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Beyond Baby Friendly, Thinking Outside the Box
by Jane A. Morton, MD; Adjunct Clinical Professor of Pediatrics
Duration: 60 Mins
Credits: 1 CERP, 1 L-CERP
Learning Format: webinar
Handout: Yes
Origin: goldlactation.com
Abstract:
Complications of insufficient milk production and suboptimal intake account for delayed discharge, readmission, potentially serious medical complications and a sharp drop off in any breastfeeding before 1 month. Reframing lactation support based on prevention, accessibility and sustainability, we could logically reduce these complications, while increasing exclusive breastfeeding rates for both low and at-risk infants. Recent science supports the importance of beginning this support for all mothers in the first post delivery hour, to prevent what might be called, “the lost first hour syndrome”.
Learning Objectives:
Objective 1: The scope of the problem of insufficient milk production and suboptimal infant intake
Objective 2:Current evidence supporting the use of early hand expression and the influence of this technique on milk composition and subsequent milk production
Objective 3: The practical implications of incorporating this research into current breastfeeding bedside care
Objective 4: Given that exclusive breastfeeding is the goal, what is the rational for prioritizing A,B,C for the low risk dyad and reprioritizing these goals to C,B,A for at-risk dyads? How might this reprioritization provide a more realistic, safe, unpressured plan for the at-risk infant to enable exclusive breastfeeding? Objective 5:
Within the context of baby-friendly care, how might we achieve preventative (vs. problem based) available (vs. episodic) breastfeeding care for low and at-risk dyads in a sustainable model that respects the time, skills and resources?
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