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Parents and health care providers may have difficulty obtaining accurate and current information for the management of breast-feeding concerns. This study documents the types of problems that lead family members and health care professionals to seek telephone consultation from a breast-feeding service managed as an activity of a school of nursing faculty practice. During the 6-month study period, calls from 387 individuals (64% mothers and 31% health care providers) were received, for a mean of 64 calls per month. These calls required approximately 9.5 hours monthly to manage. Thirty-one percent of the calls were requests for general information (including stooling and urination or frequency and duration of breast-feeding); an additional 24% requested consultation from or referral to the service. Twenty-five percent of the calls resulted in a consultation with either the clinicians (9.9% inpatient; 9.6% outpatient) or referral to another health care professional (6%). Suggestions for pediatric nurse practitioner practice with breast-feeding mothers and babies were developed from the results of this clinical study.

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