Breastfeeding Clinical Question Blog/Lactfacts

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 […]

Breastfeeding Duration and Risk of Mortality Among US Women CQ #263 – November 21, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Women with a shorter lifetime duration of breastfeeding have an increased risk of mortality. Breastfeeding duration and subsequent risk of mortality among US women: A prospective cohort study eClinicalMedicine2022;54:101693 What is the relationship […]

Corn Syrup Solids in Formula and Risk of Childhood Obesity CQ #262 – November 7, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Formula with corn syrup solids increases the risk of childhood obesity beyond that associated with non-corn syrup solids formula. Lactose-reduced infant formula with corn syrup solids and obesity risk among participants in […]

Breastfeeding and the Risk of Urinary Tract Infection in Children CQ #261 – October 24, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breastfed infants have a lower risk of urinary tract infections. Meta-analysis of the Risk Factors for Urinary Tract Infections in Children Pediatr Infect Dis J 2022;41:787-792 What is the relationship between breastfeeding […]

Influenza and Lactation CQ #260 – October 10, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT All vaccines are safe during lactation, and people with active influenza at birth should be encouraged to directly feed at the breast or chest. Oral oseltamivir is preferred for influenza treatment during lactation. Recommendations for Prevention and Control of […]

Fluid Supplementation for Breastfed Infants in Hot Weather CQ #259 – September 26, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Exclusively breastfed infants under 6 months of age do not require extra water in hot weather. A systematic review of hot weather impacts on infant feeding practices in low-and middle-income countries Front. Pediatr. 10:930348. […]

The Effect of Delayed Cord Clamping on Breastfeeding CQ #258 – September 12, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Delayed cord clamping may improve breastfeeding success at birth. The effect of delayed umbilical cord clamping on newborn’s oxygen saturation and sucking success in primiparous pregnant J Obstet and Gynaecol Res 2022 Sept 5 […]

Timing of the First Bath in Term Healthy Newborns CQ #257 – August 29, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Delaying the first bath for 24 hours is associated with a lower risk of infant mortality and hypothermia. Delaying the bath for 6 hours is associated with increased likelihood of exclusive breastfeeding. Timing […]

Breastfeeding Among Infants Who Aspirate CQ #256 – August 15, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Based on a pilot study, young infants with documented oropharyngeal dysphagia have been found to breastfeed safely. Aspiration does not mean the end of a breast-feeding relationship Int J Pediatr Otorhinolaryngol 2022 Aug 4;161:111263 Can lactating parents […]