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.