Lactation Counselling in BTM Layout: Breastfeeding Support for New Mothers

Breastfeeding is one of the most important bonding experiences between a mother and her baby. However, it is also one of the most misunderstood. Many mothers are told that “breastfeeding should be easy” and feel guilty or worried when it is not.

As a pediatrician and neonatologist, I regularly meet mothers who are doing their best, but are struggling silently with pain, doubts, or exhaustion. The good news is that most breastfeeding problems can be gently corrected with the right guidance.

What Does Healthy Breastfeeding Look Like?

In the first few weeks, breastfeeding is considered “on track” when your baby:

• Feeds 8–12 times in 24 hours
• Has at least 6–8 wet diapers a day after the first week
• Gains weight steadily as per the pediatric growth chart
• Seems calm and satisfied after feeds most of the time

If you are unsure whether your baby is getting enough milk, or if feeds are very painful or stressful, it is a good time to talk to your pediatrician or a lactation expert.

Common Breastfeeding Challenges

1. Painful Nipples or Cracked Nipples

Mild discomfort in the first few days can be normal as you and your baby learn to latch. However, sharp pain, cracks, bleeding, or fear of the next feed are signs that something is not right.

Most often, this is due to a shallow latch or awkward feeding position. With simple adjustments and proper latch support, breastfeeding can become comfortable again.

2. Baby Not Latching Well or Sleeping at the Breast

Some babies, especially premature or low birth weight babies, may have a weaker suck or get tired quickly at the breast. Others may latch only at the nipple and not take in enough breast tissue.

This can lead to long, frequent feeds with poor milk transfer, leaving both mother and baby exhausted. A lactation assessment can help identify whether the issue is due to positioning, tongue movement, or stamina.

3. Worries About Low Milk Supply

Many mothers worry that their milk is “not enough”, especially if the baby cries often or wants to feed frequently. In reality, frequent feeding is how the baby builds your supply in the early weeks.

True low milk supply is less common and usually has specific reasons such as hormonal issues, breast surgery history, or ineffective milk removal. The focus should be on checking baby’s weight gain, diaper count, and feeding technique before jumping to formula.

4. Engorgement, Blocked Ducts, or Mastitis

Engorgement (very full, tight breasts), painful lumps, redness, or fever can happen when milk is not drained well or feeds are suddenly spaced out.

These conditions are treatable, but delaying care can make breastfeeding even harder and more painful. Early support can prevent the need to stop breastfeeding abruptly.

When Should You Seek Lactation Counselling?

You should consider meeting a pediatrician or lactation counsellor if:

• Breastfeeding is consistently painful or stressful
• Your baby is not gaining weight as expected
• You are worried about your milk supply
• Feeds are taking very long, but baby still seems unsatisfied
• Your baby was premature, low birth weight, or recently discharged from NICU

Why Early Breastfeeding Support Matters

The first few weeks set the foundation for your breastfeeding journey. Gentle corrections early on can prevent bigger problems later, reduce anxiety, and help both mother and baby enjoy feeding time.

You are not a “bad mother” if breastfeeding feels difficult. You simply need support—and that is exactly what lactation counselling is for.

Final Thoughts

If you are experiencing pain, doubt, or exhaustion around breastfeeding, please do not suffer in silence. A short session with a pediatrician experienced in lactation or a trained lactation counsellor can make a big difference to your confidence and your baby’s health.