Antenatal colostrum expression: are we interfering with nature?

Antenatal colostrum expression may provide benefits for certain high-risk pregnancies, particularly when neonatal hypoglycemia is anticipated, but current evidence does not support its routine use for all women. Its adoption should remain guided by clinician judgment and individualized prenatal counseling rather than being promoted as a universal recommendation. Until larger, well-designed studies confirm both safety and measurable improvements in breastfeeding outcomes, this practice should be considered a supportive tool for specific populations rather than a standard component of prenatal care.