Putting Prevention into Practice
An Evidence-Based Approach
Primary Interventions to Support Breastfeeding
Am Fam Physician. 2017 Apr 15;95(8):517-518.
Author disclosure: No relevant financial affiliations.
A.R., a 26-year-old woman, presents for a routine prenatal visit at 28 weeks' gestation. Her medical history is significant for poorly controlled asthma, and her family history is significant for breast cancer diagnosed in her mother. Her physical examination is unremarkable.
Case Study Questions
According to the U.S. Preventive Services Task Force (USPSTF) recommendation, when should interventions to support breastfeeding occur?
A. They should be initiated only if the patient asks about breastfeeding.
B. They should be initiated in the hospital within 24 hours of delivery.
C. They can take place at any time before or after birth, but are more likely to be effective if they take place multiple times.
D. They can wait until the patient is in her third trimester of pregnancy.
Which of the following statements about primary care interventions to support breastfeeding are correct?
A. Different types of interventions should not be combined.
B. One-on-one counseling with a health professional has been shown to increase breastfeeding duration and exclusivity.
C. One-on-one counseling with a peer counselor who has received training in how to provide breastfeeding support has been shown to increase breastfeeding duration and exclusivity.
D. Formal education programs have been shown to increase breastfeeding duration and exclusivity.
A.R. wants to breastfeed to reduce the baby's risk of asthma but is worried about managing breastfeeding while working full time and going to school.
1. US Preventive Services Task Force. Primary care interventions to support breastfeeding: US Preventive Services Task Force recommendation statement. JAMA. 2016;316(16):1688–1693.
2. Patnode CD, Henninger ML, Senger CA, Perdue LA, Whitlock EP. Primary care interventions to support breastfeeding: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2016;316(16):1694–1705.
This PPIP quiz is based on the recommendations of the USPSTF. More information is available in the USPSTF Recommendation Statement and the supporting documents on the USPSTF website (http://www.uspreventiveservicestaskforce.org). The practice recommendations in this activity are available at https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/breastfeeding-primary-care-interventions.
This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.
A collection of Putting Prevention into Practice published in AFP is available at http://www.aafp.org/afp/ppip.
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