Breastfeeding Clinical Question Blog/Lactfacts

Public Beliefs About the Maternal Benefits of Breastfeeding CQ #284 – September 18, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT In the US, there is a significant need to increase public awareness regarding the maternal health risks of not breastfeeding. Public Belief in the Maternal Health Benefits of Breastfeeding- United States, 2018 and 2021 […]

Breastfeeding or Human Milk for Painful Procedures Among Newborns CQ #283 – September 4, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breastfeeding is an effective strategy to control pain for newborns undergoing minor painful procedures. Breastfeeding or breast milk for procedural pain in neonates (Review) Cochrane Database of Systematic Reviews 2023, Issue 8. Art. […]

The Effect of Different Pumps on Secretory Activation Among Mothers of Preterm Infants CQ #282 – August 21, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT A hospital grade pump in the first 2 weeks may be more effective than a personal pump for establishing appropriate milk volume by 14 days postpartum among mothers of […]

Cabergoline for Lactation Inhibition After 2nd Trimester Abortion or Pregnancy Loss CQ #281 – August 7, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT Cabergoline treatment reduces breast engorgement after a 2nd trimester abortion or pregnancy loss. Cabergoline for Lactation Inhibition After Second Trimester Abortion or Pregnancy Loss: A Randomized Controlled Trial Obstetrics & Gynecology […]

Association between Skin-to-Skin Contact and Milk Production CQ #280 – July 24, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT Skin-to-skin contact for dyads in the NICU is associated with increased milk production. Skin to Skin Contact Correlated with Improved Production and Consumption of Mother’s Own Milk Breastfeeding Med 2023 June; 18(6) 483-488 How does […]

Accessing Breastfeeding Advice for First-Time Mothers CQ #279 – July 10, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT First time mothers who report having ease of access to breastfeeding advice have higher breastfeeding initiation and duration rates. Helping first-time mothers establish and maintain breastfeeding: Access to someone who can provide breastfeeding advice is an […]

Breastfeeding Among Women with Severe Mental Illness CQ #278 – June 26, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT Women with severe mental illness experience less support to breastfeed. A mixed methods systematic review exploring infant feeding experiences and support in women with severe mental illness Matern Child Nutr. 2023;e13538 What are barriers to […]

Most Common Medications Dispensed During Lactation CQ #277 – June 12, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT The most common medications dispensed during lactation in a large Minnesota population were progestin-only contraceptives, antidepressants, and antibiotics. The Most Common Medications Dispensed to Lactating Persons: An Electronic Health Record (EHR)-Based Approach Pharmacoepidemiol Drug Safety 2023 […]

The Role of the Maternal Diet and Supplements in the Prevention of Infant Food Allergies CQ #275 – May 16, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT Exclusive breastfeeding, timing of infant food protein introduction, and maternal ingestion of allergens during lactation all likely play a role in decreasing the risk of childhood food […]

Model of Breastfeeding Management Among People Living with HIV in the USA CQ #274 – May 1, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT The US CDC recommends that pregnant people living with HIV should be counseled on infant feeding options including breastfeeding. Development and implementation of an interdisciplinary model for the management of […]

Factors that Affect Postpartum BMI Gain or Loss CQ #273 – April 19, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT Women with a pre-pregnancy BMI of 25-29.9 experience the greatest impact from lactation on BMI loss by 1 year postpartum, when compared to nonlactating women. Factors Affecting BMI Changes in Mothers during the First […]

The Risk to Infants of Prescribing Opioids for Maternal Postpartum Pain CQ #272 – April 3, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT In a large population study there was no evidence for infant harm with maternal prescription opioid treatment for pain within 7 days after delivery. Maternal opioid treatment after delivery and risk […]

Nighttime Management of Breastfeeding Infants CQ #271 – March 20, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT Pumping and bottle feeding or feeding formula in lieu of nighttime breastfeeding decrease breastfeeding duration and do not improve maternal sleep. ABM Clinical Protocol #37: Physiological Infant Care- Managing Nighttime Breastfeeding in Young Infants Breastfeeding Medicine 18(3) […]

Breastfeeding in Infancy and Risk of Mortality in Adulthood CQ #270 – February 27, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breastfeeding during infancy is associated with a 5% decreased risk of all cause mortality in middle to late adulthood. Breastfeeding in Infancy and Mortality in Middle and Late Adulthood: A Prospective Cohort Study […]

Typical Volumes of Human Milk Intake Among Infants and Young Children CQ #269 – February 13, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT Healthy term exclusively breastfed infants take on average 135ml/kg/day at 1 month of age, and 107ml/kg/day at 6 months of age. The Volume of Breast Milk Intake in Infants and Young […]

Protein Intake in the First Year and Its Effects on Childhood BMI CQ #268 – January 30, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT Higher protein intake in the first year of life is associated with higher BMI at age 11. Different protein intake in the first year and its effects on adiposity rebound […]

The United States PUMP for Nursing Mothers Act CQ #267 – Janaury 16, 2023 by Anne Eglash MD, IBCLC, FABM #LACTFACT The United States PUMP for Nursing Mothers Act extends protections for lactating employees beyond the 2010 Break Time for Nursing Mothers Law. The Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act: What You […]

Does prenatal education improve breastfeeding rates?

Psychiatric Symptoms Upon Withdrawal of Domperidone CQ #265 – December 19, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Psychiatric symptoms can occur among people discontinuing domperidone, particularly when taking higher than recommended doses. Psychiatric Manifestations of Withdrawal Following Domperidone Used as a Galactagogue Breastfeeding Medicine 17 (12) 2022 1018- 1024 Is Domperidone safe during […]