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Objectives
The Pediatricians Role
Breastfeeding Recommendations
Breastfeeding is Robust
AAP Recommendations
2010 Goals
Informed Decision
Ethnicity
Compelling Reasons
Food for the Brain
Psychological/Cognitive
Compelling Reasons
Infections
Breastfeeding Protects
When there is:
Reduced Health Costs
Estimated Costs
Known Benefits for Mother
Morphology
Lateral Cross-section
Diagram Ejection Reflex
Milk Ejection Reflex
Diagram Ejection Reflex
Prolactin Levels
Prolactin Levels
Prolactin Baseline
Prolactin Surge
Pathways for Milk
Plasma Prolactin
Infant to the Breast?
LATCH
LATCH
Early Hunger Cues
Crying is a Late Hunger Cue
Supporting the Process
Checklist
Growth Parameters
Providing
Assessment
Review Charting
First Contact
First Full Visit
Ranges of Weight
Weight Loss and Gain
Stool Pattern
Acceptable Voiding Pattern
Inadequate Intake
Risk:Benefit
Lactation Consultant
The role of the Physician
Precious Gift

Ruth A. Lawrence, MD,

Pediatric Grand Rounds - March 11, 2003 - The Pediatricians Role in Successful Breastfeeding