title: Initial management of breastfeeding.
abstract: Breast milk is widely accepted as the ideal source of nutrition for infants. In order to ensure success in breastfeeding, it is important that it be initiated as early as possible during the neonatal period. This is facilitated by skin-to-skin contact between the mother and infant immediately following birth. When possible, the infant should be allowed to root and latch on spontaneously within the first hour of life. Many common nursery routines such as weighing the infant, administration of vitamin K and application of ocular antibiotics can be safely delayed until after the initial breastfeeding. Postpartum care practices that improve breastfeeding rates include rooming-in, anticipatory guidance about breastfeeding problems and the avoidance of formula supplementation and pacifiers.
authors.affiliation: Family Practice Residency Program, Middlesex Hospital, Middletown, Connecticut 06457, USA.
authors.forename: K
authors.initials: K
authors.lastname: Sinusas
authors.forename: A
authors.initials: A
authors.lastname: Gagliardi
mesh_terms: D001903:Bottle Feeding / Q000009:adverse effects; D001942:Breast Feeding / Q000523:psychology; D004522:Educational Status; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D015285:Hospital-Patient Relations; D006801:Humans; D007223:Infant; D007224:Infant Care; D007225:Infant Food / Q000706:statistics & numerical data; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D007743:Labor, Obstetric / Q000502:physiology; D008895:Milk, Human / Q000276:immunology*; D009035:Mothers / Q000523:psychology; D017283:Neonatal Nursing; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology; D010353:Patient Education as Topic; D018743:Perinatal Care; D011247:Pregnancy; D012386:Rooming-in Care; D012944:Social Support; D013391:Sucking Behavior; D013997:Time Factors