About Us


We are a team of six 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 six nurse practitioners. Beyond trouble shooting basic lactation problems, we work closely with Mothers, OB Providers, and the infant Pediatricians on a variety of issues affecting the nursing dyad of mothers and babies.  From 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, 60-minute home and office visit appointments.  We 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. 

For practices not already offering specific breast and infant supporting services within the practice:

  • Seamless referral process with visit notes sent directly to patients’ Pediatrician and the OB or PCP as needed. 
  • Ability to offer expert, comprehensive support to the current Pediatric care
  • Peer to peer consultation among providers about complex cases
  • 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 for breast and infant feeding 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

For practices that already offer lactation services in office

  • We are so excited that more people are offering Mother/Baby feeding support- Please consider www.nemf1.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

We as a practice 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.