Private Breastfeeding Consultations – Lactation Consultant

We know that breastfeeding can be challenging, especially in the early days and weeks at home with your new baby. The good news is that nearly all breastfeeding problems have solutions with the right help, support and guidance.   We welcome you to reach out to us at or call or text Alison Spath, IBCLC at 585-451-9968 for more information. Please include your address or general location when requesting a home consult.

Virtual and telephone consults are available!


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

  • Breastfeeding hurts
  • You have sore, painful, cracked, bleeding or injured nipples
  • You need guidance with latching and positioning
  • Latching and positioning support is “hands off”, unless “hands on” help is desired and consented clearly and verbally by you
  • You have concerns about your milk supply
  • Your baby is having issues with weight gain
  • You think your baby might have a tongue tie or other Tethered Oral Tissues
  • Using or weaning from a nipple shield
  • Using a supplemental nursing system
  • You want help breastfeeding multiples
  • You have questions about pumping
  • You need help with bottle feeding or bottle refusal
  • Questions about supplementing with expressed breastmilk or formula
  • You need support with exclusively pumping
  • Your baby is struggling with colic or reflux
  • Going back to work
  • Starting solid foods
  • Weaning

Or perhaps you feel like breastfeeding is going well, but you have questions and would like an assessment and reassurance that breastfeeding is working for you and your baby.

Our lactation consultants are happy to support you and help you work towards your feeding goals.

We can help and are happy to meet with you in your home or at Beautiful Birth Choices, located at 681 Winton Road North.

We understand that issues related to breastfeeding feel urgent.  We can usually arrange for your private lactation visit to happen within a day or two of when you reach out to schedule your consult.  Please don’t hesitate to reach out for help at any time.

To set up an appointment or to discuss your situation further, please email us at or feel free to call or text 585-451-9968 to speak with Alison Spath for more information or to set up your consult.

What to Expect

Home or office lactation consults typically last about one and a half hour to two hours, but there are generally no time constraints for your visit. 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.

Health and Safety Measures for Home Visits

  • Our lactation consultants are fully vaccinated and boostered against Covid. We are happy to wear masks during your visit if you prefer.
  • Your Lactation Consultant will reschedule and/or cancel home visits if she becomes ill or has a known exposure to someone with COVID-19.
  • Virtual and telephone consults are also available.

Virtual or telephone consults will generally last 60 – 75 minutes. Virtual consults will have limitations, as there can be no oral exam of your baby, no physical breast exam or weighted feeds unless you have an infant scale at home. There is still a lot that we can address through your feeding history and current feeding routines. We will work together to create a care and feeding plan that feels good to you to help you work toward your breastfeeding goals.

What happens during a visit:

  • History of mother and baby as they pertain to breastfeeding
  • Pre-feeding and post-feeding weights to determine milk transfer
  • Oral exam and suck assessment of your infant(s)
  • Thorough evaluation of feeding, latch and positioning
  • Answers to your questions
  • Kind, compassionate, confidential and respectful support
  • A feeding and care plan that addresses your breastfeeding goals, your needs and your baby’s needs
  • Judgement-free guidance and education to help you make informed feeding decisions that are right for you
  • Referrals to providers in our area as needed for body work, physical or feeding therapies or oral restrictions
  • Lactation report sent to your and your baby’s care provider(s)
  • Follow up support via email, text or phone as needed
  • Return visits as needed/desired

Your lactation visit will be with Alison Spath, IBCLC or Beverly Brewer, RN, IBCLC.

Lactation Consultant IBCLC Alison Spath Rochester NYAlison Spath is an International Board Certified Lactation Consultant, a former La Leche League Leader in Rochester and the mother of three breastfed children.  Alison teaches our Intro to Breastfeeding class for expectant families, facilitates our weekly Breastfeeding support group Breastfeeding Cafe and has been supporting breastfeeding mothers in since 2008.




Beverly Brewer is a Registered Nurse and International Board Certified Lactation Consultant.  Beverly is also a current La Leche League Leader in Rochester and serves on the board of Rochester Regional Breastfeeding Coalition.  She is the mother of seven breastfed children and has been supporting breastfeeding mothers since 2010.




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


Initial Consult: $140 in your home or at Beautiful Birth Choices, if preferred.

Virtual (Video) or Telephone Consults: Sliding scale $50 – $70; pay what you can afford, no questions asked.

Follow up in person consults: $90

Virtual follow ups: $45

Phone consults: $30/hour

Travel outside Monroe county: Additional $25

Prenatal consults are also available

Charges for our lactation services can be paid with cash, check or credit/debit card.  We can accept most HSA/FSA cards.  We do not work directly with your insurance company but we can provide you with a receipt for you to submit to your insurance company for potential reimbursement.

More Breastfeeding Support

We also offer an Introduction to Breastfeeding class for expecting families, Breastfeeding 201 class for those wanting to learn more about pumping, bottle feeding or returning to work, and our support group for nursing and pregnant parents, Breastfeeding Cafe.

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, or call or text 585-451-9968. Please include your address or general location when requesting a home consult.