Why hospitals should have a clear breastfeeding policy
The management of breastfeeding and lactation is constantly evolving as research informs updated guidelines. When health care facilities clearly communicate best current practice to staff and patients, parents can be confident they are getting the best support as they establish and maintain breastfeeding.
Personal experience and opinion have no place in breastfeeding support. When staff are held accountable to clear policy and procedures, there can be no confusion.
A breastfeeding policy should reflect the World Health Organization and UNICEF Baby-Friendly Hospital Initiative Ten Steps to Successful Breastfeeding. A guideline and examples can be downloaded here and here
By far the most common feedback from new parents is that conflicting information is given by different midwives and lactation consultants during their hospital stay. One explanation for this is there is no one way to manage some practical aspects of breastfeeding: positioning the baby, encouraging attachment etc. However, the overall guidance should be consistent and communicated in the way individual mothers learn best.
Skin-to-skin is an important first stage in the breastfeeding journey
There are core practices which must be clearly highlighted in a timely manner with all pregnant and newly-breastfeeding mothers, including:
The importance of immediate skin-to-skin contact and early breastfeeding within the first hour.
The risks of giving breastfed babies supplements of infant formula in the first six months.
The risks of using teats, bottles and dummies while establishing breastfeeding.
How breastmilk is made and what to expect.
Effective management of common challenges in the first week increases the likelihood of exclusive breastfeeding in the first six months. When mothers receive conflicting or poorly communicated advise, they become overwhelmed and confused.
Supporting babies to achieve a good latch in hospital is integral to breastfeeding outcomes
Why Do Mothers Stop Breastfeeding Early?
Sixty percent of mothers in the US do not breastfeed for as long as they intend to. How long a mother breastfeeds her baby (duration) is influenced by many factors including:
Issues with lactation and latching.
Concerns about infant nutrition and weight.
Mother’s concern about taking medications while breastfeeding.
Unsupportive work policies and lack of parental leave.
Cultural norms and lack of family support.
Unsupportive hospital practices and policies.
