Created by a leading breastfeeding and phone care practitioner, this newly revised 4th edition is a problem-solver that helps nurses, lactation professionals, and other medical staff confidently advise breastfeeding mothers. It is ideal for use with the acclaimed Pediatric Telephone Protocols. KEY FEATURES Completely updated and revised New protocols Chestfeeding/Breastfeeding Support in LGBTQ+ Individuals Cultural Issues and Breastfeeding Induced Lactation for Adoptive, Surrogate, and/or LGBTQ+ Parents Positions and Latch Relactation New "Telehealth Tip" boxes throughout Additional images throughout
Maya Bunik, MD, MSPH, FABM, FAAP, is an associate professor of pediatrics at the University of Colorado Denver and medical director of the primary care teaching clinic at Children's Hospital Colorado. As a practicing pediatrician, she has been helping mother-baby pairs with breastfeeding for more than 15 years. Her experience also includes serving as director of the Pediatric Advice Line Call Center at Children's Hospital Oakland.
Alphabetic Contents A Alcohol Use Allergy B Biting Breast, Onset at 6 Months Breast Mass Breast Pain Breast Pain, Chronic >1 Week Breastfeeding in the First Few Weeks: Simplify Your Life (Advice Only) Breastfeeding Station Supplies (Advice Only) C Chestfeeding/Breastfeeding Support in LGBTQ+ Individuals Child Care and Breastfeeding (Advice Only) Clicking or Noisy Nursing Color Change of Human Milk Constipation in the Breastfed Baby Contraception, Lactation Amenorrhea Method (Advice Only) Cosleeping/Bed Sharing and Breastfeeding (Advice Only) Cultural Issues with Breastfeeding D Distraction, Onset at 4 Months E Early Weight Loss, Birth Hospital or First Week Emotional Symptoms with Letdown Engorgement Environmental Exposures and Toxins Exclusive Pumping Expression of Human Milk: Pumping, Parts and Cleaning Equipment, Hand Expression (Advice Only) F Fathers (Advice Only) Feeding More Frequently Feeding the Baby with Cleft Lip or Palate Feeding the Baby with Hypotonia Feeding the Baby with Trisomy 21 Syndrome (Down Syndrome) Fortification of Human Milk Recipes (Advice Only) Fussiness, Colic, and Crying in the Breastfed Baby G Gassiness in the Breastfed Baby I Induced Lactation Itching of the Breast/Nipple Area J Jaundice, Newborn L Late Preterm Newborn Lifestyle or Personal Care Questions (Advice Only) Long-term Breastfeeding (Advice Only) Low Milk Supply Low Milk Supply in Older Baby >6 Months M Marijuana Use Maternal Anesthesia/Analgesia (Advice Only) Maternal Contraindications/ Causes for Concern with Breastfeeding (Advice Only) Maternal Illnesses (Advice Only) Maternal Ingestion of Foods and Herbs (Advice Only) Maternal Medications (Advice Only) Maternal Methicillin-Resistant Staphylococcus aureus Maternal Postpartum Depression Maternal Postpartum Vaginal Bleeding Maternal Smoking, Vaping, and Cessation Strategies Milk Leaking from Newborn's Breasts (Galactorrhea) Milk Storage and Return to Work/School Mistaken Milk Ingestion, Milk Sharing Multiples (Advice Only) N Newborn Contraindications to Breastfeeding (Advice Only) Nipple Abnormality: Flat/Short, Inverted, Large, or Bulbous No Latch or Inability to Latch Nursing Strike or Refusal Nursing with Pregnancy O Overactive Letdown/ Overabundant Milk Supply P Pacifiers and Slow-Flow Nipples (Advice Only) Positions and Latch R Referral to Local Resources (Advice Only) Refusing Bottle, Preferring to Nurse Relactation S Sleepy Newborn Sore Nipples Spitting Up (Reflux) Maternal Substance UseSubstances of Abuse (Illicit Drugs) T Tandem Nursing Taste Change of Human Milk Tongue-tie V Vitamin D, Iron, and Zinc Supplementation W Weaning Appendixes Appendix A: Breastfeeding Touch Points for Overcoming Obstacles to Exclusivity Appendix B: Quick Reference for Pain with Breastfeeding References for All Protocols Topic Contents Mother Alcohol Use Breast Mass (cyst, abscess vs other) Breast Pain (plugged ducts vs mastitis) Breast Pain, Chronic >1 Week Breastfeeding Station Supplies (Advice Only) (setup of station, eg, Boppy or My Brest Friend pillows, chair, stool, water, snacks) Contraception, Lactation Amenorrhea Method (Advice Only) Emotional Symptoms with Letdown Engorgement Partners/Fathers (Advice Only) Itching of the Breast/ Nipple Area Lifestyle or Personal Care Questions (Advice Only) (hair color, jogging/ exercise, weight loss, travel, nipple piercing, tattoos) Low Milk Supply (growth spurts/cluster feeds, galactagogues, switch nursing, reverse-cycle nursing, no substitute for milk extraction) Low Milk Supply in Older Baby >6 Months Marijuana Use Maternal Anesthesia/ Analgesia (Advice Only) Maternal Contraindications/ Causes for Concern with Breastfeeding (Advice Only) Maternal Illnesses (Advice Only) (cold, influenza, asthma, seizures, headache, allergic rhinitis, hypertension) Maternal Ingestion of Foods and Herbs (Advice Only) Maternal Medications (Advice Only) (contraindications, over the counter, references to Infant Risk Center or LactMed) Maternal Methicillin-Resistant Staphylococcus aureus Maternal Postpartum Depression Maternal Postpartum Vaginal Bleeding Maternal Smoking, Vaping, and Cessation Strategies Nipple Abnormality: Flat/ Short, Inverted, Large, or Bulbous Referral to Local Resources (Advice Only) Sore Nipples (bleeding, sores/lesions, yeast infections, bacterial infections, herpes, milk bleb/blister, Raynaud disease, vasospasm) Substances of Abuse (Illicit Drugs) Milk Expression Exclusive Pumping Expression of Human Milk: Pumping, Parts and Cleaning Equipment, Hand Expression (Advice Only) (types of pumps, pain, milk volume by age, pumping frequency early on/frequency for late preterm newborns, nipple shield use and cleaning, flange size, tubing, cleaning/sharing a pump with others) Milk Storage and Return to Work/School (freezing, reheating, bags vs glass bottles, building a stockpile, talking with employer) Baby, Early Breastfeeding in the First Few Weeks: Simplify Your Life (Advice Only) Clicking or Noisy Nursing Color Change of Human Milk Cosleeping/Bed Sharing and Breastfeeding (Advice Only) Early Weight Loss, Birth Hospital or First Week Feeding More Frequently (days and nights mixed up, growth spurt, cluster feeding, shallow latch, inefficient suck) Fussiness, Colic, and Crying in the Breastfed Baby Gassiness in the Breastfed Baby Jaundice, Newborn Late Preterm Newborn Milk Leaking from Newborn's Breasts (Galactorrhea) No Latch or Inability to Latch Nursing Strike or Refusal Overactive Letdown/ Overabundant Milk Supply (pulling away during feeding) Pacifiers and Slow-Flow Nipples (Advice Only) Sleepy Newborn Spitting Up (Reflux) Taste Change of Human Milk (soapy, salty) Tongue-tie Vitamin D, Iron, and Zinc Supplementation Baby, Later Biting Breast, Onset at 6 Months Constipation in the Breastfed Baby (usually after adding formula or solids; breastfed stool variant) Distraction, Onset at 4 Months Long-term Breastfeeding (Advice Only) (adding solids, adding bovine milk, immune effects) Refusing Bottle, Preferring to Nurse Weaning Special Circumstances Allergy Child Care and Breastfeeding (Advice Only) Environmental Exposures and Toxins Feeding the Baby with Cleft Lip or Palate Feeding the Baby with Hypotonia Feeding the Baby with Trisomy 21 Syndrome (Down Syndrome) Fortification of Human Milk Recipes (Advice Only) Mistaken Milk Ingestion, Milk Sharing Multiples (Advice Only) Newborn Contraindications to Breastfeeding (Advice Only) (galactosemia, phenylketonuria) Nursing with Pregnancy Tandem Nursing Appendixes Appendix A: Breastfeeding Touchpoints for Overcoming Obstacles to Exclusivity Appendix B: Quick Reference for Pain with Breastfeeding References for All Protocols
