BACKGROUND: Management of oropharyngeal dysphagia within the first few days of an infant's life results in favourable breastfeeding outcomes, indicating the importance of investigating the breastfeeding management practices of speech-language therapists (SLTs) working within this field. OBJECTIVES: Little has been published about SLTs' management of breastfeeding in low- and middle-income settings. This study explores the perspectives of a group of experienced South African SLTs on their approach to breastfeeding management. METHOD: Qualitative data were gathered through semi-structured online interviews with 12 experienced SLTs and were subjected to thematic analysis. RESULTS: Three main themes emerged: (1) Approach to breastfeeding management
(2) Exposure, skills and knowledge related to breastfeeding management and (3) Perspectives and attitudes towards breastfeeding management. Participants demonstrated a clear understanding of their roles within the scope of breastfeeding management, which aligns with established literature. Their approaches appeared to be influenced by their perspectives and attitudes towards breastfeeding, as well as their exposure, skills and knowledge in this area. The study underscores the need for breastfeeding training in undergraduate programmes and highlights the demand for continuous professional development opportunities. CONCLUSION: While the findings are drawn from a small sample of experienced clinicians, they offer valuable insights for speech-language pathology clinical educators and professional organisations.Contribution: This study suggests a re-evaluation of university curricula to enhance exposure to breastfeeding management.