Dr Choo, breastfeeding medicine IBCLC doctor

22/11/2025

请不要被误导以下几点：
1）残剩的乳汁会随着时间与乳房生理机制吸收，颜色、味道与质感会变浓，这都不是坏掉的乳汁，也不是变成CHEESE/发酵的YOGURT，更加不是脓！
2）以前与现今的医学研究都没有证明离乳期的乳汁“残奶”会造成乳腺癌！
3）更没有医学研究证明定期乳房按摩可以预防乳腺癌！
4） 没有这个存在：前胎残奶留到下一胎会造成堵奶。

退奶需要擠出殘奶嗎？

最近有同學在問
聽說有在流行這個說法？

到底退奶要不要擠殘奶？
是不是沒有把黃色的東西擠出來
會藏毒？
會生病？
會長壞東西？
會乳癌？
會乳腺堵塞一輩子？

好的
先講結論

==============

退奶不需要刻意把乳房擠到完全乾淨
不用追求所謂的殘奶清除
也沒有任何醫學根據說不擠乾淨會長東西

真正有效又安全的退奶方式
一直都是漸進式退奶
逐漸減少哺餵與擠奶頻率
讓泌乳荷爾蒙自然下降
乳房自然萎縮
這就是最符合生理的做法

==============

*為什麼不用擠殘奶？

因為母乳不是垃圾
也不是過期的牛奶
不會越放越毒
更不會變成乳房裡的壞東西

母乳停止刺激後
乳腺管會自然萎縮
原本的乳汁成分會被身體吸收
這叫做 lobular involution 乳腺自然回縮
是正常的生理過程

乳汁會被吸收
不會塞在裡面放到發酵變優格

*那
照片中的黃色顆粒是什麼？

其實就是 dried milk residue
乳管末端乾掉的油脂與細胞碎片
在泌乳學裡叫做 milk plugs 或 fat globules

它不是藏了一年的殘奶
不是毒物
不是壞東西
也不是擠出來才健康

如果你現在硬擠
只是在刺激乳管
重新叫醒已經快要休眠的泌乳系統
等於在退奶的路上自己踩油門

適得其反

*那什麼時候需要擠？

1
已經脹痛到不舒服
擠到不痛就好
不用清空

2
出現乳腺炎的症狀
紅腫熱痛發燒
在醫囑下可以協助疏通

3
醫師評估需要
例如感染或是乳頭問題

除此之外
不需要
真的不需要

*臨床指引怎麼說？

系統性研究與臨床指南都寫得很清楚
安全的退奶做法是
stepwise weaning
逐步減少排乳
不是強制把乳房擠乾
也沒有任何證據顯示殘奶會變腫瘤

而且研究指出
乳腺在停止哺乳後
乳汁成分會自然被 macrophage 巨噬細胞吞噬代謝
這個過程不需要你手動去清除殘奶

不管是
American Academy of Pediatrics
World Health Organization
或是Academy of Breastfeeding Medicine
都沒有需要擠殘奶的指引與建議

為什麼沒有的原因很簡單
因為不需要

此外
退奶後乳房健檢很重要
但原因不是因為殘奶沒排乾淨
而是停餵後乳腺組織比較穩定
做健檢比較清楚

健檢是為了健康
不是為了確認你殘奶有沒有清乾

就醬

參考文獻

1. Lawrence RA, Lawrence RM. Breastfeeding: A Guide for the Medical Profession. 9th ed. Elsevier; 2022.

2. Neville MC, Morton J. Physiology and endocrine changes underlying human lactogenesis II. J Nutr. 2001;131(11):3005S-3008S.

3. Academy of Breastfeeding Medicine Protocol Committee. ABM Clinical Protocol #34: Breast Cancer and Breastfeeding. Breastfeed Med. 2017;12(7):421-426.

4. WHO. Infant and young child feeding: Model Chapter. World Health Organization; 2009.

5. Howard CR, Lawrence RA. Drugs and breastfeeding. Clin Perinatol. 1999;26(2):447-478.

===============

新同學請先參考一下舊文章
很多
我知道

但跟你被洗腦已經一輩子時間的那些迷思比起來
你只需花比你人生短很多很多的時間就可以看完

我們有目錄請動動手指頭滑一下參考置頂文
然後
請善用搜尋🔍功能

所有文章我都也有放在部落格
請google搜尋🔍⋯⋯
蘇怡寧醫師愛碎念
或是
蘇醫師愛碎念

或者
好像打蘇醫師就會跑出來
你試試😌

然後
請善用裡面的搜尋功能

以上

21/11/2025

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