Clinical Questions/LactFacts

Prevention of Mastitis During Lactation CQ #209 – October 26, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breast massage and probiotics appear to be more effective than routine care in the prevention of lactational mastitis. Interventions for preventing mastitis after childbirth Cochrane Database of Systematic Reviews 2020, Issue 9. Art. No.: CD007239 What are […]

Relationship Between Race and Meeting Breastfeeding Intentions CQ #208 – October 12, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Despite similar breastfeeding intentions, Non-Hispanic Black and Hispanic women are less likely to meet their breastfeeding goals than Non-Hispanic White women. Meeting breastfeeding intentions differs by race/ethnicity, Infant and Toddler Feeding Practices Study-2 Maternal & […]

Relationship Between Breastfeeding and Cataracts Among Women CQ #207 – September 28, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breastfeeding may be associated with a decrease in the risk of age-related cataracts. Breastfeeding and Maternal Age-Related Cataract in the US Population Ophthalmic Epidemiology 2020 Sept 4; 1-6 What is the relationship between breastfeeding and […]

Relationship Between Breastfeeding and Malocclusion of Primary Dentition Among Premature Infants CQ #206 – September 14, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breastfeeding has been shown to reduce the risk of oral malocclusion in primary dentition among premature infants. The influence of breastfeeding and pacifier use on the association between preterm birth and […]

Anesthesia and Sedation in Lactating Parents CQ #205 – August 31, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Individuals who undergo anesthesia or sedation may breastfeed/chestfeed safely when awake, alert, and able to feed. There is no need to pump and dump. Guideline on anaesthesia and sedation in breastfeeding women 2020 Anaesthesia 2020 open […]

Early Essential Newborn Care and Exclusive Breastfeeding at Hospital Discharge CQ #204 – August 17, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Exclusive breastfeeding at the time of discharge has been found to be 3-5 times more likely if a dyad has un-interrupted skin to skin contact for at least 30 minutes immediately after […]

The Evidence of Separating Breastfeeding Dyads at Birth When Mothers are Positive for SARS-CoV-2 CQ #203 – August 3, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT There is no evidence that separating newborns from breastfeeding mothers who test positive for SARS-CoV-2 protects from newborn COVID-19 infection. American Academy of Pediatrics FAQs: Management of Infants […]

Bottle Refusal Among Breastfed Infants CQ #202 – July 20, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT There is no clear evidence that introducing a bottle early increases the likelihood of bottle acceptance among breastfed infants. UK mothers’ experiences of bottle refusal by their breastfed infant Maternal & Child Nutrition 2020; e13047 What’s the […]

SARS-CoV-2 Viral RNA Found in Breastmilk CQ #201 – July 6, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT SARS-CoV-2 RNA particles have been found in expressed breastmilk, but there is no evidence that the RNA represents viable viral particles. Evaluation of SARS-CoV-2 in Breastmilk from 18 Infected Women British Medical Journal Pre-Printed before Peer […]

COVID-19 Infection Among Newborns of SARS-CoV-2 Positive Mothers CQ #200 – June 22, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT The risk of neonatal COVID-19 infection is uncommon among newborns of COVID-19 positive mothers, and rate of newborn infection does not appear higher if allowed room-sharing with the mother. Maternal transmission of SARS-COV-2 to […]

The Rusty Pipe Syndrome During Lactation CQ #199 – June 8, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT The Rusty Pipe Syndrome is an uncommon benign condition occurring during late pregnancy and early postpartum. Women with bleeding from the breasts should be evaluated to rule out other pathology before making the diagnosis. Rusty Pipe […]

The Effect of Exercise on Breastmilk CQ #198 – May 25, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Exercise during breastfeeding does not significantly change breastmilk fat, protein, lactose, or quantity. Breastfeeding mothers should be encouraged to exercise. The Effect of Physical Activity on Human Milk Macronutrient Content and Its Volume Breastfeeding Medicine 15(6) […]

Breastfeeding and Maternal/Child Vitamin B12 Deficiency CQ #197 – May 18, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Infants with vitamin B12 deficiency due to low vitamin B12 in their mothers’ breastmilk may present with abnormal movements such as tremulousness, tics, and involuntary muscle contractions. A Variety of Abnormal Movements in 13 cases of […]

Breastfeeding and Febrile Seizures CQ #196 – May 11, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breastfeeding may reduce the risk of febrile seizures during the first year of life. Breastfeeding and risk of febrile seizures in infants: The Japan Environment and Children’s Study Brain & Development 41 (2019) 839-847 What is the relationship […]

Lactation and LGBTQ+ Individuals CQ #195 – May 4, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Lactation should be supported for families who desire co-lactation, and for transgender people. ABM Clinical Protocol #33: Lactation Care for Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Plus Patients Breastfeeding Medicine 15(5)2020 What are special considerations for LBGTQ+ individuals […]

Nitrates in Well Water and Infant Feeding CQ #194 – April 27, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Breastfeeding prevents methemoglobinemia. Well water should be tested for nitrates before using it to prepare infant formula. Methemoglobinemia: Infants at risk Curr Probl Pediatr Adolesc Health Care 2019 Mar;49(3) 57-67 What is methemoglobinemia and how […]

Breastfeeding and Tongue-Tie- A Professional Consensus Statement CQ #193 – April 20, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT The American Academy of Otolaryngology-Head and Neck Surgery’s clinical consensus on ankyloglossia states that breastfeeding efficacy and nipple pain are more likely to improve with lingual frenotomy as compared to no treatment, and should be […]

Maternal Intravenous Fluids During Labor and Newborn Weight Loss CQ #192 – April 13, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Intravenous fluid administration to mothers during labor is associated with a risk of higher weight loss among breastfed newborns. Influence of intrapartum maternal fluids on weight loss in breastfed newborns J of Maternal-Fetal […]

SARS-Cov-2 and Human Milk Banking CQ #191 – April 6, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT Banked donor human milk is pasteurized at a temperature and duration demonstrated to kill the coronavirus SARS-Cov-2 virus. Stability of SARS-CoV-2 in different environmental conditions Lancet Microbe 2020; published online April 2 Is pasteurized banked donor human […]

Telehealth for Breastfeeding Families During COVID-19 Pandemic CQ #190 – March 30, 2020 by Anne Eglash MD, IBCLC, FABM #LACTFACT US Health and Human Services has relaxed their rules for using HIPAA-compliant communication tools for telehealth during the COVID-19 pandemic. Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency […]