Telelactation – synchronous video visits with lactation consultants – can reduce disparities in access to professional breastfeeding support and improve breastfeeding experiences and rates. Prior literature on phone or app-based breastfeeding support has described use patterns for breastfeeding hotlines and apps that provide educational content. Telelactation video visits are now widely available. Although as many as a third of new parents used telelactation in 2020-2021, little is known about how individuals engage with these services. We described use patterns among new parents offered telelactation as part of a randomized controlled trial designed to assess effectiveness of telelactation across diverse populations of birthing people.