Home > AAP’s Key Recommendations

Summarized by the California Breastfeeding Coalition

  • implementing maternity care practices aligned with the WHO Ten Steps to Successful Breastfeeding;
  • fully supporting parental feeding decisions without pressure or guilt by any member of the health care team
  • a focus on skin-to-skin contact, frequent feeding and readily available skilled lactation support;
  • avoiding unnecessary disruption to chest/breastfeeding;
  • implementing lactation supportive policies and practices in office and partnership with community resources to improve chest/breastfeeding support;
  • advocating for socially/culturally sensitive policies that support lactating families and address inequities to eliminate disparities in chest/breastfeeding;
  • assisting parents who have given birth to preterm or other vulnerable infants to establish a full milk supply by working with hospital staff to facilitate early, frequent milk expression;
  • explicitly recommending pasteurized donor human milk for very low birth weight infants when their parent’s milk is not available or requires supplementation;
  • supporting lactation-supportive policies, such as universal paid maternity leave, lactation rights, insurance coverage for lactation support and breast pumps, on-site child care; universal workplace break time with a clean, private location for expressing milk, the right to feed expressed milk, and the right to breastfeed in child care centers and lactation rooms in school; and
  • tracking national breastfeeding rates through the age of 2 years.
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