II. Management: "Baby Friendly Hospital Initiative"
- Train all peripartum staff about Breast Feeding
- Inform all pregnant women about Lactation benefits
- See Lactation
- Prepare Breasts for Lactation
- Encourage early skin to skin contact between mother and child (and avoid separation)
- Mothers initiate Lactation within 1 hour of delivery
- Educate new mothers
- How to Breast feed
- How to maintain Lactation even separated from infant
- Encourage Breast Feeding on demand
- Avoid initial use of Pacifiers or soothers
- Refer mothers to Breast Feeding support groups
- Infant Carriers (e.g. Ergobaby Omni 360) are associated with higher rates of sustained Breast Feeding at 6 months
- Community health group home visitors gifted the carriers to families in the study
- Little (2021) Pediatrics 148(1): e2020049717 [PubMed]
III. Management: After Hospital Discharge (resources that prevent Lactation cessation)
IV. Prevention: Most common reasons women discontinue Lactation
- See Breast Feeding Problems for the Infant
- See Breast Feeding Problems for the Mother
- Insufficient milk supply (31%)
- Difficult latching (19%)
- Painful nipples or overall Mastalgia (12%)
- McAndrew (2012) 2010 Infant Feeding Survey, accessed 9/16/2018