All family physicians, whether or not they provide maternity care, have a unique role in the promotion of breastfeeding. They understand the advantages of family-centered care and are well positioned to provide breastfeeding support in that context.
Because they provide comprehensive care to the whole family, family physicians have an opportunity to provide breastfeeding education and support throughout the course of life to all members of the family. History Throughout most of history, breastfeeding was the norm, with only a small number of infants not breastfed for a variety of reasons.
In the distant past, wealthy women had access to wet nurses, but, with the industrial revolution, this practice declined, as wet nurses found higher-paying jobs.
By the late 19th century, infant mortality from unsafe artificial feeding became an acknowledged public health problem. During this same period, infant feeding recommendations became the purview of the newly organized medical profession. An entire generation of women—and physicians—grew up not viewing breastfeeding as the normal way to feed babies.
Despite the resurgence of breastfeeding in the late 20th century in the United States, breastfeeding and formula feeding continued to be considered virtually equivalent, representing merely a lifestyle choice parents may make without significant health sequelae.
The United States has not yet met its breastfeeding goals. Despite growing evidence of the health risks of not breastfeeding, physicians—including family physicians—do not receive adequate training about supporting breastfeeding. However, parents may feel less guilt if they have had an opportunity to learn all the pertinent information and can make a fully informed decision.
The evidence concerning health effects continues to expand in terms of depth of understanding and quality of research. It is beyond the scope of this paper to review all of the primary literature.
Several systematic review articles that outline the evidence supporting the role of breastfeeding in optimal health outcomes for mothers and children have been published.
A systematic review of the effects of breastfeeding on maternal and infant health found that for infants in developed countries, not breastfeeding is associated with increased risks of common conditions including acute otitis media; gastroenteritis; atopic dermatitis; and life-threatening conditions including severe lower respiratory infections, necrotizing enterocolitis, and sudden infant death syndrome.
In the short term, the data on postpartum weight loss suggest that the role of breastfeeding is minor compared with diet and exercise15, although studies suggest that at least six months of exclusive breastfeeding may increase maternal weight loss.
Health care costs for both children and mothers are increased when breastfeeding duration is suboptimal. Medical contraindications to breastfeeding are rare. When mothers and babies are treated adequately with antiviral medications, breastfeeding exclusively for six months, with continued breastfeeding for 12 months, may be considered.
Infants who have type 1 galactosemia should not be breastfed; some other inborn errors of metabolism may require feeding modification. Mothers who have active untreated tuberculosis or active varicella in the newborn period should be separated from their babies, although the breast milk may be fed to the infant.
Maternal use of drugs of abuse, antimetabolites, chemotherapeutic agents, or radioisotopes may contraindicate breastfeeding. Most maternal conditions can be treated with medications that are safe for breastfeeding.
Babies should be kept skin-to-skin with the mother at least until the first successful breastfeed. Family physicians and all health care professionals who regularly care for mothers and babies should be able to assist with normal breastfeeding and common breastfeeding challenges.
When challenges exceed the expertise of the family physician, patients should be referred to someone with a higher level of expertise, such as an International Board Certified Lactation Consultant. Family physicians should advocate for breastfeeding and provide education about breastfeeding throughout the course of life and for the entire family.
Family physicians may provide prenatal care and labor support, deliver the infant, help in the prompt initiation and continuation of breastfeeding, and continue caring for the baby and family. Breastfeeding education and support can be integrated into these visits.
Family physicians have the unique opportunity to emphasize breastfeeding education beginning with preconception visits and continuing through prenatal care, delivery, and postpartum care, and during ongoing care of the family. Family physicians should work in their communities to advocate removal of barriers to breastfeeding.Database of FREE Nursing essays - We have thousands of free essays across a wide range of subject areas.
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|Breastfeeding, Family Physicians Supporting (Position Paper)||This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.|
Apr 11, · 1. Introduction. Postpartum depression is a serious mental health condition that affects an estimated 13% to 19% of women who have recently given birth .Postpartum depression is characterized as a persistent low mood in new mothers, which is often accompanied by feelings of sadness, worthlessness, and/or hopelessness.
Postpartum Education On Breastfeeding Positions Latch On Burping Nursing Essay. Print Reference this. Lactessa doll which is specifically designed for breastfeeding education will be used for demonstration. flexible limbs and head as well as a three-dimensional mouth that allows realistic demonstration of positions, latch-on and.
Nov 03, · Breastfeeding creates an emotional attachment with the mother and the baby. Breastfeeding is the healthiest choice for your baby if you can. It provides the exact amounts of the vitamins, fats, and nutrition at just the right temperature.
Breastfeeding education and support from lactation consultants and peer counselors shows a positive impact on initiation and continuation of breastfeeding (Imdad, Yakoob & Bhutta, ). breastfeeding, including basic breastfeeding positions, please see lausannecongress2018.com's course: Breastfeeding: The Basics. Professional Support The role of the postpartum nurse is to provide consistent and evidence-based advice and support to first time and. Postpartum Education On Breastfeeding Positions Latch On Burping Nursing Essay. Print Reference this. Lactessa doll which is specifically designed for breastfeeding education will be used for demonstration. flexible limbs and head as well as a three-dimensional mouth that allows realistic demonstration of positions, latch-on and.
breastfeeding, including basic breastfeeding positions, please see lausannecongress2018.com's course: Breastfeeding: The Basics.
Professional Support The role of the postpartum nurse is to provide consistent and evidence-based advice and support to first time and. Breastfeeding education and support from lactation consultants and peer counselors shows a positive impact on initiation and continuation of breastfeeding (Imdad, Yakoob & Bhutta, ).