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Breastfeeding is best for the health of infants and mothers. As more mothers are choosing to breastfeed, physicians need to be trained to successfully support these mothers. The American Academy of Pediatrics developed this Breastfeeding Residency Curriculum to help residents develop confidence and skills in breastfeeding care.

World Health Organization, 2009.

This Model Chapter brings together essential knowledge about infant and young child feeding that health professionals should acquire as part of their basic education. It focuses on nutritional needs and feeding practices in children less than two years of age – the most critical period for child nutrition after which sub-optimal growth is hard to reverse. The Chapter does not impart skills, although it includes descriptions of essential skills that every health professional should master, such as positioning and attachment for breastfeeding.

Third Edition, 2009
Prepared for Wellstart International by Audrey J. Naylor, MD, DrPH, FAAP, FABM and Ruth A. Wester, BA, RN, PNP

Lactation Management Curriculum

In 1985, to assist in meeting this need for curriculum content in lactation management, Wellstart International began providing education and training in lactation management and breastfeeding promotion for both students and faculty of the health professions. In 1999, with funding from The United States Maternal Child Health Bureau of the Health Resources and Services Administration and in collaboration with the University of California San Diego Medical School, Wellstart developed the Lactation Management Curriculum: A Faculty Guide for Schools of Medicine, Nursing and Nutrition (LMCG), now in its fourth edition.

The LMCG was developed to facilitate the integration of lactation management knowledge and skills into the curriculum of medicine, nursing and nutrition programs. It is a competency based tool and provides guidance in curriculum assessment, content suggestions and resources for three levels of professional responsibility. Level I provides basic knowledge needed by all health care providers to be supportive of normal mothers and their healthy full term infants. Level II includes more clinical detail for complex situations and is targeted at those who practice one of the perinatal specialties (pediatrics, obstetrics, family medicine, neonatology, etc). Level III is designed for those who will specialize in breastfeeding medicine and will serve as key faculty in leadership positions.

Mattar C N, Fok D, Chong Y S
Singapore Med J 2008; 49(4) : 272

INTRODUCTION

Breastfeeding and the role of a primary physician
Clinicians can influence a woman’s decision to breastfeed and can contribute to a successful breastfeeding practice. A physician’s affirmation of breastfeeding can significantly increase breastfeeding initiation of women from various backgrounds. When a mother encounters a difficult situation that may jeopardise lactation, her physician should be able to counsel her appropriately and encourage a continued effort to breastfeed, bearing in mind the strong sociocultural influences that encourage a trend towards formula feeding.

Curriculum and Resource Guide for Health Care Providers

Curriculum Objectives

After completing this curriculum, health care providers will be able to:

• Identify women who may be at risk for depression in the perinatal period.
• Recognize the symptoms of depression and other mood disorders in pregnant and postpartum women.
• Describe how postpartum mood disorders may impact breastfeeding.
• Describe the causes of postpartum depression.
• Provide information to mothers so they can weigh the risks and benefits of various treatment options for depression.
• Work with mothers to preserve the breastfeeding relationship whenever possible.

A teljes dokumentum letölthető innen.

Marsha Walker RN, IBCLC
Journal of Perinatal and Neonatal Nursing July/September 2007 Volume 21 Number 3 Pages 191 - 197

Abstract

Meeting national breast-feeding objectives and mothers' personal breast-feeding goals depends on a number of factors, including the provision of current, consistent, and timely help with breast-feeding. Nurses are in a prime position to guide mothers during their hospital stay and provide community follow-up postdischarge.

Carol L Wagner, Eric M Graham, William W Hope
Medscape Emedicine, 2006 December

Breast milk is thought to be the best form of nutrition for neonates and infants. The properties of human milk facilitate the transition of life from in utero to ex utero. This dynamic fluid provides a diverse array of bioactive substances to the developing infant during critical periods of brain, immune, and gut development. The clinician must be familiar with how the mammary gland produces human milk and how its properties nourish and protect the breastfeeding infant.

Latha Chandran, Polina Gelfer
Pediatrics in Review. 2006;27:409-417

Objectives

After completing this article, readers should be able to:

1. Understand the physiology of lactation.
2. Discuss the biologic specificity of human milk.
3. Delineate the benefits of breastfeeding for the infant, the mother, and the community.
4. Know relative and absolute contraindications to breastfeeding.
5. Describe current recommendations for breastfeeding.

Carol L Wagner, Eric M Graham, William W Hope, Nikki Hughes
Medscape Emedicine, 2006 September

This article reviews the mechanics of breastfeeding, correct breastfeeding techniques, and sufficient versus insufficient milk supplies. A discussion of early follow-up of the breastfeeding mother-infant dyad and the warning signs of difficulties in that dyad are also included.

Manual for orientation, reading and reference

The agencies whose staff contributed to this draft material include WHO, UNICEF, LINKAGES, IBFAN, and ENN. - March, 2001

Introduction

In emergencies, children under five are more likely to become ill and die from malnutrition and disease than anyone else. In general, the younger they are, the more vulnerable they are. Inappropriate feeding increases their risks.