Breastfeeding Clinical Question Blog/Lactfacts

Breastfeeding and Child IQ at Age 5 CQ #230 – August 16, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breastfeeding is associated with less risk of low IQ at age 5 years. Association of Breastfeeding and Child IQ Score at Age 5 Years Obstetrics & Gynecology 137(4) April 2021 p. 561-570 What is the […]

Cabergoline Safety for Lactation Suppression CQ #229 – August 2, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Cabergoline is a safe option for lactation cessation or suppression with tolerable side effects. Safety of Cabergoline for Postpartum Lactation Inhibition or Suppression: A Systematic Review J Obstet Gynaecol Can 2020 Mar;42(3):308-315 Is cabergoline safe to use […]

Shared Decision-Making Regarding Lactation for People Living with the Human Immunodeficiency Virus (HIV) CQ #228 – July 19, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT People living with HIV in the USA who would like to breast/chestfeed should be counseled using a risk reduction strategy. Considerations and Recommendations for Pregnancy and Postpartum Care for […]

Hepatitis B in the Lactating Parent CQ #227 – July 5, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breast/chestfeeding is generally considered safe for infants of a lactating parent living with hepatitis B virus, when the infant receives active + passive immunization within 12 hours after birth. Pregnant individuals with high DNA titers of […]

Racial and Ethnic Disparities in Breastfeeding Initiation in the USA 2019 CQ #226 – June 22, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Disparities in the initiation of breastfeeding are significant among different racial/ethnic groups, and these differ widely between US states. Racial and Ethnic Disparities in Breastfeeding Initiation- United States 2019 Centers for […]

Laid-Back Positioning and Nipple Pain CQ #225 – June 7, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT The laid-back position during breastfeeding is associated with less nipple pain. The effectiveness of the laid-back position on lactation-related nipple problems and comfort: a meta-analysis Pregnancy and Childbirth (2021) 21:248 What is the laid-back position and why […]

The Upper Lip Frenulum and Breastfeeding Success CQ #224 – May 24, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT The presence of an upper lip frenulum is normal and has not been found to be associated with breastfeeding difficulties. Upper Lip Tie: Anatomy, Effect on Breastfeeding, and Correlation with Ankyloglossia Laryngoscope, 131: E1701-E706, 2021 […]

Breastfeeding and the Risk of Wheezing Among High-Risk Infants CQ #223 – May 10, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breastfeeding for 3 months significantly reduces the risk of wheezing in high-risk infants in the first 6 months of life. Breastfeeding and wheeze-related outcomes in high-risk infants: A systematic review and meta-analysis The […]

Risk of Pediatric Cancer and Breastfeeding CQ #222 – April 26, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breastfeeding reduces the risk of childhood leukemia and neuroblastoma. Breastfeeding and the risk of childhood cancer: a systematic review and dose-response meta-analysis BMC Medicine (2021) 19:90 Are breastfed children less likely to develop pediatric cancer? If […]

Hypoglycemia and the Breastfed Newborn CQ #221 – April 12, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Dextrose gel in addition to breastfeeding should be considered the first line oral treatment for infants with hypoglycemia. ABM Clinical Protocol #1: Guidelines for Glucose Monitoring and Treatment of Hypoglycemia in Term and Late Preterm Neonates, Revised […]

Antibodies in Human Milk After COVID-19 Vaccine CQ #220 – March 29, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Antibodies to SARS-CoV-2 virus are present in human milk after the mRNA COVID-19 vaccine is given during lactation. The degree to which these IgG antibodies protect infants is unclear. COVID-19 vaccine response in pregnant and […]

Breastfeeding the Infant with Known Food Allergies CQ #219 – March 15, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT There are no current consensus guidelines addressing the lactating parent’s diet when their infant has a diagnosed IgE mediated food allergy. Provider recommendations and maternal practices when providing breastmilk to children with IgE-mediated food allergy […]

The Safety of Local Anesthesia for the Lactating Parent CQ #218 – March 1, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Topical and local anesthesia during lactation is generally considered safe and does not necessitate pumping and dumping of milk. Local Anesthesia and Breastfeeding Breastfeeding Medicine Published December 28, 2020 ahead of print Does […]

Maternal Supplemental Nutrition During Breastfeeding and Infant Growth CQ #217 – February 15, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Supplementing lactating mothers at risk for undernutrition with 600 kcal of energy plus vitamins and minerals did not prevent insufficient growth among their exclusively breastfed infants. Impact of nutritional interventions among lactating mothers on […]

Finger Feeding Vs Syringe Feeding in the NICU CQ #216 – February 1, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Premature infants supplemented via finger feeding transition to fully breastfeeding faster than premature infants supplemented via syringe feeding. Comparison of the Finger Feeding Method Versus Syringe Feeding Method in Supporting Sucking Skills of Preterm […]

Breastmilk Fortification Method and Breastmilk Feeding Rates Among NICU Graduates CQ #215 – January 19, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Among NICU graduates, fortification by adding formula powder to expressed breastmilk is associated with continued breastmilk feedings at 4 months as compared to supplementation with bottles of formula. Comparison of Types of […]

Breastfeeding and the Risk of Attention Deficit Hyperactivity Disorder in Children CQ #214 – January 4, 2021 by Anne Eglash MD, IBCLC, FABM #LACTFACT Preschoolers who are breastfed have a lower risk of attention deficit/hyperactivity disorder. Breastfeeding Is Associated with a Reduced Risk of Attention-Deficit/Hyperactivity Disorder Among Preschool Children J Dev Behav Pediatr 42:9-21, 2021 […]

Lactation and Prevention of Food Allergy CQ #213 – December 21, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Withholding allergenic foods during pregnancy and lactation does not prevent childhood food allergies. A Consensus Approach to the Primary Prevention of Food Allergy Through Nutrition: Guidance from the American Academy of Allergy, Asthma, and Immunology; American […]

Lactation and the COVID-19 Vaccine CQ #212 – December 7, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT The mRNA vaccines for COVID-19 have not yet been proven safe during lactation. Lactating individuals are encouraged to engage in shared decision-making with their healthcare providers when discussing COVID-19 immunization. Interim Considerations for COVID-19 Vaccination of Healthcare […]

Breastfeeding and Child Behavior CQ #211 – November 23, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breastfeeding is associated with fewer socioemotional behavioral problems in children until at least age 14. Longitudinal effects of breast feeding on parent-reported child behaviour Arch Dis Child Published Online First: 09 November 2020 Is there a difference in […]