A central goal of the Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient.
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References
1.
EidelmanA, SchanlerR. AAP executive summary: Breastfeeding and the use of human milk. Pediatrics, 2012; 129:600–603.
IpS, ChungM, RamanG, et al.Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep), 2007;(153):1–186.
4.
HortaB, VictoraC. Long-Term Effects of Breastfeeding: A Systematic Review. Geneva: World Health Organization, 2013.
5.
IzattSD.Breastfeeding counseling by health care providers. J Hum Lact, 1997; 13:109–113.
6.
GurkaKK, HornsbyPP, DrakeE, et al.Exploring intended infant feeding decisions among low-income women. Breastfeed Med, 2014; 9:377–384.
7.
WambachKA, AaronsonL, BreedloveG, et al.A randomized controlled trial of breastfeeding support and education for adolescent mothers. West J Nurs Res, 2011; 33:486–505.
8.
GuiseJM, PaldaV, WesthoffC, et al.The effectiveness of primary care-based interventions to promote breastfeeding: Systematic evidence review and meta-analysis for the US Preventive Services Task Force. Ann Fam Med, 2003; 1:70–78.
9.
GraweyAE, MarinelliKA, HolmesAV. ABM clinical protocol #14: Breastfeeding-friendly physician's office: Optimizing care for infants and children, revised 2013. Breastfeed Med, 2013; 8:237–242.
10.
MansbachIK, PaltiH, PevsnerB, et al.Advice from the obstetrician and other sources: Do they affect women's breast feeding practices? A study among different Jewish groups in Jerusalem. Soc Sci Med, 1984; 19:157–162.
11.
HannulaL, KaunonenM, TarkkaMT. A systematic review of professional support interventions for breastfeeding. J Clin Nurs, 2008; 17:1132–1143.
12.
LuMC, LangeL, SlusserW, et al.Provider encouragement of breast-feeding: Evidence from a national survey. Obstet Gynecol, 2001; 97:290–295.
13.
TaverasEM, LiR, Grummer-StrawnL, et al.Opinions and practices of clinicians associated with continuation of exclusive breastfeeding. Pediatrics, 2004; 113:e283–e290.
14.
TaverasEM, CapraAM, BravemanPA, et al.Clinician support and psychosocial risk factors associated with breastfeeding discontinuation. Pediatrics, 2003; 112:108–115.
15.
MekuriaG, EdrisM. Exclusive breastfeeding and associated factors among mothers in Debre Markos, Northwest Ethiopia: A cross-sectional study. Int Breastfeed J, 2015; 10:1.
16.
JahanK, RoySK, MihrshahiS, et al.Short-term nutrition education reduces low birthweight and improves pregnancy outcomes among urban poor women in Bangladesh. Food Nutr Bull, 2014; 35:414–421.
17.
Cross-BarnetC, AugustynM, GrossS, et al.Long-term breastfeeding support: Failing mothers in need. Matern Child Health J, 2012; 16:1926–1932.
18.
PoundCM, WilliamsK, GrenonR, et al.Breastfeeding knowledge, confidence, beliefs, and attitudes of Canadian physicians. J Hum Lact, 2014; 30:298–309.
19.
DemirciJR, BogenDL, HollandC, et al.Characteristics of breastfeeding discussions at the initial prenatal visit. Obstet Gynecol, 2013; 122:1263–1270.
20.
ArchabaldK, LundsbergL, TricheE, et al.Women's prenatal concerns regarding breastfeeding: Are they being addressed?. J Midwifery Womens Health, 2011; 56:2–7.
21.
SzucsKA, MiracleDJ, RosenmanMB. Breastfeeding knowledge, attitudes, and practices among providers in a medical home. Breastfeed Med, 2009; 4:31–42.
22.
MiracleDJ, FredlandV. Provider encouragement of breastfeeding: Efficacy and ethics. J Midwifery Womens Health, 2007; 52:545–548.
TaverasEM, LiR, Grummer-StrawnL, et al.Mothers' and clinicians' perspectives on breastfeeding counseling during routine preventive visits. Pediatrics, 2004; 113:e405–e411.
25.
WongKL, TarrantM, LokKY. Group versus individual professional antenatal breastfeeding education for extending breastfeeding duration and exclusivity: A systematic review. J Hum Lact, 2015; 31:354–366.
26.
de OliveiraMI, CamachoLA, TedstoneAE. Extending breastfeeding duration through primary care: A systematic review of prenatal and postnatal interventions. J Hum Lact, 2001; 17:326–343.
27.
RenfrewMJ, McCormickFM, WadeA, et al.Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database Syst Rev, 2012; 5:CD001141.
28.
Appendix A Task Force Ratings.. Guide to clinical preventive services: Report of the U.S. Preventive Services Task Force, 2nd ed. Available at www.ncbi.nlm.nih.gov/books/NBK15430/ (accessed November2, 2015).
29.
HowardC, HowardF, LawrenceR, et al.Office prenatal formula advertising and its effect on breast-feeding patterns. Obstet Gynecol, 2000; 95:296–303.
30.
DonnellyA, SnowdenHM, RenfrewMJ, et al.Commercial hospital discharge packs for breastfeeding women. Cochrane Database Syst Rev, 2000;(2):CD002075.
31.
RosenbergKD, EasthamCA, KasehagenLJ, et al.Marketing infant formula through hospitals: The impact of commercial hospital discharge packs on breastfeeding. Am J Public Health, 2008; 98:290–295.
32.
Feldman-WinterL, GrossmanX, PalaniappanA, et al.Removal of industry-sponsored formula sample packs from the hospital: Does it make a difference?. J Hum Lact, 2012; 28:380–388.
33.
World Health Organization.. International Code of Marketing of Breast-milk Substitutes, 1981, Resolution WHA34.22. Available at www.who.int/nutrition/publications/code_english.pdf (accessed September10, 2015).
34.
MemonZA, KhanGN, SoofiSB, et al.Impact of a community-based perinatal and newborn preventive care package on perinatal and neonatal mortality in a remote mountainous district in Northern Pakistan. BMC Pregnancy Childbirth, 2015; 15:106.
35.
BruntonG, O'Mara-EvesA, ThomasJ. The 'active ingredients' for successful community engagement with disadvantaged expectant and new mothers: A qualitative comparative analysis. J Adv Nurs, 2014; 70:2847–2860.
36.
LassiZS, DasJK, SalamRA, et al.Evidence from community level inputs to improve quality of care for maternal and newborn health: Interventions and findings. Reprod Health, 2014; 11(Suppl 2):S2.
37.
MuhajarineN, NgJ, BowenA, et al.Understanding the impact of the Canada Prenatal Nutrition Program: A quantitative evaluation. Can J Public Health, 2012; 103(7 Suppl 1):eS26–eS31.
38.
EdwardsRC, ThullenMJ, KorfmacherJ, et al.Breastfeeding and complementary food: Randomized trial of community doula home visiting. Pediatrics, 2013; 132(Suppl 2):S160–S166.
39.
KhanAI, HawkesworthS, EkstromEC, et al.Effects of exclusive breastfeeding intervention on child growth and body composition: The MINIMat trial, Bangladesh. Acta Paediatr, 2013; 102:815–823.
40.
KarpSM, Howe-HeymanA, DietrichMS, et al.Breastfeeding initiation in the context of a home intervention to promote better birth outcomes. Breastfeed Med, 2013; 8:381–387.
41.
KirkwoodBR, ManuA, ten AsbroekAH, et al.Effect of the Newhints home-visits intervention on neonatal mortality rate and care practices in Ghana: A cluster randomised controlled trial. Lancet, 2013; 381:2184–2192.
42.
OcholaSA, LabadariosD, NduatiRW. Impact of counselling on exclusive breast-feeding practices in a poor urban setting in Kenya: A randomized controlled trial. Public Health Nutr, 2013; 16:1732–1740.
43.
GogiaS, SachdevHS. Home visits by community health workers to prevent neonatal deaths in developing countries: A systematic review. Bull World Health Organ, 2010; 88:658–666B.
44.
IngramJ, JohnsonD. Using community maternity care assistants to facilitate family-focused breastfeeding support. Matern Child Nutr, 2009; 5:276–281.
45.
SandyJM, AnisfeldE, RamirezE. Effects of a prenatal intervention on breastfeeding initiation rates in a Latina immigrant sample. J Hum Lact, 2009; 25:404–411.
46.
Apostolakis-KyrusK, ValentineC, DeFrancoE. Factors associated with breastfeeding initiation in adolescent mothers. J Pediatr, 2013; 163:1489–1494.
47.
KraftJM, WilkinsKG, MoralesGJ, et al.An evidence review of gender-integrated interventions in reproductive and maternal-child health. J Health Commun, 2014; 19(Suppl 1):122–141.
48.
ChapmanDJ, Perez-EscamillaR. Breastfeeding among minority women: Moving from risk factors to interventions. Adv Nutr, 2012; 3:95–104.
49.
InoueM, BinnsCW, OtsukaK, et al.Infant feeding practices and breastfeeding duration in Japan: A review. Int Breastfeed J, 2012; 7:15.
50.
CliffordJ, McIntyreE. Who supports breastfeeding?. Breastfeed Rev, 2008; 16:9–19.
51.
SchlickauJM.Prenatal Breastfeeding Education: An Intervention for Pregnant Immigrant Hispanic Women. Lincoln, NE: University of Nebraska Medical Center, 2005.
52.
BevanG, BrownM. Interventions in exclusive breastfeeding: A systematic review. Br J Nurs, 2014; 23:86–89.
53.
MeedyaS, FahyK, KableA. Factors that positively influence breastfeeding duration to 6 months: A literature review. Women Birth, 2010; 23:135–145.
54.
OtsukaK, DennisCL, TatsuokaH, et al.The relationship between breastfeeding self-efficacy and perceived insufficient milk among Japanese mothers. J Obstet Gynecol Neonatal Nurs, 2008; 37:546–555.
55.
BlythR, CreedyDK, DennisCL, et al.Effect of maternal confidence on breastfeeding duration: An application of breastfeeding self-efficacy theory. Birth, 2002; 29:278–284.
56.
HundalaniSG, IrigoyenM, BraitmanLE, et al.Breastfeeding among inner-city women: From intention before delivery to breastfeeding at hospital discharge. Breastfeed Med, 2013; 8:68–72.
57.
SikanderS, MaselkoJ, ZafarS, et al.Cognitive-behavioral counseling for exclusive breastfeeding in rural pediatrics: A cluster RCT. Pediatrics, 2015; 135:e424–e431.
58.
HildebrandDA, McCarthyP, TiptonD, et al.Innovative use of influential prenatal counseling may improve breastfeeding initiation rates among WIC participants. J Nutr Educ Behav, 2014; 46:458–466.
59.
OtsukaK, TaguriM, DennisCL, et al.Effectiveness of a breastfeeding self-efficacy intervention: Do hospital practices make a difference?. Matern Child Health J, 2014; 18:296–306.
60.
NicholsJ, SchutteNS, BrownRF, et al.The impact of a self-efficacy intervention on short-term breast-feeding outcomes. Health Educ Behav, 2009; 36:250–258.
61.
OlenickP.The Effect of Structured Group Prenatal Education on Breastfeeding Confidence, Duration and Exclusivity to Twelve Weeks Postpartum [PhD thesis]. Toronto: Toronto University International, 2006.
62.
KronborgH, MaimburgRD, VaethM. Antenatal training to improve breast feeding: A randomised trial. Midwifery, 2012; 28:784–790.
HartleyBM, O'ConnorME. Evaluation of the 'Best Start' breast-feeding education program. Arch Pediatr Adolesc Med, 1996; 150:868–871.
65.
MartinA, HorowitzC, BalbierzA, et al.Views of women and clinicians on postpartum preparation and recovery. Matern Child Health J, 2014; 18:707–713.
66.
HowellEA, Bodnar-DerenS, BalbierzA, et al.An intervention to extend breastfeeding among black and Latina mothers after delivery. Am J Obstet Gynecol, 2014; 210:239–248.
67.
DeanSV, LassiZS, ImamAM, et al.Preconception care: Closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health. Reprod Health, 2014; 11(Suppl 3):S1.
68.
AndayaE, BonuckK, BarnettJ, et al.Perceptions of primary care-based breastfeeding promotion interventions: Qualitative analysis of randomized controlled trial participant interviews. Breastfeed Med, 2012; 7:417–422.
69.
BonuckK, StuebeA, BarnettJ, et al.Effect of primary care intervention on breastfeeding duration and intensity. Am J Public Health, 2014; 104(Suppl 1):S119–S127.
70.
Committee on Health Care for Underserved Women, American College of Obstetricians and Gynecologists. ACOG committee opinion no. 361: Breastfeeding: Maternal and infant aspects. Obstet Gynecol, 2007; 109:479–480.
71.
HartmanS, BarnettJ, BonuckK. Implementing international board-certified lactation consultants intervention into routine care: Barriers and recommendations. Clin Lact, 2012; 3–4:131–137.
72.
IckovicksJR, KershawTS, WestdahlC. Group prenatal care and perinatal outcomes: A randomized, controlled trial. Obstet Gynecol, 2007; 110:330–339.
73.
Tanner-SmithE, Steinka-FryK, LipseyM. Effects of CenteringPregnancy group prenatal care on breastfeeding outcomes. J Midwifery Womens Health, 2013; 58:389–395.
74.
GigliaR, BinnsC.The effectiveness of the internet in improving breastfeeding outcomes: A systematic review. J Hum Lact, 2014; 30:156–160.
75.
GallegosD, Russell-BennettR, PreviteJ, et al.Can a text message a week improve breastfeeding?. BMC Pregnancy Childbirth, 2014; 14:374.
76.
FlaxVL, NegerieM, IbrahimAU, et al.Integrating group counseling, cell phone messaging, and participant-generated songs and dramas into a microcredit program increases Nigerian women's adherence to international breastfeeding recommendations. J Nutr, 2014; 144:1120–1124.
77.
American Academy of Pediatrics, American College of Obstetricians and Gynecologists. Breastfeeding Handbook for Physicians, 2nd ed. Elk Grove Village, IL: American Academy of Pediatrics, 2013, p. 337.
78.
IsslerH, de SaMB, SennaDM. Knowledge of newborn health care among pregnant women: Basis for promotional and educational programs on breastfeeding. Sao Paulo Med J, 2001; 119:7–9.
79.
HumenickSS, HillPD, SpiegelbergPL. Breastfeeding and health professional encouragement. J Hum Lact, 1998; 14:305–310.
80.
LuMC, LangeL, SlusserW, et al.Provider encouragement of breast-feeding: Evidence from a national survey. Obstet Gynecol, 2001; 97:290–295.
81.
IngramJ, JohnsonD. A feasibility study of an intervention to enhance family support for breast feeding in a deprived area in Bristol, UK. Midwifery, 2004; 20:367–379.
82.
MartinJ, MacDonald-WicksL, HureA, et al.Reducing postpartum weight retention and improving breastfeeding outcomes in overweight women: A pilot randomised controlled trial. Nutrients, 2015; 7:1464–1479.
83.
ChapmanDJ, MorelK, Bermudez-MillanA, et al.Breastfeeding education and support trial for overweight and obese women: A randomized trial. Pediatrics, 2013; 131:e162–e170.
84.
PitcockN.Evaluation of an Initiative to Increase Rates of Exclusive Breastfeeding Among Rural Hispanic Immigrant Women [PhD thesis]. Charlottesville, VA: University of Virginia, 2013.
85.
ReifsniderE, EckhartD. Prenatal breastfeeding education: Its effect on breastfeeding among WIC participants. J Hum Lact, 1997; 13:121–125.
86.
WongKL, FongDY, LeeIL, et al.Antenatal education to increase exclusive breastfeeding: A randomized controlled trial. Obstet Gynecol, 2014; 124:961–968.
87.
LumbiganonP, MartisR, LaopaiboonM, et al.Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database Syst Rev, 2012; 9:CD006425.
88.
ChapmanDJ, DamioG, Perez-EscamillaR. Differential response to breastfeeding peer counseling within a low-income, predominantly Latina population. J Hum Lact, 2004; 20:389–396.
89.
ChapmanDJ, DamioG, YoungS, et al.Effectiveness of breastfeeding peer counseling in a low-income, predominantly Latina population: A randomized controlled trial. Arch Pediatr Adolesc Med, 2004; 158:897–902.
90.
HodnettED, GatesS, HofmeyrGJ, et al.Continuous support for women during childbirth. Cochrane Database Syst Rev, 2013; 7:CD003766.
91.
DuffyEP, PercivalP, KershawE. Positive effects of an antenatal group teaching session on postnatal nipple pain, nipple trauma and breast feeding rates. Midwifery, 1997; 13:189–196.
92.
HolmesAV, McLeodAY, BunikM. ABM clinical protocol #5: Peripartum breastfeeding management for the healthy mother and infant at term, revision 2013. Breastfeed Med, 2013; 8:469–473.
93.
American College of Obstetricians and Gynecologists. Committee opinion: Breastfeeding in underserved women: Increasing initiation and continuation of breastfeeding. Obstet Gynecol, 2013; 122:423–428.
94.
MontgomeryA, HaleTW, Academy of Breastfeeding Medicine. ABM clinical protocol #15: Analgesia and anesthesia for the breastfeeding mother, revised 2012. Breastfeed Med, 2012; 7:547–553.
95.
ThukralA, SankarMJ, AgarwalR, et al.Early skin-to-skin contact and breast-feeding behavior in term neonates: A randomized controlled trial. Neonatology, 2012; 102:114–119.
96.
HungKJ, BergO. Early skin-to-skin after cesarean to improve breastfeeding. MCN Am J Matern Child Nurs, 2011; 36:318–324.
97.
MahmoodI, JamalM, KhanN. Effect of mother-infant early skin-to-skin contact on breastfeeding status: A randomized controlled trial. J Coll Physicians Surg Pak, 2011; 21:601–605.
98.
HendersonA.Understanding the breast crawl: Implications for nursing practice. Nurs Womens Health, 2011; 15:296–307.
99.
KlausM.Mother and infant: Early emotional ties. Pediatrics, 1998; 102(5 Suppl E):1244–1246.
100.
LohNR, KelleherCC, LongS, et al.Can we increase breast feeding rates?. Ir Med J, 1997; 90:100–101.