Breastfeeding Medicine

What is Breastfeeding Medicine?

Many families have the intention to breastfeed, but issues can arise along the way that make this challenging. Breastfeeding Medicine Physicians provide evidence based care that addresses medically complex problems breastfeeding families encounter.

To be able to provide these services, Dr. Trambert completed a one-year clinical fellowship at Duke Family Medicine and Community Health in Breastfeeding Medicine. She is also participating in a two-year fellowship curriculum through the University of Rochester. 

Photos provided by friends and family of Carrboro Pediatrics

Dr. Trambert enjoys partnering with lactation services in the community, and families’ obstetric and pediatric providers to meet the unique needs of each family. If you are not one of Dr. Trambert’s primary care patients, she is happy to see your family as needed specifically for breastfeeding issues; you can continue to follow with your other providers for usual care.

Common Reasons to be Seen

Parents:

  • Milk supply issues (over and under supply)
  • Breast or nipple pain not alleviated after working with a lactation consultant
  • Evaluation of medication safety in lactation
  • Complicated mastitis courses
    • recurrent mastitis 
    • follow-up after breast abscess
    • wound care, if needed
  • Dysphoric Milk Ejection Reflex (DMER) – feelings of sadness/nausea etc with letdown
  • Recurrent clogged ducts
  • Breast/nipple skin problems (blebs, blisters, nipple cracks, rashes, etc)
  • Bloody milk

Infants:

  • Tongue tie; Dr. Trambert is credentialed to do scissor releases if necessary
  • Poor weight gain
  • Medical issues that are affected by/impact feeding
  • Abnormal stooling
  • Concerns for food allergies
  • Prematurity

Prenatal Consults:

  • History of breast surgery (augmentation, reduction, biopsy, nipple piercings)
  • History of low supply/feeding difficulties in prior pregnancy
  • Multiple risk factors for low supply, which can include diabetes (gestational, pre-diabetes, etc), obesity, PCOS, history of infertility, etc.
  • Breast shape concerning for insufficient glandular tissue
  • Induced lactation (for co-lactating parents, or lactation induction for a surrogate pregnancy)
  • Twins/multiples
  • Flat/inverted nipples (these parents can absolutely see a lactation consultant! However, if insurance won’t cover prenatal education, Dr. Trambert can bill insurance for a visit.)

Please call our clinic and ask for a Breastfeeding Medicine appointment if you would like to see Dr. Trambert. For the initial visit, Dr. Trambert typically evaluates both the lactating parent and the infant in person to be able to fully address the issues impacting the family. However, if needed or if preferred for follow-up visits, Dr. Trambert can also do telehealth. 

Resources for Breastfeeding Families 

While these are organizations we trust and respect, we are not monitoring these websites to ensure accuracy of all information provided. If you have any medical questions or concerns, please don’t hesitate to reach out to our clinic, or your provider for an evaluation.

Educational Resources

Medication Safety

Triangle Breastfeeding Resources

Refer to the Breastfeeding Medicine Clinic

Referral in UNC Epic:
Ambulatory Referral to Family Practice
Provider: Trambert Kylstra, Emily
Location: Carrboro Pediatrics and Internal Medicine
Address: 127 Fidelity St. Carrboro, NC 27510
Reason: Breastfeeding Medicine

If not using UNC Epic, please fax your referral to our office
Phone: 919-933-8381
Fax: 919-933-6623