Low Milk Supply
Struggling with low breastmilk supply? We can help!
Our nurse practitioner has advanced training in finding the root cause of low milk supply and has strategies to help. Low milk supply consultations are offered at our Madison office and virtually in the state of Wisconsin. Whatever type of visit you choose - we've got you.
Insurance may cover the cost of your visit. Please visit our insurance page for more details.
Finding the root cause of your low milk supply
We strive to help increase your milk supply by digging deep into the possible reasons it may be happening and meeting them head on with a plan specific to you. We go beyond just the milk to address the emotional and mental aspect of low milk supply and make sure each clients needs are met holistically. Our approach is laser focused and goes beyond general lactation supplements and cookies that usually don't work.
In house: lab ordering | interpretation | prescribing
What to expect during your visits with us:
Review Health and Pregnancy History
We will take a deep-dive into your pre-pregnancy health, menstrual history, and pregnancy complications to identify potential factors affecting milk supply.
Identify the onset
We will determine if the milk supply decrease happened suddenly or over time.
What has
been tried so far
We will discuss with you what has been tried so far and suggest changes as needed. Our approach is more than just lactation cookies and supplements.
Identify the
onset
We will determine if the milk supply decrease happened suddenly or over time. This gives us clues as to what may be contributing.
Order
Bloodwork
Lab work can be very useful in determining the root cause of your low milk supply. We order labs for you and use the results to help guide your specific care plan.
​
Talk through current feeding plan
How often and where your baby is being fed is important. Checking your baby's oral function is key to ensure they are efficient. It's important to ensure that pumping is being done optimally.
Physical
Exam
Some anatomical factors can influence milk supply. Assessment of you and your baby help us determine if you have any of those barriers.
Your care plan and recommendations are very specific to your situation and needs.
Low milk supply can be caused by factors such as thyroid issues, anemia, PCOS, insulin resistance, insufficient glandular tissue, nutritional deficiencies, breast and other surgeries, low prolactin levels and much more. When the goal is to increase milk production we dive deep into your lab results and symptoms to identify the cause (or causes). Our suggestions could include prescribed medications, herbal supplements, therapies, specific feeding plan changes, addressing concerns with the baby and more. Let us be your one stop! Our nurse practitioner can order the lab work that you need and prescribe needed medications cutting out the need for the middle man saving you time and possible pushback from other providers. Let us help guide you and meet your feeding goals!
Our team approach works!
All of the lactation consultants on our team have advanced training on low milk supply. We work together to identify clients that need help finding the root cause of their milk supply issues and refer them internally to our nurse practitioner to work virtually on milk supply specific concerns. Working with another lactation consultant outside of Wisco Lactation, but need help on just milk supply? No problem! Virtual initial visits available to anyone no in the state of Wisconsin!
Book an initial visit and let's get started!
Meet our Nurse Practitioner
Alexiyah Coughlin
MSN, RN, WHNP, IBCLC
​
Madison Office
Virtual
I am a nurse practioner and international board-certified lactation consultant (IBCLC) with 6 years of experience in lactation, about 8 years in maternal-child health, and 3 years of “momming” and breastfeeding my own 2 kids. I am currently working on my master’s degree to become a women's health nurse practitioner, which will allow me to provider a greater level of lactation care. I have a diverse background, working in a variety of settings with a wide demographic of patients. Some of my special interests are preventative lactation, tethered oral tissues (TOTs), over-supply, inducing lactation, and hybrid feeding.
I believe that pregnancy and lactation are innate processes, and I love to explore root cause and natural solutions whenever complications arise. I am passionate about expanding equitable access to quality care for pregnant and breastfeeding families. Pregnancy and breastfeeding will likely be some of the most vulnerable times in your life, which is why I encourage families to build an army of support-it really does “take a village”. I look forward to meeting and supporting you through your journey.
​
Trainings:
IBCLC Masterclass
Pumping & Feeding Gear Workshop
Low Milk Supply Certified
IABLE Breastfeeding Medicine Course
PSI Perinatal Mood Disorders Trained​​​
Low Milk Supply Specialist
​
I have had the best experience working with Alexiyah at Wisco Lactation! My first visit was during pregnancy and it was so helpful to have so much knowledge around nursing prior to welcoming our baby girl! I was so overwhelmed prior to working with Alexiyah and since the birth of my daughter, I have had multiple appointments and I learn something new at every visit! Alexiyah has made me feel much more confident in becoming a mother and the ins and outs of nursing as well as pumping! I cannot recommend enough!
Jamie E.