Consultant (IBCLC), I provide education and hands-on support with their individual breastfeeding needs.  I am available for visits at my office in Yarmouth, in the comfort of your home and under special circumstances, via Skype or FaceTime.

For urgent assistance with breastfeeding, please call my pager at 207-759-1005. For most families that require urgent help, we are able to work together in person within 24 hours of when we first speak over the phone, as needed.

Insurance billing is provided for my clients through Tree of Life. Most major insurance plans, such as Aetna, Anthem, Cigna and Harvard Pilgrim, will provide some degree of coverage for lactation services and supplies. I encourage you to call your insurance company before you book a visit to learn more about your individual coverage plan.  If your insurance is unable to cover your care, you will be responsible for paying the fees associated with your lactation care.  To lean more about your insurance coverage rights for lactation care through the Affordable Care Act, click here:

To learn more about IBCLCs, click here:


Lactation Services Provided

  • New Client Lactation Consultation  – 90 minutes
    • Includes a complete medical history for you and baby, breast assessment, infant oral/facial anatomy assessment, weight check and feeding assessment. Assistance with positioning, latch, therapeutic exercises, pumping, breastfeeding tools and supplementation, as appropriate. A written feeding plan is provided  to you and a copy of the chart note can be faxed to your provider upon request.
  • Repeat Client/Lactation Consultation Follow Up – 60 minutes
    • Includes a review of recent changes and feeding plan, weight check, and feeding assessment. Assistance with positioning, latch, therapeutic exercises, pumping, breastfeeding tools and supplementation, as appropriate. A written feeding plan is provided  to you and a copy of the chart note can be faxed to your provider.
  • Prenatal Consultation – 90 minutes
    • Includes a complete medical history for you and a review of any of your concerns, anticipated challenges and previous breastfeeding experiences (if applicable). I provide assistance with developing a birth plan that is supportive of exclusive breastfeeding and discuss early infant feeding, bonding and how to express milk.  Will be on call for you once you have given birth and recommend at least 1 lactation visit at home in your baby’s first week of life.
  • Weight Check Only – 30min
    • For current clients who need a weight assessment to determine if feeding plan is still appropriate or if the feeding plan needs updating or alterations.
  • Additional Services, include:
    • Reports sent to your Primary Care Provider, OB/GYN, Midwife, or Pediatrician, as requested
    • Referrals for other supportive services in the community such as pediatric dentists for tongue tie revision, craniosacral therapists, occupational therapists, speech & language therapists and others

Some reasons why clients call a lactation consultant for help:

  • Sore Breasts or Nipples
  • Inadequate Milk Supply
  • Poor Weight Gain/Weight Checks
  • Adoptive Breastfeeding/Inducing Lactation
  • Tongue & Lip Tie
  • Pumping or Returning to Work
  • Supplementation
  • Weaning/Introducing Solid Foods
  • Premature Baby/Low Birth Weight
  • Breast milk Donation
  • Reflux/Colic/Allergies in Breastfed Infant
  • Mastitis

Milk Depot for Mother’s Milk Bank Northeast

Tree of Life is an official breast milk depot site for donors who are registered with Mother’s Milk Bank Northeast.

A breast milk depot is a community location where screened milk donors can drop off milk for a shipment to a milk bank.  The milk bank screens, pasteurizes, and tests the milk for dispensing primarily to premature and sick babies whose mothers do not have enough milk for them.  Maine Medical Center currently uses Mother’s Milk Bank Northeast donor milk as its standard of care in the NICU.

Just 1 ounce of human breast milk represents 3 meals for a preemie in the NICU and can greatly decrease the risk of babies developing both acute illnesses, such as a life-threatening condition, necrotizing enterocolitis.  Human milk can decrease the risk of this condition by 79%.

At Tree of Life, we feel honored to be a part of a community of women who are eager to share the gift of their milk with other babies who are vulnerable during the most crucial time in their development.  Please consider helping the most fragile people in our population by sharing your oversupply of breast milk.  Interested in becoming a donor, call the staff at Mother’s Milk Bank Northeast at 617-527-6263 ext. 3.

Tree of Life Naturopathic and Midwifery Care in Yarmouth is opening the state’s second milk depot. Donated milk will be stored in a freezer and distributed to babies in need.

To schedule a time to drop of milk if you are already a registered donor, call Tiffany at 207-846-4900. Please have your donor number ready when you contact us.