SECTION 1

INTRODUCTION

1

SECTION 2

HOW WE APPROACH LACTATION COUNSELING

7

SECTION 3

NORMAL BREASTFEEDING

13

SECTION 4

THE TEN STEPS TO SUCCESSFUL BREASTFEEDING FOR HOSPITALS AND BIRTH CENTERS

27

SECTION 5

COMMUNITY SUPPORT FOR BREASTFEEDING

39

SECTION 6

BREAST AND NIPPLE ISSUES

43

SECTION 7

BREASTFEEDING MANAGEMENT ISSUES

77

SECTION 8

BABY FEEDING PROBLEMS

95

SECTION 9

CAN SHE BREASTFEED?

159

Appendix A

The Healthy Children Eight-Level Breastfeeding Counseling Process

179

Appendix B

Feeding Observation Checklist

184

Appendix C

Breastfeeding Positions

189

Appendix D

Alternate Massage/Breast Compression

194

Appendix E

Protocol for Estimating Breast milk Transfer

196

Appendix F

Protocol to Calculate Baby’s Approximate Daily Needs

197

Appendix G

Table of Daily Breastmilk Volume Requirement Estimates (in Ounces)

199

Appendix H

Baby Weight Loss Table

204

Appendix I

Weight Gain Expectations and Infant Elimination Patterns

209

Appendix J

Protocol for Building a Milk Supply/Relactation

210

Appendix K

Protocol for Oversupply of Breastmilk

214

Appendix L

Improving Milk Transfer

217

Appendix M

Expression of Breastmilk

221

Appendix N

Feeding Devices

225

Appendix O

What to Do If an Infant or Child Is Mistakenly Fed Another Woman’s Expressed Breastmilk

226

Appendix P

Handling and Storing Breastmilk

228

Appendix Q

Contraindications to Breastfeeding

232

Appendix R

Breastfeeding Goals for the United States

234

Appendix S

Edinburgh Postnatal Depression Scale

236

Appendix T

The International Code of Marketing of Breast-milk Substitutes (WHO, 1981)

240

Appendix U

The Global Strategy for Infant and Young Child Feeding (WHO, 2003)

242

Appendix V

Innocenti Declaration on Infant and Young Child Feeding 2005 (WHO/UNICEF, 2005)

244

Appendix W

Glossary

249

Appendix X

Conversions

266

Appendix Y

Resources

267

Appendix Z

Pediatric Warning Signs

274

References

275

Index

287