Index P - Z

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Paced Bottle Feeding: 
        Kellymom Bottle Feeding Information (link)  
        La Leche League International Handout    


    Academy of Breastfeeding Medicine: Pacifiers and Breastfeeding

    Additional  resources/information on Pacifiers   
            La Leche League International
            Baby Gooroo   
    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 

   Breastfeeding Materials: Barbara Wilson-Clay and Kay Hoover 
Birth and Beyond - Train the Trainer - Photo Bibliography
 Photographs - Consent to Photograph        Example of a consent - (Bilingual, English/Spanish) (
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).

     Transitioning Newborns from NICU to Home: A Resource Toolkit by the 
        Agency for Healthcare Research and Quality The toolkit provides resources for hospitals 
        that wish to improve safety when newborns transition home from their neonatal intensive 
        care unit (NICU) by creating a Health Coach Program, tools for coaches, and information 
        for parents and families of newborns who have spent time in the NICU

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
American Academy of Pediatrics:
          Breastfeeding Residency Curriculum  
          Health Professionals Resource Guide  
          Academy Of Breastfeeding Medicine

        International Board of Lactation Consultant Examiners (IBLCE)
          Information about becoming an IBCLC  

         California Breastfeeding Coalition 
Conferences and Programs 
        International Lactation Consultant Association (ILCA): 

          Directory of Lactation Management Courses

          Lactation Education Accreditation and Approval Review Committee (LEAARC)
                How to get approvals for lactation course programs

           United States Lactation Consultant Association (USLCA):  Education

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 (

    La Leche League Pumping Log: 

    UC San Diego logs - English and Spanish: 


Radiological Tests - (x-Ray, MRI, Ultrasound) usually no problem with breastfeeding
               Breastfeeding and Radiological Procedures
     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
         References: (
English) and Spanish 
         Handouts:  (
English) (Spanish)

    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 :
   The UC Davis Lactation Center maintains an excellent website which provides true 
   evidence-based information written by researchers who are also experiencing, or 
   have experienced childbirth and the trials and tribulations of being new parents: 
   You may find it helpful to start with the first five, starting with: 
    - It’s Not Rocket Science 
    - Baby Behavior Basics Part 1 - Three Reasons Why Babies Don’t Sleep Through the Night 
    - Baby Behavior Basics Part 2 - The Many Moods of Babies
    - Baby Behavior Basics Part 3: Learning and Creating Your Baby’s Special Language
    - Baby Behavior Basics Part 4: Crying: Your Baby’s Super Power. 

  Scholarly literature search ;

SIDS (see Sudden Infant Death and Co-Sleeping)

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 

Infant sleep: Secrets of Baby Behaviors; The Science of Infant Sleep
    Why we don't like Sleep Training for Infants: Part IPart II


    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 - Baby Led Weaning:
            Gil Rapley: 
               Healthcare professionals’ and mothers’ knowledge of, attitudes to and experiences with, 
                Baby-Led Weaning: a content analysis study 
                BMJ Open 2:e001542 doi:10.1136/bmjopen-2012-001542 
             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:

                This improvement in initiation represents the largest annual increase over the previous decade. 
                    Breastfeeding at 6 months increased from 44.3% to 47.2%; 
                    Breastfeeding at 12 months increased from 23.8% to 25.5%.

Stopping breast milk production (see "Suppression of Breast Milk Production")

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.  
Sudden Infant Death and Co-Sleeping
    Infant Sleep Information Source (
     CDPH: Guidance for Local Health Jurisdictions and Communities Addressing Infant Safe Sleep Environments
     Safe Sleep for You and Your Baby : A Guide for Breastfeeding Families   


    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) 

Suppression of Breast Milk Production 



Tandem Breastfeeding - breastfeeding two or more children of different ages
La Leche League: 
        Kelly Mom
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   

Texting Breastfeeding Information:
    Breastfeeding Texting Campaign, from NY 
        The New York City Department of Health and Mental Hygiene has launched Mobile Milk
        a text messaging campaign to encourage and support breastfeeding. Text messages are 
        delivered between 28 weeks of pregnancy and four months after birth. During pregnancy, 
        women receive 1–2 messages per week, which provide information and tips for preparing 
        to breastfeed. After delivery, mothers receive text messages 3–4 times per week, providing 
        guidance and support during the first weeks and months of breastfeeding. 
        To sign up, text "MILK" to 877877.

Thrush (Candida)
Yeast Infections and Thrush - Pictures
    Additional Resources:
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)

         California Perinatal Quality Care Consortium; Tongue Tie:

        Cincinnati Children's Hospital and Medical Center (CCHMC) Grand Rounds. 
            Much will not be new for IBCLCs, but listen to the discussion near 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 for Tongue Tie: 

        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:

    Historical Information:  
        Brian Palmer DDS Powerpoints, presentations and videos: 

    Parent information:

       Breastfeeding a baby with tongue tie:  

       Tell me about tongue ties (Breastfeeding USA) 

        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


    With Baby: Lactation Training: Tips for traveling with your baby 
    Without Baby: Lacation Training: Tips for traveling without your baby

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) 



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 their “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: (Link
           UNICEF Audio/Videos: 

        The Magical Hour:
            Based on the research of Anne Marie Widstrőm'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:      
           Breastfeeding Naturally: New Zealand Health Ministry (New Zealand Accents!) 

           Teach me how to breastfeed - Fun way to learn the facts about breastfeeding
           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:



         Baby led weaning - allowing baby to start solid foods on their own - see "Solids"

         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   
            California Department of Public Health: Going Back to Work or School website:

              California Department of Public Health - Information for their employees:

            Pumping Strategies for Working Mothers: 

            Work and pump:  
            Working & Breastfeeding: It Can Work! Self Advocacy Tool Kit 

            Workplace Lactation Consultants:  

            Video: Maximizing milk production through hand expression after pumping 

World Alliance for Breastfeeding Action (WABA)
    WABA Breastfeeding Gateway:  Up to date information on Breastfeeding and Human Lactation

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"
    (x-Ray, MRI, Ultrasound) usually no problem with breastfeeding
    Breastfeeding and Radiological Procedures


YouTube Videos
    "Teach me how to Breastfeed"