The CDC Guide to Breastfeeding Interventions

Katherine R. Shealy, MPH, IBCLC, RLC; Ruowei Li, MD, PhD; Sandra Benton-Davis, RD, LD; Laurence M. Grummer-Strawn, PhD

U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2005.

This document provides guidance and direction in selecting a breastfeeding intervention. It offers the most relevant information on each type of intervention to help the reader make wise decisions.

The following categories of information have been included:

Definition Briefly describes the intervention, including its target audience and specific goals.

Rationale Explains why a particular type of interven-tion is important to breastfeeding.

Evidence of Effectiveness Draws on the major peer-reviewed literature to summarize support for the intervention as well as evidence of no effects or of a negative effect. Includes the relevant Cochrane review, if available.

Description and Characteristics Highlights characteristics and components of the intervention needed to effectively implement it.

Program Examples Summarizes high-quality examples of the intervention and describes unique aspects. Examples are provided to show the reader concrete models of various interventions. These examples were selected with expert input from the authors as well as recommendations from the Expert Panel. This list is not exhaustive, and other programs with similar characteristics may exist.

Resources Guides the reader to further information about programs and other items of interest described earlier in the chapter, such as contact information, Web links, and books.

Potential Action Steps Presents a short list of activities that might be undertaken to begin implementing a particular intervention. This list can serve as a spring-board for locally tailored approaches and help jump-start local thinking on how to proceed with implementation. The reader should note that many effective programs use multiple approaches to address a central theme.

In addition to the categories of information for each type of intervention, two other tools are provided to make using this guide easier.

References Provides a sequential list of all information sources cited.

Glossary Serves as a handy reference containing the definitions of certain technical terms and the full names of commonly used acronyms and initialisms appearing throughout the guide. Abbreviated terms are in bold the first time they appear, and technical terms are in bold the first time they appear in each chapter.

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