Kim Ticman-Mapua MD Pediatrician & Lactation Consultant

Kim Ticman-Mapua MD Pediatrician & Lactation Consultant Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Kim Ticman-Mapua MD Pediatrician & Lactation Consultant, Medical and health, C. Raymundo, Pasig.

Pediatric Health and Breastfeeding Medicine
Fellow, Philippine Pediatric Society
International Board Certified Lactation Consultant
Member, International Lactation Consultant Association
Member, Human Milk Bank Association of the Philippines

“My baby wants to breastfeed ALL THE TIME! IS THIS NORMAL? ”This may be cluster feeding—a normal pattern where babies ha...
01/09/2026

“My baby wants to breastfeed ALL THE TIME! IS THIS NORMAL? ”

This may be cluster feeding—a normal pattern where babies have several feeds close together, often for a few hours.

🌱 When is it NORMAL?

✔️ Baby is otherwise alert and well

✔️ Has adequate wet and soiled diapers

✔️ You can hear or see effective swallowing during feeds

✔️ Baby seems satisfied or relaxed after some feeds

✔️ Weight gain is appropriate

✔️ It happens during growth spurts or at certain times of the day, especially in the evening

Cluster feeding can help stimulate milk production and does not automatically mean that your milk supply is low.

🚩 When is it NOT something to simply dismiss as cluster feeding?
Seek breastfeeding support if:
❗ Baby is feeding almost continuously but rarely swallowing

❗ Baby remains very unsettled or hungry after most feeds

❗ Wet diapers are fewer than expected

❗ Baby is excessively sleepy or difficult to wake for feeds

❗ There is poor weight gain or excessive weight loss

❗ Breastfeeding is painful or latch is consistently ineffective

💗 Remember: Frequent breastfeeding is not, by itself, proof of low milk supply.

Sometimes the answer isn't “feed more often”—it may be improving the latch, milk transfer, or addressing an underlying feeding difficulty.

When in doubt, have the baby's feeding, milk transfer, diaper output, and weight gain assessed by a qualified healthcare professional or lactation consultant.





Lord, help me examine my own work and walk faithfully before You. Teach me not to compare but find joy and pride in what...
30/08/2026

Lord, help me examine my own work and walk faithfully before You. Teach me not to compare but find joy and pride in what You have called me to do. Let my efforts bring glory to You and peace to my heart. Amen.

We model strength.   from
27/08/2026

We model strength. from

BREAST PREFERENCE This is my 4-month old patient referred by their Pediatrician because she would fall on and off the br...
24/08/2026

BREAST PREFERENCE

This is my 4-month old patient referred by their Pediatrician because she would fall on and off the breast during breastfeeding.

Breastfeeding was painful after hospital discharge. They started mixed feeding 1 month prior to consult. There were choking episodes, occasional spillage during feeding. Baby preferred feeding on the right breast. On physical examination, she had a lip-tie and tongue-tie type 3. She would bite and not sucking examining finger. During breastfeeding, mouth was narrow with clicking sounds and fell on and off the breast. We performed frenotomy that day and advised them to do oral exercise and stretching.

Two weeks post frenotomy, mom reported that baby was able to feed after the procedure. She was able to breastfeed on both breasts without difficulty and would no longer fall on and off the breast, pain-free. They stopped giving formula since the procedure and gained adequate weight in 2 weeks. There's no more choking and spillage. During suck assessment, she would not bite my finger and sucking fairly with sensitive gag reflex. There was a good wound healing without reattachment. During breastfeeding, she would stay on the breast without slipping, mouth wide open with very occasional clicking sounds. Praise God.🙏

There were still clicking sounds because the babyhad very sensitive gag reflex and trying to make the latch shallow as not to trigger gag by stimulation from the ni**le. This will improve as the tongue regularly touches the roof of the month at rest .

Some babies with oral ties have issues with symmetry and neck tension making breastfeeding easier on one side than the other. Releasing the ties not only frees the tension in the mouth but also tension at the neck and back. With mouth wider and tongue free to move, latching on the breast is more relaxed and baby not falling on and off the breast.















Lord , when I'm weary , lift me up. Give me strength like eagles. Let me run without getting tired and walk without givi...
23/08/2026

Lord , when I'm weary , lift me up. Give me strength like eagles. Let me run without getting tired and walk without giving up .
Have a Blessed Sunday

Been busy lately from recently concluded 13 Breastfeeding Congress. Praise God for making this event successful despite ...
20/08/2026

Been busy lately from recently concluded 13 Breastfeeding Congress. Praise God for making this event successful despite the weather. 🙏

MATERNAL VACCINATION & BREASTFEEDING: DOES IT MATTER IF THE VACCINE IS LIVE?A breastfeeding mother can generally be vacc...
17/08/2026

MATERNAL VACCINATION & BREASTFEEDING: DOES IT MATTER IF THE VACCINE IS LIVE?

A breastfeeding mother can generally be vaccinated—whether the vaccine is LIVE or NON-LIVE. And in most cases, there is no need to stop breastfeeding.

💉 NON-LIVE VACCINES

Examples include influenza (inactivated), Tdap, COVID-19 vaccines, hepatitis B, HPV, pneumococcal and meningococcal vaccines, among others.

These vaccines do not pose a risk to the breastfeeding infant and breastfeeding can continue normally.

💉 LIVE ATTENUATED VACCINES

Examples include MMR and varicella vaccines.

Even though these vaccines contain weakened live viruses, most live vaccine viruses are not excreted in breast milk. Varicella vaccine virus has not been found in breast milk. Rubella vaccine virus may be excreted, but transmission causing illness in the infant is not expected. Breastfeeding does not need to be interrupted after MMR or varicella vaccination.

BUT THERE ARE EXCEPTIONS

Some live vaccines require special consideration.

Smallpox vaccine: Breastfeeding is a contraindication because of the potential for contact transmission from the vaccination site.

Yellow fever vaccine: It is generally avoided in breastfeeding women when travel can be postponed or the risk of exposure is low. However, if travel to a high-risk area cannot be avoided, vaccination may be recommended after weighing the risks and benefits.

🤱 THE BOTTOM LINE

Breastfeeding is NOT a reason to delay most maternal vaccines.

✔️ Non-live vaccine → continue breastfeeding
✔️ Most live vaccines → continue breastfeeding
✔️ MMR and varicella → breastfeeding can continue
⚠️ Smallpox and yellow fever → special considerations apply

And importantly, don't routinely “pump and dump” after vaccination. 💗

Vaccinating the mother protects her—and breastfeeding continues to provide the baby with the many immunologic benefits of human milk.

Protect the mother. Protect the baby. Keep breastfeeding. 🤱💉❤️

Always assess the specific vaccine, maternal indication, travel risk, and current national recommendations before vaccination.

Lord, thank You that You go before me into this day. You see what I don't see and You are  already there in every place ...
16/08/2026

Lord, thank You that You go before me into this day. You see what I don't see and You are already there in every place I'm afraid to walk into.
Give me courage for hard parts, peace for the anxious parts and faith to trust You in the unknown. I surrender today to You in Jesus name. Amen.

They are watching us.   from
13/08/2026

They are watching us. from

Address

C. Raymundo
Pasig

Opening Hours

Monday 3pm - 6pm
Tuesday 10am - 12pm
Wednesday 3pm - 6pm
Thursday 10am - 12pm
Friday 3pm - 6pm
Saturday 10am - 3pm

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