Enjoy convenient and comfortable in-home visits

Ease your postpartum transition by receiving newborn and lactation care in the comfort of your home

Minimize the stress of adjusting to parenthood

Have all your new parent questions answered with knowledgeable and empathetic guidance

Gain confidence and maximize feeding success

Receive expert assistance from a pediatrician and lactation consultant, in support of your personal feeding goals
Dr. Shirley Chan-Ramirez Pediatrician
Concierge postpartum care
Houston, TX + surrounding areas

Easing your postpartum transition

Most pregnancy books and websites focus on pregnancy and birth, making it seem like that's all you need to plan for when having a baby. Few people, even well-meaning friends and family, can adequately prepare you for the reality of the postpartum transition.

Having guided many moms through their varied postpartum experiences and drawing on her own, Dr. Chan is passionate and knowledgeable about 4th trimester care, which focuses on the care of moms and newborns in the first 3 months after birth. Dr. Chan is also a board-certified lactation consultant and can assist you through common breastfeeding challenges.

  • Feel prepared with Blossom's prenatal breastfeeding education and personalized postpartum planning.
  • Get comprehensive support for the postpartum period in your home, eliminating the inconvenience and discomfort of travel.
  • Minimize stress and worry by relying on our expert advice on newborn care and lactation.
  • Be supported with your postpartum physical and emotional needs, ensuring that your transition is as seamless as possible.

Your postpartum journey starts here. Let Blossom be your guide!

Complete 4th Trimester Package

All of the care you and your newborn need, for one simple fee.*
$2500
  • A prenatal consult for postpartum planning and breastfeeding education
  • Five in-home visits, with combined newborn and lactation care, for 3 months**
    (Each home visit lasts about 90 min to 2 hours)
  • One additional lactation-only or weight-check visit, as needed
  • Screening for common postpartum maternal health conditions, with referral to providers as needed
  • Social and emotional support for mom and the whole family
  • Bonus: Membership in Blossom Pediatrics for 3 months, which includes direct access to Dr. Chan by text, phone, email, and video during business hours, and by phone for urgent matters after hours
* To provide a higher level of care than is valued by insurance companies, Blossom does not contract with or directly bill insurance companies. Vaccine costs are not included in this fee and are usually covered under insurance benefits.
** Within a 13-mile driving radius from Blossom's office base. Care beyond this radius will be at our discretion and subject to additional travel fees.

Alternative packages:
2 home visits + 4  office visits $1700
3 home visits + 3 office visits $1900 
4 home visits + 2 office visits $2100 

Not in Houston and want to work with us? Our virtual package is $1650.

Separate Lactation Services

Extensive breastfeeding care is included in our 4th trimester package and is also available on a per-visit basis.

Initial consult - $325; Follow-up visit - $225;
Travel fee - $50 (less than 10 miles) $75 (10-25 miles)
Consults generally last 60-90 minutes.
As a doctor who is also a lactation consultant, Dr. Chan is one of a handful of doctors in Houston who practices breastfeeding medicine. She diagnoses and treats common lactation-related medical issues, such as:
In mothers:
  • Breast and nipple infections
  • Oversupply or low milk supply
  • Chronic breast/nipple pain
  • Skin conditions of the breast
In babies:
  • Poor weight gain
  • Poor latch
  • Tongue-tie, lip-tie treatment (frenotomy)
  • Assessing for medical conditions that affect feeding, e.g. prematurity, low/high tone, muscle tension, etc
Dr. Chan can also work with your lactation consultant to diagnose and treat medical issues that they may identify in their course of work.
  • * For members of Blossom Pediatrics, general breastfeeding counseling and brief assistance are integrated with pediatric well visits and included in the monthly membership fee.
  • * More extensive lactation support is available for an additional, per-visit rate. Non-members may access the same level of support at non-member rates.
    * For an all-inclusive in-home newborn, postpartum, and lactation package, see 4th Trimester Care above.

Patient Reviews for Dr. Chan

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"Dr. Chan truly is one-of-a-kind! She is a thoughtful, concerned, and responsive pediatrician (AND lactation consultant), and during the 4th trimester she comes to your house. You can’t beat the care she provides!"
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Postpartum is hard, but finding an excellent pediatrician doesn’t have to be! As a first time mom, I couldn’t appreciate how difficult the 4th trimester would be. We initially chose Dr. Chan because she was a thoughtful, compassionate doctor and lactation consultant. It wasn’t until after our son was born that we understood what a gift her home-visits would be. During the early days postpartum, it can be hard to find time to sleep, heal, and shower—let alone pack you and your tiny human in a car to drive to the pediatrician’s office.
Dr. Chan was a reassuring presence when we discovered our baby was severely colicky. Parents are often advised that the cause of colic is unknown, and that symptoms should improve in 3-4 months, but Dr. Chan considered various possible causes, and alleviated the symptoms by 90%. Without her support and encouragement, I’m sure we would still be waiting for our baby to feel better.
Dr. Chan truly is one-of-a-kind! She is a thoughtful, concerned, and responsive pediatrician (AND lactation consultant), and during the 4th trimester she comes to your house. You can’t beat the care she provides!
Madison L.
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“Dr. Chan’s 4th trimester package was the type of care and support I so desperately needed but didn’t have with my first. It’s convenient, stress-free, and personal. This is hands down the best newborn care and postpartum support you will get in Houston.”
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"I was a month away from having my second baby when I heard about the fourth trimester package Dr. Chan was offering. I signed on immediately because this was the type of care and support I so desperately needed but didn’t have with my first.

I struggled so much after my first was born. As a first time mom, I was overwhelmed by anxiety to take care of a newborn with reflux who hardly slept without being held and rocked. Breastfeeding was difficult and painful due to a tongue tie and neck tension. I dreaded getting myself and baby to the newborn appointments because he always cried nonstop from being hungry and overtired.

The fact that Dr. Chan offers in-home newborn wellness checks and lactation consultation makes it worth every penny to me. But after an 1.5hr first visit, I quickly realized I was getting way more than I expected. She did the routine checks on baby as well as for tongue and lip ties. She checked my C-section incision and helped me relieve engorgement and practice proper latch. But most of all, we just chatted, at a leisurely pace, on everything I was wondering and was concerned about while my baby nursed then napped peacefully in his crib nearby. She also answered the millions of questions asked by my toddler, and even read a story to him before leaving. It was more like a visit from a supportive and knowledgeable friend than a doctor’s visit.

In between appointments, she was always reachable via text and email to answer any new questions that popped up. She is the ONLY doctor I’ve had who directly communicates with the patient and often responds within minutes! We all know when we are concerned about our tiny babies every minute is stressful, so it was extremely reassuring knowing she was only a text message away.

To anyone on the fence or even just curious about Dr. Chan and the Fourth Trimester Package, just know you will not regret it! It’s convenient, stress-free, and personal. This is hands down the best newborn care and postpartum support you will get in Houston."

Claire A.

How to Get Started with 4th Trimester Care

Schedule a complimentary meet-and-greet with Dr. Chan
Sign up for the 4th Trimester Care Package
Have a virtual prenatal consultation, at your convenience
Contact Blossom when your baby is born to set up the first visit

4th Trimester & Lactation Articles by Dr. Chan