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For many parents, exclusive breastfeeding is difficult and supplementation must happen. Many do what is referred to as "triple feeding" to breastfeed, bottle feed and then pump. It's exhausting and not sustainable long term. While many IBCLC's know about at breast supplementation, most are either too intimidated or not knowledgeable enough to teach families how to use it. Johanna Sargent is not only a huge advocate of at breast supplementation but also teaches IBCLC's about this method. Making breastfeeding easier and more sustainable is always the goal. Listen as Katie Oshita and Johanna Sargent discuss this and more.Podcast Guest: Johanna Sargeant is an International Board Certified Lactation Consultant, teacher and writer based in Zurich, Switzerland. She is passionate about utilising her background in education, biological science, psychology and language to empower parents with empathetic support and evidence-based information through her private practice, Milk and Motherhood. Originally from Australia, Johanna provides much-needed English-speaking support to many thousands of parents throughout Switzerland and across Europe, and has recently created the new education modules for the European Society of Paediatric Research and the European Society of Neonatology. She has taught at the University of Zurich, has spoken as a panellist for the WHO's Baby Friendly Hospital Initiative congress in Geneva, has been an expert speaker and facilitator for Google, and has presented at a variety of international conferences. The complexities of her personal feeding experiences fuels her passion for providing knowledgeable, guilt-free infant feeding support globally. Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine. While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs. Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply. Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com
Closing the Gap: Ensuring Breastfeeding Support for All - this is the theme of World Breastfeeding Week this year.Evolve Lactation is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.I recently wrote a book that captures the essence of how to ensure this support in the critical first week of breastfeeding.When mothers don't get the support they need right from the start, it dramatically decreases the chances that they will continue breastfeeding, ESPECIALLY in developed countries.That's the key part - accessibility of breast pumps and infant formula in developed countries, while they can be life-saving, also makes it easier to forego providing ACTUAL lactation support, and many hospitals and so-called breastfeeding “supporters” find it easier to simply encourage pumping or formula use when what mothers SAY they wish to do is to feed their babies at the breast.The mismatch of support is confusing and unfair, and the concept of informed choice is all but forgotten when people tell mothers that all these options are essentially equal.I've hesitated to call this out because there's nuance to it and I want to be sure that I can be clear.Recommending the use of a breast pump or formula CAN absolutely be part of a totally appropriate plan that has been constructed by a skilled lactation care provider who has performed an assessment and created the plan in collaboration with the family.What is inappropriate is using pumping or formula feeding as a way to avoid having to provide actual lactation support.While it might look like lactation support from the outside, it is most decidedly not.This happens so frequently in the first 100 hours of a baby's life, and it's crucial that we examine this so that we can close the gap.Thanks for reading Evolve Lactation! This post is public so please feel free to share it.Let's look at some stories and explore this a bit more because it's a good way to understand how some new families are getting all the support they need while others are being sabotaged by people who think they're helping or people who don't care enough to even try.Which of these represent actual support?* Baby born at 35 weeks in a hospital under the care of a midwife who is also an IBCLC; thorough assessment of feeding throughout first 48 hours of life; feeding outcomes are not within normal limits; parents and midwife discuss options together which include continued breastfeeding plus hand expression of milk to feed baby using a cup, using a supplemental nurser to feed formula while baby breastfeeds (after assessment to ensure this young baby with immature feeding skills can actually handle a higher flow of milk), and using a bottle to provide formula as a supplement to breastfeeding while milk production is increasing, family is educated about how infant formula affects microbiome and how to ensure baby is not overfed. Family makes decision about how to proceed.* Baby born at 38 weeks in a hospital and is examined by a pediatrician at 24 hours to determine health for discharge; mother reports that baby fed nearly every hour during the night; physician becomes concerned about baby getting enough despite baby having normal diaper output and being otherwise healthy, informs mother that it would be “a good idea” to give some formula after every breastfeeding session “just to make sure.” No other education about breastfeeding is provided.* Baby born at 39 weeks in a hospital and struggling to latch over first 36 hours; formula feeding instituted in first 3 hours of life per hospital staff concerns about establishing breastfeeding; no lactation consultants are available to the patient; no education about hand expression is provided; a breast pump is set up and instructions for use given by nursing staff at around 24 hours postpartum; upon discharge, official instructions are to continue pumping and a “friendly” encouragement is given to “just pump, it's easier than trying to get a lazy baby to latch anyway.”* Hospital struggling financially, decides not to renew their Baby Friendly Hospital Initiative status, decreases staffing for lactation support, eliminates their outpatient lactation clinic; resumes receipt of formula at no charge from formula manufacturer so that “we can make sure ALL babies get fed.”* Baby born at 40 weeks, 4th time mother informs hospital staff that she intends to exclusively formula feed. Staff ensures that she is educated about how to manage onset of milk production to avoid engorgement and provided with contact information should she need additional information or assistance with suppressing milk. Staff ensures she is provided information on safe preparation of infant formula and paced bottle feeding.* Pediatrician sees mother and baby in office at 1 week, mother is tearful as she describes her constant struggle to understand if her baby is getting enough milk, mentions that she had postpartum depression with a previous baby. No assessment of breastfeeding is done, no education about breastfeeding is provided. Mother is encouraged by pediatrician to “start pumping so you can see how much your baby is getting” and given no instructions on how to obtain or use a breast pump, nor any information about safe bottle feeding and storage of expressed milk, nor any discussion of warning signs to watch for in her mental health status. Pediatrician reassures mother that she, herself, was an exclusive pumper and her baby turned out fine.* 1-month old baby is assessed thoroughly by a highly-trained IBCLC who notes dysfunctional sucking and restricted movement of tongue; refers to ENT. Mother calls ENT's office for an appointment to have baby evaluated for possible diagnosis and treatment of dysfunctional feeding and is given an appointment time in 3 months time. When she asks how she should feed the baby in the meantime, doctor's office staff tells her to “just keep trying” and if the baby gets hungry enough they'll figure it out.* Baby born at 37 weeks in the hospital with a doula present; doula follows up at home for postpartum care and assistance several times in first week and twice weekly thereafter. At 3 weeks, mother takes baby to a lactation clinic because baby has still not regained birth weight and milk production seems to be decreasing. IBCLC works with mother to create a full lactation management plan to increase baby's intake and mother's milk production. When doula next visits, mother fills her in on the plan and doula dismisses it, saying that the baby “just needs to breastfeed and don't worry about doing all that extra stuff.”* Mother of a preterm baby in the NICU is discouraged when staff discusses possibility of adding human milk fortifier to her expressed milk and asks to talk to an IBCLC. A meeting is arranged where an IBCLC, a registered dietitian, and a neonatal physician's assistant are all present to engage in conversation with mother about using fortified human milk, information about risks and benefits is provided to mother in advance so she can think about it, mother is encouraged to ask questions and the team works with her to consider all options, including waiting a bit longer, starting it right away, and avoiding it completely.Lots of babies get formula, and lots of new parents use breast pumps.The issue at hand is how they end up there.Did they actually have the information they needed to choose them?Did they actually get the lactation support they needed at the time they needed it?Is it what they wanted to do or what they ended up doing because they didn't know what else to do?Did anyone really help them and show them the respect they deserve?So many times, we hear from mothers who do not feel they were supported.But there are also times we hear from people who don't even realize how unsupported they were.They think that their “breastfeeding-supportive doctor” was really helping when they patted them on the back and said “it's so good that you tried but since it's not working you should stop.”They think that the postpartum nurses who helped them work on latching really did everything they could before bringing in some formula.They think that the person on their social media feed who said that pumping was just easier so they should not stress so much about breastfeeding really had their best interests in mind.They think that the formula ads they read which promised them that a little bit of formula would save their mental health and ensure they got more sleep were factual health information and the company really cares about them.Fake lactation support can be hard to spot if you don't know what to look forI hope that if you are here, reading this, that you already understand the difference between true and fake lactation support.But if you are feeling a bit shaky about what I've said here because you're not sure where the line in the sand really is, or you've received this article as a Share from someone else, here are some rules of thumb:* If you're not trained in lactation, the kindest and most effective thing you can do is to ensure that your friend/relative/coworker/stranger in the coffee shop knows exactly how to get qualified lactation help. Avoid the urge to give advice you are unqualified to give.* No matter who you are and how you are trained and certified, never make up an answer to a question about breastfeeding or lactation; this isn't about your best guess or what you “think” is right. Refer to someone who is trained to answer the question.* If you are qualified to provide peer breastfeeding support and lactation education (information only), do that and do it well. However, beyond educating on the normal physiology of breastfeeding, it's out of your scope. Refer up to someone who can figure out why this dyad isn't falling within normal limits.* If you are qualified to “counsel” on lactation, do that, and if the problem exceeds your scope of practice, knowledge, or experience level, refer up.* If you are qualified to provide skilled lactation support because you are an IBCLC, you're the one who has the training to help people with complex lactation situations, like medical complications. You are qualified to recommend changes to a feeding plan as part of the larger healthcare team including the dyad's physicians and, where available, a breastfeeding medicine physician.It's always better to offer kindness and understanding and encouragement to get qualified help than to try to offer advice you are not qualified to give.Misinformation harms breastfeeding relationships, and well-intentioned but incorrect breastfeeding information is harmful.Stay alert and help the parents in your care avoid fake lactation support and find actual lactation support.Thanks for sticking with me on this long journey. I appreciate that you have taken the time to read!If you have a moment, it would be amazing if you shared this with someone you know who a)would be interested and or b)needs to read it.This Evolve Lactation post is public so please feel free to share it!Evolve Lactation is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Evolve Lactation at ibclcinca.substack.com/subscribe
Dr Jack Newman has been working with breastfeeding mothers for over 4 decades! His knowledge of breastfeeding medicine is expansive, and his passion for helping breastfeeding mothers never wavers. In this episode Katie Oshita and Dr Newman discuss inducting lactation, at breast versus bottle supplementation and much more. If you want to learn about lactation from one of the leaders in Breastfeeding Medicine ins the world, listen to this episode now.Podcast Guest: Dr. Jack Newman graduated from the University of Toronto medical school in 1970 and completed his residency at Vancouver General Hospital. Following this, he trained in pediatrics in Quebec City and then at the Hospital for Sick Children in Toronto from 1977-1981. In 1981, Dr. Newman became a Fellow of the Royal College of Physicians of Canada, as well as Board Certified by the American Academy of PediatricsDr. Newman was a staff paediatrician at the Hospital for Sick Children emergency department from 1983 to 1992, and acted as Chief of Emergency Services for a short period. During his time at the Hospital for Sick Children, he founded the first hospital-based breastfeeding clinic in Canada in 1984. He has been a consultant for UNICEF for the Baby Friendly Hospital Initiative, where he evaluated the first candidate hospitals in Gabon, the Ivory Coast, and Canada. In 2013, Dr. Newman was awarded the Queen's Jubilee Medal for service to the community.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine. Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs. Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply. Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com
In this episode, you'll learn about growth during infancy. Growth charts are used in pediatrics to assess growth and look at trends. This episode breaks down growth charts and reviews Z-scores. Whether you work in pediatrics, find yourself covering a pediatric unit one day, or need to pass the RD Exam, this episode has a little bit of something for everyone. And my goal is to make sure you're prepared. This is what you'll learn in this episode: A breakdown of the Baby Friendly Hospital Initiative A quick review of pediatrics and dietitian coverage in pediatric units How birthweights are categorized such as SGA, AGA, LGA and IUGR - you'll learn what these mean Percentiles versus Z-scores and an overview of what these mean You'll also hear a couple stories and I give a shout out to another new RD who joined this fabulous community. Here's a glance at this episode: [04:10] A review of the 10 steps to successful breastfeeding outlined by the Baby Friendly Hospital Initiative (BFHI) [12:50] An overview of growth charts including an explanation of plotting percentiles versus Z-scores [15:10] How growth charts show growth trends and what to do if the measurements are off [17:40] An explanation of growth charts, what is measured on the growth charts, and WHO versus CDC growth charts [21:10] The growth changes you'll see when malnutrition is present [22:09] A discussion of birthweight classification [26:00] A review of common terms you'll need to know when working with infants [29:35] A review of standard infant growth
Dr. Jack Newman graduated from the University of Toronto medical school in 1970, interning at the Vancouver General Hospital. He did his training in pædiatrics in Quebec City and then at the Hospital for Sick Children in Toronto from 1977-1981 to become a Fellow of the Royal College of Physicians of Canada in 1981 and Board Certified by the American Academy of Pediatrics in 1981. He has worked as a physician in Central America, New Zealand, and as a pediatrician in South Africa. He founded the first hospital-based breastfeeding clinic in Canada in 1984. He has been a consultant for UNICEF for the Baby-Friendly Hospital Initiative, evaluating the first candidate hospitals in Gabon, the Ivory Coast, and Canada. International Breastfeeding Center Grab his book: What Doctors Don't About Breastfeeding Watch Jack Newman's Latch Video Watch Jack Newmans: Dr Jack Newman's Visual Guide to Breastfeeding Listen to Kathleen Kendall Tackett's Interview on Mental Health and Breastfeeding: Breastfeeding Doesn't Need to Suck Access your FREE Guide on mastering 5 Techniques to Conquer the Fear of Birth. As a bonus, discover a collection of mindfulness tools curated to quell anxiety and fear during pregnancy and childbirth. Grab Your Guide. Live long, loud, and in prosperity-dear members of the "RebelBirth Crew." Until we cross paths again, thrive unapologetically! Instagram Website Submit a Topic Be My Guest *affiliate links may be included* --- Support this podcast: https://podcasters.spotify.com/pod/show/thebirthrebel/support
The second episode in our gestational age series, today we talk about early-term (near-term)/term infants in the NICU. These are babies born between 37 0/7-weeks and 40 6/7-weeks. We talk about:What on Earth brings these babies to the NICU?!Assessment findings and expectations for uncomplicated newbornsWhat findings should make you really suspiciousHow recent practice changes have impacted the care these babies receive (baby-friendly, antibiotic stewardship, etc.)What normal newborn care looks like, including discharge testingWe also break down APGAR scoring…though the one thing we didn't specifically say is that APGAR scores are determined at one minute of life, 5 minutes of life. Additional APGAR scores are given every 5 minutes for 20 minutes or until a score of 7 or better is achieved. As promised, a better look at the Baby-Friendly Hospital Initiative.BibliographyHealth Resources and Services Administration. (2022, March). Critical congenital heart disease. Retrieved from Health Resources and Services Administration: newborn screening: https://newbornscreening.hrsa.gov/conditions/critical-congenital-heart-diseaseKorang, S. K., Safi, S., Gluud, C., Lausten-Thomsen, U., & Jakobsen, J. C. (2019). Antibiotic regimens for neonatal sepsis - a protocol for a systematic review with meta-analysis. Systematic Reviews, 8, Article number: 306. doi:10.1186/s13643-019-1207-1Martin, M. G., Ewer, M. A., Gaviglio, M. L., Horn, R. E., Saarinen, M. A., Sontag, P. M., . . . Oster, M. M. (2020). Updated strategies for pulse oximetry screening for critical congenital heart disease. Pediatrics, e20191650. doi:10.1542/peds.2019-1650National Organization for Rare Diseases, Inc. (2007). Aplasia cutis congenita. Retrieved from NORD Rare Diseases Database: https://rarediseases.org/rare-diseases/aplasia-cutis-congenita/Neonatal early‐onset sepsis calculator recommended significantly less empiric antibiotic treatment than national guidelines. (2020, Dec). Acta Paediatrica, 2549-2551.Ramasethu, J., & Kawakita, T. (2017, October). Antibiotic stewardship in perinatal and neonatal care. Seminars in Fetal and Neonatal Medicine, 278-283. doi:10.1016/j.siny.2017.07.001 For definitions of terms used, visit Early-Term/Term Babies — Neonatal Resources, the Podcast (nicu-resources.com) and view our notes.
The second episode in our gestational age series, today we talk about early-term (near-term)/term infants in the NICU. These are babies born between 37 0/7-weeks and 40 6/7-weeks. We talk about:What on Earth brings these babies to the NICU?!Assessment findings and expectations for uncomplicated newbornsWhat findings should make you really suspiciousHow recent practice changes have impacted the care these babies receive (baby-friendly, antibiotic stewardship, etc.)What normal newborn care looks like, including discharge testingWe also break down APGAR scoring…though the one thing we didn't specifically say is that APGAR scores are determined at one minute of life, 5 minutes of life. Additional APGAR scores are given every 5 minutes for 20 minutes or until a score of 7 or better is achieved. As promised, a better look at the Baby-Friendly Hospital Initiative.BibliographyHealth Resources and Services Administration. (2022, March). Critical congenital heart disease. Retrieved from Health Resources and Services Administration: newborn screening: https://newbornscreening.hrsa.gov/conditions/critical-congenital-heart-diseaseKorang, S. K., Safi, S., Gluud, C., Lausten-Thomsen, U., & Jakobsen, J. C. (2019). Antibiotic regimens for neonatal sepsis - a protocol for a systematic review with meta-analysis. Systematic Reviews, 8, Article number: 306. doi:10.1186/s13643-019-1207-1Martin, M. G., Ewer, M. A., Gaviglio, M. L., Horn, R. E., Saarinen, M. A., Sontag, P. M., . . . Oster, M. M. (2020). Updated strategies for pulse oximetry screening for critical congenital heart disease. Pediatrics, e20191650. doi:10.1542/peds.2019-1650National Organization for Rare Diseases, Inc. (2007). Aplasia cutis congenita. Retrieved from NORD Rare Diseases Database: https://rarediseases.org/rare-diseases/aplasia-cutis-congenita/Neonatal early‐onset sepsis calculator recommended significantly less empiric antibiotic treatment than national guidelines. (2020, Dec). Acta Paediatrica, 2549-2551.Ramasethu, J., & Kawakita, T. (2017, October). Antibiotic stewardship in perinatal and neonatal care. Seminars in Fetal and Neonatal Medicine, 278-283. doi:10.1016/j.siny.2017.07.001 For definitions of terms used, visit Early-Term/Term Babies — Neonatal Resources, the Podcast (nicu-resources.com) and view our notes.
The second episode in our gestational age series, today we talk about early-term (near-term)/term infants in the NICU. These are babies born between 37 0/7-weeks and 40 6/7-weeks. We talk about:What on Earth brings these babies to the NICU?!Assessment findings and expectations for uncomplicated newbornsWhat findings should make you really suspiciousHow recent practice changes have impacted the care these babies receive (baby-friendly, antibiotic stewardship, etc.)What normal newborn care looks like, including discharge testingWe also break down APGAR scoring…though the one thing we didn't specifically say is that APGAR scores are determined at one minute of life, 5 minutes of life. Additional APGAR scores are given every 5 minutes for 20 minutes or until a score of 7 or better is achieved. As promised, a better look at the Baby-Friendly Hospital Initiative.BibliographyHealth Resources and Services Administration. (2022, March). Critical congenital heart disease. Retrieved from Health Resources and Services Administration: newborn screening: https://newbornscreening.hrsa.gov/conditions/critical-congenital-heart-diseaseKorang, S. K., Safi, S., Gluud, C., Lausten-Thomsen, U., & Jakobsen, J. C. (2019). Antibiotic regimens for neonatal sepsis - a protocol for a systematic review with meta-analysis. Systematic Reviews, 8, Article number: 306. doi:10.1186/s13643-019-1207-1Martin, M. G., Ewer, M. A., Gaviglio, M. L., Horn, R. E., Saarinen, M. A., Sontag, P. M., . . . Oster, M. M. (2020). Updated strategies for pulse oximetry screening for critical congenital heart disease. Pediatrics, e20191650. doi:10.1542/peds.2019-1650National Organization for Rare Diseases, Inc. (2007). Aplasia cutis congenita. Retrieved from NORD Rare Diseases Database: https://rarediseases.org/rare-diseases/aplasia-cutis-congenita/Neonatal early‐onset sepsis calculator recommended significantly less empiric antibiotic treatment than national guidelines. (2020, Dec). Acta Paediatrica, 2549-2551.Ramasethu, J., & Kawakita, T. (2017, October). Antibiotic stewardship in perinatal and neonatal care. Seminars in Fetal and Neonatal Medicine, 278-283. doi:10.1016/j.siny.2017.07.001 For definitions of terms used, visit Early-Term/Term Babies — Neonatal Resources, the Podcast (nicu-resources.com) and view our notes.
The second episode in our gestational age series, today we talk about early-term (near-term)/term infants in the NICU. These are babies born between 37 0/7-weeks and 40 6/7-weeks. We talk about:What on Earth brings these babies to the NICU?!Assessment findings and expectations for uncomplicated newbornsWhat findings should make you really suspiciousHow recent practice changes have impacted the care these babies receive (baby-friendly, antibiotic stewardship, etc.)What normal newborn care looks like, including discharge testingWe also break down APGAR scoring…though the one thing we didn't specifically say is that APGAR scores are determined at one minute of life, 5 minutes of life. Additional APGAR scores are given every 5 minutes for 20 minutes or until a score of 7 or better is achieved. As promised, a better look at the Baby-Friendly Hospital Initiative.BibliographyHealth Resources and Services Administration. (2022, March). Critical congenital heart disease. Retrieved from Health Resources and Services Administration: newborn screening: https://newbornscreening.hrsa.gov/conditions/critical-congenital-heart-diseaseKorang, S. K., Safi, S., Gluud, C., Lausten-Thomsen, U., & Jakobsen, J. C. (2019). Antibiotic regimens for neonatal sepsis - a protocol for a systematic review with meta-analysis. Systematic Reviews, 8, Article number: 306. doi:10.1186/s13643-019-1207-1Martin, M. G., Ewer, M. A., Gaviglio, M. L., Horn, R. E., Saarinen, M. A., Sontag, P. M., . . . Oster, M. M. (2020). Updated strategies for pulse oximetry screening for critical congenital heart disease. Pediatrics, e20191650. doi:10.1542/peds.2019-1650National Organization for Rare Diseases, Inc. (2007). Aplasia cutis congenita. Retrieved from NORD Rare Diseases Database: https://rarediseases.org/rare-diseases/aplasia-cutis-congenita/Neonatal early‐onset sepsis calculator recommended significantly less empiric antibiotic treatment than national guidelines. (2020, Dec). Acta Paediatrica, 2549-2551.Ramasethu, J., & Kawakita, T. (2017, October). Antibiotic stewardship in perinatal and neonatal care. Seminars in Fetal and Neonatal Medicine, 278-283. doi:10.1016/j.siny.2017.07.001 For definitions of terms used, visit Early-Term/Term Babies — Neonatal Resources, the Podcast (nicu-resources.com) and view our notes.
Today we speak with Katie and Becky from Spectrum Health in Grand Rapids about what it means to be a designated Baby Friendly hospital.
Kari Ginger sits down with Julie Cutler, a registered nurse licensed in both Iowa and Illinois and an International Board Certified Lactation Consultant for over 30 years. This mother-daughter pair discuss breastfeeding, baby friendly hospitals, nutrition, and Bytable Foods. Julie Cutler, MSN RN IBCLC RLC is a registered nurse licensed in both Iowa and Illinois and has been an International Board Certified Lactation Consultant for over 30 years. She possesses expertise in caring for obstetrical patients and premature infants. Her career has also included working as a visiting nurse, clinical instructor, university instructor, and researcher while working full-time at her local hospital. Recently, Julie was the project manager for the Baby Friendly Hospital Initiative at Genesis Medical Center and Genesis received the Baby Friendly Hospital designation in February 2018. Her passion is to assist new families to get off to a good start in breastfeeding and to continue to support them.
Хөхөөр хоолллох нь нярайн авах ёстой шим тэжээлийг бүрэн хангаад зогсохгүй эх үрийн холбоог нягтруулж, бие ба сэтгэхүйн эрүүл мэнд, эдийн засгийн хувьд асар их үр ашигтай нь хэдийнээ тодорхой болсон билээ. Харин эмнэлгийн ажилтнуудад сургалт явуулсанаар хөхөөр хооллолтыг нийтээр нь нэмэгдүүлж чадах уу? Дэлгэрэнгүйг: Balogun, O. O., Dagvadorj, A., Yourkavitch, J., da Silva Lopes, K., Suto, M., Takemoto, Y., ... & Ota, E. (2017). Health Facility Staff Training for Improving Breastfeeding Outcome: A Systematic Review for Step 2 of the Baby-Friendly Hospital Initiative. Breastfeeding Medicine, 12(9), 537-546.
Хөхөөр хоолллох нь нярайн авах ёстой шим тэжээлийг бүрэн хангаад зогсохгүй эх үрийн холбоог нягтруулж, бие ба сэтгэхүйн эрүүл мэнд, эдийн засгийн хувьд асар их үр ашигтай нь хэдийнээ тодорхой болсон билээ. Харин эмнэлгийн ажилтнуудад сургалт явуулсанаар хөхөөр хооллолтыг нийтээр нь нэмэгдүүлж чадах уу? Дэлгэрэнгүйг: Balogun, O. O., Dagvadorj, A., Yourkavitch, J., da Silva Lopes, K., Suto, M., Takemoto, Y., ... & Ota, E. (2017). Health Facility Staff Training for Improving Breastfeeding Outcome: A Systematic Review for Step 2 of the Baby-Friendly Hospital Initiative. Breastfeeding Medicine, 12(9), 537-546.
AJN editor-in-chief Shawn Kennedy speaks with author Regina Cardaci about her article, which describes the practices and policies of the Baby-Friendly Hospital Initiative—a program developed by the World Health Organization and the United Nations Children’s Fund to promote breastfeeding in hospitals and birthing facilities worldwide.