Breast Feeding


Complete Breastfeeding

All appointments are made at the Lactation Office of Rosalba Gutierrez, IBCLC located at 3100 Richmond Ave, Suite 401. Houston, TX 77098.

Home visits are reserved for mother of multiples, premature infants or some health concerns. Please discuss your particular needs when making the appointment at 281-725-8200 or


Prenatal Breastfeeding Education

This 75-minute visit will cover the essentials for successful breastfeeding initiation during the hospital stay, first days of life and “know when to call for help”.


Initial Breastfeeding Evaluation

Initial visit generally takes 2-2.5 hours. A complete assessment of the breastfeeding dyad is obtained which includes reproductive history, birth experience, medical interventions and state of milk production. Evaluation of the baby’s muscle tone, structural alignment of the cranial and facial features, oral cavity and tongue functionality. Observe a complete feed for latch, use of lips and tongue and milk transfer.

A complete plan/recommendations based on individual needs and breastfeeding goals. Based on findings, recommendations for additional therapies will be discussed.

The initial visit includes communication by e-mail or texting and brief phone conversations for plan clarification up to a week of the initial appointment.

Our lactation practice is HIPAA compliant. You will be asked to sign a consent form for your lactation services and you will receive a copy of the Lactation Consultants Notice of Privacy Practice.


Oral functional Evaluation and Habilitation

This visit will address infant specific needs post frenotomy. Tongue function will need habilitation to generate proper movements and to gain strength. Our work will be supported by any other therapy deemed necessary for the best outcome. We highly reinforce working in parallel with the Chiropractor, DO or pediatric LMT. Old patterns and compensations need to be replaced by a new gained function. 


Lactation Follow Up visit

This visit often is combined with the oral habilitation. Our work is dedicated in working with the dyad. We’ll always address both needs with the ultimate goal of successful breastfeeding.

Other complex issues will require additional visits as well.



Our office ours are 10 am to 5 pm. We work diligently to accommodate your needs.

We reserve weekends and holidays for urgent visits only.


Consultation Fees

  • Prenatal Breastfeeding Education  $125
  • Initial Breastfeeding Evaluation   $195
  • Twins Initial Breastfeeding Evaluation  $220
  • Oral Functional Evaluation and Habilitation   $95
  • Lactation follow-up   $135


Payment is due at the time of service.  We accept all major credit cards, personal checks or cash. Your health care savings account can be used for payment as well.

We will provide you with a fully coded receipt of the services received that you can submit to your insurance for reimbursement. We cannot guarantee the results of your claim submission.

* We are in network with AETNA. Please let us know if you are a member when you make the appointment. We recommend you call them to verify lactation coverage before coming to your appointment.