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  • Home
  • Breastfeeding Medicine
  • Natural Solutions
  • Permission to Mother
  • SOFTWAVE
  • In Memory

Why Families Choose Dr. Punger for Breastfeeding Medicine

Complex Infant & Feeding Challenges

  

  • Growth & Latch Issues: Baby is not gaining weight, struggles with slow weight gain/failure to thrive, or refuses to latch (even after other support providers have evaluated a full feeding).
  • Bottle Dependency: Baby is currently relying on bottles, nipples shields, or finger feeding, and you desire to transition back to direct breastfeeding.
  • Structural & Surgical Concerns: Evaluation and scissors-based office management of tongue-tie (ankyloglossia) and lip-tie, including second opinions or re-evaluations.
  • Special Clinical Scenarios: Tailored support for premature infants, NICU discharges, jaundice, allergies, digestive issues, developmental delays, or anticipated congenital conditions.

Maternal Health, Pain & Medical Needs

  • Persistent Pain & Wounds: Ongoing breast or nipple pain, perineal or incision discomfort, mastitis, breast abscesses, or dermatological conditions of the breast and baby's mouth.
  • Prescriptions & Medical Orders: Need for clinical labs, cultures, diagnostic imaging, prescription medications, or authorized prescriptions for banked donor milk.
  • Hormonal & Chronic Conditions: Management of chronic low milk supply across successive pregnancies, prior breast surgeries, or newly diagnosed maternal health conditions.
  • Postpartum & Emotional Wellness: Integrated physician care for postpartum depression, hormonal imbalances, birth trauma recovery, or grieving a lactation failure.


Personal, High-Touch Physician Care


  • Low-Intervention & Home Births: We honor natural birth choices and warmly welcome babies following uncomplicated home births, birth center births, or low-intervention hospital stays who simply need a supportive, experienced medical home. 
  • Hands-On, In-Person Evaluation: When you are uncomfortable relying on AI, internet search forums, or phone/video consults—and know you need your baby's latch and feeding behavior evaluated in person by an experienced physician.
  • Appropriate Clinical Triage: Urgent concerns are triaged to ensure safety, with dedicated time set aside to focus thoroughly on your family.
  • Conflicting Advice & Advocacy: When you’ve been given conflicting information from multiple sources, or another provider told you to stop breastfeeding/supplement, and you want an expert medical strategy to make breastfeeding work.
  • Prenatal & Extended Care: Pre-conception planning, prenatal breastfeeding plans to optimize the birth/postpartum transition, and guidance for extended nursing, bedsharing, or specialized maternal elimination diets.


Decades of Clinical Experience

  • 26+ Years as an IBCLC: Decades of clinical practice dedicated specifically to advanced breastfeeding medicine and maternal-infant care.
  • Personal & Professional Foundation: Over 14 years of continuous personal breastfeeding experience, including tandem nursing, nursing through pregnancy, working full-time, and pumping.
  • Independent Practice: A small, autonomous practice dedicated to protecting your birth and breastfeeding space without hospital or corporate mandates.

Copyright © 2018 Denise Punger MD - All Rights Reserved.

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