Centro de lactancia y pediatría. Dra. Colmenares IBCLC

Centro de lactancia y pediatría. Dra. Colmenares IBCLC Pediatra/IBCLC, Breastfeeding Medicine. Tongue-tie practitioner. Specialist in neurodevelopment. Consultorio Pediátrico especializado en Lactancia.

Atención al recién nacido y hasta los 18 años de edad. Atención al crecimiento y desarrollo. Detección oportuna de enfermedades, así como vacunas y prevención. Especial atención y consultoría a la madre y su bebe en el periodo de lactancia. Resolver problemas como falta de leche, dolor, grietas, mala técnica, bebés con problemas neurológicos, hipotónicos, labio y paladar hendido, gemelos, entre otros. Conoce más en: https://linktr.ee/dra.colmenares_ibclc

Sleep in babies and toddlers is not a skill to be trained—it’s a neurodevelopmental process.Just like walking or talking...
24/11/2025

Sleep in babies and toddlers is not a skill to be trained—it’s a neurodevelopmental process.
Just like walking or talking, sleep unfolds as the brain matures, given the right environmental support. 🦉. Research shows that infant sleep is shaped by biology, attachment, culture, parental stress, routines, and sensory factors. It is far more complex than simply “learning” to fall asleep. What supports healthy sleep?
🔬 Consistent, responsive caregiving that regulates the child’s nervous system
🔬 Age-appropriate expectations grounded in developmental science
🔬 A stable, predictable environment that reduces stress
🔬 Understanding normal sleep physiology—frequent night wakings are biologically typical
🔬 Parental strategies that evolve as the child’s brain develops
Without adjusting a child’s environment and our own approaches, we cannot expect sleep patterns to change.
Many conventional “sleep training” methods may promote short-term results but can carry significant emotional and mental health costs for both parents and children—especially when they conflict with parental instincts or the child’s regulatory needs.
Empowering parents means giving them science, not pressure—and reminding them that supporting sleep is about connection, development, and responsiveness, not training.
🧠✨ When we understand how sleep truly develops, we can meet our children with confidence—not fear.


Photo: Unsplash ().

23 Nov, hace 11 años nació el. El que me enseñó a poder parir después de cesárea, a que se puede un parto mamífero. A da...
22/11/2025

23 Nov, hace 11 años nació el. El que me enseñó a poder parir después de cesárea, a que se puede un parto mamífero. A dar pecho mucho tiempo… a que se puede con dos…. Gracias. ………………………………………. He was born 11 years ago. He taught me how to give birth after a cesarean, that a mammalian birth is possible. How to breastfeed for a long time… that it’s possible with two… Thank you.

✨ World Prematurity Day ✨Supporting parents of preterm babies matters — not just medically, but emotionally.A new study ...
17/11/2025

✨ World Prematurity Day ✨
Supporting parents of preterm babies matters — not just medically, but emotionally.
A new study from Sweden and Norway found that immediate skin-to-skin contact (SSC) in the first hours after a very preterm birth (28–33 weeks) can make a real difference for parents’ mental health.
👶💞 Key findings:
• Holding their baby skin-to-skin right after birth helped reduce depression symptoms in mothers within the first week.
• Fathers experienced less anxiety at one week, and lower anxiety and depression by the time their baby reached term-equivalent age.
• SSC offers closeness, connection, and comfort during one of the most challenging moments for families.
💜 While more research is needed, this study shows that early skin-to-skin contact isn’t just nurturing — it’s protective. Creating space for these first moments can support the mental wellbeing of both parents during the NICU journey.


Study: Skin-to-skin contact at birth for very preterm infants and symptoms of depression and anxiety in parents during the first year – A secondary outcome of a randomized clinical trial,
ISSN 0165-0327,
https://doi.org/10.1016/j.jad.2025.04.160.
(https://www.sciencedirect.com/science/article/pii/S0165032725007451)

Physiologic infant care” means supporting natural feeding, sleep and bonding rhythms — rather than pushing the baby (or ...
10/11/2025

Physiologic infant care” means supporting natural feeding, sleep and bonding rhythms — rather than pushing the baby (or you!) into rigid schedules. Gentle, responsive, and parent-friendly 💛. There are untold things that happen when mums feed at night that can help to even sleep better: Night-breastfeeding is preferred over pumping and bottle-feeding at night because breast milk at night contains triptofane and melatonin, which supports baby’s sleep rhythms. Breastfeed during the night: it boosts milk production and supports your baby’s growth. Feeding in a calm, dark space helps both mom and baby fall back asleep faster. Those quiet night cuddles deepen emotional connection and security. 💕Breast milk temperature, smell, and hormones help your baby’s breathing, heart rate, and stress levels stay steady through the night. Babies come with a rhythm, the biological rhythm and we need to tune in.

🌺🕯️ Día de Mu***os: El Chichihualcuauhco, el lugar de los niños 🕯️🌺En la cosmovisión mexica, las almas de los niños que ...
02/11/2025

🌺🕯️ Día de Mu***os: El Chichihualcuauhco, el lugar de los niños 🕯️🌺
En la cosmovisión mexica, las almas de los niños que morían muy pequeños no iban al Mictlán.
Ellos viajaban al Chichihualcuauhco, el “Lugar del Árbol Nodriza”, un sitio lleno de luz, donde un gran árbol les daba leche de sus ramas para alimentarlos y consolarlos. 🌳💫
Se decía que estos niños esperaban allí, en paz y alegría, hasta que llegara el momento de regresar al mundo para vivir la vida que no pudieron tener. 🌼👶
En este Día de Mu***os, recordamos no solo a quienes partieron, sino también a esas almas pequeñas que, según nuestros ancestros, siguen siendo parte del ciclo eterno. 🕊️✨
***os 🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧Day of the Dead: The Chichihualcuauhco, the Place of the Children 🕯️🌺
In the Mexica worldview, the souls of children who passed away too young did not go to Mictlán, the land of the dead.
Instead, they journeyed to Chichihualcuauhco, the “Place of the Nursing Tree” — a realm filled with light, where a sacred tree nourished them with milk from its branches. 🌳💫
It was said that these little souls waited there, peaceful and joyful, until the time came for them to return to the world and live the life they never had. 🌼👶
On this Day of the Dead, we honor not only those who have gone before us, but also those gentle souls who, according to our ancestors, remain part of the eternal cycle. 🕊️✨

Boosting Milk Supply in Moms with preemies (interesting study) 👶💪Many moms of preterm babies struggle to make enough mil...
27/10/2025

Boosting Milk Supply in Moms with preemies (interesting study) 👶💪
Many moms of preterm babies struggle to make enough milk during long hospital stays. This study tested whether domperidone—a medication that raises prolactin—could help.
✨ Study Highlights:
47 moms with low milk supply joined a 14-day trial (domperidone vs placebo).
Milk volume ↑ from 156 mL → 401 mL with domperidone vs 176 mL → 261 mL with placebo (📈 p < 0.01).
Prolactin levels rose significantly in the domperidone group.
No side effects reported.
95% of babies in the domperidone group were exclusively breastfed at discharge vs 52% in placebo (p = 0.008).
💡 Conclusion: Domperidone safely boosts milk production and breastfeeding success in mothers of preterm infants.
🤱 Teamwork Matters:
Including a breastfeeding and lactation medicine specialist as part of the multidisciplinary care team helps provide expert guidance, personalized support, and continuity of care—empowering mothers to reach their breastfeeding goals and optimize outcomes for their babies (Effect of Domperidone on Breast Milk Production in Mothers of Sick Neonates: a Randomized, Double-Blinded, Placebo-Controlled Trial, https://doi.org/10.1089/bfm.2020.0234)

🌙✨ “Night Nannies” and the Early Parenting ExperienceIt’s understandable — new parents are exhausted. Support at night s...
18/10/2025

🌙✨ “Night Nannies” and the Early Parenting Experience
It’s understandable — new parents are exhausted. Support at night sounds like a dream come true. But before outsourcing those nighttime feeds, it’s important to understand what the evidence says.
When someone else feeds or soothes your baby overnight (especially with bottles or formula), it can:
🍼 Reduce breast stimulation — leading to lower milk supply
🤱 Interrupt on-demand feeding, which is how babies regulate intake and how mothers maintain production
💔 Create early separation that may affect bonding and maternal CONFIDENCE.
Research shows that inappropriate supplementation or separation in the early weeks can undermine a mother’s confidence in her ability to meet her baby’s needs — both nutritionally and emotionally.
That doesn’t mean parents shouldn’t get rest or support — they absolutely should! 💕
But the best kind of support protects the breastfeeding relationship, closeness, and parental confidence.
If help is needed at night, consider:
🌿 A partner or helper who brings baby to you for feeds
🌿 Gentle reassurance and hands-on help without replacing the parent-baby connection
🌿 Daytime rest and practical support so nights can stay for feeding and bonding
Empowering parents means giving them truthful, compassionate information — not quick fixes that may cost them confidence and connection later on. 💫Photography: https://unsplash.com/es/

15 de Octubre. Día del duelo perinatal. Me ha tocado acompañar a pacientes y familias, y familia cercana…. No hay palabr...
16/10/2025

15 de Octubre. Día del duelo perinatal. Me ha tocado acompañar a pacientes y familias, y familia cercana…. No hay palabras que alivien el vacío que deja un hijo que partió demasiado pronto.
Solo el amor permanece, transformado en memoria.

Hoy recordamos con ternura a todos los bebés que viven en el corazón de sus familias.

. 🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧October 15th. Perinatal Grief Day. I have been involved with patients, families, and close relatives… There are no words that can ease the void left by a child who left too soon.
Only love remains, transformed into memory.

Today we tenderly remember all the babies who live in the hearts of their families.

🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧When Feeding Still Hurts is usually very frustrating.  🤱 If pain and feeding difficulties persist — even after...
15/10/2025

🇬🇧🇬🇧🇬🇧🇬🇧🇬🇧When Feeding Still Hurts is usually very frustrating.

🤱 If pain and feeding difficulties persist — even after expert support with positioning, latch, osteopathy, or craniosacral therapy — it’s time for a thorough reassessment.

Feeding should be comfortable, efficient, and pain-free.
Extra supports (like pumping, ni**le shields, or bottles) can help families transition — but they’re not physiological long-term solutions.

Every decision about treatment should be based on evidence and complete assessment, not just visible anatomy.

Feeding shouldn’t hurt.

If pain persists after trying all supportive strategies — reassess.

Extra tools like ni**le shields or pumping can help, but there is something not working as expected.

Every decision should be evidence-based and individualised.

Efficient, comfortable feeding is possible —

and yes, tongue ties (restrictive frenulum, whatever the position in the mouth) can affect the outcome. Usually treatment should never be isolated, but is crucial to work as a multidisciplinary team. Add. This tongue restriction wasn’t visible just looking at babies mouth. Immediate improvement after procedure.

🏴󠁧󠁢󠁥󠁮󠁧󠁿🏴󠁧󠁢󠁥󠁮󠁧󠁿🏴󠁧󠁢󠁥󠁮󠁧󠁿🏴󠁧󠁢󠁥󠁮󠁧󠁿🏴󠁧󠁢󠁥󠁮󠁧󠁿🏴󠁧󠁢󠁥󠁮󠁧󠁿It often seems that tongue ties are becoming more common, but I recognize that...
08/10/2025

🏴󠁧󠁢󠁥󠁮󠁧󠁿🏴󠁧󠁢󠁥󠁮󠁧󠁿🏴󠁧󠁢󠁥󠁮󠁧󠁿🏴󠁧󠁢󠁥󠁮󠁧󠁿🏴󠁧󠁢󠁥󠁮󠁧󠁿🏴󠁧󠁢󠁥󠁮󠁧󠁿It often seems that tongue ties are becoming more common, but I recognize that my perspective may be shaped by bias. As a medical doctor and breastfeeding specialist, I tend to see families who have already sought and exhausted other avenues of support—such as positioning help, attachment work, chiropractic care, midwifery guidance, or mental health support. The cases that reach me are usually the more complex ones, often involving multiple overlapping challenges. It’s also true that today, there is much greater awareness and interest in breastfeeding, which motivates families to seek more help and persist through difficulties that, in the past, might have brought their breastfeeding journey to an early end. So while it can feel like tongue ties are increasing, it can also be that we seeing a concentrated group of complex cases, alongside a growing commitment from families to find solutions and continue breastfeeding. 🇲🇽🇲🇽🇲🇽🇲🇽🇲🇽🇲🇽🇲🇽🇲🇽🇲🇽🇲🇽🇲🇽A veces parece que los frenillos linguales son cada vez más frecuentes, pero reconozco que mi perspectiva puede estar influenciada por cierto sesgo. Como médica y especialista en lactancia, suelo atender a familias que ya han buscado y agotado otras vías de apoyo, como el trabajo de posición y agarre, la atención quiropráctica, el acompañamiento de consultoras en lactancia o el apoyo en salud mental. Los casos que llegan a mí suelen ser los más complejos, a menudo con varias dificultades superpuestas. También es cierto que hoy existe un mayor interés y conciencia sobre la lactancia materna, lo que impulsa a las familias a buscar más ayuda y a perseverar ante los desafíos que, en otro momento, podrían haber significado el fin de su lactancia. Por eso, aunque puede parecer que los frenillos linguales están aumentando, es posible que también estemos viendo un grupo concentrado de casos complejos, junto con un creciente compromiso de las familias por encontrar soluciones y continuar amamantando.

03/10/2025

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To the maternity nurse who told a new family that formula has more nutrients than breastmilk — I need to ask you somethi...
01/10/2025

To the maternity nurse who told a new family that formula has more nutrients than breastmilk — I need to ask you something.
Where did you train? What experience gave you the confidence to say such harmful, false things to vulnerable families?
Telling a mother to give formula at night “because it has more nutrients”? Telling her she’s too tired to breastfeed and should just stop? Suggesting that her breastmilk isn’t enough? That could be the cause of colic or reflux? That’s better to use bottles? That she can express instead?
That’s not support. That’s not evidence-based. That’s sabotage.
In one of the most fragile, defining moments in a family’s life, your words carry weight. Your misinformation doesn’t just affect a baby’s health — it directly impacts a mother’s mental health, her anxiety, her confidence, her will to parent, her family…
Why are you speaking on behalf of exhausted mums instead of actually supporting them?
We don’t need your pity. They need truth, encouragement, and real help (and yes, sometimes can include formula, pumping or bottles).
If you’re in this profession, it’s your duty to be informed — and if you don’t want to do the work to stay up to date, you shouldn’t be working with postpartum families at all.
Get trained. Stop lying. Do better. -
https://unsplash.com/es/

Dirección

HOSPITAL MEDICA SUR, TORRE 1-129
Mexico City
14050

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