Lactational Counselling
What is Lactational Counselling & Breastfeeding Support?
Lactational Counselling is specialized clinical guidance and physical coaching provided to new mothers to establish, optimize, and sustain a pain-free, nourishing breastfeeding journey. Breastfeeding is a natural biological process, but it is also a learned skill for both mother and infant that often requires clinical troubleshooting.
At Dr. Deepika Lalwani (Nagwani)'s Clinic in New Kalyani Nagar & Wadgaon Sheri, Pune, we believe no mother should navigate postpartum feeding challenges in pain or isolation. Led by Dr. Deepika Lalwani (MBBS, DGO Mumbai) with over 10+ years of clinical experience, we provide compassionate, hands-on coaching to correct latch mechanics, resolve low supply concerns, and treat painful conditions like mastitis.
Our private clinic provides a serene, highly sterilized environment where you and your baby receive unhurried, one-on-one attention without the stress or exposure of crowded hospital waiting rooms.
Normal Healthy Latch vs. Poor Latch: What Every Mother Should Know
An improper latch is the primary reason for painful nursing, cracked nipples, and inadequate infant weight gain. Learn to spot the key differences.
Normal Healthy Latch
Pain-Free • Rhythmic Swallowing
A gentle, firm pulling sensation on the breast tissue; entirely comfortable and pain-free.
Mouth wide open (140°+ angle); lips are visibly flared outward like a fish.
More of the lower areola is deeply grasped into the mouth than the top portion.
Nipple emerges rounded, cylindrical, and elongated without flattening or pinching.
Poor Latch (Needs Correction)
Pinching Pain • Inefficient Milk Transfer
Sharp, pinching, or burning pain throughout the entire nursing session.
Lips curled inward; baby chomps or bites directly on the sensitive nipple tissue.
Baby is shallowly sucking only on the nipple tip, missing the underlying milk sinuses.
Nipple appears squished, blanched white, or flattened like a brand-new lipstick.
Our Clinical Lactation Support Services
We provide gentle, evidence-based post-natal guidance to help you nurse comfortably and nourish your baby with confidence.
Hands-On Latch & Positioning Coaching
Step-by-step guidance on ergonomic body holds (cross-cradle, football hold, side-lying) and deep asymmetric latch techniques to eliminate nipple trauma.
Milk Supply & Volume Management
Formulating clinical protocols to stimulate prolactin and oxytocin reflexes, boost low milk supply, and monitor newborn hydration and weight velocity.
Engorgement, Blocked Ducts & Mastitis
Rapid clinical relief for painful breast engorgement, clearing blocked lactiferous ducts, and prescribing lactation-compatible therapies for mastitis.
Pumping & Return-to-Work Blueprint
Empowering working mothers with customized breast pump selection, sterile expressing schedules, and CDC-approved breast milk storage protocols.
Our Safe Lactation Guidelines & Storage Rules
Follow these foundational principles to maintain a strong milk supply and protect your infant with safe milk hygiene.
Feeding Demand & Frequency Rules
Lactation operates strictly on supply-and-demand physiology. Nurse or express every 2 to 3 hours in the early weeks to establish robust prolactin receptor pathways.
Maternal Hydration & Galactagogues
Maintain 3 to 3.5 liters of daily fluid intake alongside doctor-approved dietary galactagogues (fennel, fenugreek, garlic, cumin, oats) to sustain volume.
Sterile Milk Expressing & Storage
Store expressed milk at room temperature up to 4 hours, in a refrigerator for up to 4 days, or deep frozen for 3 to 6 months in BPA-free containers.
Our Clinical Lactation Assessment & Coaching Process
A hands-on, encouraging roadmap to help you overcome latch obstacles and establish an effortless feeding bond with your newborn.
Every treatment and procedure at our clinic is performed with the highest standards of safety, compassion, and clinical expertise. Dr. Deepika Lalwani ensures each step of your journey is carefully monitored and optimized for the best possible outcomes.
Expert Guidance
From your initial consultation through recovery, our dedicated team is here to support you with personalized care, ensuring your comfort and peace of mind at every stage.
Step 1: Comprehensive Feeding & Postpartum History
Dr. Deepika Lalwani conducts a detailed review of labor history, feeding frequency, wet/dirty diaper counts, newborn weight trends, and maternal pain symptoms.
Step 2: Infant Oral Anatomy & Movement Assessment
Gentle clinical examination of the baby's lips, palate, and sublingual frenulum to rule out anatomical latch hindrances such as ankyloglossia (tongue-tie).
Step 3: Live Feeding Observation & Diagnosis
Observing an active nursing session to assess maternal posture, infant head tilt, areola coverage, and swallowing rhythm (suck-swallow-breathe coordination).
Step 4: Corrective Technique Coaching & Plan
Hands-on practice to establish an asymmetric latch, nipple healing strategies with lanolin/expressed colostrum, and a customized nutrition schedule.
Why Choose Dr. Deepika Lalwani's Clinic for Lactation Care?
- Empathetic, Postpartum-Focused CoachingDr. Deepika Lalwani (MBBS, DGO Mumbai) conducts sessions with warmth and patience, relieving anxiety and nursing fatigue.
- 10+ Years of Postnatal & Newborn AcumenExtensive clinical expertise resolving complex latch issues, flat/inverted nipples, low milk production, and mastitis in Pune.
- Quiet, Sterilized Clinical EnvironmentPrivate appointments in New Kalyani Nagar ensure a tranquil, zero-crowd space for sensitive nursing sessions.
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Frequently Asked Questions
In Pune, an in-depth, one-on-one in-clinic lactation and latch evaluation session (45 to 60 minutes) with a specialist gynaecologist ranges from ₹800 to ₹1,500. This includes real-time feeding observation, corrective latch training, engorgement relief protocols, and customized dietary advice. Follow-up reviews typically range between ₹500 and ₹800.
Lactational counselling is clinical guidance provided by a medical professional to help mothers establish and maintain pain-free, nutritionally adequate breastfeeding. You should seek counselling if you experience severe nipple pain, latching struggles, breast engorgement, concerns about low milk supply, or poor infant weight gain.
A proper latch is comfortable and pain-free for the mother. The baby's mouth will be wide open with both upper and lower lips flared outward like fish lips, their chin firmly touching the breast, covering more of the lower areola than the top, with audible, rhythmic swallowing sounds.
Milk production increases with frequent, thorough breast emptying (nursing or pumping every 2 to 3 hours). Ensure ample hydration (3+ liters of water daily), adequate sleep, skin-to-skin contact, and incorporating traditional galactagogues like fenugreek and fennel. Dr. Deepika Lalwani can prescribe safe lactation medications if clinically indicated.
Blocked ducts are treated with warm compresses before feeding, gentle lymphatic massage towards the nipple during nursing, and frequent feeding on the affected breast. If fever, red streaks, or body chills develop (mastitis), Dr. Deepika prescribes safe, lactation-compatible antibiotics and analgesics.
Yes, absolutely! Having your baby present allows Dr. Deepika Lalwani to observe a live feeding session and guide you through real-time corrective positioning. Consultations are scheduled strictly by prior appointment in a calm, highly sterilized environment in New Kalyani Nagar.