A healthy start to breastfeeding your baby

Rochester Lactation Consultants

Need breastfeeding help? Book a Home, Office or Virtual Lactation Visit.

We know that breastfeeding can be challenging, especially in the early days and weeks at home with your new baby. Our International Board Certified Lactation Consultants know to how to help. We have supported and cared for thousands of families with feeding challenges of babies of all ages for more than a decade. We can help you too.

Our goal is to help you feed your baby however *you* want to feed your baby. Our lactation consultants are dedicated in helping you work towards your feeding goals; whether you want to exclusively breastfeed, exclusively pump or combination feed your milk and formula, we are here to support you.

We know that issues related to breastfeeding feel urgent. In most cases we can arrange for your private lactation visit to happen within a few days of when you reach out to schedule your consult. We aim to respond to your request for a consult within 12-24 hours.

Virtual or telephone consults are also available and often work well for follow-up visits. These consults generally last 60 – 75 minutes. Virtual consults do have limitations, as there can be no oral exam of your baby, no physical breast exam, or weighted feeds. There is still a lot that we can assess through your feeding history and current feeding routines to help you create a feeding and care plan to help you work toward your feeding goals.

How to know if you need an IBCLC (International Board Certified Lactation Consultant):

Our lactation consultants are experienced with and can help with any of the following issues, and more:

  • Sore, painful, cracked, bleeding or injured nipples
  • Milk supply or weight gain concerns
  • Comfortable latching and positioning techniques
  • Concerns about tongue tie or other tethered oral tissues
  • Using or weaning from a nipple shield
  • Breastfeeding multiples
  • Pumping or exclusive pumping
  • Supplementing with expressed breastmilk or formula
  • Struggles with colic or reflux
  • Returning to work
  • Weaning

We are also delighted to meet with you even if you feel like breastfeeding is going well, but you have questions about feeding or would like an assessment and reassurance that what you’re doing is working for you and your family. We are happy to support you through your feeding journey and help you learn more about what to know and expect as your baby grows.

What to expect in your lactation visit:

Home or office lactation consults typically last about 75-120 minutes. We will do our best to work together to arrange a time to meet that works best for you and your family and will stay until all your questions have been answered.

We will provide answers to your questions and always aim to offer you kind, compassionate, confidential and respectful support. We aim to offer judgement-free guidance and education and want to help you make informed feeding decisions that are right for you.

lactation consult

History, Exam & Guidance

We will take a thorough medical, birth and feeding history for you and baby, as they pertain to breastfeeding or lactation. This often includes an oral exam and suck assessment of your infants. If you are latching your baby, we typically utilize pre-feeding and post-feeding weights to determine how much milk is your baby is transferring at the breast to help inform and guide our recommendations for you.

If you are latching your baby or working toward latching your baby, we will offer a thorough evaluation and make suggestions for comfortable latching and positioning. We offer gentle hands on help only with your clear consent.

Breastfeeding help

Feeding & Care Plan

By the end of your visit will have co-created a feeding and care plan that addresses your breastfeeding goals, your needs, your baby’s needs and your family’s needs. We are to happy to make referrals to carefully vetted providers in our area (feeding therapists, chiropractors, cranial sacral therapists, tongue tie release providers) to further support on your feeding journey.

We will send our lactation report to your and your baby’s care provider(s). You are welcome to reach out with follow up questions by email, text or phone as needed. We are always happy to offer follow up visits and may suggest a follow visit up based on the nature of your questions, needs or desires.

Lactation Fees & Insurance

We are not in-network with any insurance providers. Charges for our lactation services need to be paid for out of pocket. We can accept credit/debit cards, checks or cash. Most HSA/FSA cards are accepted too. We do not work directly with your insurance company but we can provide you with a superbill for you to submit to your insurance company for potential reimbursement.

INITIAL CONSULT: $140 in your home (or at Beautiful Birth Choices) or $125 at Alison’s home office located in the Highland Park Neighborhood, 14620.

VIRTUAL (VIDEO) OR TELEPHONE CONSULTS: Sliding scale $60- $80; pay what you can afford, no questions asked.

FOLLOW-UP IN-PERSON CONSULTS: $95 in your home (or at Beautiful Birth Choices) or $80 at Alison’s home office located in the Highland Park Neighborhood, 14620.



Travel outside Monroe County: Additional $30

Prenatal lactation consults are also available.

If you’re not sure about the kind of support you need or if you would like to find out more about our private breastfeeding consultations, we welcome you to reach out to us at breastfeeding@bbcroc.com or call or text Alison Spath, IBCLC at 585-451-9968. Please include your address or general location when requesting a home consult.


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Our lactation team is committed to bringing you kind and caring support as well as accurate and up-to-date evidenced based breastfeeding and lactation information. We are honored to serve you and your family and are delighted to help you reach your breastfeeding goals.



Heather Hershelman