We’re Here To Support The Whole You
At Piena Lactation and Wellness, we care about every part of your journey. That’s why our care goes beyond breast/chest feeding. From in-home lactation support in Los Angeles to movements designed to reconnect you to your body. Our evidence-based, inclusive approach meets you exactly where you are.
SERVICE ONEBreast/chest feeding & Infant Feeding Support
Every feeding experience is different. We’re here to be your support system while working together to figure out what works best for you and your baby. Our main goal? To make sure both you and baby are growing and thriving.
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75 minutes
In-home: $200 / Virtual: $150These classes will set you up with everything you need to prepare for the arrival of your little one. Whether you’re planning to breast/chest feed or exclusively bottle feed, learning the basics before your baby arrives ensures you will be confident in your approach and enjoy those first few months without overwhelm.
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120 minutes
In-home: $300 / Virtual: $250
*twins add $50This consultation will begin with a full history of mom and baby’s feeding journey. We will perform a breast exam and an oral assessment for your baby to check on mouth and tongue function, helping ensure comfortable, effective feeding.
We will also conduct a weighted feed, gently weighing your baby before and after a feeding to assess how much milk they’re taking in, ensuring they’re getting the nourishment they need. This consultation will leave you with a plan of care and any questions answered.
And because post-baby brain fog is real, we offer 24/7 text and email support for one full week after your session, so you’re never left trying to remember everything on your own.
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90 minutes
In-home $250 / Virtual $200
*twins add $50During this session we will conduct a weighted feed, update your plan of care (if necessary), and answer any questions you may have. Following this appointment, you will have access to our team via text/email 24/7 for one full week.
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45 minutes
In-Home $150 / Virtual $100
This appointment is for established patients who have already completed an initial consultation.
This follow-up visit is created for families who are looking for focused support in a specific area of feeding or breast health. Together, we’ll dive into what you’re currently experiencing — whether it’s optimizing flange fitting, navigating pumping or bottle-feeding, managing clogged ducts, thrush, or early signs of mastitis, or simply needing guidance as feeding needs change. This session gives you dedicated, compassionate care right when you need it most, as your breastfeeding journey continues to unfold.
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FREE!
Welcoming your baby home is a joyful and tender transition — and support can make all the difference. Join our free, private online group for moms and babies, guided by a board-certified lactation consultant who is here to answer questions and offer gentle encouragement along the way.
How to Prepare For A Lactation Session
To make the most of our time together, it’s helpful if your baby is ready to feed during our visit. If possible, try offering a feeding about an hour to an hour and a half before our scheduled appointment. This timing can help your baby be ready to eat again when your appointment begins, allowing us to observe a full feeding and support any latch or milk transfer concerns in real time.
SERVICE TWOPerinatal and Pediatric Massage
Your body goes through a full transformation while pregnant and after giving birth. To help support this transition, we provide both perinatal massage to help parents decompress and relax and pediatric massage to assist in relieving any discomfort your baby might have during their first few months of life.
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60 minute- $180
90 minute- $260
120 minute-$320Any session can be tailored to: prenatal, induction, postpartum, C-Section scar work, new parent aches, or manual lymphatic drainage for fluid retention.
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60 minutes - $150
In a pediatric craniosacral massage session, we use gentle, hands-on techniques to help release tension and support your baby’s natural balance and comfort. The work often focuses on the head, neck, and spine, using light touch to encourage relaxation, ease tightness, and support healthy movement and development.
Pediatric massage sessions are guided by your child’s cues and comfort. These techniques address, but are not limited to, hypertension, colic, torticollis, plagiocephaly, or birth trauma.
SERVICE THREEPerinatal Body & Mind - Movement, Mental Health, and Meditation
These sessions help you reconnect to your pre- and postnatal body and mind through intentional movement, emotional support coaching, and meditation. We’re here to provide a holistic approach to your perinatal journey, so that you can find your inner balance.
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Length: 60 minutes
In-home: $225* / Virtual: $175In a Perinatal Mental Health Coaching session you can expect a supportive, nonjudgmental space to explore your thoughts, feelings, and experiences around pregnancy, birth, and new parenthood. Together, we’ll practice mindfulness techniques - such as guided breathwork, meditation, and grounding exercises - to help you build resilience, reduce stress, and nurture self-compassion.
Each session is tailored to meet you where you are, offering gentle coaching and practical tools to help you navigate this transformative time with greater calm, clarity, and confidence. This session will also include a thorough care assessment screening.
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Length: 60 minutes
In-home: $225* / Virtual: $175Tailored specifically to your body’s needs, this session incorporates yoga, pilates, and strength training to meet your body where it is. These sessions are great for prenatal, postpartum, and pelvic floor support. Any session can be tailored to include you and your baby.
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Length: 60 minutes
In-home: $225* / Virtual: $175Meditation and breathwork are woven into movement and coaching sessions, and can be offered as stand-alone support. Prenatally, these practices help prepare your body, mind, and nervous system for labor and the transition into parenthood. Postpartum, they offer space to check in, reconnect with your body, and gently nurture yourself in this tender fourth trimester.
* Additional travel fees may apply for all in-home Perinatal Body & Mind services, depending on your location within Los Angeles County.
Infant Feeding & Massage Packages
Each bundle includes a 10% savings and offers you peace of mind knowing consistent, restorative care is already in place.
The Fullness Package
In home: $675
Virtual: $540
For those seeking guidance from the very beginning, this package includes the core building blocks to support your feeding journey.
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Prenatal Lactation / Infant Feeding Class
Initial Lactation Consultation
One Follow-Up Appointment
The Nurtured Package
5, 60 minute in home
massages: $810
5, 90 minute in home
massages: $1170
Ongoing massages whenever your body calls for care. Decompress and relax knowing massages can be scheduled anytime and never expire.
The Everything But The Baby Package
In-Home: $1000
The ultimate postpartum bundle for whole-body healing and infant feeding confidence.
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Prenatal Lactation / Infant Feeding Class
Initial Lactation Consultation
One Follow-Up Appointment
Two 60-Minute In-Home Massages
Perinatal Body & Mind Packages
6, 60 minute session packagesFor those seeking gentle, holistic support as they cross the threshold into parenthood. This six session bundle of movement, meditation, and mental health coaching sessions is designed to support your full-circle perinatal journey - from prenatal through postpartum.
• Virtual Package: $950 for a package of 6 sessions
• In-home Package: $1200* for a package of 6 sessions
* Additional travel fees may apply depending on your location within Los Angeles County
Have Questions? We Have Answers.
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At this time we are only offering in-home or telehealth services.
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Many families may be eligible to have lactation services covered through their health insurance. Head to our insurance page to learn more about our insurance partnerships and how to check if your plan qualifies. If you do not qualify, we can offer you a super-bill to submit to your provider for possible reimbursement.
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Yes! We offer gift cards in any amount that can be used for any service. Just reach out to us and we can send you over a printable card with our information and logo.
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Yes! We welcome all families and will work on inducing lactation to encourage a breast/chest feeding relationship in families growing by non-traditional means like adoption or surrogacy. We also offer re-lactating support for parents who would like to restart their breast/chest feeding journey.
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Breastmilk provides optimal nutrition for your baby that helps their growth, development, and immunity, while also nurturing a deep bond between you and your little one. It offers benefits for parents too, supporting recovery and overall well-being in the postpartum period.
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Breast milk and formula both contain vitamins, nutrients, and fatty acids that support infant growth, but they are not exactly the same.
Breast milk naturally provides a unique blend of bioavailable nutrients, living cells, hormones, enzymes, and immune factors tailored to the baby’s needs. It contains long-chain polyunsaturated fatty acids (like DHA and ARA), antibodies, and growth factors that formula cannot exactly replicate.
Infant formula is designed to mimic the nutritional profile of breast milk as closely as possible, including adding synthetic or purified versions of vitamins and fatty acids. However, the forms and bioavailability (how easily the body absorbs and uses them) can differ, and formula lacks many of the living components found in human milk.
Ultimately, both breast milk and formula can meet a baby’s basic nutritional needs, but breast milk offers additional biologically active components that formula cannot fully duplicate.
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Yes! We can help you with choosing the right pump and flange sizes for your body and set you up with a pumping schedule similar to a newborn's feeding pattern. This will stimulate milk production and provide enough milk for all of your baby’s feedings.
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Most newborns feed 8–12 times per 24 hours. This is roughly every 2–3 hours on average.
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Early on, sessions may take up to 20–30 minutes or longer per side. As your baby grows and your milk regulates to your baby’s needs, 5–10 minutes per side is common.
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Yes. It’s normal for colostrum to be just drops to teaspoons in the first days. As feeding continues, milk transitions and supply strengthens– your body typically knows to provide what your baby needs.
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Monitor the following to see if your baby is getting enough to eat:
Weight gain on growth charts (tracked by your pediatrician or through weighted feeds at your lactation appointments). Your baby should gain about an ounce per day.
Your baby’s output
Breast softening after feeds & audible suck and swallow sounds
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Some nipple tenderness is common in the first few days of breastfeeding, but sharp, persistent, or worsening pain is not normal and often indicates issues like shallow latch, positioning problems, or nipple trauma. If your nipples hurt beyond mild initial tenderness, or if they are cracked, bleeding, or blistered please reach out to book a consultation.
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Optimal output in the first days is often called the “rule of ones”:
Day 1: At least 1 wet and 1 dirty diaper.
Day 2: At least 2 wet and 2 dirty diapers.
Day 3: At least 3 wet and 3 dirty diapers.
By day 4–5, you should see at least 6+ wet diapers and 3–4+ yellow, seedy stools daily.
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Yes, as long as your doctor hasn’t shared any concerns, we can move forward with gentle care. Your comfort and safety are always at the heart of what we do. With specialized training in prenatal massage, we’re skilled in knowing what to avoid and how to adapt each session to support your changing body. You can feel safe, supported, and truly cared for in our hands.
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For vaginal deliveries with 1 & 2 degree tears- you can receive massage as soon as you feel ready. For vaginal deliveries with 3 & 4 degree tears and Cesarian sections it is safest to wait two weeks before receiving body work.
We will continue to be in the sidelying position for all postpartum sessions for 6 weeks or until you feel ready and are cleared by your doctor to lie on your stomach.
“I cannot recommend her highly enough to any parent seeking skilled, empathetic support during the postpartum period.”
“I have been fortunate to work with Tina for five years, through both of my pregnancies and postpartum journeys. Her skilled, nurturing care has been an invaluable part of my wellness during some of the most transformative times in my life. During my postpartum periods, each session with Tina felt like a reset button for both my body and mind. The physical relief was immediate – the tension in my shoulders and back from countless hours of nursing and carrying my babies would melt away under her expert touch. But beyond the physical benefits, her treatments provided something equally precious: a space to reconnect with myself during a time when I often felt lost in the demands of new motherhood.”
Are You Ready To Feel Connected With Your Baby, Body, And Mind?
Book an appointment with our team for intentional support that feels restorative and meaningful while you transition to this next chapter in your life.
or call or text directly for support 646.423.7586