Frequently asked questions

Do I need a Prenatal Visit?

We always prefer to prevent problems before they arise.  Flow Lactation offers two types of prenatal lactation education: group classes, and individual consults. Both of these are in the Crozet office. Group classes are designed for first-time moms who have decided to breastfeed. Individual consults are for experienced parents, or first-time parents who want more personalized guidance.

We can discuss which supplies to have on hand and how to enable your family or friends to support you. Aetna typically covers 6 lactation consults, so many families who have Aetna choose to use one visit during pregnancy.

Do You Take Insurance?

Yes, we are in-network with Aetna. We bill them directly, and if both the lactating parent and baby are on the Aetna plan, 6 visits should be covered at no cost to you. *We always recommend that you verify benefits prior to booking an appointment.

What is an IBCLC?

Many clinicians may be considered “lactation counselors” or “lactation consultants”, but earning the credential of an IBCLC  is considered the gold standard in lactation care. IBCLC stands for International Board-Certified Lactation Consultant. This is the highest lactation-specific accreditation for healthcare providers. IBCLCs are recognized as lactation experts around the world.

IBCLCs are credentialed by the International Board of Lactation Consultant Examiners. In order to become an IBCLC, one must have completed:

  • 14 health science courses
  • 300-1,000 hours of supervised clinical practice working with lactating people
  • 95 hours of lactation-specific education

IBCLCs apply for recertification every 5 years, and must have:

  • 250 hours of clinical practice working with lactating people
  • 70 hours of lactation-specific education
  • 5 hours of education on ethical care
  • Basic Life Support (CPR) certification

What to Expect at an In-Home Consult

At every visit, we first and foremost respect that we are guests in your home. We take shoes off if you prefer. We wash hands. And we ask permission before any assessments. Because it’s the right thing to do.

We often want to see a full feeding or pumping session during our time together. Plan for us to be wherever you do your work, whether it’s on the couch, in a nursery, or in your bedroom. If baby is fussy and hungry right before your appointment, it can help to walk around with baby snuggled up close to you in a soft swaddle or carrier.

Ashley Fore

What to Expect at a Virtual Consult

We rely on you to be our eyes and ears from afar, so sending a few short videos in advance is key. With videos taken in advance, there’s no pressure to time the visit around a feeding. We will review the videos together, and you can always have friends or family join the virtual visit if they will be a part of your support team. We offer a HIPAA-compliant platform to protect your privacy, and find that we’re able to connect really nicely with families this way, even from a distance. (real pants are optional, comfort is a must.)

Cancellation Policy:

Please give 24 hours notice. This is a small practice and we want other families to have access to care if you will not use your appointment.  You may be charged a cancellation fee if you cancel within 24 hours of your appointment. We understand that emergencies happen—please contact us as soon as possible if this applies to you.

What are your specialties?

Ashley has been supporting birthing families for over a decade. She has professional training and personal experience in many aspects of lactation. Ashley’s interests include helping families who may be struggling with a spitty baby, oversupply/engorgement, low milk supply, tongue tie, babies who breastfeed past 6 months, babywearing and breastfeeding, gentle weaning, and all things pumping. As a former fertility clinic nurse, she has a special place in her heart for families who have gone through a fertility journey prior to the pregnancy.

What if I don’t have Aetna?

Verify your benefits directly with your insurance company. You must pay up-front for an appointment, but after your visit you will receive a Superbill, which is a form with insurance coding. You can submit the Superbill to your insurance company for (hopeful) reimbursement. If you have any issue with getting reimbursed, the National Women’s Law Center Breastfeeding Toolkit is for you.

What if I live outside of the Charlottesville area (Albemarle County) in Virginia?

Flow Lactation has an office in Crozet, VA. Additionally, virtual visits are available, and Ashley has worked with families all over the world to provide breastfeeding support.

What is your COVID protocol?


We continue to follow local guidelines.

Flow Lactation has a responsibility to the community to provide safe, effective care. Ashley has been fully vaccinated and boosted against COVID-19.

We prioritize the safety and comfort our most vulnerable clients, the babies. Since masking and vaccines are not an option for them, we wear a mask at every in-home visit, and are happy to mask for office visits if you prefer.