Breastfeeding Medicine Podcast #66 - 2017 Year in Review

2017 Breastfeeding Year in Review with Anne Eglash MD
We had a windfall of clinical information hit the journals in 2017, topics ranging from donor milk and complementary feeding to allergies and breastfeeding during pregnancy. Join us for some downright awesome evidence!

The Breastfeeding Medicine Podcast was created by Anne Eglash MD, IBCLC, FABM to review recent research articles that have a potential impact on clinical practice.

Breastfeeding myths and mainstays for the obstetrician

Most ob/gyns are aware of the benefits of breastfeeding and the risks of not doing so. However, many do not appreciate the significant role that they play in supporting their patients’ breastfeeding efforts. Ob/gyns who are aware of some commonly held myths and who are familiar with strategies for breastfeeding can play a crucial role in a new mother’s breastfeeding success.

Immediate or early skin-to-skin contact after a Caesarean section: a review of the literature

Stevens J, Schmied V, Burns E, Dahlen H.
Maternal & Child Nutrition. doi: 10.1111/mcn.12128


The World Health Organization and the United Nations International Children's Emergency Fund recommends that mothers and newborns have skin-to-skin contact immediately after a vaginal birth, and as soon as the mother is alert and responsive after a Caesarean section. Skin-to-skin contact can be defined as placing a naked infant onto the bare chest of the mother. Caesarean birth is known to reduce initiation of breastfeeding, increase the length of time before the first breastfeed, reduce the incidence of exclusive breastfeeding, significantly delay the onset of lactation and increase the likelihood of supplementation. The aim of this review is to evaluate evidence on the facilitation of immediate (within minutes) or early (within 1 h) skin-to-skin contact following Caesarean section for healthy mothers and their healthy term newborns, and identify facilitators, barriers and associated maternal and newborn outcomes.

The risks and benefits of infant feeding practices for women and their children

A. M. Stuebe and E. B. Schwarz
Journal of Perinatology (2010) 30, 155–162


Infant feeding decisions affect maternal and child health outcomes, worldwide. Even in settings with clean water and good sanitation, infants who are not breast-fed face an increased risk of infectious, as well as non-infectious morbidity and mortality.

The Risks of Not Breastfeeding for Mothers and Infants

Alison Stuebe, MD, MSc
Rev Obstet Gynecol. 2009 Fall; 2(4): 222–231.


Health outcomes in developed countries differ substantially for mothers and infants who formula feed compared with those who breastfeed. For infants, not being breastfed is associated with an increased incidence of infectious morbidity, as well as elevated risks of childhood obesity, type 1 and type 2 diabetes, leukemia, and sudden infant death syndrome.

Breastfeeding Practice Guidelines for the Healthy Term Infant

Winnipeg Regional Health Authority, 2005.
Revised in November 2009.

Világos, pontokba szedett, átlátható útmutató a szoptatás támogatásához és a szoptatási problémák megoldásához. Tünetek, hajlamosító tényezők, kezelés, teendők.

Segédanyagok a szoptatás vizsgálatához, algoritmusok stb.
Egyszerűen szuper!

A teljes dokumentum innen letölthető

Growth of breastfed infants

Nommsen-Rivers LA, Dewey KG.
Breastfeed Med. 2009 Oct;4 Suppl 1:S45-9.

Understanding normal growth for the healthy breastfed infant is an important component of promoting and supporting child health in general and breastfeeding in particular. Appropriate characterization of normative growth patterns in the breastfed infant has implications ranging from the proper clinical management of the individual breastfed infant to accurate evaluation of the role of breastfeeding in the prevalence of over- and undernutrition at national and international levels.

Recognizing and Treating Delayed or Failed Lactogenesis II

Nancy M. Hurst
J Midwifery Womens Health 2007;52:588–594


Delayed or failed achievement of lactogenesis II - the onset of copious milk volume - occurs as a result of various maternal and/or infant factors. Early recognition of these risk factors is critical for clinicians who interact with breastfeeding women so that intervention and achievement of full or partial breastfeeding can be preserved.

Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries

Stanley Ip, M.D., Mei Chung, M.P.H., Gowri Raman, M.D., Priscilla Chew, M.P.H., Nombulelo Magula, M.D., Deirdre DeVine, M.Litt., Thomas Trikalinos, M.D., Ph.D., Joseph Lau, M.D.

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, April 2007

Structured Abstract

Objectives: We reviewed the evidence on the effects of breastfeeding on short- and long-term infant and maternal health outcomes in developed countries.

Baby‐Friendly: snappy slogan or standard of care?

Philipp BL, Radford A.
Arch Dis Child Fetal Neonatal Ed. 2006 Mar;91(2):F145-9.


Breastfeeding offers significant protection against illness for the infant and numerous health benefits for the mother, including a decreased risk of breast cancer. In 1991, UNICEF and WHO launched the Baby-Friendly Hospital Initiative with the aim of increasing rates of breastfeeding. "Baby-Friendly" is a designation a maternity site can receive by demonstrating to external assessors compliance with the Ten Steps to Successful Breastfeeding. The Ten Steps are a series of best practice standards describing a pattern of care where commonly found practices harmful to breastfeeding are replaced with evidence based practices proven to increase breastfeeding outcome.

Postpartum Breastfeeding Assessments

Verity Livingstone

Journal SOGC February 1996


Despite a high initiation rate of breastfeeding in hospital, most mothers stop breastfeeding within a few weeks, "The window of professional unavailability" and lack of breastfeeding management skills among health professionals are partly to blame. This article, the third in a series, reviews the physiology of ongoing lactation, and outlines a protocol for post-partum breastfeeding that can be incorporated into routine postpartum management.

In-Hospital Lactation Assessment

Verity Livingstone

Journal SOGC January 1996


Obstetricians and family physicians play a privotal role in helping mothers to initiate lactation and to establish succesful breastfeeding in hospital. They can ensure that hospital policies and practices support breastfeeding, they can identify mothers and infants at risk for difficulties, and can offer early management advice.

This article outlines standardized in-hospital breast feeding protocols and assessments that can be used by health professionals on the wards.

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