Obstetrics Book


Hospital Support for Lactation

Aka: Hospital Support for Lactation, Lactation Support
  1. Management: "Baby Friendly Hospital Initiative"
    1. Train all peripartum staff about Breast Feeding
    2. Inform all pregnant women about Lactation benefits
      1. See Lactation
    3. Prepare Breasts for Lactation
    4. Encourage early skin to skin contact between mother and child (and avoid separation)
    5. Mothers initiate Lactation within 1 hour of delivery
    6. Educate new mothers
      1. How to Breast feed
      2. How to maintain Lactation even separated from infant
      3. Encourage Breast Feeding on demand
    7. Avoid initial use of Pacifiers or soothers
    8. Refer mothers to Breast Feeding support groups
    9. Infant Carriers (e.g. Ergobaby Omni 360) are associated with higher rates of sustained Breast Feeding at 6 months
      1. Community health group home visitors gifted the carriers to families in the study
      2. Little (2021) Pediatrics 148(1): e2020049717 [PubMed]
  2. Management: After Hospital Discharge (resources that prevent Lactation cessation)
    1. Home visit support
    2. Lactation Support trained physician and nurse clinic visits
    3. Lactation counselors and Lactation consultants
  3. Prevention: Most common reasons women discontinue Lactation
    1. See Breast Feeding Problems for the Infant
    2. See Breast Feeding Problems for the Mother
    3. Insufficient milk supply (31%)
    4. Difficult latching (19%)
    5. Painful nipples or overall Mastalgia (12%)
    6. McAndrew (2012) 2010 Infant Feeding Survey, accessed 9/16/2018
      1. http://doc.ukdataservice.ac.uk/doc/7281/mrdoc/pdf/7281_ifs-uk-2010_report.pdf
  4. References
    1. Westerfield (2018) Am Fam Physician 98(6): 368-73 [PubMed]

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