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Pregnancy Today's Advisory Panel Answers:
Can you tell me about the new AAP breastfeeding guidelines?
by Melissa Clark Vickers
      MEd, IBCLC
Lactation Consultant
Melissa Clark Vickers, MEd, IBCLC
 


Question

I understand there are new breastfeeding guidelines established by the American Academy of Pediatrics. Can you tell me about those new guidelines or where to get a copy of them? 
 
 
Answer

The American Academy of Pediatrics has been working on these new guidelines for quite a while and released those in the December issue of Pediatrics. They are excellent, and demonstrate a true commitment to protecting, promoting, and supporting breastfeeding. 
  • Among other things, the new guidelines recommend: 
  • Breastfeeding as soon as possible after birth, preferably within the first hour of life;
  • Rooming-in for moms and babies after birth
  • Breastfeeding on cue--looking to the baby for signs that he needs to nurse
  • Only giving supplements (water or formula) if medically necessary
  • Encouraging mo ms to express or pump their milk if they can't nurse directly 
  • Breastfeeding exclusively for the first 6 months or so, and that it should continue for at least 12 months, and then as long afterwards as mom and baby wish
  • A trained observer should evaluate breastfeeding during the first 24-48 hours after delivery, with a follow-up visit 48-72 hours later. 
You can read the entire policy, complete with references, on the AAP web site: http://www.aap.org/policy/re9729.html
 
 

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