Consultations and Services
About Karissa
Karissa is an International Board Certified Lactation Consultant (IBCLC), which is a member of the maternal-child healthcare team with specialized skills in breastfeeding care and lactation management. The IBCLC credential is the highest certification and the only internationally recognized credential in the field of lactation. Karissa has worked with thousands of Families and collaborates closely with their providers to create an effective and cohesive lactation plan. She also has extensive experience as a former Birth Doula and Lamaze Childbirth Educator. She has attended births and taught in birth center and hospital settings. To learn more about Karissa, please click here
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
Location
In The Heart of Delft
Second Nature is located within the serene Womanhood Studio located at Schoolstraat 28, 2611 HS Delft
Alternative Sites
Home visits are limited but available for those in South Holland for an additional travel fee. Please contact Karissa to discuss options.
Menu of Consultation Options
Prenatal Lactation Appointment, €75 Virtual/ €100 In Office
Our time together will be spent answering any questions or concerns that you may have related to lactation. After the consult, you will be sent a recap of the conversation, as well as a personalized suggested reading and research list. Up to 45 virtual/ 60 in person minutes per session.
Topics may include:
- The How: Anatomy and Physiology of the Lactating Breast
- The What: A Baby's Ability to Nurse
- The When: Expectations in First Minutes, Days, Weeks, and Months
- "This Isnt Ballet" : Positioning for Optimal Transfer and Comfort
- The Partner's Role: Empowering the Partner to Support the Mom
- Preparation for Baby and the Fourth Trimester
- Breastfeeding After Breast Surgery
- What makes our consults special? Visit The Anatomy of a Consult
Initial Postpartum Lactation Consultation, €100 Virtual / €150 In Office
Our time together is spent identifying your goals and needs, assessing areas of concern, and crafting a comprehensive care plan together. Up to 60 virtual / 90 in person minutes per session + custom notes provided.
Topics may include but are not limited to:
- General Guidance and Reassurance
- Correcting a Painful Latch
- Exploring Nursing Positions
- Engorgement Relief
- Newborn and Infant Weight Gain and Transfer Challenges
- Exploring Supplemental Nursing Systems
- Breast Refusal
- Bottle Refusal
- Tongue Tie Challenges
- What makes our consults special? Visit The Anatomy of a Consult
Pumping or Returning to Work Guidance, €75 Virtual / €100 in Office
We will focus our time on creating an effective, efficient and sustainable pumping practice. This is a good appointment choice for those who may be returning to work, have decided to exclusively pump, or are simply seeking additional knowledge about pumping. Up to 45 virtual/ 60 in person minutes per session+ custom notes provided
Topics may include:
- Anatomy of Your Pump
- Flange Comfort and Sizing
- The How Tos of Exclusive Pumping
- Creating a Customized Pumping Schedule
- Optimizing Your Pumping Yields
- Preparing to Return to Work
- How to Bottle Feed a Breastfed Baby
- Ways to Collaborate with Your Child's Care Provider
- What makes our consults special? Visit The Anatomy of a Consult
Follow Up, Telehealth €25
These appointments are designed for follow up care with an existing client. Up to 30 minutes of consulting per session+ custom notes provided
Follow Up, In Office €100
These appointments are designed for follow up care with an existing client. Up to 60 minutes of consulting per session+ custom notes provided
The Anatomy of a Lactation Consultation
Karissa has nearly two decades of perinatal care experience and has been an International Board Certified Lactation Consultant for over a decade. She has worked and taught in university hospitals, birth centers, and within private OBGYN and Pediatric practices. She has supported over 5,000 dyads. Her approach is evidenced based and compassionate. She is a native English speaker. To learn more visit here.
Consultations may feel casual and relaxed, but they are comprehensive. When reserving a consultation, you will be sent an intake form. Karissa reviews this information prior to your consult so that she has a clear idea of your medical and birth history. The time spent with you is dedicated to discussion, collaboration and hands on support.
So what do you need to have handy for the consult?
- Have everything you use on a daily basis to feed your baby available at the consult. Have questions about your pump? Bring it! Are we working on bottle refusal- consider having some pumped milk available. Have a favorite pillow you nurse with? Have it at the ready!
- I highly suggest bringing your Partner or a support person with you.
- In addition, having a list with all of your questions can be helpful- notes needn't be taken as I will send you a comprehensive summary of our meeting.
- Come exactly as you are in the moment. I will meet you where you are with compassion.
FAQs and Procedures
Payment is required to reserve a consultation. An invoice will be sent after the consult, which can be used to request reimbursement from your insurance provider. To learn more about Dutch insurance reimbursement, please click here.
In person consults often require travel, require prep time, and usually last longer. These considerations on factored into the cost of the consult.
- Have everything you use on a daily basis to feed your baby available at the consult. Have questions about your pump? Bring it! Are we working on bottle refusal- consider having some pumped milk available. Have a favorite pillow you nurse with? Have it at the ready!
- I highly suggest bringing your Partner or a support person with you.
- In addition, having a list with all of your questions can be helpful- notes needn't be taken as I will send you a comprehensive summary of our meeting.
- Come exactly as you are in the moment. I will meet you where you are with compassion.
Your well being is of the utmost importance. You are encouraged to contact Karissa directly if you have questions or concerns about your care with Second Nature Lactation.
Every IBCLC lactation consultant is legally required to be registered with an external dispute resolution body, where you as a client can submit your complaint.
The dispute resolution body is an independent institution. It primarily acts as a mediator. If this proves insufficient, further steps are also possible. The decision is binding. To learn more visit NVL or contact Klachtenportaal Zorg
Copyright © 2021- 2025 Karissa Binkley, All Rights Reserved.