opportunities to promote breastfeeding preconception education in school systems pediatric and...
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Opportunities to Promote Breastfeeding Preconception
Education in school systems Pediatric and adolescent
visits Gynecologic visits Breast examinations
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Opportunities to Promote Breastfeeding Early pregnancy
Perform breast examination.
Discuss normal anatomy and physiology.
Assess previous surgeries, scars, biopsies.
Talk about previous breastfeeding experiences.
Provide positive support for benefits of breastfeeding.
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Opportunities to Promote Breastfeeding Prenatal visits
Provide appropriate literature, resources.
Refer for prenatal and breastfeeding classes.
Refer to pediatrician for prenatal visit.
Avoid formula coupons or products.
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Opportunities to Promote Breastfeeding Peripartum/postpartum
Provide supportive delivery environment.
Facilitate early skin-to-skin contact.
Dry, warm, and place on mother’s abdomen.
Have trained professionals to assist mother if needed.
Initiate breastfeeding within the first hour after delivery.
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Baby Friendly Hospital Initiative 10 Steps
1. Have a written breastfeeding policy that is routinely communicated to all health care staff.
2. Train all health care staff in skills necessary to implement this policy.
3. Inform all pregnant women about the benefits and management of breastfeeding.
4. Help mothers initiate breastfeeding within 1 hour of birth.
5. Show mothers how to breastfeed and maintain lactation, even if separated from infants.
Hospital Policies to Support Breastfeeding
Copyright © 2003, Rev 2005 American Academy of Pediatrics
6. Give newborn infants nothing other than breastmilk, unless medically indicated.
7. Practice rooming-in 24 hours a day. 8. Encourage breastfeeding on
demand. 9. Give no artificial nipples or pacifiers.10. Foster the establishment of
breastfeeding support groups.
Hospital Policies to Support Breastfeeding
Baby Friendly Hospital Initiative 10 Steps
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Community Support
Knowledgeable physicians
Lactation specialists
Hospital support groups
WIC programs La Leche League
International
Copyright © 2003, Rev 2005 American Academy of Pediatrics
The Breastfeeding Friendly Doctor’s Office Encourage women/staff to
breastfeed in the office. Display pictures of
breastfeeding infants.
Avoid distributing infant formula or coupons.
Copyright © 2003, Rev 2005 American Academy of Pediatrics
How Long to Breastfeed? Exclusively for
about the first 6 months of life
Continuing for at least the first year of life, with addition of solids
Thereafter, for as long as mutually desired by mother and child
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Photo © Mary Boyd, MD, FAAP
Summary Breastfeeding is preferred feeding
for almost all infants. Mothers should be informed of the
benefits of breastfeeding. Supplementation is rarely
indicated and interferes with successful lactation.
Breastfeeding should be actively supported and promoted in the medical community and society.
Women should feel comfortable continuing to breastfeed for as long as desired.
Copyright © 2003, Rev 2005 American Academy of Pediatrics
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