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POLICY STATEMENT |
Considerable advances have occurred in recent years in the scientific knowledge of the benefits of breastfeeding, the mechanisms underlying these benefits, and in the clinical management of breastfeeding. This policy statement on breastfeeding replaces the 1997 policy statement of the American Academy of Pediatrics and reflects this newer knowledge and the supporting publications. The benefits of breastfeeding for the infant, the mother, and the community are summarized, and recommendations to guide the pediatrician and other health care professionals in assisting mothers in the initiation and maintenance of breastfeeding for healthy term infants and high-risk infants are presented. The policy statement delineates various ways in which pediatricians can promote, protect, and support breastfeeding not only in their individual practices but also in the hospital, medical school, community, and nation.
Key Words: breast • breastfeeding • breast milk • human milk • lactation
Abbreviations: AAP, American Academy of Pediatrics • WIC, Supplemental Nutrition Program for Women, Infants, and Children • CMV, cytomegalovirus • G6PD, glucose-6-phosphate dehydrogenase
The following policy statement has been revised:
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|
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|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
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|
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|
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 |
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|
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|
|
|
|
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|
|
|
 |
|
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|
|
|
|
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|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
 |
|
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|
|
|
|
 |
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
 E. P. Gunderson Breastfeeding After Gestational Diabetes Pregnancy: Subsequent obesity and type 2 diabetes in women and their offspring Diabetes Care, July 1, 2007; 30(Supplement_2): S161 - S168. [Full Text] [PDF]
|
|
|
|
|
|
P. van Dommelen, J. P van Wouwe, J. M Breuning-Boers, S. van Buuren, and P. H Verkerk Reference chart for relative weight change to detect hypernatraemic dehydration Arch. Dis. Child., June 1, 2007; 92(6): 490 - 494. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. S. Duke, W. L. Parsons, P. A. Snow, and A. C. Edwards Physicians as mothers: Breastfeeding practices of physician-mothers in Newfoundland and Labrador Can Fam Physician, May 1, 2007; 53(5): 887 - 891. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Merewood, B. Patel, K. N. Newton, L. P. MacAuley, L. B. Chamberlain, P. Francisco, and S. D. Mehta Breastfeeding Duration Rates and Factors Affecting Continued Breastfeeding Among Infants Born at an Inner-City US Baby-Friendly Hospital J Hum Lact, May 1, 2007; 23(2): 157 - 164. [Abstract] [PDF]
|
|
|
|
 |
|
 J. S. Savage, J. O. Fisher, and L. L. Birch Parental Influence on Eating Behavior: Conception to Adolescence J. Law Med. Ethics, March 1, 2007; 35(1): 22 - 34. [PDF]
|
|
|
|
|
|
H. A. McPhillips, A. E. Burke, K. Sheppard, A. Pallant, F. B. Stapleton, and B. Stanton Toward Creating Family-Friendly Work Environments in Pediatrics: Baseline Data From Pediatric Department Chairs and Pediatric Program Directors Pediatrics, March 1, 2007; 119(3): e596 - e602. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. N. Haiek, D. L. Gauthier, D. Brosseau, and L. Rocheleau Understanding Breastfeeding Behavior: Rates and Shifts in Patterns in Quebec J Hum Lact, February 1, 2007; 23(1): 24 - 31. [Abstract] [PDF]
|
|
|
|
|
|
P. D. Hill, J. C. Aldag, M. Zinaman, and R. T. Chatterton Predictors of Preterm Infant Feeding Methods and Perceived Insufficient Milk Supply at Week 12 Postpartum J Hum Lact, February 1, 2007; 23(1): 32 - 38. [Abstract] [PDF]
|
|
|
|
|
|
W. Slusser What Determines Duration of Breastfeeding? AAP Grand Rounds, February 1, 2007; 17(2): 21 - 21. [Full Text] [PDF]
|
|
|
|
|
|
N. F. Krebs Food Choices to Meet Nutritional Needs of Breast-fed Infants and Toddlers on Mixed Diets J. Nutr., February 1, 2007; 137(2): 511S - 517S. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Jacknowitz, D. Novillo, and L. Tiehen Special Supplemental Nutrition Program for Women, Infants, and Children and Infant Feeding Practices Pediatrics, February 1, 2007; 119(2): 281 - 289. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. K. Singh, M. D. Kogan, and D. L. Dee Nativity/Immigrant Status, Race/Ethnicity, and Socioeconomic Determinants of Breastfeeding Initiation and Duration in the United States, 2003 Pediatrics, February 1, 2007; 119(Supplement_1): S38 - S46. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. L. Dee, R. Li, L.-C. Lee, and L. M. Grummer-Strawn Associations Between Breastfeeding Practices and Young Children's Language and Motor Skill Development Pediatrics, February 1, 2007; 119(Supplement_1): S92 - S98. [Abstract] [Full Text] [PDF]
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|
 |
|
 C. N. Mattar, Y.-S. Chong, Y.-S. Chan, A. Chew, P. Tan, Y.-H. Chan, and M. H.-J. Rauff Simple Antenatal Preparation to Improve Breastfeeding Practice: A Randomized Controlled Trial Obstet. Gynecol., January 1, 2007; 109(1): 73 - 80. [Abstract] [Full Text] [PDF]
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|
|
|
|
M. de Onis, C. Garza, A. W. Onyango, and E. Borghi Comparison of the WHO Child Growth Standards and the CDC 2000 Growth Charts J. Nutr., January 1, 2007; 137(1): 144 - 148. [Abstract] [Full Text] [PDF]
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|
|
|
I. M. Paul, E. B. Lehman, C. S. Hollenbeak, and M. J. Maisels Preventable Newborn Readmissions Since Passage of the Newborns' and Mothers' Health Protection Act Pediatrics, December 1, 2006; 118(6): 2349 - 2358. [Abstract] [Full Text] [PDF]
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S M Montgomery, A Ehlin, and A Sacker Breast feeding and resilience against psychosocial stress Arch. Dis. Child., December 1, 2006; 91(12): 990 - 994. [Abstract] [Full Text] |
