Lactation Support

Dr. Merkle has enhanced his pediatric practice by joining with Mahala Lactation & Perinatal Services, a well known and established group of lactation consultants (IBCLCs) in the area. Now, lactation support is available and covered under our accepted insurance plans.

What is an IBCLC?
IBCLCs have the highest level of credential available for healthcare professionals who specialize in breastfeeding. They are required to stay up to date on the latest evidence-based practices in lactation and to demonstrate their skills through a rigorous exam process. IBCLCs abide by a common Standard of Practice, and they work within a Scope of Practice.
In the state of New Jersey, 81% of moms start out intending to breastfeed their babies. By three months, less than half are still breastfeeding. We can help you reach your breastfeeding goals, whatever they are.
Breastfeeding help is now available and affordable!
An IBCLC can help if:

You have questions about breastfeeding

You are experiencing breast/nipple pain or trauma

Your baby is not gaining weight or gaining weight slowly

Your baby's diaper output is insufficient

Your baby is jaundiced

Baby falls asleep quickly at breast or sleeps through feedings

Baby is crying, "colicky", seems to be hungry all the time or never satisfied after feeding

You need help or have questions about bottle feeding or supplementing

You did not experience breast changes with pregnancy or after delivery

You have a history of nipple or breast surgery (augmentation, reduction, biopsy, piercing, etc)

You have a history of hormonal or anatomical challenges (thyroid issues, flat or inverted nipples, insufficient glandular tissue)

You have noticeably asymmetrical breasts

You've had a difficult previous breastfeeding experience

You are having latching or positioning difficulty

You have a premature baby

You gave birth to multiple babies

You are adopting a baby (yes, you CAN breastfeed!)

Your baby has special needs

You are experiencing breast engorgement

You have not noticed your milk "coming in" by day five

You're returning to work or school and have concerns