About Us

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Committed to Helping you and your Family


We are a small group of nurse practitioners who are committed to helping you and your family as you embark on your infant feeding journey. One of our providers of medical care will be assigned to care for you and your baby. We offer expertise compassionate and individualized care. We work closely with you through the early difficult weeks with the option of problematic follow up through the first year. We will work closely with you and your care team, your Pediatrician and OB Provider.


New England Mothers First nurse practitioners are expertise in breast and infant feeding management. Born of the vision for a collaborative, referral-based service that would work specifically towards the betterment of nursing mothers, babies, and families. Cynthia A. Vella NP IBCLC ANLC was formed NEMF in 2014. The practice has evolved and expanded throughout the greater Boston area to the South Shore, now with a small group of nurse practitioners. From breast feeding medicine supporting first time mothers, to managing refractory breast candida, ankyloglossia, cow’s milk protein sensitivity, unexplained skin rashes, to inadequate milk supply secondary to maternal breast surgery, we are able to serve the problematic needs of all nursing mothers and their babies.

As medical providers, the nurse practitioners of New England Mothers First are able to provide insurance covered, 45 to 60-minute Home Telehealth and Office visit appointments. We as a breast feeding practice seek to work in conjunction with Obstetrical and Pediatric practices for the management of complex breast and infant feeding issues, as well as prenatal consultations for concerns at approximately 36 weeks. Our Nurse Practitioners are READY and available to Telehealth screen, advise and offer breast with infant feeding challenges guidance.

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Close follow up for the following issues:

  • Inadequate weight gain
  • Infant feeding difficulties, idiopathic or due to
    known medical conditions
  • Nipple pain and integrity break down
  • Breast pain
  • Mastitis and clogged ducts
  • Breast candida
  • Cow’s Milk Protein Sensitivity
  • Unexplained skin rashes
  • Mother on medications

Follow up issues throughout the first year

  • Establishing milk supply
  • Follow up for mothers planning to return to work, separation
  • Introducing family foods, baby led weaning with Mothers milk
  • Infants biting during teething
  • Planning for weaning, early or timely
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For practices that already offer lactation services in office

We as a practice for breast feeding medicine we are dedicated to eliminating barriers to nursing Mothers wherever they exist. Our job is not to replace services already provided for mothers and families, rather we seek to work in harmony with all ranges of breast and infant feeding providers. Please do not hesitate to reach out to any of our nurse practitioners with questions regarding our expertise services.

We are so excited that more people are offering Mother/Baby feeding support- Please consider www.newenglandmothersfirst.com during office times where your infant feeding difficulties support is out of the office and not available. We can easily fill your gaps for coverage. Thank you

Consider a collaboration with New England
Mothers First for the following cases:

  • Mothers and babies who you deem may need long term or close follow up for their complicated feeding issues
  • Maternal anxiety around infant feeding
  • Mothers experiencing or at risk for postpartum depression
  • Cleft palate/lip or issues with hypotonia, requiring close supervision
  • Prematurity or immature on feeding Multiples
  • Patients who might prefer home visitation
  • Follow up beyond the first weeks for the reasons mentioned above

As Nurse Practitioners

We are Medical Providers

Please note, NEMF does NOT bill under YOUR Affordable Care Act (ACA) Lactation Benefit. All claims are processed through the medical insurances of both the Mother and the baby according to your health care plan design.

HMO & EPO policies will require a referral from the mother’s Primary Care Physician as well as the baby’s Pediatrician. Copays, Co-Insurance, and Deductibles may apply to services pending each individual mother and baby insurance policy.

Anna is available by appointment at Middleboro Pediatrics

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