Midwives are making great strides in their efforts to renormalize and promote physiologic birth. As a key component of the fourth stage of birth and a critical moment in the formation of the mother-baby relationship, physiologic breastfeeding initiation should be considered a keystone of midwifery care. Despite the importance of early breastfeeding on maternal-child health and the vital role maternity care providers play in successful initiation, there is limited evidence regarding the effectiveness of various clinical approaches to supporting breastfeeding in the immediate postpartum. In this talk, Robyn Schafer, CNM, MSN, RN, EdM, IBCLC, reviews historical approaches to breastfeeding initiation and presents the available evidence on the efficacy of various methods. She also discusses contemporary philosophies and presents the model of physiologic breastfeeding initiation. In conclusion, she provides recommendations for clinical practice to support mothers and babies in this essential process.
Learning Objectives:
Objective 1: Describe historical approaches to breastfeeding initiation and their associated outcomes on breastfeeding success.
Objective 2: Identify the essential components of contemporary approaches to supporting breastfeeding initiation.
Objective 3: Understand the conceptual framework of physiologic breastfeeding and its implications for clinical practice.
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