Lactation Care &
Consultation
Personalized lactation support to help you and your baby thrive.
What lactation care is
Lactation care is clinical support for feeding your baby, provided by an International Board Certified Lactation Consultant.
It covers the mechanics of feeding, latch, positioning, milk transfer, and supply, and it covers everything that surrounds those mechanics: your recovery, your nutrition, your schedule, and the goals you have set for your family.
Feeding a newborn is often described as natural; however, it is still a skill that needs to be learned. Most families encounter at least one question they did not anticipate, and the first weeks with a baby are rarely the time to research the answer alone.
WHAT’S INCLUDED
What lactation care includes
Prenatal Preparation
Maternal nutrition assessment and definition of initial feeding goals
Breastfeeding education, and what to expect in early feeding days
Preparing feeding supplies, including bottles and pumps
Clarifying early feeding goals before your baby arrives
Assessment and Management
Breastfeeding assessment: latch, positioning, and the signs of effective milk transfer
Breast assessment, including engorgement and nipple trauma
Infant oral assessment
Weighted feeds
Pumping, Bottles, & Combination Feeding
Pump setup and hands-on flange fitting
Individualized pumping plans and expressed milk management
Introducing a bottle, bottle refusal, and formula selection
Personalized return-to-work feeding plans
Milk Supply
Low supply, oversupply, and overactive let-down
Engorgement management
Syringe feeding when it is needed
Pumping to support your milk supply
Ongoing Support
Cluster feeding, coordinating feeding and sleep, and incorporating feeding partners
Feeding after NICU discharge or a tongue-tie release
Weaning support
Who lactation care is for
Lactation care may be a good fit if you are:
Pregnant and want to prepare for feeding before your baby arrives
In the first days or weeks after delivery and want a feeding assessment
Working through latch difficulty, nipple pain, or questions about milk transfer
Concerned about low milk supply, oversupply, or engorgement
Parents who are looking for support with formula selection and bottle feeding
Pumping, planning a return to work, or introducing a bottle
Feeding after NICU discharge or a tongue-tie release
Combination feeding, formula feeding, or still deciding among the options
Ready to wean and want to do it comfortably
WHAT TO EXPECT
The Feeding Foundations Bundle
A three-visit program that prepares for feeding during pregnancy and stays with you through the early postpartum weeks.
Most feeding support arrives after a problem does. The Feeding Foundations Bundle is built the other way around.
It begins during pregnancy, when parents are in a mindset to think clearly and plan, and continues into the first days and weeks after birth, when even the most organized parents find themselves working through sleep deprivation, hormonal shifts, erratic appetites, and the intensity of caring for a newborn.
We offer it as part of a comprehensive plan that accounts for both parent and baby.
Visit One: Prenatal Feeding Preparation
Virtual, 90 minutes, during pregnancy
A full review of your relevant medical and nutrition history, your conception history, and your relationship with food and your body. We cover what to expect from breastfeeding, the feeding challenges that commonly arrive early, and how to prepare supplies such as bottles and pumps. We also talk through your goals for feeding and where the motivations behind particular outcomes stem from, which is often the most useful part of the conversation.
The timing is deliberate. This visit happens while you can still reflect and plan, before your baby arrives.
Visit Two: Postpartum Lactation Consultation
In-home: 90 minutes, or virtual: 75 minutes, within the first week after delivery
We begin with how you are doing. Then we revisit the plan from Visit One and either continue with it or modify it based on the experiences you and your baby are sharing.
In home: Hands-on latch and positioning support. Breast assessment, including engorgement and nipple trauma. Infant oral assessment. Pump setup and hands-on flange fitting. Weighted feeds.
Virtual: Assessment of feeding technique and latch by video. Positioning adjustments for a more comfortable and effective latch. Recognizing the signs of effective milk transfer. Engorgement management. Realistic props to model feeding positions and support a comfortable latch.
Both formats produce an individualized feeding plan, along with a plan for pumping, combination feeding, or supplementation where that is part of the picture. We address supply concerns, including over and under supply and overactive let-down, and guide syringe feeding when it is needed.
Visit Three: Six to Eight Week Follow-Up
Virtual, 60 minutes, within the first six to eight weeks postpartum
The visit that sets families up for the longer stretch. We troubleshoot gastrointestinal distress, possible allergy concerns and colic, and work through feeding schedules, coordinating sleep and feeding, cluster feeding, introducing a bottle, pumping schedules, weaning, and a return-to-work pumping schedule built around your life.
Maternal nutrition takes a larger role here. This stage is physically demanding, and it is often the point at which a parent’s own eating falls to the bottom of the priority list. We also talk about bringing feeding partners in.
Beyond the Bundle
Some families feel settled after the six to eight week visit. Others require or desire ongoing support. Either is normal, and ongoing consultation is available for as long as it is useful.
We come from a perspective of encouragement, understanding, and support; never blame, shame, or judgment.
Our Approach to Lactation Care
We start with how you are doing, not with a technique.
Every consultation opens with a check in to understand how you are feeling, how recovery is going, and how your feeding experience has evolved since we last spoke.
We revisit your feeding goals together and adjust the plan when your needs, preferences, or circumstances change.
There is no single right way to feed a baby. Breastfeeding, pumping, bottle feeding, formula feeding, and combination feeding can all be part of a healthy, connected feeding experience. Our role is not to steer you toward one particular outcome, but to help you make informed decisions and create a feeding plan that works for your baby, your body, and your family.
WHAT SETS US APART
Our lactation consultant is also a Registered Dietitian, bringing specialized knowledge of both maternal nutrition and infant feeding. This means we can support your nutrition and recovery while also looking at your baby’s feeding from a broader perspective.
Care that begins proactively. Support is available during pregnancy and postpartum, both in your home and virtually, allowing us to prepare for feeding before challenges arise and provide continuity as your needs evolve.
We build individualized feeding plans rather than apply a standard protocol
We coordinate with your OB/GYN, midwife, and pediatrician so guidance stays consistent across your team
We recognize that infant feeding can carry significant pressure, expectations, and uncertainty. Our approach creates space for those experiences while helping you make informed decisions that feel right for you and your family.
“We are working with women at one of the most vulnerable moments of their lives. Our goal is to instill confidence and a sense of security in the steps parents are taking to nourish themselves and their newborn.”
COLIN MALLOY, RD, IBCLC
Who You’ll Work With
Colin Malloy leads this care. She is both a Registered Dietitian and an International Board Certified Lactation Consultant, which means your baby’s feeding is assessed alongside your own nutrition and recovery rather than separately from it. Care is available in your home or virtually, and it can begin before your baby arrives.
Your First Step
You do not book yourself into a clinician’s calendar from this page. Rebecca personally handles new inquiries and matches you with the right person on the team.
→ Reach out
Use the form or the practice contact path and ask for a discovery call. Tell us what is going on in whatever words you have.
→ Get matched
If we move forward, Rebecca coordinates who on the team is the right dietitian for you.
→ Talk with Rebecca
Your free discovery call is a real conversation: what you need, whether we are a fit, and how fees work. No surprise pitch, and no pressure to have a medical label in hand.
→ Begin care
Most visits are virtual. If coming in person feels right, we still have an office in Rye, New York.
How payment works
We are a private-pay practice. We do not bill insurance or submit claims for you. Clients are billed monthly for all services provided during that month. If your plan has out-of-network nutrition benefits, we provide a detailed receipt (superbill) with the coding you need so you can seek reimbursement on your own. Fees are discussed on the discovery call.
Frequently Asked Questions
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Both. In-home visits allow for hands-on latch and positioning support, breast and infant oral assessment, pump fitting, and weighted feeds. Virtual visits cover latch assessment by video, positioning, milk transfer, supply, and planning. Many families use a combination.
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The International Board Certified Lactation Consultant credential is the internationally recognized clinical certification in lactation care, requiring supervised clinical hours and a board examination. It is distinct from peer counseling or educator certifications, which serve a different and valuable purpose.
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Families who want to prepare in advance often begin in the third trimester. Families who are already feeding usually reach out in the first week or two, though there is no point at which it becomes too late to get support.
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No. Bottle feeding, formula selection, combination feeding, feeding schedules, and weaning are all part of this care.
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Yes. Coordinated care is central to how we work, and we communicate with the providers already on your team so that feeding and nutrition guidance stays consistent with the rest of your medical care.
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Parenting is often about pivoting; if observations about early feeding strategies warrant shifts, then we revisit and adjust our plan. Goals set during pregnancy sometimes meet a different reality after birth, and modifying the plan is part of the work rather than a departure from it.
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Yes, and this is where our credentials as Registered Dietitians matter. Postpartum recovery, nutrition while breastfeeding, and eating well during a demanding stretch are part of the same conversation.
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Single consultations are available. The Feeding Foundations Bundle exists for families who anticipate the need for prenatal planning and postpartum follow-through built in from the start. Stand-alone consultations are also a large part of the support that we provide to new parents.
Other things we treat
Prenatal & Postpartum Care
Infant Feeding
Pediatric, Adolescent, and Family Nutrition Therapy
The Early Weeks Are Easier With Support
Feeding questions rarely arrive at a convenient hour. We can put a plan in place before they do.