Breastfeeding isn’t always easy, and you don’t have to do it alone.
Back in 2021, I thought I was fully prepared to breastfeed my first baby. After all, I’m a pediatrician, and isn’t breastfeeding supposed to be the most natural thing in the world?
I quickly learned that “natural” doesn’t always mean easy. Breastfeeding can be challenging, even for those of us with medical training. The truth is, many parents face obstacles that no one talks about, and that’s where support makes all the difference.
If you're feeling overwhelmed or unsure, you're not alone. You don’t have to push through this on your own. As a board-certified pediatrician and certified lactation counselor, I'm here to provide expert guidance, compassionate support, and practical solutions to help you build the breastfeeding journey that's right for you.
Let’s work together to make your breastfeeding experience a success!
Available for in-home consultations in the following areas: Allston, Arlington, Auburndale, Brighton, Brookline, Dedham, Dover, Framingham, Hyde Park, Jamaica Plain, Medfield, Natick, Needham, Newton, Roslindale, Sherborn, Sudbury, Waltham, Watertown, Wayland, Wellesley, Weston, West Roxbury, Westwood, and more. Please reach out via the contact form for more information.
Lactation & Feeding Support Services
By Dr. Stephanie Bivona, MD, CLC
Personalized, physician-led care for every feeding journey
As a board-certified pediatrician and certified lactation counselor, I don’t just consult; I partner with you through your entire early feeding journey. Feeding patterns change quickly, especially in the first weeks and months, and expert oversight before problems become emergencies makes all the difference in confidence, comfort, and long-term success.
Every service below is designed with continuity of care in mind, meaning I don’t just fix today’s concern and walk away. I build a plan, monitor progress, and adjust as your baby grows and your goals evolve. Breastfeeding support works best when it’s planned, continuous, and responsive to change. Get the support you deserve, right in the comfort of your own home.
✨ Comprehensive Feeding Care Plans
Best value • Highest success rate • Most recommended
These plans are designed to support you through the critical early window when feeding patterns are still developing.
📦 Early Feeding Care Plan (2 Weeks)
Ideal for most families
In-home initial consultation
One scheduled follow-up visit (5–10 days later)
Personalized feeding and pumping plan that evolves with your baby
Secure messaging support between visits
Priority scheduling
Pricing: $750
This is the most commonly chosen option because it allows us to address issues proactively, before they become overwhelming or lead to supply issues or early weaning.
📦 First Month Feeding Support Plan
Best for complex feeding concerns, first-time parents, or higher-risk situations
In-home initial consultation
Two follow-up visits over 3–4 weeks
Ongoing adjustments to feeding, supply, and pumping plans
Secure messaging support throughout the month
Priority scheduling
Pricing: $1125
Designed for families who want ongoing medical oversight and reassurance during the most vulnerable feeding period.
🤱 Initial In-Home Lactation Consultation
Comprehensive assessment + personalized plan
Full feeding observation and latch assessment
Evaluation of milk transfer, feeding efficiency, and oral anatomy
Weight and intake considerations
Pump and flange guidance if needed
Customized feeding plan
Secure messaging support for 7 days
Pricing: $450
Please note: Most families require at least one follow-up visit as feeding patterns change. Follow-up care is strongly recommended and is easiest to plan as part of a care package.
🔄 Follow-Up Visit In-Home
Ongoing care, reassessment, and plan refinement
Follow-up visits allow us to:
Reassess feeding efficiency and weight trends
Adjust supply or pumping strategies
Address new or evolving concerns
Prevent small issues from becoming major stressors
Pricing: $395
Follow-ups are most effective when scheduled in advance, similar to pediatric well visits.
👶 Specialty Visits
Can be booked individually or integrated into a care plan
Return-to-Work & Pumping Strategy
Twins & Multiples Feeding Support
Therapeutic Breast Massage
Gentle Weaning Support
Oversupply, Clogged Ducts, and Mastitis Support
Please reach out for pricing information.
Why Care Plans Can Make a Difference
Feeding success isn’t about a single perfect latch, it’s about ongoing adjustment and support as your baby grows.
Families who choose care plans:
Feel more confident and supported
Are less likely to experience feeding crises
Are more likely to meet their breastfeeding goals
Rather than asking you to decide later when you’re exhausted and overwhelmed, care plans build follow-up support in from the start. Follow-up visits included in care plans are scheduled before the initial visit ends.
Let’s work together
Interested in booking a service above or just have a question?
Fill out some info and we will be in touch shortly.