Dr Choo, breastfeeding medicine IBCLC doctor

16/11/2025

🌼 Did you know? Your breast milk production starts long before birth — as early as 16 weeks of pregnancy.
From the second trimester, your body is already preparing milk slowly and steadily.
And after your baby is born, milk production naturally increases in the first few days and weeks —
most mothers DO have milk ready for their newborn.
The challenge is often not “no milk”…
but not knowing how to start.
What mothers truly need is:
✨ correct guidance
✨ proper latching support
✨ practical steps to establish supply
✨ reassurance from trained lactation care providers
This is why getting support early makes a big difference.
💛 Seek lactation guidance as early as your third trimester
so you know what to expect and how to begin with confidence.
💛 Get support immediately after birth
so you don’t fall into the common trap of:
“Looks like I have no milk… maybe I should wait.”
Because delaying breastfeeding or delaying expression can reduce your supply before it even starts.
Your milk is there.
Your body is ready.
You just need the right support from qualified lactation professionals to unlock it.
✨ Start early.
✨ Get guided.
✨ Build a strong foundation.
Your breastfeeding journey begins before your baby arrives — and you don’t have to do it alone.

— Dr Choo_Breastfeeding & IBCLC Doctor

09/11/2025

Breast milk isn’t only providing antibodies, it’s also providing anti inflammatory properties and HMOs that prevent bacterial binding.

(Source:
Breast Milk: A Meal Worth Having
Anoud Duale et al. Front Nutr. 2022.)

07/11/2025

Anthropological perspective, breastfeeding duration in primates:
1) Orangutans: Have the longest lactation period, typically 6–7 years, and sometimes up to 8–9 years in the wild.
2) Chimpanzees: Wean their young at around 4–5 years.
3) Gorillas: Nurse for at least 3 years.
4) Old World Monkeys (e.g., macaques, baboons): Typically wean earlier, dependent on local environmental conditions.
5) Humans: In traditional, natural fertility societies, the typical weaning age is around 2–3 years.

05/11/2025

📢📣🔊🔉
To all parents with young infants, do grab this opportunity to join us in our “limited edition”webinar on this coming Saturday!
Let us walk with you through the journey from 6month old to 2 years!

Keperluan Makan & Tidur Anak (6–24 Bulan) | Feeding & Sleep Needs (6–24 months)
“Baby 6–24 bulan mula makan & belajar tidur sendiri 😴 Tapi ramai ibu bapa masih keliru — bila nak mula makan, perlu teruskan susu ibu ke, dan kenapa bayi masih bangun malam?”
✨ Let’s talk feeding & sleep made simple! ✨ All these questions answered in our Cuddle Hub Studio Online Class!
📅 8 November 2025 (Saturday)
🕤 9.30 a.m. – 12.30 p.m.
📍 LIVE via Google Meet (Recording included)

💚 Topik / Topics:
🍽️ Pemakanan bayi / Baby weaning & essential nutrients
🤱 Penyusuan selepas 6 bulan / Breastfeeding after 6 months
😴 Tidur bayi 4 bulan–2 tahun / Baby sleep patterns & training
💫 Bonus: Wean off night feeding! 🎤 Barisan penceramah / Speakers:
👩‍⚕️ Grace Low – Breastfeeding Counselor/Dietitian
👩‍⚕️ Dr Choo Ee Leng – Doctor | IBCLC
👩‍⚕️ Mira Taha – Child Sleep Educator
👩‍⚕️ Amalina – Child Sleep Educator

💰 RM79 → RM49 (Early Bird!)
🎥 Recording provided
💬 Group Support
📜 E-Certificate
📞 Register now: 011-23884748
🔗 https://toyyibpay.com/KEPERLUAN-MAKAN-TIDUR-ANAK-6-Bulan Kerjasama antara pakar laktasi, nutrisi & tidur anak —
A complete session to help parents understand their baby’s feeding & sleep journey 💗

24/10/2025

Good reviews on the importance of skin to skin starting as early as possible after birth!

👶 Skin-to-skin contact involves placing the naked newborn on the mother’s uncovered chest immediately after birth. This simple practice helps babies adapt to life outside the womb, keeping them warm, reducing stress and crying, and supporting vital functions such as breathing and heart rate.

New Cochrane evidence confirms what many already practice: immediate skin-to-skin contact between newborns and their mothers gives babies a better start in life.

Babies held skin-to-skin within the first hour after birth are more likely to:

🩵 Breastfeed exclusively
🩵 Maintain healthy body temperature and blood sugar
🩵 Breathe and adapt better outside the womb

Importantly, the evidence is now so strong that researchers argue it’s no longer ethical to conduct studies that separate mothers and babies after birth.

“Withholding skin-to-skin contact would now be considered unethical, as there is enough evidence to show that the practice improves newborn health and survival,” says Karin Cadwell, senior author and Executive Director and Lead Faculty of
Healthy Children Project Center for Breastfeeding.

Read more on our website: https://www.cochrane.org/about-us/news/strong-evidence-supports-skin-skin-contact-after-birth-standard-care

23/10/2025

Why we need ICE in management of clog duct/engorgement/ most importantly mastitis?
When “clog”duct happens, it’s not as simple as just a globe of milk blocking in the duct. The process will cause a chain of body reaction to inflammation at the cellular levels, causing duct narrowing from the external pressure! ( sorry for attempting to draw an illustration of pathophysiology of inflammation around the alveoli)

ICE can:
1)Reduce blood flow carrying more inflammatory cells to the affected areas
2)Diminished inflammatory reaction
3)Reduce oedema and swelling
4)Reduce tissue metabolism ( telling milk making cells to slow down)
5)Reduce leaking of cells from vessels( stop symptoms from getting worse)
6)Reduce blood collection( if presence of tissue injuries)

Regular ICE ( sometimes combined with medical treatment) helps to reduce the external pressure effect on the surrounding ducts. When the oedema subsides, the ducts will open up again then milk will flow.

( Refer: Mastitis spectrum protocol Academy of Breastfeeding Medicine)

22/10/2025

Thank you, Mommy, for taking the step to seek prenatal and postnatal support. The credit is not mine, is the effort of the whole team!

Because she faced several breastfeeding challenges with her first baby, this mom reached out during her third trimester of her second pregnancy to attend a prenatal breastfeeding class— to refresh her forgotten breastfeeding knowledge. After delivery, she successfully breastfed her baby, and our team partner even conducted a home visit to strengthen her breastfeeding confidence.

By the third week, the baby entered the so-called “fussy period”, often labelled as colic (tummy pain/gas). Every day, the baby cried for three hours at the same time, then acted completely fine afterwards. The doctor ruled out any illness and recommended probiotics and baby massage, but nothing stopped the scheduled crying.

Some people said: “Just endure it, it will pass.”
But the mother said: “No, this can’t go on. I have to do something to help.”

After another three long, exhausting weeks in this cycle, I, together with our baby cry and sleep consultant, conducted a home visit to guide her through the *CuddleCare 5 Steps* and provided advice and props on improving the baby’s sleep environment.

As a result, the mother successfully reduced her baby’s crying duration, improved comfort and stability, and strengthened the baby’s sleep rhythm. Most importantly, she gained confidence and skills in soothing her baby.

Whether it’s breastfeeding challenges or baby sleep and crying issues, please don’t be harsh on yourself by thinking “it will get better if I just endure it.”
Seek timely guidance and support from qualified professionals.

Our team consists of **Breastfeeding and Lactation Consultants** as well as **Child Sleep Consultants **.
Where are we? — We’re based in **Kuala Lumpur (KL)**.