American Academy of Pediatrics program aimed
at helping pediatricians encourage breastfeeding

As
more and more benefits of breastfeeding are revealed through
scientific studies, more pediatricians should support and encourage
breastfeeding, according to the American Academy of Pediatrics.
In order to increase the number of pediatricians skilled in the
support and management of breastfeeding, the AAP is implementing a
program called "Breastfeeding Promotion in Pediatric Office
Practices."
The free program is designed to provide pediatricians with the latest
scientific information about the benefits of breastfeeding and
promotional materials, as well as suggested strategies for increasing
breastfeeding rates among their patients. Funding for the program has
been provided by the U.S. Department of Health and Human Services
Maternal Child Health Bureau and the AAP Friends of Children Fund.
A 1995 survey by the AAP found that most pediatricians believed
breastfeeding should be actively encouraged to all mothers, but that
confusion and conflict were apparent in their practices and attitudes
regarding breastfeeding promotion.1
According to the AAP, the goals of the "Breastfeeding
Promotion in Pediatric Office Practices Programs" are:
Increase the number of pediatricians promoting breastfeeding
Improve the knowledge base and skill level of pediatricians to
effectively manage the care of breastfeeding
infants
Encourage collaboration between pediatricians and other health care
professionals in the development of
complementary breastfeeding
promotion efforts
Increase the incidence and duration of breastfeeding as determined in
Healthy People 2000 National Health
Objectives (75 percent
breastfeeding initiation in early postpartum;
50 percent continuing until
5-8 months of age)
"Effectively supporting breastfeeding is as important to
preventative pediatric health care as promoting immunizations, car
seat use, and proper infant sleep position," said Chair of the
Project Advisory Committee for the Breastfeeding Promotion in
Pediatric Office Practices program Linda Sue Black, MD, FAAP. "It
is difficult for a busy pediatrician to stop and think through his or
her daily routine and identify all of the potential opportunities for
offering anticipatory guidance regarding breastfeeding concerns.
"It is also difficult to know which questions to ask to identify
what type of intervention may help a mother with a breastfeeding
problem. By developing easy-to-use brochures and reference materials
and providing skilled staff support, the Academy intents to facilitate
this process for office-based pediatricians. We hope the program will
attract participants who have frequently thought they would like to be
more supportive of breastfeeding but have not had the time or the
resources to develop this interest."
The pediatric offices enrolled in the program receive a breastfeeding
resource kit, which includes 10 steps pediatricians can take to help
ensure successful breastfeeding among their patients. The kit also
contains information on how pediatricians can incorporate
breastfeeding into their anticipatory advice and guidance.
The number of pediatricians participating in the program, as well as
their pro-breastfeeding efforts will be tracked, so the AAP can
evaluate the effectiveness of the program.
Although the AAP is no longer accepting new pediatric practices into
the program, the organization's Web site encourages people to check
the site at www.aap.org often for the
latest information on breastfeeding initiatives and activities.
Pediatricians interested in more information about the program can
contact program administrators at:
Breastfeeding Promotion in Pediatric Office Practices Program
American Academy of Pediatrics
Division of Community Health Services
141 Northwest Point Blvd
Elk Grove Village, IL 60007
(847) 434-4779
breastfeed@aap.org

References:
1 American
Academy of Pediatrics, Division of Child Health Research. Findings
from Periodic Survey of Fellows #30: Pediatricians' Practices and
Attitudes Regarding Breastfeeding Promotion; February 1996; Elk Grove
Village IL
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