Academy of Breastfeeding Medicine Clinical Protocol #19: Breastfeeding Promotion in the Prenatal Period (Revised 2024).

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Breastfeeding Medicine Pub Date : 2024-08-01 DOI:10.1089/bfm.2024.0203
Anna Jack, Caroline Mullin, Elizabeth Brown, Michele Burtner, Katherine R Standish, Alecia Fields, Casey Rosen-Carole, Scott Hartman
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Abstract

Background: The Academy of Breastfeeding Medicine revised the 2015 version of this clinical protocol to review the evidence and provide recommendations related to breastfeeding promotion in the prenatal period. Key Information: Promoting and normalizing breastfeeding in the prenatal period can improve breastfeeding outcomes including initiation and duration of breastfeeding. Ideally, prenatal interventions should be a part of a comprehensive longitudinal breastfeeding support program. Recommendations: Clinicians or other health workers should discuss breastfeeding at each prenatal visit. Counseling topics should include the health benefits of breastfeeding versus not breastfeeding, the basics of breastfeeding (e.g., physiology, positioning), what to expect of hospital-based and immediate postpartum breastfeeding support (i.e., Baby-Friendly Ten Steps), and the risks of unnecessary supplementation. Medical, anatomical, and other risk factors for breastfeeding challenges should be identified, and targeted anticipatory guidance should be given. Prenatal counseling should include distribution of structured breastfeeding education at low literacy levels and in the parent's preferred language. Counseling should be culturally sensitive and patient-centered, including family members when appropriate. Prenatal support may integrate various health workers (e.g., medical doctors, midwives, community health workers, lactation consultants, among others) and include various modalities including telecommunication. Enhancing breastfeeding education for prenatal care providers is also imperative. Additional themes related to implementation of recommendations for specific populations are also reviewed.

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母乳喂养医学学会临床协议第 19 号:产前促进母乳喂养(2024 年修订)。
背景:母乳喂养医学学会修订了 2015 年版的临床方案,对证据进行了回顾,并提供了与产前促进母乳喂养相关的建议。关键信息:在产前促进母乳喂养并使之正常化可改善母乳喂养的结果,包括母乳喂养的开始和持续时间。理想情况下,产前干预应成为全面纵向母乳喂养支持计划的一部分。建议:临床医生或其他卫生工作者应在每次产前检查时讨论母乳喂养问题。咨询主题应包括母乳喂养与非母乳喂养对健康的益处、母乳喂养的基本知识(如生理、体位)、对医院和产后即时母乳喂养支持的期望(即爱婴十步骤)以及不必要添加辅食的风险。应确定母乳喂养面临挑战的医学、解剖学和其他风险因素,并提供有针对性的预期指导。产前咨询应包括向识字水平较低的父母分发有组织的母乳喂养教育资料,并使用父母喜欢的语言。咨询应具有文化敏感性并以患者为中心,适当时可包括家庭成员。产前支持可整合不同的卫生工作者(如医生、助产士、社区卫生工作者、哺乳顾问等),并采用包括远程通信在内的各种模式。加强产前护理人员的母乳喂养教育也势在必行。此外,还审查了与针对特定人群实施建议有关的其他主题。
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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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