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Breastfeeding Comprehensive Support and Counseling
Breastfeeding comprehensive support and counseling
Your doctor will support you before and after childbirth by providing interventions directly or through referral to help you make an informed choice and to be successful in your choice. He or she will discuss the benefits of breastfeeding, provide practical advice and direct support on how to breastfeed, and provide psychological support.
Although breastfeeding is beneficial to women and their babies, not all women choose to or are able to breastfeed. Your doctor should respect your decision that fits your specific situation, values, and preferences.
What you can do
Learn all you can about the benefits of breastfeeding. Ask your doctor questions before you give birth, so you are prepared to start breastfeeding as soon as your baby arrives. Ask for help from a lactation counselor.
Preventive service at no cost
Pregnant women, new mothers, and their children |
The USPSTF recommends providing interventions during pregnancy and after birth to support breastfeeding. The Women’s Preventive Services Initiative recommends comprehensive lactation support services (including consultation; counseling; education by clinicians and peer support services; and breastfeeding equipment and supplies) during the antenatal, perinatal, and postpartum periods to optimize the successful initiation and maintenance of breastfeeding. Breastfeeding equipment and supplies include, but are not limited to, double electric breast pumps (including pump parts and maintenance) and breast milk storage supplies. Access to double electric pumps should be a priority to optimize breastfeeding and should not be predicated on prior failure of a manual pump. Breastfeeding equipment may also include equipment and supplies as clinically indicated to support dyads with breastfeeding difficulties and those who need additional services. |
Why breastfeeding is important
Breastfeeding provides health benefits for children and provides health benefits for women.
It is associated with a reduced risk of a variety of illnesses such as acute otitis media, asthma, atopic dermatitis, and gastrointestinal tract infection, and chronic conditions such as obesity, diabetes, and high blood pressure. Any breastfeeding appears to be more beneficial than no breastfeeding, and longer durations of breastfeeding have greater benefits than shorter durations. Breastfeeding is also associated with positive maternal health outcomes, such as reduced risk of maternal breast and ovarian cancer and type 2 diabetes.
What the interventions are
Professional support is 1-on-1 counseling about breastfeeding provided by a health professional such as a nurse or lactation counselor. It can include information about the benefits of breastfeeding, encouraging the mother, providing reassurance, and discussing the mother’s questions and problems, and helping with the positioning of the infant and observing latching. It may be delivered during pregnancy, the hospital stay, the postpartum period, or at multiple stages. It may be conducted in an office setting, in the hospital, through home visits, through telephone support, or any combination of these. Sessions generally last from 15 to 45 minutes.
Proper Storage and Preparation of Breast Milk
Peer support provides women with 1-on-1 counseling about breastfeeding but is delivered by a layperson, generally a mother with successful breastfeeding experience and a background similar to that of the patient and who has received training in how to provide support. Like professional support, peer support may be delivered through a variety of stages, settings, methods, and durations.
Common Breastfeeding Challenges
Classes are usually offered in group sessions and may include telephone support, electronic interventions, videos, and print materials. They are directed at mothers but may include other family members.
Additional tips
- Try to breastfeed within the first hour of birth.
- Work with a nurse or lactation consultant.
- Make sure you have several well-fitting nursing bras.
- Try not to use bottles or pacifiers until your breastfeeding is well established.