McKale Fleming, LMT, IBCLC

Healing begins together.

Regenerative healthcare that focuses on the dyad's health & well-being as an intrinsic unit.

From prenatal to postnatal, the Parent-Child dyad exists as a unit; they are biologically intertwined. For an infant to thrive, the parent must thrive too; physically, emotionally, and mentally.

Experience a consultation that combines care for your well-being as a parent, and support for your baby.

About Me

Hi, I'm McKale!

My goal is to help strengthen the parent-child relationship through understanding of how the dyad deserves to be cared for together. Comprehensive and integrative care means we're looking at all the possibilities without hyper-focusing on one area or outcome.

What are your training and qualifications?

Licensed Massage Therapist since 2009 with additional training in craniosacral therapy, craniosacral fascial therapy, myofascial therapy, neuromuscular therapy, trigger point therapy, reflexology, scar tissue massage and structural integration.
Board Certified Lactation Consultant since 2019 with advanced clinical education in feeding, oral habilitation, dyad microbiome, food sensitivities, breast health and innovative reflexive latching techniques.
Certified Graduate of the Duke IM Integrative Health Coach Program since 2019 with additional training in herbalism, homeopathy, functional, integrative, and regenerative health.

Do you refer to and work with other providers?

Yes! It is important to maintain good working relationships with other colleagues and/or providers who may be needed to best serve dyads and their outcomes. In general my team usually consists of myself, a trusted release provider, and, when needed, a chiropractor. I am always willing to communicate and send notes to other providers you have chosen to be a part of your care team.

How can I get ready for an in-home visit?

First, please don’t feel inclined to clean! As a mother with two children and a messy husband, I am well acquainted with clutter and mess. This is a service for you, not a hosting responsibility. It is very helpful to have animals that are protective of your family placed in a separate space, or slowly introduced for safety purposes.
For dyad care visits I need a space large enough for us to chat, somewhere flat to place my scale (the floor is also fine!), and enough floor space to do the hands-on portion, check reflexes and tummy-time positioning for the infant.
Lastly, please know that the appointment time we set must be flexible. I may be able to get to you earlier if your schedule allows, or it may be within 30 minutes after the appointed time. Please allot some flexibility due to traffic or previous appointments ending later than expected. I give each person my undivided attention, I don’t check the clock during my visits and I stay until my work is concluded.

Can I use my health insurance plan?

I’m currently in network with these companies:
- Aetna, Meritain Health and their subsidiaries
- UnitedHealthcare and UMR
- Cigna in-network access through Wildflower Health
I’m credentialed with Tricare/Humana as non-network, and will file a claim on your behalf. I will collect only non-covered fees upfront such as travel fee or bodywork costs that are not covered by insurance.
I will file out of network claims for BCBS/Anthem as a courtesy.
I will issue superbills for any other health insurance or cost-sharing plan not listed above.

I'm pregnant or attempting to conceive, can you help me prepare?

I love working with preconception and prenatal families, as there is so much benefit to preparing your physical and mental health for birth. I do these consults virtually and help with topics such as:
- Infertility
- Breast health
- Nutrition
- Gut health & dysbiosis
- Prepping for feeding
- Prepping for delivery
- Endocrine health
- Hormone health
- Food sensitivities

I'm bottlefeeding and/or formula feeding, can you still help me?

Yes! No matter how you feed your baby, my role and responsibility is to care for the dyad. That means you AND your child, which means supporting you mentally and emotionally, and regarding your choices with respect. I am happy to work with families on bottle-feeding, finding a good formula fit for food sensitive dyads, and working on structural challenges with infants having difficulty feeding due to tension or tethered oral tissues.

How many visits will I need to reach my goals?

Each person and dyad are unique! While it is impossible for me to know ahead of time how much time and investment each family or person may need, on average 3 visits would be adequate for simple situations, and up to 6 for complex situations. I can better advise a plan of action after our initial consultation.
I see great benefits when I start working with a child as a newborn and follow the infant through the first year of life, seeing them at important milestones such as rolling over, crawling, walking, and starting solids to help support changes in postural appropriation.

Topics I Can Help With

01.

Feeding Support

Bottle aversion or refusal
Formula selection for IgG & Non-IgG reactions
Positions to support stress-less feeding
Oral habilitation for low-tone feeding

02.

Lactation

Breast health and milk supply
Hormonal health and dyad microbiome
Latching and positioning
Triage for pain and nipple damage

03.

Gut Health

Constipation and/or loose stools
Poor weight gain
Unexplained fussiness
Colic/Reflux/Gas

04.

Oral Function

Competent feeding vs compensatory
Leaking or clicking at breast or bottle
Painful or shallow latch
Lip blisters and blanching

05.

Structural Health

Plagiocephaly
Torticollis
“Banana” baby shape
Facial & trunk asymmetry

06.

Reflux

Discomfort during and after feedings
Wet and frequent hiccups
Refusing to eat
Poor weight gain

07.

Food Sensitivities

Rashes and eczema
Constipation and/or loose stools
Refusing to eat
Frequent night-waking

08.

Disrupted Sleep

Frequent night-waking
Congestion at night
Difficulty falling asleep
Waking from belly discomfort

Let's work on feeding

Fees & Booking

Let's work on health