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Table 1 Summary of Breastfeeding Supportive Office Practicesa and steps implemented at the pediatric practice in Trieste

From: Prevalence of breastfeeding in a baby-friendly pediatric practice: an experience in Trieste, Italy

Steps Steps implemented
Have a written breastfeeding-friendly office policy No
Train staff in breastfeeding support skills Yes
Discuss breastfeeding during prenatal visits and at each well-child visit Yes
Encourage exclusive breastfeeding for 6 months Yes
Provide appropriate anticipatory guidance that supports the continuation of breastfeeding as long as desired Yes
Incorporate breastfeeding observation into routine care Yes
Educate mothers on breast-milk expression and return to work Yes
Provide noncommercial breastfeeding educational resources for parents No
Encourage breastfeeding in the waiting room, but provide private space on request Yes
Eliminate the distribution of free formula Yes
Train staff to follow telephone triage protocols to address breastfeeding concerns Yes
Collaborate with the local hospital or birthing center and obstetric community regarding breastfeeding-friendly care Yes
Link with breastfeeding community resources Yes
Monitor breastfeeding rates in your practice Yes
  1. aAdapted from: Meek JY, Hatcher AJ, AAP Section on Breastfeeding. The breastfeeding-friendly pediatric office practice. Pediatrics. 2017;139:e20170647 [22]