Robyn Schafer, CNM, MSN, RN, EdM, IBCLC, is a full-scope midwife in private practice in Rockland County, New York, where she cares for a diverse patient population. She also works as a lactation consultant at a federally qualified health center in an ultra-Orthodox Jewish community. As the lead author of “Physiologic breastfeeding: A contemporary approach to breastfeeding initiation,” Robyn was honored to receive the Journal of Midwifery and Women’s Health’s award for Best Review Article in 2016. Her current research interests include appropriate and effective midwifery care for grandmultiparous women. Robyn is passionate about providing family-centered, compassionate, evidence-based care to women throughout their pregnancies and births, and supporting mothers and babies in the creation and continuation of positive breastfeeding relationships. When she’s not caring for women or welcoming babies into the world, she enjoys her time with her husband and their five wonderful children.
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.
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