Very rarely. Most breastfeeding problems need practical, hands-on help, which I cannot provide via a telephone. The answers to most questions are covered in great detail in my books and DVD, so it’s best to look at these before ringing me. If you do not live in the London area and are desperate for help, please ring me on 020 8788 8179 to discuss whether telephone advice would be better than nothing. NB. During busy times, I’m afraid I cannot guarantee to return calls.

Yes: If you live within reasonable travelling distance of Putney (SW15 1BG), I am happy to come to you.

NB. I charge more for home visits as I include my travel time & costs.

Sadly not! I can give usually help with problems such as:

• difficulties in latching
• sore nipples
• engorged breasts
• mastitis
• unsettled babies

but I cannot always help if:

• you have a low milk supply and standard advice (eating, drinking, feeding & expressing) has not worked
• your baby is unable to suck efficiently at the breast (some babies can’t) even though he has no obvious problem such as tongue-tie

Yes. I am happy to give informed and unbiased advice on all equipment, including:

• nipple shields
• breast pumps
• bottles/teats
• formula milks

I have a very different approach to breast feeding, in particular when it comes to latching the baby on. I completely disagree with the ‘nose-to-nipple’ method which is the current trend as I think this makes it more difficult for the baby to latch on & is often the main cause of sore nipples. I can usually demonstrate that my ‘mouth-to-nipple’ followed by ‘shape-and-shove’ technique immediately helps:

• the baby to latch on quickly & easily
• to prevent sore nipples
• to enable the baby to get the milk more easily, so feed times are shorter

Yes. In addition to home & hospital visits, I also see clients in my consulting room in Putney (SW15 1BG).

Yes. It can be very helpful to have a second pair of eyes and ears, especially in the early days when you might be very tired and finding it hard to focus. You are very welcome to bring anyone you want – your partner, a family member, a friend and/or your maternity nurse

I normally see a client once, for one hour only. It is very unusual for a client to need a second session. This is usually enough time to resolve the problem and then explain how breastfeeding works. I will discuss:

• how long a feed should last
• how you know when your baby has had enough milk
• whether to use one breast or two
• how frequently to feed
• common ‘baby’ problems such as wind, colic & reflux
• common breastfeeding problems such as low milk supply, unsettled after feeds

I charge £140 for a consultation at my house in Putney (SW15 1BG), which normally lasts about one hour or longer if needed. I charge more for doing home visits to reflect the time involved and charges will vary depending on how far I have to travel.