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Academy of Breastfeeding Medicine (ABM):
        Protocols for topics such as:
            Hospital Policies
            Going Home Protocols
            Breastfeeding and the Drug-Dependant Woman
            Use of Antidepressants in Nursing Mothers

Adolescent Family Life Program - California Department of Public Health
        Breastfeeding Resources and Information:
            Infant Feeding - Information for home visitors and health workers and useful handouts such as:
                    Breastfeeding Checklist for My Baby and Me (PDF
                    Breastfeeding: Common Questions and Answers (PDF
                    My Action Plan for Breastfeeding (PDF
                    My Birth Plan (PDF)... Spanish 
                    My Breastfeeding Resources (PDF
                    Nutrition and Breastfeeding: Common Questions and Answers (PDF

Adoptive Breastfeeding Resource Websites

African American Resources

      A More Excellent Way Peer Counselor Program:    
Solano County Support Groups for times and locations of meetings.
            Tel: (707) 648-1247, E-mail:

      Black Infant Health – (707) 784-8770
      Black Mothers Breastfeeding Association:         

      Black Women Do Breastfeed:  


      BreastfeedingAmerica: Mishawn Purnell-O’Neal:


      Moms Rising:  Blk BFing: Making HERstory

      ROSE (Reaching Our Sisters Everywhere)

      Texas Department of Health:

      Your Guide to African American Breastfeeding (free) 

American Academy of Pediatrics (AAP)

AAP Section on Breastfeeding:

Ankyloglossia (see Tongue Tie)

Assessment Tools
:  (see California Model Hospital Policy Recommendation #6): 

        Per AAP Recommendations

         LATCH scoring tool (PDF)

        Breastfeeding Assessment Tool, for the First 4 weeks:  LATCHES 

           Breastfeeding Assessment Form (PDF) (UK Baby Friendly)

           Postnatal Checklist (PDF) (UK Baby Friendly)

Attachment Parenting International 

Attachment Parenting (Twins)   

Arabic breastfeeding info: 

Australian Breastfeeding Association:


Baby Behavior

      Secrets of Baby Behavior:

       USDA Baby Behavior Materials: 
            Understanding your baby behaviors
        California Baby Behavior Campaign: 

            Getting to Know Your Baby: English   Spanish

            Staff Training and parent handouts:

            Infant States:

            Sleep Facts:

            Helping Parents deal with lack of sleep: 


            Crying – Spanish -

            Baby Behavior handouts:


Baby Friendly Hospital Initiative



        Baby Friendly USA Staff Training Requirements Questions and Answers to Step 2   
        Baby Friendly USA Staff Training
                Baby Friendly Rap:

Baby Milk Action (Nestle Boycott)

Banking: Human Milk 

    Human Milk Banking Association of North America

    Mother’s Milk Bank at Santa Clara Valley Medical Center, San Jose, CA       

Bariatric Surgery and Breastfeeding:
    ILCA Inside Track Handout:
    La Leche League Update:

Bathing the Baby (UK) in NICU: 
    Bathing your baby:

Benefits of Breastfeeding    
    La Leche League International (2013)  Outcomes of Breastfeeding: 

Biological Nurturing: 

Birth and Beyond California Hospital Breastfeeding Quality Improvement Project:

Birth Control (Family Planning, Contraception) 
        La Leche League Update on Birth Control:

Birthing Site:

Birth Plans:
    Sources of links to assist mothers in creating their own Birth Plans: 
        • English:  
        • Spanish:  
    Sample Birth Plan in English and Spanish with check boxes 
            • English Birth Plan (Word
            • Spanish Birth Plan (Word
            • Information for Health Worker/Educator (PDF)

Books for Children

Books for Families, Teachers and Parenting:  
        Dia L.  Michels:

Bottle Feeding 
    Cue Feeding or Paced bottle feeding: 
Tips to Child Care Providers
        LLLI: Tips to bottle feeding a Breastfed Baby
    Haberman Feeder: to be used for babies with difficulty feeding - cleft palate, low tone, etc. 

Breast Anatomy 
        LLLI Update:  
Breast Compressions:
        Low Milk Supply website:

Breastfeeding Articles, Advice and Encouragement

Breastfeeding Coalitions (US Breastfeeding Committee List)

Breastfeeding Coalitions (California-wide listing)

    Breastfeeding Coalition of Greater Sacramento

    Breastfeeding Coalition of Solano County: 

    Breastfeeding Coalition of Yolo County:

Breastfeeding Legislation in California:

Breastfeeding and Dental Health:

Breastfeeding for African American Women:

Breastfeeding  Network  (Jaye Simpson-Sacramento)

Breastfeeding Your Premature baby  

Breast Friends: The King Co Breastfeeding Resource Guide

Breastfeeding information, support and advocacy

Breastfeeding Resource Marketplace  

Breastfeeding Resources UK:

Breast Milk
        Sour or "funny" smelling milk:

Breast Pumps

    U.S. Food & Drug Administration Breast Pump Web Site 
        (Information and tips on pumps, pumping and milk storage)
      Breast Pumps: Don't Be Misled - Get the Facts 
         (FDA Consumer Update, January 2013) PDF Format

     Brand-specific Websites:

        Ameda -

        Bailey -

        Hygeia -

        Medela –

Breast Milk Storage:
    Academy of Breastfeeding Medicine Protocol #8: 
    La Leche League Update:


Bright Future Lactation Resource Centre (Linda J. Smith - Ohio)



California Breastfeeding Coalition

California Hospital Breastfeeding Data

California Department of Public Health:
    Breastfeeding Program:
    Infant Health: 
    Maternal Health:      
    WIC Breastfeeding resources

California Perinatal Quality Care Collaborative: (Premature Infants)

Cavities, Early Childhood Caries (ECC) and Breastfeeding
    American Dental Association - 
        Breastfeeding: An overview of oral and general health benefits  

Association Between Infant Breastfeeding and Early Childhood Caries in the United States 
Early Childhood Caries: New Knowledge Has Implications for Breastfeeding Families  
    Infant Dental Decay: is it related to breastfeeding? (  Slides - Explanations 
    Oral Health During Pregnancy and Early Childhood: Evidence-Based Guidelines for Health Professionals


The Center for Disease Control (CDC) Vital Signs:  Most hospitals do not fully support breastfeeding.
     Breastfeeding helps protect against childhood obesity and other illnesses, and lowers medical costs.

CDC Breastfeeding Data:  

CDC Breastfeeding Program

CDC Breastfeeding interventions :

Cesarean and Breastfeeeding;
    Breastfeeding after a Cesarean:
    Is it possible to breastfeed after a Cesarean Birth? YES

Childbirth class online : 

Child Care:

    Breastfeeding Works: 
                Handouts for mothers and child care workers in English and Spanish  

    Safe Breast Milk Storage for Child Care Workers:

        Breastfeeding Works: Spanish and English handouts for child care workers
        Information for Parents and the Child Care Workers on Going Back to Work or School
        Community Care Licensing Division Child Care Offices


    Wisconsin: Ten Steps to Breastfeeding Friendly Child Care Centers: 

    U.S. National Resource Center: Preventing Childhood Obesity in Early Care and Education Programs

Cleft Lip/Cleft Palate resources:

Australian Breastfeeding Association booklet:

Fact sheets:

Additional information at

Medela had an excellent handout, some of their books may be in stock at:

Coalition for Improving Maternity Services (CIMS)

CoBedding (risk reduction information)
    Guidance for Local Health Jurisdictions and Communities Addressing Infant Safe Sleep Environments (2013) 
    Source: CA Dept. of Public Health 
        Guidance for addressing the 2011 AAP recommendations, SIDS and Other Sleep-Related Infant Deaths: 
        Expansion of Recommendations for a Safe Infant Sleeping Environment. 
        Please refer to the 2011 AAP policy statement and technical report for additional details. 

   Infant Sleep Information Source (ISIS):
        ISIS is a collaboration between Durham University Parent-Infant Sleep Lab, La Leche League, NCT, 
        and UNICEF UK Baby Friendly Initiative, funded by a grant from the ESRC (Economic and Social Research Council). 

        This website is about normal infant sleep. We use 'normal' to mean 'what is biologically expected for humans'. 
        Our starting point is that sleep is a biological  need. We present information about what is biologically normal 
        for human babies. We also discuss how this may vary due to different cultural behaviours and expectations 
        such as what babies are fed, where they sleep, and how societies interpret their needs. 

        This information is for: 
         * Parents who wish to make informed choices about infant sleep and night-time care, 
         * Health Professionals who wish to share evidecne-based information with parents about infant sleep
    Where Babies Sleep:   
    Safe Sleep for You and Your baby  

Communication with Baby
    Baby Communication (UK)

Complete Mother, The

Comprehensive Perinatal Services Program (CPSP) 
        Steps to Take Program Guidelines for Enhanced Health Education, Nutrition and Psychosocial Services, revised in 2012
        (Breastfeeding: Pages 367-422 / Nutr 155-210) 
            Handouts on Nutrition and Physical Activity as well as Breastfeeding from Steps To Take: 

Contraception (Birth Control, Family Planning)

    La Leche League Update on Contraception:

Cost Benefits of Not Breastfeeding:

      The Burden of Suboptimal Breastfeeding in the US: A Pediatric Cost Analysis
            Costs to the family:

CPSP (see Comprehensive Perinatal Services Program of California)

Cue Feeding     Also see Baby Behavior

     Bottle feeding on cue:
     Feeding On cue:         

     Hospital Policies and References:  

     Secrets of Baby Behaviors:


Data on Breastfeeding - see Statistics
Dia L. Michels Platypus Media -- Books for Families, Teachers and Parenting P
Down Syndrome and Breastfeeding
    Handout: Breastfeeding a Baby with Down Syndrome (Canada)         Academy of Breastfeeding Medicine: Protocol: Breastfeeding the Hypotonic Infant

 Dysphoric Milk Ejection Reflex:


Economic Benefits of Breastfeeding  (2001)       

Education for IBCLCs:

     Accreditation and Approval Review Committee (AARC) 
        on Education in Human Lactation and Breastfeeding

     USLCA Webinars: 

     ILCA Study Modules: 

Education for Health Care Providers
California Department of Public Health: 


California Model Hospital Policies:

  Policy # 1.5: Nurses coming in contact with mothers, infants or children should receive
  standardized education and training on the support and management of lactation.
  Lactation management should be included as part of orientation and included as
  part of ongoing training and competency evaluation for both nurses and physicians.  

  Policy #2: Nurses, certified nurse midwives, physicians and other health professionals with expertise
  regarding the benefits and management of breastfeeding should educate pregnant and postpartum
  women when the opportunity for education exists, for example, during prenatal classes, in clinical
  settings, and at discharge teaching.  

  Baby Friendly Policy #2: Train all staff with the skills necessary to implement policies  

Emergency Preparedness and Breastfeeding
American Academy of Pediatrics: 
        Infant Feeding in Emergencies and Natural Disasters
    California Department of Public Health
        Emergency Prepareness: Infant and Young Child Care and Feeding

Employer Responsibilities to meet Workplace Lactation Accommodation

    Rest Periods / Lactation Accommodation: 
    Summary of Labor Code:

    (also see Working Mothers)

    Resources for Employers and Managers

    Resources for Employees


         Academy of Breastfeeding Medicine Clinical Protocol # 20: Engorgement

           Reverse Pressure Softening - to help mothers deal with Engorgement (English) and Spanish
English - low literacy (Spanish - Low Literacy)

Exclusive Breastfeeding:
        California Model Hospital Policy #4:Hospital perinatal staff should support the mother’s choice 
            to breastfeed and encourage exclusive breastfeeding for the first 6 months.

        California Model Hospital Policy #8: Sterile water, glucose water, and artificial milk should not be given 
            to a breastfeeding infant without the mother’s informed consent and/or physician’s specific order.

        Baby Friendly Policy #6: Give newborn infants no food or drink other than breastmilk, 
            unless medically indicated.


Family Planning (Birth Control, Contraception)

         La Leche League Update on Family Planning:


    24 Hour Cribside Assistance:

    Dad's 10 Minute Breastfeeding Guide  (2009) L. A. Publishing

    Fathers supporting breastfeeding:

    La Leche League – Fathers and Breastfeeding

    Texas WIC Class - Men and Breastfeeding

    Information for partners (Australia)

    What can Dad Do? (English¿Qué puede hacer papá? (Spanish)

    ¿Qué puede hacer el padre para ayudar a su esposa a alimentar con pecho al bebe? (Texas) [link not available now]

    World Alliance for Breastfeeding Action (WABA): Men’s Initiative 

Videos: Breastfeeding: What's a Dad Supposed to Do?(2008) 14 Min –

               Eagle Video Production, Inc. 

Formula Preparation

        Guidelines for the safe preparation, storage and handling of powdered infant formula 

Frenulum pictures and assessment: (also see Tongue Tie)

        Brian Palmer DDS:

        Tongue Tie: Morphogenesis, Impact, Assessment and Treatment

            Assessment of posterior tongue tie
            Glove demonstration of the frenotomy
            Tongue tie release

Frequency of Breastfeeding
      Volume and Frequency of Breastfeedings and Fat Content of Breast Milk Throughout the Day 
            Pediatrics Vol. 117 No. 3 March 1, 2006 pp. e387 -e395 (doi: 10.1542/peds.2005-1417) 
      See American Academy of Pediatrics Section on  Breastfeeding: 
      See Academy of Breastfeeding Medicine Protocols: 

Galactogogues :

        Academy of Breastfeeding Medicine Protocol:  
        ILCA Galactogogue chart: 

     Examples of non-prescription Galatogogues (mom should still discuss with Health Care Provider):

        Food as Galactogogues:
            New Beginnings - La Leche League International: 
            Which foods can boost your milk supply? 

            (Also see Herbs)

Gastric Bypass Surgery
    Update to the Breastfeeding Answer Book: 
    Patient handout on Gastric Bypass Surgery

    Clinical Lactation Journal Article: Breastfeeding after Weight Loss Surgery


         How Grandparents Can Help: 


         Grandmother's Tea:
                Full activty plan to provide grandmothers a fun way to learn why and how to help 
                        their grandbabies' mother breastfeed.

Gromada,Karen : Twins information



Haberman Feeder: to be used for babies with difficulty feeding - cleft palate, low tone, etc.

Hale, Thomas PhD  - Medications and Mothers’ Milk

Infant Risk Center: 

Hale Publishing:

Hand Expression
        Hand Expression for preemies:
        Maximizing pumping production: 
        Hand expression (UK):


        Baby-Friendly Parent Information Sheet (UK):  

        California Department of Public Health        

California WIC        
            Guide to Breastfeeding: (English) (Spanish)
        Common Sense Breastfeeding:

        Lactation Education Resources:  

        Philadelphia handouts: 
                My Breastfeeding Plan and other handouts in many languages

        Solano County Handouts:    
            Word documents are large, may take 2 minutes to download - but you can edit them.  
            PDF documents are quicker to download, but you cannot edit them.

    • Breastfed Babies Grow at Their Own Pace - English (Word)   (PDF)  Spanish (Word)  (PDF)
    • Breastfeeding REDUCES Stress - English (Word) (PDF)  Spanish (Word) (PDF)
    • Breastfed Babies Travel Easily - (English) (Word) (PDF)     Spanish (Word) (PDF)
    • Doctor's Day 4-Fold Card - Word
    • Father's Day Card - (English) (Word) (PDF)     Spanish (Word) (PDF)
    • Gift Boxes - English (Word)  (PDF)   Spanish (Word) (PDF)
    • Look At Your Baby: Breastfeeding is More Than Eating (English) (Word) (PDF)     Spanish (Word) (PDF)
    • Moving and Eating - English (Word)  (PDFSpanish (Word)  (PDF)
    • Thanksgiving Day Card - (English) (Word) (PDF)     Spanish (Word) (PDF)
    • Valentine's Day Card - (English) (Word) (PDF)     Spanish (Word) (PDF)               

        Texas Department of Public Health: English      Spanish  

                US Department of Health: 
            English    African American      Spanish

        Womanly Art of Breastfeeding Tear Sheet Toolkit

Health-e Learning (Internet lactation education)

Health Care Provider's Pocket Guide (New York):

Healthy People 2010

Hepatitis B and C and Breastfeeding
        Centers for Disease Control and Prevention:    

: (Also See Galactagogues)

        Dr. LowDog:

        Mechell Turner;


        Galactic Herbal: 

Homeopathic Physician & IBCLC


    Hospital Training and Quality Improvement

        Birth and Beyond Califordian Hospital Breastfeeding Quality Improvement Project:

    Hospital Policies 

     California Model Hospital Policy #1: Hospitals should promote and support breastfeeding.
      Baby Friendly Hospital Policy #1:Have a written breastfeeding policy that is routinely communicated to all health care staff.

      Academy of Breastfeeding Medicine Sample Hospital Policy (2010):

       American Academy of Pediatrics Sample Hospital Policy:

Hospital Infant Feeding Act: California Health & Safety Code §123366
    Resources and information to meet the requirements:

Human Milk Banking Association of North America





    Hathor the CowGoddess

        Humor, Health & Hugs.   Carol Schlef, RNC, MSW, IBCLC, LCCE 




Illness – CDC Recommendations related to Breastfeeding and Illness:


(Also See  Medications)

Dr. Hale: Taking Cold Medicines while Breastfeeding:

Induced Lactation (See Adoption and see Relactation)
        Four Friends (Adoptive Breastfeeding Website):       

Infant feeding in Emergencies

Infant Feeding Policy for Hospitals
    Resources and information to meet the requirements of the 
        California Health & Safety Code §123366 (Hospital Infant Feeding Act)
Infant Risk Center (Hale) :

Insufficient Glandular Tissue
      Supporting mothers with mammary hypoplasia: 
International Baby Food Action Network

International Code of Marketing Breast Milk Substitutes

International Lactation Consultant Association (ILCA)
    Lactation Matters (ILCA Blog):  

International Board of Lactation Consultant Examiners (IBLCE)



Jaundice: Phototherapy to Prevent Severe Neonatal Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation
         Bilitool according to AAP Guidelines:

The Joint Commission Urges Mothers to "Speak Up" in hospitals – posters and handouts in English and Spanish
        The Joint Commission accredits and certifies more than 19,000 health care organizations [hospitals] and programs in the United States. 


Breastfeeeding Medicine (Journal of the Academy of Breastfeeding Medicine)

    International Breastfeeding Journal:

    Journal of Clinical Lactation         
        Free access

    Journal of Human Lactation
        Free access to ILCA members through:

    Journal of Tropical Pediatrics

    The Journal of Pediatrics  (from Mosby)


Kangaroo Mother Care

Kathleen Kendall-Tackett:

Katherine Dettwyler, PhD   Thoughts on Breastfeeding

Kelly Mom:



LactAid at-breast supplementor:

Lactation Matters (ILCA Blog):  

Laid Back Breastfeeding (also see Biological Nurturing)
    La Leche League tearsheet:

LaLeche League International (LLLI)

LLL Northern CA & HI;

Lactation Accommodation Law: (also see Working Mothers) 
            California Labor Code Section 1030-1033             
Minimum requirements in California:  
            Filing a complaint:
Lactation Education Consultants: 
Lactnet Archives:          
        To subscribe: send an email to
        Place “subscribe Lactnet” in the subject line

Lactivist, Lactation Activist –


Late Pretern Infant Feeding guidelines - UCSD
Laws Related to Breastfeeding 
California Laws related to breastfeeding 
            California Women's Law Center
            Breastfeeding Works

          Federal Law related to breastfeeding: Workplace Support Laws

          National Conference of State Legislatures - Breastfeeding Laws

          Six Key Laws For Parents: (English) (Spanish)
          US Breastfeeding Committee - Legislation and Policy  

Love, Susan MD (Dr. Susan Love Research Foundation)  (search breast-feeding)

LowDog, Dr. Tiranna : 
        The use of Botanicals During Pregnancy and Lactation

Low Milk supply
          See Insufficient Glandular Tissue

        Polycystic Ovary Syndrome: A Connection to Insufficient Milk Supply?

        Delayed Lactogenesis II Secondary to Gestational Ovarian Theca Lutein Cysts             
            J Hum Lact 2002; 18:3 264-268 

        The Risk of Invalidating the mom who says she has no breast milk    
        See Herbs and Galactogogues


M&B-A : (herbal galactogogue)

March of Dimes Feeding your Baby:

March of Dimes Spanish:

Medela :


    California Department of Public Health: Medications and Breastfeeding

    Handout on “Medications and Breastfeeding” 

    Dr. Hale: Taking Cold Medicines while Breastfeeding:

    Infant Risk Center - Texas Tech –

    LactMed – National Library of Medicine -  
        Download iPhone or Android app:

    Non-Prescription, over-the-counter medications: Frank J. Nice, RPh, DPA, CPHP

    Poster on Radio-contrast materials: 

Medical Spanish :

Medical Spanish for Health Care Providers: Medical Spanish for Health Care Providers

Mental Health – Maternal Mental Health 

       California Department of Public Health -
Maternal Mental Health and Breastfeeding
       Dr. Kathleen Kentall-Tackett: 
            Evidence-based, With Attitude - 
Michels, Dia L.    Platypus Media -- Books for Families, Teachers and Parenting  Professionals

Midwives Alliance of North America (MANA)

Military – Mothers in the Military:          
        Breastfeeding in Combat Boots

Mohrbacher Nancy BLOG: ;

Mother’s Milk Bank Austin Texas:

Mother’s Milk Bank at Santa Clara Valley Medical Center, San Jose, CA
   To contact for questions and information:

mPINC: Breastfeeding Hospital Data: Maternity Practices in Infant Nutrition and Care 

Multiple Birth (Center for the Study of )  



National Alliance for Breastfeeding Advocacy (NABA)  

National Center for Chronic Disease Prevention and Health Promotion

National Center for Complementary and Alternative Medicine:

National Healthy Mothers, Healthy Babies Coalition

National Institute of Health (NIH):

National Maternal-Child Health Bureau of US/DHHS

National Women’s Health Information Center

Nipple Plugs and Blebs 
        Nipple Blebs, or “milk blisters” appear on the end of nipples. 
            Tissue covers the pore of the duct and milk gathers behind it.  
       Prevention: optain assistance to assure adequate latch at first sign of nipple pain during breastfeeding 
        Handouts and websites   

        At times, treatment is not effective. Refer physician to the following study: 
            Abstracts from The Academy of Breastfeeding Medicine 17th Annual International Meeting Chicago, Illinois October 11–14, 2012: 

Nipples (sore) - 
        Healing sore nipples - webpage:

Nipple pain and color changes - Raynaud's?
        Raynaud's Phenomenon of the Nipple:  American Academy of Pediatrics
        Nipple blanching and Vasospasm

Nutrition die the Pregnant and Breastfeeding Mother
        Choose My Plate

Nursing strike -


    Implications of Obesity in Breastfeeding Women

    Obese mothers require close follow-up:

    (SeeGastric Bypass Surgery)

Oral Health Program, California Department of Public Health

Also see: Cavities, Early Childhood Caries (ECC)


Paced Bottle Feeding


    Academy of Breastfeeding Medicine: 

    Additional  resources/information on Pacifiers  

    California Model Hospital Policy #7: Artificial nipples and pacifiers should be discouraged for healthy breastfeeding infants.

    Baby Friendly Hospital Policy #9: Give no pacifiers or artificial nipples to breastfeeding infants.

Pediatrics (the journal of the American Academy of Pediatrics) 

Parents of Premature Babies Inc

Pasteurization of Human Milk (i.e. for HIV+ women)

Peer Counselor Resources
New York State:
    Modules for additional Peer Counselor training:
        Hale Publications: 

        Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                         Modules for additional Peer Counselor training:        Hale Publications:                                                                                                     

         Breastfeeding Materials: Barbara Wilson-Clay and Kay Hoover 
Birth and Beyond - Train the Trainer - Photo Bibliography
    Consent to Photograph        
            Example of a consent - (Bilingual, English/Spanish) (Word)
Platypus Media -- Books for Families, Teachers and Parenting Professionals,
           Dia L Michels

Position Papers

     Academy of Breastfeeding Medicine (2008) (PDF)

     American Academy of Pediatrics (2005)

      American Academy of Family Practitioners (2008)

      American Congress (previously college) of Obstetricians and Gynecologists (2003) (PDF)

      American Dietetic Association: (2009) (PDF)

      Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 2007 PDF

      International Lactation Consultant Association (2000) PDF

       National Association of Pediatric Nurse Associates and Practitioners (NAPNAP) 2007 PDF

Premature Baby

       Breastfeeding Your Premature Baby

         On-line Videos: 
            United Kingdom: Ways of supporting your sick or premature baby 
            A Preemie Needs His Mother: First Steps to Breastfeeding Your Premature Baby
            Dr. Jane Morton - or call 1-888-JMORTON (566-7866).

Premature Baby: Late Preterm 34 0/7 to 36 6/7 weeks gestation
        Academy of Breastfeeding Medicine: Breastfeeding the Late Preterm Infant - June 2011
        California Perinatal Quality Care Collaborative (CPQCC)  
            Care and Management of the Late Preterm Infant Toolkit (APRIL 2007) 
            Nutritional Support of the Very Low Birthweight Infant Toolkit (DECEMBER 20085)           
        National Perinatal Association Multidisciplinary Team Guidelines

Prenatal Education
    California Model Hospital Policy #3:The hospital will encourage medical staff to perform a 
        breast exam on all pregnant women and provide anticipatory guidance for conditions 
        that could affect breastfeeding. Breastfeeding mothers will have an assessment of the 
        breast prior to discharge and will receive anticipatory guidance regarding conditions 
        that might affect breastfeeding.

    Baby Friendly Hospital Policy # 3: Inform all pregnant women about the benefits and 
        management of breastfeeding.

Professional Education

            California Breastfeeding Coalition
Conferences and Programs

            International Lactation Consultant Association: 

        United States Lactation Consultant Association:

Protect Breastfeeding Poster

Proyecto Lacta -     Breastfeeding information in Spanish – Puerto Rico

Pharmasoft publishing :

Pumping - Hands on Pumping Handout: 
                Hands on pumping video:

Pumping Logs 
    Record for mothers who are pumping for babies who do not breastfeed well or are in Intensive Care (PDF)

    La Leche League Pumping Log:

    UC San Diego logs - English and Spanish:


Radiological Tests - (x-Ray, MRI, Ultrasound) usually no problem with breastfeeding
    Radio-contrast materials and breastfeeding
        Breastfeeding and the Use of Contrast Dyes for Maternal Tests
               Poster with information about Contrast Dyes for Maternal Tests:
                    Download Poster Front (PDF file
                    Download Poster Back (PDF file
        Additional resources for MDs and Radiologists:
            Infant Risk Center: 806-352-2519 (Monday-Friday 9 am to 6 pm EST) 
            Medications and Mothers' Milk (2012) by Thomas W. Hale, Phd, clinical pharmacologist, professor at Texas Tech University School of Medicine

      Radiocontrast dyes - most are safe 
        Use of Radioisotopes (and other contrasting agents) during breastfeeding 

Relactation (See Induced Lactation)
     Four Friends (Adoptive Breastfeeding Website):        
        Relactation stories:     
        Emergency relactation:  
        La Leche League International:

Reverse Pressure Softening - to help mothers deal with Engorgement (English) and Spanish
English - low literacy) (Spanish - Low Literacy)

    California Model Hospital Policy #9: Mothers and infants should be encouraged to remain together during the hospital stay.

    Baby Friendly Policy # 7:Practice “rooming in”-- allow mothers and infants to remain together 24 hours a day. 


Secrets of Baby Behavior :
            Getting to Know Your Baby:   

Scholarly literature search ;   

Simply Herbal:

Skin to Skin Contact:
     Skin to skin in an NICU:

    Cochrane Report: Early skin-to-skin contact for mothers and their healthy newborn infants (Review)

  California Model Hospital Policy #5:Nurses, certified nurse midwives, and physicians
  should encourage new mothers to hold their newborns skin to skin during the
  first two hours following birth and as much as possible thereafter, unless contraindicated.

  Baby Friendly Step 4:Help mothers initiate breastfeeding within one hour of birth


    KellyMom: Breastfeeding and Cigarette Smoking

    If I smoke, can I still breastfeed? 

    La Leche League International:   
        Is it safe for a smoker to breastfeed her baby? What about using the nicotine patch and other smoking cessation aids?


         Starting Solids - Utilizing the Baby-led weaning: English Website:
                                 Baby Led Weaning - Spanish website: 

        Frequently Asked Questions:

         Secrets of Baby Behavior: Starting Solids it's worth the wait.


Spanish breastfeeding information        

        BreastMilk Counts: 

        La Leche League:

        US Gov:

        Dar de Mamar:

        Proyecto Lacta (Puerto Rico – high reading level)

        Women’s Health *Spanish*

            Practicing Medical Spanish:

            Teach Me Medical Spanish:

Statistics on Breastfeeding:


Solano County
    Solano County Fact Sheet - 2011: (27th in the state in Exclusive Breastfeeding Rates)

United States:

Storage of Breast Milk
        La Leche League Update:
        Academy of Breastfeeding Medicine Protocol #8:
            Human Milk Storage Information for Home Use for Full-Term Infants (updated 2010)

        Dr. Jack Newman instructions on expressing milk

        Wash hands prior to pumping, and wash pump and bottles carefully, 
        especially when pumping for a baby in intensive care.  


    Supplementation Guidelines
    Supplementation Protocol - Academy of Breastfeeding Medicine 
    How much to supplement
    Finish at the Breast: 

    Supplementation Tools
    At-breast supplementors: 
        Medela Supplemental Nursing System
    Bottle feeding as a tool to support breastfeeding: 
    Haberman Feeder - video on its use: 
    Inserting a lactation aid: (Dr. Jack Newman Video) 


Teen Resources:

       BreastMilkCounts website: 

       Encouraging a Teen mom to Breastfeed:

       California Department of Public Health: Infant Feeding Guidelines:

       Texas WIC Class for Teen Moms:

       Video: Better Breastfeeding: A Guide for Teen Parents

Ten Steps to Successful Breastfeeding

Texas Breastfeeding Promotion, Texas Department of State Health Services  

Thrush (Candida)
    Yeast Infections and Thrush - Pictures
    Additional Resources:
    Kellymom: Thrush Resources
    Dr. Jack Newman Candida Protocol (2009)
        Using Gentian Violet (2009)
    Dr. Jay Gordon: The Identification and Treatment of Thrush    
    La Leche League International: Is thrush causing my sore nipples (2006)
  CAUTION - at times it is not Thrush, but other medical or mechanical issues:
    It's Thrush - or is it?
   If mother and baby are both receiving treatment for Thrush and report little relief in 3 – 4 days:
   • Conduct a re-assessment of breastfeeding: Positioning and latch, tongue tie, etc. AND
   • Refer back to Primary caregivers to rule out other causes (i.e. Raynaud’s, bacterial infections, etc.) 

Tongue Tie (Ankyloglossia) (Also see Frenulum pictures and assessment)

    Professional information

        American Academy of Pediatrics: 
            Frenotomy for breastfed tongue-tied infants: a fresh look at an old procedure  (2012)
        Brian Palmer DDS Powerpoints, presentations and videos: 
        Cincinnati Children's Hospital and Medical Center (CCHMC) Grand Rounds. 
            Much will not be new for IBCLCs, but the discussion toward the end is worth listening through until the end: 

        Dr. James  Murphy’s Clinical Pearl for
diagnosing tongue tie:

        Dr. Lawrence Kotlow PowerPoint: 
Dr. Kotlow demonstrates how to assess a posterior tongue tie:
                                Dr. Kotlow articles and publications:
     Hazelbaker Score Assessment: 

     Swallow study (using Haberman feeder) of a baby with tongue tie: 

     Tongue Tie: from confusion to clarity: 
        Questions and answers:
            Physicians who clip in California:

    Parent information:

       Breastfeeding a baby with tongue tie:  

       Tongue Tie help (Catherine Watson-Genna)



    • "Breastfeeding should not be discouraged for women being treated with the first-line antituberculosis drugs because the concentrations of these drugs in breast milk are too small to produce toxicity in the nursing newborn. For the same reason, drugs in breast milk are not an effective treatment for TB disease or LTBI in a nursing infant. Breastfeeding women taking INH should also take pyridoxine (vitamin B6) supplementation." (Centers for Disease Control and Prevention)
    • (Newly-delivered mother may need temporary interruption when initiating medications) (New York State Department of Health)


Tru-Breast ( Humor )


        Karen Gromada :

        Multiple Birth (Center for the Study of ) 

        Twins(Position photo)

        Twins: Attachment Parenting

        Twins discussion group:  

        Twin to Twin Transfusion Syndrome (TTTS) Foundation



UC Davis Human Lactation Center

UC Davis Breastfeeding Support Program 

United States Breastfeeding Committee (USBC)

UNICEF – United Nations Children’s Fund/Breastfeeding

Upledger Institute  ( CST Practitioners & Training )

U.S. DHHS, Office on Women’s Health, National Women’s Health Information Center

U.S. Department of Health & Human Services (US DHHS)

U.S. Department of Health and Human Services Health Resources and Services Administration  



    Professional resources/information   
 video clips:  
            (see the “Old” section for more…)

        Breastfeeding Ultrasound: 

        International Breastfeeding Centre (Dr. Jack Newman): English  Spanish
                Inserting a lactation Aid
                Tongue tie release
            Other video clips by Dr. Jack Newman: 

           UNICEF Audio/Videos: 

        The Magical Hour:
            Based on the research of Anne Marie Widstrom's 9 stages after birth:  

  • Stage 1: The Birth Cry The first stage is the birth cry. This distinctive cry occurs immediately after birth as the baby’s lungs expand.
  • Stage 2: Relaxation The second stage is the relaxation stage. During the relaxation stage, the newborn exhibits no mouth movements and the hands are relaxed. This stage usually begins when the birth cry has stopped. The baby is skin to skin with the mother and covered with a warm, dry towel or blanket.
  • Stage 3: Awakening The third stage is the awakening stage. During this stage the newborn exhibits small thrusts of movement in the head and shoulders. This stage usually begins about 3 minutes after birth. The newborn in the awakening stage may exhibit head movements, open his eyes, show some mouth activity and might move his shoulders.
  • Stage 4: Activity The fourth stage is the activity stage. During this stage, the newborn begins to make increased mouthing and sucking movements as the rooting reflex becomes more obvious. This stage usually begins about 8 minutes after birth.
  • Stage 5: Rest At any point, the baby may rest. The baby may have periods of resting between periods of activity throughout the first hour or so after birth.
  • Stage 6: Crawling The sixth stage is the crawling stage. The baby approaches the breast during this stage with short periods of action that result in reaching the breast and nipple. This stage usually begins about 35 minutes after birth.
  • Stage 7: Familiarization The seventh stage is called familiarization. During this stage, the newborn becomes acquainted with the mother by licking the nipple and touching and massaging her breast. This stage usually begins around 45 minutes after birth and could last for 20 minutes or more.
  • Stage 8: Suckling The eighth stage is suckling. During this stage, the newborn takes the nipple, self attaches and suckles. This early experience of learning to breastfeed usually begins about an hour after birth. If the mother has had analgesia/anesthesia during labor, it may take more time with skin to skin for the baby to complete the stages and begin suckling.
  • Stage 9: Sleep  The final stage is sleep. The baby and sometimes the mother fall into a restful sleep. Babies usually fall asleep about 1½ to 2 hours after birth.


    Patient DVD/Video Resources/information  


        Getting to Know Your Baby:        

        Hand expression:          

        Laid Back Breastfeeding (Biological Nurturing) 

        Maximizing pumping production: 

        Nursing Is Normal: 

        On-line Videos:             
            United Kingdom: 
                Baby Communication
                Ways of supporting your sick or premature baby 
                Hand expression:  
                Skin to skin in an NICU:  
                Bathing your baby: 
                     - Daddy giving the first bath 
                From Bump to Breastfeeding: 

Video Reviews: The International Lactation Consultant Association provides a Print and Multimedia Review quarterly for their members.  
    Members can access it through:



         Frequently Asked Questions:

         Weaning Techniques:

Weaning due to Medical conditions or medications:

  • Temporary suspention of breastfeeding (even for a short period of time)
  • Permanent cessation of breastfeeding (contact baby's health care provider to discuss appropriate feeding choices)

Weight Loss Surgery and Breastfeeding (see Bariatric Surgery)

Weight loss charts: 7%, 10% as well as Weight Loss Calculator

Womanly Art of Breastfeeding:

Women’s Health *Spanish*

Wellstart International

WIC – Food & Nutrition Service FNS USDA        
                Loving support makes breastfeeding work

                 Loving Support Peer Counselor Training

WIC - California:     
        Handouts for Moms:

WIC - Solano County

Working Mothers(See also: Child Care and Bottle Feeding)

            (also see Lactation Accommodation Law)

            Breastfeeding Works: 
                Handouts for mothers and child care workers in English and Spanish
            Working & Breastfeeding: It Can Work! Self Advocacy Tool Kit 
            California Department of Public Health: Going Back to Work or School website:

            Pumping Strategies for Working Mothers: 

            Work and pump:

            Workplace Lactation Consultants:

            Video: Maximizing milk production through hand expression after pumping

World Alliance for Breastfeeding Action (WABA)

World Breastfeeding Week (WBW)

World Health Organization (WHO) Breastfeeding 
        World Health Organization International Code of Marketing of Breast Milk Substitutes
                Explanation of the Code:
                Code Monitoring - International:
                US Code Monitoring:
                    Latest report:

        WHO Global Data Bank on Breastfeeding  


X-Rays - See "Radiocontrast Agents"


Created and Edited by Karen Evon, updated in collaboration with Jeanette Panchula

Updated January, 2013