Breastfeeding Resources for Health Care Providers

For Physicians

PRINT AND INTERNET RESOURCES

Breastfeeding: A Guide for the Medical Profession
Ruth A. Lawrence, Robert M. Lawrence 8th ed.
(2017)
Mosby, Inc.

Breastfeeding Handbook for Physicians
American Academy of Pediatrics (AAP), American College of Obstetricians and Gynecologists (ACOG)
2nd ed. (2014)
www.aap.org/bookstore

Breastfeeding and Human Lactation
Jan Riordan
5th ed. (2016)
Jones and Bartlett Publishers

Drugs in Pregnancy & Lactation: A Reference Guide to Fetal & Neonatal Risk
Gerald G. Briggs; Roger K. Freeman; Sumner J. Yaffe
9th ed. (2011)
Lippincott, Williams & Wilkins

Medications and Mothers’ Milk 2017
Thomas W. Hale, PhD
17th ed. (2017)

Nonprescription Drugs for the Breastfeeding Mother
Frank J. Nice RPh, DPA, CPHP
2nd ed. (2011)

Textbook of Human Lactation
Thomas W. Hale, PhD; Peter Hartmann, PhD
2007

Lactation Management: Strategies for Working with African-American Moms
Katherine Barber
2013

The Little Green Book of Breastfeeding Management for Physicians and Other Healthcare Providers, 6th ed. The Milk Mob

Breastfeeding Answers Made Simple, 2010

Mohrbacher, Nancy

ORGANIZATIONS AND EDUCATIONAL RESOURCES FOR PHYSICIANS

American Academy of Family Physicians

www.aafp.org

A national organization representing more than 115,000 members who provide comprehensive, coordinated, and continuing care to all members of the family and serve as the patient’s advocate in the changing health care system. Breastfeeding support materials and continuing medical education (CME) training are available.

Resources:

- AAFP Policy Statement on Breastfeeding –

The AAFP Commission on Health of the Public and Science coordinates breastfeeding-related clinical information and policy.

- Additional courses with AAFP Prescribed credit are listed in the AAFP CME database.

American Academy of Pediatrics

www.aap.org

Resources

- Policy Statement, Section on Breastfeeding – Breastfeeding and the Use of Human Milk

- Breastfeeding Promotion in Physicians’ Office Practices Program (BPPOP III) provides support for pediatric, obstetric, and family medicine residents; practicing physicians; and other health care professionals in effective breastfeeding promotion and management (www2.aap.org/breastfeeding/curriculum/index.html(www2.aap.org)).

Academy of Breastfeeding Medicine

www.bfmed.org

A worldwide organization of physicians dedicated to the promotion, protection, and support of breastfeeding and human lactation. Membership is open to all physicians.

Resources available:

- Clinical protocols - Evidence-based clinical guidelines for the care of breastfeeding mothers and infants: Useful for hospital and clinical policies. Annotated bibliographies. Updated regularly with some foreign translations.

- Fellowship (FABM) recognizes physicians with additional training, experience, and knowledge in the clinical, research, academic, or public policy areas of breastfeeding medicine?

- Breastfeeding Medicine: A peer-reviewed physician journal

- Academy of Breastfeeding Medicine Annual International Meeting: Offers the “What Every Physician Needs to Know about Breastfeeding” pre-conference course and a health team meeting for nonphysician health professionals

Breastfeeding Basics

http://www.breastfeedingbasics.com/

Resources:

An online short course on the fundamentals of breastfeeding; geared primarily for the medical professional.

Wellstart International

www.wellstart.org

A nonprofit organization that promotes maternal and child health, specializing in the area of breastfeeding. Wellstart provides educational opportunities for perinatal health care professionals, focusing on the scientific basis and management of human lactation.

Resources:

- Lactation Management Curriculum – A Faculty Guide for Schools of Medicine, Nursing, and Nutrition

- Lactation Management Self-Study Modules, Level 1

American Congress of Obstetricians and Gynecologists

www.acog.org/breastfeeding

Resources:

- “Breastfeeding in Underserved Women: Increasing Initiation and Continuation of Breastfeeding.” Committee Opinion #570

- “Breastfeeding: Maternal and Infant Aspects.” Committee Opinion #361: Provides a brief introduction to concepts detailed in a special report from the

La Leche League International

www.llli.org

Their mission is to help mothers worldwide to breastfeed through mother-to-mother support, encouragement, information, and education, and to promote a better understanding of breastfeeding as an important element in the healthy development of the baby and the mother.

Resources:

- The Womanly Art of Breastfeeding, 8th revised ed. (July 2010)

- Numerous resources on breastfeeding, the law, and education

International Board of Lactation Consultant Examiners
www.iblce.org The internationally recognized certifying agency for lactation consultants.

International Lactation Consultants Association www.ilca.org

The professional association for International Board Certified Lactation Consultants (IBCLCs) and other health care professionals who care for breastfeeding families.

Resources:

- Journal of Human Lactation

The Joint Commission

www.jointcommission.org/perinatal_care

An independent, not-for-profit organization that accredits and certifies more than 20,500 health care organizations and programs in the United States.

Resources:

- Speak Up: What you need to know about breastfeeding

- Perinatal Care Core Measure: Includes a performance measurement for “exclusive breastfeeding.” Mandatory for all hospitals with >1,100 births per year, effective January 1, 2014.

United States Breastfeeding Committee
www.usbreastfeeding.org
Composed of representatives from health care professional associations, relevant government departments, and nongovernmental organizations organized for coordination of breastfeeding activities in the United States.

World Alliance for Breastfeeding Action
www.waba.org/my
A global network of individuals and organizations concerned with the protection, promotion, and support of breastfeeding worldwide.

Healthy People 2020
www.healthypeople.gov
Department of Health and Human Services
MICH – Maternal, Infant, Child Health – Breastfeeding Objectives and Targets:
MICH-21.1 Increase the proportion of infants who are ever breastfed: 81.9%
MICH-21.2 Increase the proportion of infants who are breastfed at six months: 60.6%
MICH-21.3 Increase the proportion of infants who are breastfed at one year: 34.1%
MICH-21.4 Increase the proportion of infants who are breastfed exclusively through three months: 46.2%
MICH-21.5 Increase the proportion of infants who are breastfed exclusively through six months: 25.5%
MICH-22 Increase the proportion of employers that have worksite lactation support programs: 38%
MICH-23 Reduce the proportion of breastfed newborns who receive formula supplementation within the first two days of life: 14.2%
MICH-24 Increase the proportion of live births that occur in facilities that provide recommended care for lactating mothers and their babies: 8.1%

World Health Organization
www.cdc.gov/growthcharts/who_charts.htm
The WHO standards establish growth of the breastfed infant as the norm for growth. Breastfeeding is the recommended standard for infant feeding. The WHO charts reflect growth patterns among children who were predominantly breastfed for at least four months and were still breastfeeding at 12 months.

Resources:

-WHO Growth Charts and Centers for Disease Control and Prevention (CDC) Growth Charts

For Nurses

Many of the resources listed above are applicable to all health professionals, but some with a specific nursing focus are listed here: AWHONN webinars and CNE credits are available to members. http://learning.awhonn.org/diweb/catalog/c/217/n/2

Some may include additional fees. Some relevant topics include:

  • New Research and Strategies to Promote and Support Breastfeeding (webinar)
  • Skin to skin care in Healthy Newborns
  • Breastfeeding Implications for Women Receiving Medication Assisted Therapy for Opioid Use Disorders
  • Effects of Maternal BMI on Breastfeeding Behaviors
  • Medications and Breastfeeding for Mothers with Chronic Disease
  • Safe Infant Sleep: Implementing Evidence-Based Recommendations (webinar)

Step 2 has comprehensive staff training modules with purchase of a contract.

Coffective has comprehensive staff training modules with purchase of the contract.

For Pharmacists Drugs in Pregnancy & Lactation: A Reference Guide to Fetal & Neonatal Risk
Gerald G. Briggs; Roger K. Freeman; Sumner J. Yaffe
9th ed. (2011)
Lippincott, Williams & Wilkins

Medications and Mothers’ Milk 2017
Thomas W. Hale, PhD
17th ed. (2017)

Nonprescription Drugs for the Breastfeeding Mother
Frank J. Nice RPh, DPA, CPHP
2nd ed. (2011)

Databases:

LactMed

https://www.toxnet.nlm.nih.gov/newtoxnet/lactmed.htm

The LactMed® database contains information on drugs and other chemicals to which breastfeeding mothers may be exposed. It includes information on the levels of such substances in breast milk and infant blood, and the possible adverse effects in the nursing infant.MED

Mother To Baby

https://mothertobaby.org/

MotherToBaby, a service of the non-profit Organization of Teratology Information Specialists (OTIS), is the nation’s leading authority and most trusted source of evidence-based information on the safety of medications and other exposures during pregnancy and while breastfeeding. Our information service is available to mothers, healthcare professionals, and the general public. We also conduct state-of-the-art research on the safety of medications and vaccines in pregnancy