Providing effective evidence based support for breastfeeding women in primary care

### What you need to know Baby Kyle was born at term by caesarean section after an uneventful first pregnancy. His birthweight was 3.550 kg and now at 2 weeks old he has regained his birthweight. His mother Ellie has contacted the surgery to make an appointment with the GP and attends a video consultation. Ellie is breastfeeding Kyle and explains she has struggled to access the breastfeeding support she would have liked because of the pandemic. She is concerned Kyle is not getting enough milk. She reports pain when feeding and explains that he has been crying and unsettled after feeds. Ellie has searched online and wonders if Kyle has a cow’s milk protein allergy and she asks if she should exclude dairy from her diet. She is tearful and reports feeling low and isolated. The World Health Organization recommends exclusive breastfeeding for six months with continued breastfeeding until 2 years and beyond.12 Breast milk contains many bioactive factors, such as immune factors and cytokines that help …