Table 8 Practical hints for health workers (including neonatologists and nurses) about the individual TSB session, according to the indications from UNICEF-UK (https://www.unicef.org.uk/babyfriendly/guidance-documents/) modified by SIN

1. Preparation of the TSB session

a. assess the breastfeeding history and documentation before the video call;

b. plan each meeting, estimate the necessary time, agree with the mother the time limits of the TSB session;

c. make available the necessary assessment tools during the video call (e.g.: growth charts, breastfeeding assessment tool, protocols for the most common problems encountered during lactation);

d. choose an environment that guarantees the mother’s confidentiality;

e. respect the privacy requirements of the Italian Data Protection Authority (https://www.garanteprivacy.it/regolamentoue)^a; send the mother the privacy form, agreed with the data protection officer (DPO);

f. check and ensure stable connectivity

2. Running the TSB sessions

a. introduce yourself, ask the mother to confirm the consent to carry out the video call and remind the mother of the maximum time available for the video call;

b. use an appropriate sequence of questions as a guide in counseling (e.g. number and duration of feedings, diuresis, pain during feeding, attitude of partners and family members towards breastfeeding);

c. support the mother by listening and asking for clarification. Explain what you have understood about the situation;

d. if unsure about a situation or unable to answer a question (e.g. use of a drug while breastfeeding), communicate this to the mother and then discuss it with an expert and call the mother back;

e. before ending the video call, ask the mother if she has any additional question;

f. plan eventual follow-up and/or referral (for example to a Breast Unit).

3. Following the TSB session

a. Record the relevant elements of the video consultation allowing identification of the person/patient and of the healthcare provider. Update any health card.

b. Organize mother referral to other professionals, if appropriate (e.g.: involvement of the Breast Unit in case of breast abscess).