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Technical Report: Breastfeeding and the Use of Human Milk
Joan Younger Meek1, Lawrence Noble2,3
1Department of Clinical Sciences, Florida State University College of Medicine, Orlando, Florida.
Insights
Breastfeeding offers significant health benefits for infants and mothers, making it a public health priority. Recommendations support exclusive breastfeeding for six months and continued breastfeeding for two years or beyond.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Breastfeeding and human milk are recognized as the optimal standard for infant nutrition.
- Numerous short- and long-term medical and neurodevelopmental advantages underscore the importance of breastfeeding.
- Breastfeeding is considered a public health imperative due to its extensive benefits.
Purpose of the Study:
- To highlight the American Academy of Pediatrics (AAP) and World Health Organization (WHO) recommendations on breastfeeding duration and exclusivity.
- To emphasize the critical role of healthcare providers, particularly pediatricians, in advocating for and supporting breastfeeding.
- To address the need for improved breastfeeding support, acknowledging disparities and the impact of racism.
Main Methods:
- This abstract synthesizes current recommendations and guidelines from major health organizations.
- It reviews the established medical and neurodevelopmental benefits associated with breastfeeding.
- It discusses the role of healthcare systems and professionals in promoting breastfeeding practices.
Main Results:
- The AAP recommends exclusive breastfeeding for approximately six months, with continued breastfeeding alongside complementary foods for two years or beyond.
- Medical contraindications to breastfeeding are infrequent.
- Maternity care practices in hospitals significantly influence breastfeeding initiation, duration, and exclusivity.
Conclusions:
- Breastfeeding is a public health imperative with substantial benefits for mothers and infants.
- Healthcare systems and professionals must be trained to effectively support and manage breastfeeding.
- Addressing existing disparities and the impact of racism is crucial for promoting equitable breastfeeding support and services.
Abstract:
Breastfeeding and human milk are the normative standards for infant feeding and nutrition. The short- and long-term medical and neurodevelopmental advantages of breastfeeding make breastfeeding or the provision of human milk a public health imperative. The American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for approximately 6 months after birth. Furthermore, the AAP supports continued breastfeeding, along with appropriate complementary foods introduced at about 6 months, as long as mutually desired by mother and child for 2 years or beyond. These recommendations are consistent with those of the World Health Organization (WHO). Medical contraindications to breastfeeding are rare. The AAP recommends that birth hospitals or centers implement maternity care practices shown to improve breastfeeding initiation, duration, and exclusivity. The Centers for Disease Control and Prevention and The Joint Commission monitor breastfeeding practices in United States hospitals. Pediatricians play a critical role in hospitals, their practices, and communities as advocates of breastfeeding and, thus, need to be trained about the benefits of breastfeeding for mothers and children and in managing breastfeeding. Efforts to improve breastfeeding rates must acknowledge existing disparities and the impact of racism in promoting equity in breastfeeding education, support, and services.
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