Promoting and supporting breast-feeding

The family physician can significantly influence a mother's decision to bre ast-feed. Prenatal support, hospital management and subsequent pediatric an d maternal visits are all-important components of breast-feeding promotion. Prenatal encouragement increases breast-feeding rates and identifies poten tial problem areas. Hospital practices should focus on rooming-in, early an d frequent breast-feeding, skilled support and avoidance of artificial nipp les, pacifiers and formula. Infant follow-up should be two to four days pos tdischarge, with liberal use of referral and support groups, including lact ation consultants and peer counselors.