Personalized counseling that supports the mother on breastfeeding positions, milk sufficiency, latch technique and the most common breastfeeding problems.
Indication
- Support for initiating breastfeeding in the newborn period
- Evaluation of perceived insufficient milk supply or poor weight gain in the infant
- Cracked nipples, painful breastfeeding or suspicion of incorrect latch
- Continuing breastfeeding in twin or preterm infants
- Mastitis, blocked milk duct or milk stasis
- Maintaining and expressing milk when the mother returns to work
- Clinical guidance on medication use during breastfeeding
Preparation
- Information on the infant's birth weight, current weight and growth chart
- Recording of breastfeeding frequency and duration (24-hour log)
- Tracking the number of wet and soiled diapers
- Bringing previously used breastfeeding aids (nipple shield, bottle, pump)
How it's performed
- The mother's breastfeeding history and the infant's birth history are reviewed
- The infant is weighed and the oral cavity (including any tongue tie) and swallowing reflex are examined
- Position, latch and sucking pattern are observed live during a feeding
- Suitable positions, correct latch and milk-boosting strategies are demonstrated to the family
- When needed, pump use, milk storage and feeding the expressed milk are explained
- An individualized breastfeeding plan is provided in writing
Post-procedure
- A follow-up visit is usually planned within 1-2 weeks
- Infant weight gain and feeding frequency are followed remotely or in person
- Exclusive breastfeeding for the first 6 months is supported; complementary feeding is then planned
- Early consultation is recommended for problems such as mastitis or blocked ducts
- When required, coordinated assessment with the pediatrician, ENT specialist and dentist is arranged
Risks
- Unnecessary formula supplementation may be initiated if the situation is misjudged
- Nipple pain or cracking may persist until the technique is corrected
- Reduction or cessation of milk supply may be unavoidable with certain medications or hormonal conditions
- Excessive expression may create an imbalance in milk supply
FAQ
Is exclusive breastfeeding sufficient for the first 6 months?
In healthy infants, only breast milk meets all nutritional needs including fluids during the first 6 months; vitamin D supplementation is given separately.
I am told my milk is not enough — how can I tell?
The daily number of wet and soiled diapers, the weight curve and the feeding pattern are evaluated together; in most cases milk supply becomes adequate after technique adjustments.
Can I take medication while breastfeeding?
Many medications are compatible with breastfeeding; each one is assessed for transfer to the infant and its potential effects using evidence-based references.
How should I store milk that I express with a pump?
Expressed milk can be kept in the refrigerator for 3-5 days and in the deep freezer for up to 6 months; thawed milk should not be refrozen and must not be heated in a microwave.
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