Posted by: Indonesian Children | April 24, 2009

AAP Policy on Breastfeeding and Use of Human Milk

resources : AAP

The AAP policy on Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world. The AAP policy statement about breastfeeding details the benefits of breastfeeding, its true contraindications and those that are not, the challenge of breastfeeding in the US, recommendations for breastfeeding for healthy infants, recommendations for high risk infants, and the role of pediatricians in protecting, promoting, and supporting breastfeeding. This is a summary of that policy statement for health professionals:

Benefits

Most health professionals are familiar with the benefits of breastfeeding. The AAP continues to support the unequivocal evidence that breastfeeding protects against a variety of diseases and conditions in the infant such as:

  • bacterial meningitis
  • bacteremia
  • diarrhea
  • respiratory tract infection
  • necrotizing enterocolitis
  • otitis media
  • urinary tract infection
  • late-onset sepsis in preterm infants
  • type 1 and type 2 diabetes
  • lymphoma, leukemia, and Hodgkins disease
  • childhood overweight and obesity

 

There are also maternal health benefits to breastfeeding such as:

  • decreased postpartum bleeding and more rapid uterine involution
  • decreased menstrual blood loss and increased child spacing (lactational amenorrhea)
  • earlier return to prepregnancy weight
  • decreased risk of breast and ovarian cancers

 

Breastfeeding is also a great benefit to the environment and society. Breastfeeding families are sick less often and the parents miss less work. It does not require the use of energy for manufacturing or create waste or air pollution. There is no risk of contamination and it is always at the right temperature and ready to feed.

Contraindications to breastfeeding

The only true contraindications to breastfeeding are the following:

  • infants with classic galactosemia (galactose 1-phosphate uridyltransferase deficiency)
  • In the US, mothers who are infected with human immunodeficiency virus (HIV)
  • Refer to the policy statement for other conditions that may require further investigation

 

Breastfeeding is NOT contraindicated with the following conditions:

  • infants born to mothers who are hepatitis B surface antigen-positive
  • mothers who are infected with hepatitis C virus (persons with hepatitis C virus antibody or hepatitis C virus-RNA-positive blood)
  • mothers who are febrile (unless cause is a contraindication outlined in the previous section)
  • mothers who have been exposed to low-level environmental chemical agents
  • mothers who are seropositive carriers of cytomegalovirus (CMV) (not recent converters if the infant is term)
  • mothers who smoke tobacco (though they should be encouraged to quit) or have an occasional celebratory drink
  • the great majority of babies with jaundice or hyperbilirubinemia can continue to be breastfed without interruption

 

The pediatrician’s role

Pediatricians can play a key role in promoting breastfeeding and supporting families. You can:

  • Communicate the benefits of breastfeeding and the risks of formula feeding to all of your patients
  • Educate yourself about breastfeeding and how to care for breastfeeding families in your practice
  • Know how to assess breastfeeding and manage common breastfeeding problems
  • Know the local resources available to you and your patients (WIC, breastfeeding support groups, lactation consultants, breast pump rental stations, etc.)
  • Understand how to use breastfeeding equipment and be able to support women who wish to return to work or school while breastfeeding
  • Display positive images of breastfeeding in your office and encourage the elimination of practices that interfere with breastfeeding (free formula, industry gifts, or coupons to parents, separation of mother and infant, inappropriate feeding images, etc.)
  • Support breastfeeding research and advocate for positive media coverage about breastfeeding
  • Advocate for positive media coverage about breastfeeding

 

Supported  by

INDONESIA BRESTFEEDING NETWORK

Yudhasmara Foundation

Office ; JL Taman Bendungan Asahan 5 Jakarta Indonesia 10210

phone : 62(021) 70081995 – 5703646

email : judarwanto@gmail.com,

https://supportbreastfeeding.wordpress.com/

 

editor in Chief :

Dr WIDODO JUDARWANTO

email : judarwanto@gmail.com

 

 

Copyright © 2009, Indonesia Breasfeeding Networkong  Information Education Network. All rights reserved.


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