Information for Professionals: Frequently Asked Questions
There are many issues to be considered when deciding whether and which medications to use with a breastfeeding mother, including the risk of NOT breastfeeding for both mother and baby. Medications and Breastfeeding
Many women never consider breastfeeding because they will need to be separated from their babies when they return to work or school. Health care providers can be instrumental in helping provide anticipatory guidance and support so that women can make the best choice for their families. Resources to be shared with families, employers and child care workers can be found at: Going Back to Work or School
Breast milk should be handled as all foods for infants and young children: Appropriate temperature storage, hygiene and labeling to assure each child receives their appropriate food. For more information go to: Management of Human Milk in Child Care Settings
Some issues to discuss with patients in order to assist them in choosing the best family planning option can be found at: Family Planning and Contraception During Breastfeeding
Links to address mother/infant transportation and care, as well as infant and toddler nutrition can be found at: Emergency Preparedness: Infant and Young Child Care and Feeding
The California Department of Public Health’s Maternal, Child and Adolescent Health Program provides access to data tables with breastfeeding initiation rates for local hospitals, counties and the State. Link to Hospital Breastfeeding Data.
These recommendations provide California hospitals with evidence-based actions they can follow which will lead to optimal maternal/infant care. Link to Model Hospital Policies Toolkit.
The AAP recommends that infants be seen at days 3-5 and again at 2 – 3 weeks. The following link is to a sample document (Word)that contains reminders based on the AAP’s document. You can also locate additional information through the American Academy of Pediatrics.
The California Perinatal Quality Care Collaborative has an updated Quality Improvement Toolkit called: Nutritional Support of the VLBW Infant (rev. DECEMBER 2008) with evidence-based recommendations and an appendix that includes resources and sample protocols..
Breastfeeding or the age of weaning from breastfeeding have not been proven to increase the risk of early childhood caries. Pediatrics 2007:120;e944-e952. Existing studies implicating breastfeeding as a cause often have not considered other known risk factors in dental caries, such as lack of fluoride exposure, additional dietary sources, or level of a child’s own decay-causing oral bacteria.
The Maternal, Child and Adolescent Health Program sent a letter and attachments on this topic to Public Health providers and programs in June 2007:
What information is available for breastfeeding mothers with mental health issues?
Studies have shown that women are more likely to suffer mental health disorders in the early postpartum period. There are various resources that health care providers and families can use to try to protect the breastfeeding relationship and avoid premature weaning if at all possible. Supporting Breastfeeding Mothers with Mental Health Issues.
The Academy of Breastfeeding Medicine
FREE podcasts are now part of the toolkit that hospitals and physicians can use to stay current with breastfeeding practices thanks to the efforts of Dr. Anne Eglash and the Academy of Breastfeeding Medicine.
- As of 7/1/11, the topics include:Neonatal Jaundice and Breastfeeding Part 1 with Larry Gartner MD
- The Academy of Breastfeeding Medicine with Jerry Calnen MD
- Breastfeeding and the Late Preterm, with Nancy Wight, MD
- Establishing a Healthy Milk Supply for Premature Babies with Jane Morton MD
- Vitamin D in Breastfeeding, with Carol Wagner MD
- The Tight Lingual Frenulum, Or Tongue-Tie, with Evelyn Jain MD
- The Non-Latching Infant, with Christina Smilie MD
- Donor Human Milk Banking Part 1, with Kathie Marinelli MD
- Donor Human Milk Banking Part 2, with Kathie Marinelli MD
Lactation Education Accreditation and Approval Review Committee (LEAARC) (updated 4/18/12)
The American Academy of Pediatrics’ Section on Breastfeeding also has many on-line resources including the following:
Breastfeeding Basics: an academic, non-commercial, short course on the fundamentals of breastfeeding. It is geared primarily for the medical practitioner, although anyone is welcome to browse or take the course.
University of Virginia, School of Medicine, On-Line Learning
Target Audience: family physicians, pediatricians, and obstetricians/gynecologists.
The Physician Lactation Education Collaborative of Washington State
Created and tested nine 1-hour lunchtime courses that physicians can present to assure that patients receive consistent and evidence-based information. The $23.00 CD includes all 9 courses, PowerPoints, pre- and post- tests and instructors’ notes.