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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]