Breastfeeding Clinical Question Blog/Lactfacts

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 […]

American Academy of Pediatrics 2022 Updated Guidelines on Reducing Infant Deaths in the Sleep Environment CQ #255 – August 1, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Any amount of human milk feeding or breastfeeding reduces the risk of unexplained sleep-related death. The degree of protection from human milk feeding and breastfeeding is dose […]

Pacifier Use During Lactation CQ #254 – July 18, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Randomized controlled trials demonstrate that pacifier use is not associated with duration of breastfeeding. This may be due to subjects being counseled about the risks. Pacifier use and breastfeeding in term and preterm newborns- a systematic review and […]

Monkeypox And Lactation CQ #253 – July 5, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Lactating individuals are eligible for vaccination to prevent monkeypox, and some antiviral medications for monkeypox are compatible with lactation. Prevention and Treatment of Monkeypox Drugs 2022 Jun 28 1-7 What do I need to know about prevention and treatment […]

The Association Between Breastfeeding Duration and Cognitive Development Up to Age 14 CQ #252 – June 20, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Longer breastfeeding duration is associated with a modest increase in child cognitive scores at age 14. To what extent does confounding explain the association between breastfeeding duration and cognitive development […]

Iodine Intake During Lactation CQ #251 – June 6, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Iodine is an essential nutrient for infant growth and development. Pregnant and lactating individuals are at risk for insufficient iodine intake due to higher dietary iodine requirements. Iodine: Fact Sheet for Health Professionals National Institutes of Health, Office […]

Infant Feeding Type and Maternal Sleep Duration CQ #250 – May 23, 2022 by Anne Eglash MD, IBCLC, FABM #LACTFACT Lactating mothers experience more sleep at night compared to non-lactating mothers. Infant feeding type and maternal sleep during the postpartum period: a systematic review and meta-analysis J Sleep Res 2022;e13625 Do breastfeeding mothers sleep less […]