Initial In-Home Consult
Full assessment of latch, positioning, milk transfer and supply. Includes flange fit check and a written plan left at the house.
$275


One entry written after each visit — what changed, what equipment was adjusted, and the plan left on the counter. No names, no photos of clients.
Hospital referrals come with a short note. We start there and fill in the rest on the first visit.
Full assessment of latch, positioning, milk transfer and supply. Includes flange fit check and a written plan left at the house.
$275
Second or third visit to recheck latch, weight gain and adjust the plan after the first 48–72 hours.
$195
Correct flange sizing, pump settings, schedule building and flange replacement recommendations for exclusive pumpers.
$225
Schedule, pumping locations, storage guidelines and employer accommodation letter written for the specific workplace.
$250
Review of current routine, possible causes, supplementation plan if needed and follow-up metrics tracked over two weeks.
$300
30-minute video visit for established clients who need a quick adjustment or new pump part guidance.
$175
Photos taken after the visit, once the house is quiet again.







Elena Ruiz began as a hospital lactation nurse in 2014. After years of seeing parents discharged with questions and no follow-up, she opened Milk Flow to take the referrals herself. Every visit is still written up the same evening so the next provider has the full picture.
Most work is in-home within the first two weeks after discharge. The goal is simple: get milk transfer measured, a sustainable plan on paper, and the family able to reach someone who already knows their case.
— Elena Ruiz, Milk Flow

Four details that change whether feeding continues or stops.
We only see parents sent by the hospital lactation team. The discharge note travels with the chart.
Correct fit and transfer volume are measured, not guessed. The pump parts leave with the parent if needed.
One page with times, volumes, and who to call next. No apps to download, no extra logins.
No hand-offs. The person who took the referral is the person who returns for follow-up.
Tell us the hospital, the date you came home, and what the main question is right now. We will call within two hours to schedule the first visit.
Text or email the hospital name and discharge date. If we are not the right match we will say so and give you the next number.