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Please note that we are on vacation through July 26th!

About Your Lactation Consultant

Karissa facilitates in the process of developing a comfortable and healthy breastfeeding relationship. She also works with those who choose not to feed at the chest. She named her practice  Second Nature  because clients reach out when something just doesn't feel right. It is her goal that through compassion and education, parents are able to become comfortable with the process as if it's second nature.   


Karissa has worked with over 1,000 Families in both private practice and at the lactation clinic she founded at Cary Pediatrics. Her holistic approach is based on the most up to date evidence based information,  and in the  belief that empowerment comes through education and compassionate care. Karissa is an International Board Certified Lactation Consultant.  An IBCLC is a healthcare professional who specializes in the clinical management of breastfeeding and lactation. 


To learn more about Karissa and how she practices, please visit the links below

Karissa's personal bio

Linkedin professional bio

Karissa's consulting style 

A 2019 WRAL Interview 

Kind Words

 "Karissa was a BLESSING to me after my son was born! We were having issues nursing & she was a huge help! She made me feel so comfortable & is the reason my son & I had such a great nursing relationship"  -Rachel B

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Menu of Lactation Consultation Services

Home Visit Lactation Consults $225

Lactation Consultations within the comfort of your own home.  Includes 

  • In Home Consultation
  • Telehealth or Phone Follow Up
  • Access to Secure Portal Email

 We want to be make sure that we meet your needs! We are available evenings and weekends. PLEASE NOTE THAT CONSULTATION REQUESTS LESS THAN 24 HOURS IN ADVANCE MUST BE SCHEDULED BY CALLING 919-961-9885  

Schedule an Appointment

Office Consultation $150

Lactation consultations in a serene office located in Apex, NC. Includes

  • Office Consultation
  • Telehealth or Phone Follow Up
  • Access to Secure Portal Email

We want to be make sure that we meet your needs! We are available evenings and weekends. PLEASE NOTE THAT CONSULTATION REQUESTS LESS THAN 24 HOURS IN ADVANCE MUST BE SCHEDULED BY CALLING 919-961-9885 

Schedule an Appointment

Telehealth Consultation $30

20 minute video conferencing for prenatal lactation consults, returning to work pumping guidance, and for established clients. 

 Topics may include:

  • Established Client Consults (Initial consults must be in person)
  • Prenatal Q&A
  • Returning to Work Guidance
  • Pumping Schedule Strategies

 We want to be make sure that we meet your needs! We are available evenings and weekends. PLEASE NOTE THAT CONSULTATION REQUESTS LESS THAN 24 HOURS IN ADVANCE MUST BE SCHEDULED BY CALLING 919-961-9885  

Schedule an Appointment

Twin Home Visit Consult $275

 Lactation Consultations within the comfort of your own home.  Includes  support for lactating parent and both babies. (If you need support for one baby, please schedule under  a singleton consult. For help with more than two babies, please contact Karissa.

  • In Home Consultation 
  • Telehealth or Phone Follow Up
  • Access to Secure Portal Email

 We want to be make sure that we meet your needs! We are available evenings and weekends. PLEASE NOTE THAT CONSULTATION REQUESTS LESS THAN 24 HOURS IN ADVANCE MUST BE SCHEDULED BY CALLING 919-961-9885  

Schedule an Appointment

Twin Office Consult $200

 Lactation consultations in a serene office located in Apex, NC.  Includes  support for lactating parent and both babies. (If you need support for one baby, please schedule under  a singleton consult. For help with triplets, please contact Karissa.

  • In Home Consultation
  • Telehealth Video or Phone Follow Up
  • Access to Secure Portal Email

 We want to be make sure that we meet your needs! We are available evenings and weekends. PLEASE NOTE THAT CONSULTATION REQUESTS LESS THAN 24 HOURS IN ADVANCE MUST BE SCHEDULED BY CALLING 919-961-9885  

Schedule an Appointment

In Office Follow Ups & Prenatals $75

These 60 minute meetings are for uncomplicated  lactation follow up appointments and prenatal breastfeeding guidance in our Apex office. 

 We want to be make sure that we meet your needs! We are available evenings and weekends. PLEASE NOTE THAT CONSULTATION REQUESTS LESS THAN 24 HOURS IN ADVANCE MUST BE SCHEDULED BY CALLING 919-961-9885  

Schedule an Appointment

Frequently Asked Questions

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Do you take insurance?

We are an out of network provider; however, we do take FSA/HSA  card payments. After a consultation, you will be sent a superbill that you can submit to insurance for a reimbursement request. 

What should I bring with me to a consult?

Bring anything and everything that you use in your daily life to feed your baby. It could range from just the two of you and a pillow, to bringing pumps, bottles and your extended family. 

How quickly can I be seen?

We try to get you in as soon as possible. We've been there and know that support is needed quickly! If you need to be seen same day, please call 919-961-9885 as our portal will not allow you to schedule any earlier than a day out. 

How many consults will I need?

Initial consults are pretty darn comprehensive and we encourage email and video chat  follow up. Usually one consult will get you moving in the right direction, and very often that is all that is necessary. 

Is a Lactation Consultation Right for Me?

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How Can a Consult Help Me?

Lactation consultations are customized to meet a client's needs. It is your time to discuss the topics you want to address. There are hundreds of reasons to see Karissa, here are a few: 

  • Assessment for painful latching 
  • Engorgement 
  • Infant weight checks  
  • Identifying the Partner's role in lactation 
  • A prenatal meeting to set yourself up for success 
  • Breast or bottle refusal 
  • Preparing for lactation after breast surgery 
  • Inducing lactation without pregnancy 
  • Creating a pumping schedule for returning to work or for non- chest feeding 
  • Lactation after trauma 
  • Transitioning from the NICU 
  • General Reassurance