Katie Kenoe and Theresa Avella provide outstanding lactation services here at North Arlington Pediatrics.
Katie is an International Board Certified Lactation Consultant (IBCLC). Prior to her lactation career, she started her journey in the Child Development Field as a child life specialist preparing adolescents to undergo major surgeries through 2009 at Lutheran General Hospital. After having her first child, Katie went back to school for her bachelors degree in Nursing at Virginia Commonwealth University and has been at NAP since 2011 as a nurse. Through triaging breastfeeding concerns from mothers and her own
breastfeeding struggles, she recognized the need for moms to have more access to lactation support after hospital discharge.
Theresa is a Certified Lactation Counselor. Aside from beeing a lactation counselor, Theresa is a registered nurse. She has worked in many areas of the nursing world. She ultimately landed in pediatrics. Prior to NAP ,she worked as an in-home nurse with geriatric patients as well as caring for hospice patients. She has worked with high risk pediatric patients in their home, one on one nursing care in the elementary school setting, as well as immersing herself in the school nurse role. After starting a family and running into her own breastfeeding challenges, she knew she wanted to help other moms achieve their breastfeeding goals and help them through their own struggles. Theresa is eager to meet mothers and their babies and assist them on their breastfeeding journey. She is currently developing classes here at NAP, and is excited to provide useful tools to families before their baby arrives.
We learn in prenatal classes and books that breast milk is the optimal nutrition for baby exclusively for
at least the first 6 months. Many moms leave the hospital with a desire to breastfeed their newborn, but
lack the resources to help them succeed.
We’re here to help you once you’ve been discharged from the hospital. Our goal at NAP is to promote
breastfeeding by helping moms achieve their personal feeding goals, while making it a memorable
Our lactation consultant is dedicated in helping you find balance, comfort, and confidence through your
breastfeeding relationship. With our online portal system, Katie can message confidentially back and
forth from your smart phone or computer. Our phone messaging system allows patients to call and
leave a message for Katie on any lactation concerns and she will return your call within 24 hours.
What happens at an appointment
A typical appointment lasts between 50-90 minutes depending on the concerns. We typically go over
your birth story, prenatal history, your concerns. We will examine your baby’s mouth and sucking
behaviors. We perform pre and post breastfeeding weights on a specialized newborn scale to measure
the amount of milk transferred during a feeding. Based on observations and assessments during the
session, we create an individualized feeding plan that feels right for you and your family. These feeding
plans are either sent home with you and/or emailed to you. Please come with you baby hungry, around
the start of his/her next feeding time, along with your breast pump and any accessory you use with
When might a lactation consultation be necessary?
Assistance with position and latch techniques
Producing adequate milk supply
Continued soreness or pain with nursing
Slow weight gain or failure to thrive
Breastfeeding premature infants
Continuing milk production when mother or baby is hospitalized
Feeding observation for reassurance
Nursing supplies available for purchase:
Breast pumps (through insurance for BCBS)
Hydrogel dressings for nipple damage
Support groups to be held the 1st and 3rd Thursday of each month