Assessment of breast-feeding problems has gained much more importance with the establishment of breast-feeding training program in Turkey. According to this program, inspection during breast-feeding must be an essential part of all physical examinations of infants1 not only to detect breast-feeding problems but also to evaluate the overall well-being of the infants. Poor suckling reflex in newborns and refusal to suckle in older infants are known as 2 of the most important signs of many pediatric disorders that can be best observed while the baby is breast-fed. Mother-infant bonding and the attitude of mothers may also be observed during breast-feeding. Moreover, some clinical findings can be manifested only during breast-feeding. We have recently observed intentional chin tremor during breast-feeding in an otherwise healthy newborn who was hospitalized and in whom Dandy-Walker syndrome was diagnosed.
Despite its importance, physical examination of infants during breast-feeding is neglected and even not mentioned