Birthstone Midwifery · Murrieta, CA
Lactation Support Covered by Your Insurance
Clinical lactation care provided by Tayna Chessman, Licensed Midwife (LM, CPM). Most families pay $0 out of pocket. Office visits, telehealth, and home visits available throughout Riverside County.
We bill your insurance directly — no claims to file, no referrals needed. Submit your card below and we verify your benefits within 1 business day
We accept Anthem Blue Cross, Medi-Cal, Health Net, Kaiser Permanente, Blue Shield of California Promise Health Plan, Community Health Group, and IEHP (Inland Empire Health Plan). Most families pay $0 out of pocket we bill your insurance directly so you never have to file a claim or chase a reimbursement..
HOW IT WORKS
Most families pay $0 out of pocket. We handle all the billing you just show up and focus on feeding your baby.
Getting your visit covered is simple
Submit your insurance verification form
Upload your insurance card front and back. Takes less than 3 minutes.
We confirm your coverage
Tayna's team verifies your benefits within 1 business day— free, no commitment required.
Book your appointment
Choose office visit, telehealth, or in-home — whichever works best for you and your baby.
Then we take it from there. We bill your insurance directly — no paperwork, no claims, no surprises. You just show up.
Kaiser Permanente · Health Net · IEHP · Community Health Group · Anthem Blue Cross · Blue Shield Promise · California Medi-Cal
Prenatal Consultation
Meet with Tayna before your baby arrives to set your breastfeeding journey up for success. We review your medical history, assess anatomy, and screen for conditions like PCOS, thyroid dysfunction, or prior breast surgery that can affect milk supply, so there are no surprises after delivery.
You'll leave with a personalized lactation plan, a clear picture of what the first days of feeding look like, and confidence heading into birth.
60 min · Most insurance plans covered · Murrieta, CA & Telehealth
Premature Infant Feeding
Late preterm babies (34–36 weeks) may look full-term but often lack the neurological stamina to breastfeed effectively. Tayna provides specialized support for premature feeding dyads — including early milk establishment through pumping and hand expression, paced alternative feeding methods, and guidance on kangaroo care to stabilize your baby and protect your supply.
Whether your baby is in the NICU or transitioning home, we meet you where you are and build a feeding plan around your baby's actual readiness — not a due date.
60–75 min · Most insurance plans covered · Murrieta, CA & Telehealth
Positioning & Latch
Nipple pain, slow weight gain, and frustrating feeds almost always trace back to latch and positioning. In this visit, Tayna walks you through the asymmetric latch technique, helps you master holds like cross-cradle, football, and side-lying, and teaches you how to recognize effective milk transfer — audible swallowing, proper jaw movement, and the difference between nutritive and non-nutritive sucking.
Most families leave this appointment with immediate relief and a feeding session that finally feels right.
~60 min · Most insurance plans covered · Murrieta, CA & Telehealth
Pain and Engorgement
Engorgement, plugged ducts, and mastitis are some of the most painful and most mismanaged — challenges in the postpartum period. The science has changed. We follow the updated ABM Protocol #36 (2022), which means ice instead of heat, gentle lymphatic drainage instead of deep massage, and anti-inflammatory support to calm the inflammation rather than push through it.
If severe engorgement is making it impossible for baby to latch, Tayna uses Reverse Pressure Softening (the Cotterman technique) to move fluid back into lymphatic circulation and soften the areola so feeding can happen.
We also support induced lactation for adoptive and surrogate families, and gentle evidence-based weaning when you're ready — on your timeline, at your pace.
60–75 min · Most insurance plans covered · Murrieta, CA & Telehealth
Clogged Ducts & Mastitis Treatment
Most families are told to push through plugged ducts with heat and deep massage. The problem is that approach often makes things worse — increasing inflammation, damaging tissue, and in some cases accelerating mastitis into abscess.
Therapeutic ultrasound works differently. The micro-vibrations penetrate deep into breast tissue, breaking up the blockage at the source while simultaneously reducing swelling and increasing circulation. You feel warmth, not pain. The duct opens, milk flows, and the inflammation begins to calm often in a single 15-minute session.
This is the same technology used by physical therapists for soft tissue injuries. Applied to lactation, it's one of the most effective and underused tools available and most families have never been offered it.
If you've had a plugged duct that won't resolve, or mastitis that keeps coming back, this may be exactly what your body needs.
15 min · Most insurance plans covered · Murrieta, CA
Poor Weight Gain
When your baby isn't gaining weight the way they should, the fear that sets in is real. Before anything else, we slow down and figure out why because poor weight gain in a breastfed baby can come from several different places, and the solution depends entirely on the cause.
Is your supply low? Is baby transferring milk effectively? Is there an underlying metabolic demand we need to account for? Tayna works through each of these systematically using WHO growth charts designed specifically for breastfed infants, clinical-grade scales to measure exactly how much milk baby takes during a live weighted feed, and output markers like wet diapers and stool patterns to build a complete picture.
If baby needs more milk right now, we may use a temporary triple feeding protocol nurse, supplement, pump to protect baby's growth while your supply catches up. It's intensive, but it works, and we don't leave you to figure it out alone.
You deserve answers, not guesses. This appointment gives you both.
60–75 min · Most insurance plans covered · Murrieta, CA & Telehealth
Milk Supply Issues
Milk supply problems rarely look the same twice. Some families come in barely making enough to satisfy a newborn. Others are engorged, leaking, and overwhelmed by too much. Both are real, both are treatable, and both require a plan built around your body not a generic protocol.
Milk production is driven by supply and demand, regulated by prolactin and a local feedback protein called FIL. When that system gets disrupted by missed feeds, ineffective transfer, hormonal imbalances, or even feeding too much on one side supply can spiral in either direction faster than most families expect.
For low supply, we focus on increasing the frequency of effective milk removal, optimizing pumping technique with hands-on methods, and discussing evidence-based galactagogues when appropriate. We also look at your night feeding pattern prolactin peaks overnight, and those feeds matter more than most people realize.
For oversupply, we use block feeding protocols, positional adjustments, and careful monitoring to bring production down gradually without crashing your supply or triggering mastitis.
Whatever your body is doing, we'll figure out why and build a plan that actually fits your life.
60–75 min · Most insurance plans covered · Murrieta, CA & Telehealth
Returning to Work
Going back to work is one of the most common reasons breastfeeding ends before a family is ready. It doesn't have to be.
The 2022 PUMP Act expanded legal protections for nursing employees significantly — your employer is required by federal law to provide reasonable break time and a private space to pump. Not a bathroom. An actual private space. Nearly 9 million additional workers are now covered under this law, and most employers don't volunteer that information. We make sure you know your rights before you walk back through that door.
Beyond the legal piece, we build you a realistic pumping plan — one that fits your actual workday, not an ideal one. That means mapping out pump sessions roughly every three hours to protect your supply, troubleshooting what happens when meetings run long, and making sure your output stays consistent even when your schedule doesn't.
We also cover milk storage guidelines and caregiver coordination — including how to teach whoever is feeding your baby to use paced bottle feeding, so your breastfeeding relationship stays intact even when you're not there.
You put in the hard work to establish your supply. This appointment helps you keep it.
60–75 min · Most insurance plans covered · Murrieta, CA & Telehealth
Insurance Verification Form
We currently accept many major insurance plans for lactation services, including:
Anthem Blue Cross
Medi-Cal, Health Net
Kaiser Permanente
Blue Shield of California Promise Health Plan
Community Health Group
IEHP (Inland Empire Health Plan)
California Medi-Cal plans. Once your insurance verification form is submitted, our team will review your benefits and respond within 24–48 hours.