Meek Joan Younger, Hatcher Amy J
Pediatrics. 2017 May;139(5). doi: 10.1542/peds.2017-0647. Epub 2017 Apr 17.
The landscape of breastfeeding has changed over the past several decades as more women initiate breastfeeding in the postpartum period and more hospitals are designated as Baby-Friendly Hospitals by following the evidence-based Ten Steps to Successful Breastfeeding. The number of births in such facilities has increased more than sixfold over the past decade. With more women breastfeeding and stays in the maternity facilities lasting only a few days, the vast majority of continued breastfeeding support occurs in the community. Pediatric care providers evaluate breastfeeding infants and their mothers in the office setting frequently during the first year of life. The office setting should be conducive to providing ongoing breastfeeding support. Likewise, the office practice should avoid creating barriers for breastfeeding mothers and families or unduly promoting infant formula. This clinical report aims to review practices shown to support breastfeeding that can be implemented in the outpatient setting, with the ultimate goal of increasing the duration of exclusive breastfeeding and the continuation of any breastfeeding.
在过去几十年里，母乳喂养的情况发生了变化，越来越多的女性在产后开始母乳喂养，并且越来越多的医院遵循基于证据的成功母乳喂养十步骤被指定为爱婴医院。在过去十年中，这类机构的分娩数量增加了六倍多。随着越来越多的女性进行母乳喂养，且产妇在医疗机构的停留时间仅为几天，绝大多数持续的母乳喂养支持是在社区中进行的。儿科护理人员在婴儿出生后的第一年里经常在门诊环境中评估母乳喂养的婴儿及其母亲。门诊环境应有利于提供持续的母乳喂养支持。同样，门诊实践应避免给母乳喂养的母亲和家庭设置障碍，或过度推广婴儿配方奶粉。本临床报告旨在回顾已证明有助于母乳喂养的做法，这些做法可在门诊环境中实施，最终目标是增加纯母乳喂养的持续时间以及任何形式母乳喂养的延续时间。
