Keep Going Mama!

Image of lactation consultation.

You are making a great choice for you and baby and you are enough. Breastfeeding is different for everyone. It can be frustrating, difficult and exhausting both physically and emotionally.

While our team specializes in the strategies for success, Lactation Counseling at JRMC is most regarded for supplying moms with what they need most; confidence.

Of course breastfeeding is natural, instinctual act, but it is also a learned skill that improves over time. Let’s work together to find what brings you success.

It gets easier. Promise.



Certified Lactation Counselors work with you to create an individualized plan for success, including:

  • latching assessment
  • milk supply
  • baby refusing breast
  • feeding positions
  • feeding schedules
  • painful (sore/cracked) nipples
  • engorgement
  • flange fitting and pump troubleshooting
  • public breast feeding tips
  • back-to-work planning
Image of baby breastfeeding


Breast milk is the best source of nutrition for your baby. Not only is it good for baby, but it helps reduce your risk of ovarian cancer, type 2 diabetes and high blood pressure.

Image of baby breastfeeding


Anywhere a mother may feed her baby a bottle, she may also breastfeed. All 50 states have laws that protect this right. JRMC is also proud to be designated an infant-friendly workplace.

Image of Mercede Fiebiger - lactation consultation


Relaxation is part of how we increase your chances of success. Providing you with a space that emphasizes comfort and delivering care in a way that builds trust are both priorities.

Your Visit

Visits vary based on what you are experiencing, but you can expect a welcoming, private and patient environment. Visits typically include a close observation of a feeding, including taking babies weight before and after. Most visits include a latch assessment and nipple sizing. This care involves touching the breast and nipples, while closely observing baby’s latch.

Initial lactation consults are provided by the nurse practitioner and covered by most insurance. Subsequent visit for support can be made with either provider and are at no charge.

Start Early

It is important to seek help early to establish success.

Help with breastfeeding can happen before your baby’s birth, while an inpatient in the Family BirthPlace, immediately after you go home or even later if you are encountering a challenge.


Your Team

Relax. You are in a judgement-free zone and in the great hands of moms, just like you. In addition to their already awesome credentials, both team members are Certified Lactation Counselors (CLC) and a part of the James River Valley Breastfeeding Coalition.

Image of Makenzie Breitbach, OB/GYN Nurse Practitioner
Makenzie Breitbach, DNP-C
OB/GYN Nurse Practitioner

Breitbach is an experienced obstetrical nurse and since completing her doctorate, is a member of the women’s health team at JRMC. In addition to lactation counseling, Breitbach see women for other health concerns, including annual exams, pregnancy, birth control options and acute issues like abnormal bleeding, urinary tract infections and more.

Image of Mercede Fiebiger, Specialty Clinics Manager
Mercede Fiebiger, RN
JRMC Specialty Clinics Manager

Fiebiger is a long-time neonatal intensive care nurse. She has supported breastfeeding journeys in some of the most difficult circumstances. In her role as the JRMC Specialty Clinics Manager, she played a key role in identifying the need for lactation support services and can be counted on to advocate for moms like you.

Breastfeeding Welcome Here logo

James River Valley Breastfeeding Coalition logo

La Leche League International logo

The lactation clinic is made possible by a contribution from retired physician Dr. Glenn Wiens. Dr. Wiens retired from Essentia Health in 2022. Though he worked for Essentia, he was a rotating hospitalist at JRMC and delivered babies in the JRMC Family BirthPlace. He loved working with the nurses and families at JRMC so much he wanted to give back.

Schedule My Lactation Consultation