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 Support Services
By Dr. Stephanie Bivona, MD, CLC
Personalized, physician-led care for every feeding journey
All consultations include two full weeks of direct email and phone/text support with Dr. Bivona following your visit, because questions don’t stop after one appointment.
✨ Prenatal Initial Consultation
Fee: $350
(Virtual or In-Home — Recommended starting at 35 weeks)
Gentle, expert guidance to help you feel confident and set you up for success before baby arrives.
Includes:
Review of medical history and anticipated feeding needs
Breastfeeding education tailored to your goals
Customized feeding plan for delivery and early postpartum
Pump selection guidance (if needed)
14-day email follow-up
Ideal for first-time parents or those with prior breastfeeding challenges.
🤱 Initial In-Home Lactation Consultation
Fee: $425
Comprehensive, hands-on support in the comfort of your home.
Includes:
Full feeding assessment (latch, position, milk transfer, oral anatomy)
Feeding plan to address pain, supply concerns, or infant weight gain
Pump instruction and flange sizing (if applicable)
14-day secure messaging support
Recommended for newborn feeding issues, breast/nipple pain, or low milk supply.
👶👶 Twin Initial In-Home Consultation
Fee: $625
Specialized support for families with multiples.
Includes:
Individual assessment of each baby’s feeding
Tandem feeding strategies and logistical planning
Lactation plan tailored for supply optimization and rest
14-day secure messaging support
Supports NICU grads, preemies, or new twin parents seeking coordination.
💞 Follow-Up In-Home Visit
Fee: $350
Focused check-in for ongoing concerns, feeding adjustments, or tracking baby’s progress after the initial visit.
Includes:
Progress assessment
Plan updates for feeding, pumping, or supplementation
Troubleshooting (e.g., slow weight gain, latch, pain)
7-day messaging support
💆♀️ Therapeutic Breast Massage in Lactation (TBML)
Fee: $300
Evidence-based, gentle breast massage and counseling to support relief from engorgement, plugged ducts, mastitis, oversupply, or slow milk flow. Provided in-home by a trained physician and CLC.
Includes:
Therapeutic massage for engorgement, plugged ducts, or mastitis prevention
May reduce swelling, improve milk flow, and support breast comfort
Offered as stand-alone service or as an add-on to another visit
🍼 Pump Fitting or Return-to-Work Planning (In-Home)
Fee: $300
Find the right flange size, optimize pump output, and create a realistic return-to-work feeding plan.
Includes:
Pump fitting with flange sizing
Return-to-work feeding/pumping plan (schedule, milk storage, caregiver tips)
Strategies for maintaining supply and comfort
7-day messaging support
Perfect for planning upcoming transitions or troubleshooting pumping discomfort.
🛑 Weaning Consultation (In-Home)
Fee: $350
A thoughtful, personalized approach to transitioning your baby from breast or bottle feeding.
Includes:
Assessment of baby’s developmental readiness
Step-by-step customized weaning plan
Emotional and physiological considerations for parent and baby
7-day support via secure messaging
Ideal for gentle, responsive weaning or time-sensitive transitions (e.g., returning to work, upcoming surgery).
❌ Bottle Refusal Consultation (In-Home)
Fee: $425
Comprehensive evaluation and strategy development for infants refusing a bottle.
Includes:
Full feeding assessment, including latch, bottle technique, and oral anatomy
Evaluation of bottle refusal (e.g., flow preference, sensory aversions)
Hands-on bottle introduction strategies tailored to your baby
Perfect for parents navigating a return to work or introducing expressed milk/formula.
🎁 Package deals
Prenatal + Initial + Follow-up: $1000
Initial + Follow-up: $725
Let’s work together
Interested in booking a service above or just have a question?
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