Lactation Services at Pediatric Associates of Medford

Breastfeeding is a journey, and sometimes it comes with challenges. At Pediatric Associates of Medford, we are proud to offer specialized lactation support grounded in both compassionate care and medical expertise. Our lactation services are led by Dr. Stephanie Bivona, a board-certified pediatrician and a Certified Lactation Counselor (CLC). This unique combination allows us to address breastfeeding concerns with a level of clinical insight that goes beyond traditional lactation support.

Why See a Lactation Consultant?

Breastfeeding can be rewarding, but it's not always easy. You may benefit from a consultation if you or your baby are experiencing:

  • Painful or damaged nipples
  • Concerns about milk supply (too much or too little)
  • Difficulty with latching or nursing positions
  • Poor weight gain in baby
  • Feeding difficulties with premature infants or multiples
  • Breast engorgement, clogged ducts, or mastitis
  • Trouble transitioning between breast and bottle
  • Preparing to return to work and want to maintain milk supply
  • Emotional stress or anxiety around breastfeeding

Even if things are going well, a visit with a lactation consultant can help optimize feeding techniques and provide peace of mind.

What Makes Us Different

Unlike many practices, our lactation consultant is also a practicing pediatrician. Dr. Bivona brings years of experience in pediatric medicine along with advanced training in breastfeeding management. This means:

  • Medical diagnoses and treatments can be made during your visit.
  • Complex issues like oral restrictions, slow weight gain, and maternal health concerns can be evaluated and managed appropriately.
  • Your baby’s growth and development are monitored alongside feeding progress.

This dual expertise allows for seamless care in one visit— no referrals, no guesswork.

What to Expect: Your First Visit

Your initial lactation consultation with Dr. Bivona is a 60-minute appointment designed to thoroughly assess both you and your baby. During this time, you can expect:

  • A detailed feeding history
  • Baby weight checks (pre- and post-feed if needed)
  • Observation of a feeding session
  • Hands-on guidance with latch and positioning
  • Evaluation of maternal and infant medical concerns impacting feeding
  • A personalized care plan for home

Follow-up visits may be recommended based on your individual needs.

How to Schedule an Appointment

To schedule a lactation consultation with Dr. Bivona:

  • Call our front desk at 781-396-1288 to book your appointment.
  • Or, register in person during your next office visit.

Please let our staff know that you are interested in a lactation consultation, and they will guide you through the next steps.

Frequently Asked Questions

What can I do if I’m worried about low milk supply?

Low supply can often be improved with adjustments in feeding frequency, technique, and maternal health support. Dr. Bivona will evaluate both baby’s intake and your production to determine a tailored plan.

I’m dealing with oversupply; can that be a problem?

Yes! Oversupply can lead to gassiness, poor latch, and increased breast and nipple pain. We can help regulate your milk production and ensure baby is feeding comfortably.

Breastfeeding hurts— is that normal?

Pain is common but not normal. We assess for latch issues, infections, tongue ties, and other causes to help you breastfeed comfortably.

I’m breastfeeding twins. Can I still get help?

Absolutely. Breastfeeding multiples presents unique challenges. Dr. Bivona provides strategies and support specific to your situation.

What about babies born early (preemies)?

Premature infants often need specialized feeding plans. We can help you navigate nursing or pumping for your preemie and support their growth.

I’m going back to work soon. How can I plan ahead?

We’ll help you plan a pumping schedule, build a milk stash, and troubleshoot any work-related feeding issues.

My baby refuses a bottle. What should I do?

Bottle refusal is common but fixable. Dr. Bivona can help introduce bottle feeding in a supportive and stress-free way.