The best time to seek breastfeeding help is as soon as you experience difficulty with breastfeeding, before issues get entrenched! But even if they have been going on a while, we can work toward getting things to a good place for you and your baby.

For mothers/babies who have urgent needs, same day or next-day appointments are often available. Call 585-310-1713 to schedule an urgent consultation.

Nourish is in-network with Aetna. That means most parents with Aetna are covered 100% for up to six prenatal and postnatal in-office appointments. Parents with other insurance still need to file for reimbursement themselves.*

An initial postnatal appointment runs 1-1.5 hours. It generally involves these elements:

  • an exploration of the mother’s breastfeeding goals;
  • a history of the pregnancy and labor;
  • a history of the breastfeeding to this point;
  • a physical exam of the mother’s breasts, areolae, and nipples;
  • a physical exam of the baby’s mouth structures, head, and neck;
  • a physical exam (by gloved finger) of the baby’s ability to coordinate sucking;
  • a pre- and post-feed weight check (accurate to 2 grams) to measure the baby’s ability to transfer milk;
  • an observation of the mother and baby’s current breastfeeding technique;
  • suggestions for improving the success of breastfeeding;
  • a written care plan that the mother (and often partner) and I create together, based on the mother’s breastfeeding goals and what she finds manageable;
  • an update sent by fax to the physicians involved in care.

For a mom/baby with more complex or long-term issues, we start with the most critical issues and then schedule additional appointments as needed.

To find out current rates and to book an appointment, call 585-310-1713.
(Families who have a household income <$70k may provide proof of last year’s income and request a 25% discount for in-office consultations. Mothers who are eligible for WIC or Medicaid may request a 50% discount for in-office consults.)

When deciding whether to seek care, some parents find it helpful to consider that formula-feeding an infant for a year costs between $2000 and $4000, depending on the formula used. Two to four visits with an IBCLC for breastfeeding care is very inexpensive in comparison!

**I prefer to have consultations in my office because all of my tools and resources are readily available to me there.

Call 585-310-1713 to discuss your situation and see whether you will need an appointment.

*Insurance note: 

I will provide you with a superbill that you may use to file a claim with your insurance company. Coverage for classes varies, and the negotiation with the insurance company regarding this reimbursement is your responsibility. I would love to be in-network with all the insurance companies that offer a decent reimbursement; however, as the insurance companies come into compliance with the ACA, it’s complicated for now. I do accept FSA/HSA cards for payment.