Breast Feeding


Complete Breastfeeding

All lactation visits take place at the Lactation Office of Rosalba Gutierrez, IBCLC located at 3100 Richmond Ave, Suite 401. Houston, TX 77098.

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

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

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. We evaluate baby’s muscle tone, structural alignment, cranial and facial features, state of autonomic regulation and oral cavity and tongue functionality. Observe a feed to complete our evaluation.

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 a full plan of care sent by e-mail. My secure HIPPA compliant platform allows for parents to communicate or ask questions when needed.

Most times, a follow-up appointment is set at the end of the initial visit

Follow-Up Visit

This visit is an extension of the initial evaluation. Complex issues may require multiple visits. Examples are preparing the baby and the family for TOT’S release, oral habilitation post frenectomy, comprehensive lactation management support, weight gain issues, failure to thrive, among others. We’ll always address the needs of the dyad in helping parents achieve their own level of success at breastfeeding.

Oral habilitation post frenectomy may require multiple visits based on complexity.


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

Consultation Fees

  • Prenatal Breastfeeding Education  $125
  • Initial Breastfeeding Evaluation   $195
  • Twins Initial Breastfeeding Evaluation  $220
  •  Follow-up visit  $165
  • Additional Follow-ups up to one hour $95


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 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. 

* We also accept some BCBS and CIGNA plans