ITEMS IN AFP WITH KEYWORD:
Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.
Aug 1, 2019 Issue
Skin-to-Skin Contact for Improved Duration of Breastfeeding [FPIN's Help Desk Answers]
Skin-to-skin-contact in the immediate postnatal period should be recommended to all mothers because it is associated with a higher likelihood of exclusive breastfeeding at hospital discharge and for up to six months afterward (number needed to treat [NNT] = 5 to 8).
Breastfeeding is beneficial to both the mother and infant. Although most mothers initiate breastfeeding after birth, breastfeeding rates drop significantly by six months. Postdischarge primary care support for breastfeeding mothers and infants can increase breastfeeding rates and duration.
Mar 1, 2018 Issue
Effect of Pacifier Use on Duration of Breastfeeding [Cochrane for Clinicians]
In healthy, full-term, breastfeeding infants, there is moderate evidence that unrestricted pacifier use, started at birth or after lactation has been established, does not decrease the likelihood of continued exclusive or partial breastfeeding through four months of age.
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.
Apr 15, 2017 Issue
Primary Care Interventions to Support Breastfeeding: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF recommends providing interventions during pregnancy and after birth to support breastfeeding.
Use of hormonal contraception does not appear to shorten breastfeeding duration or negatively impact infant growth, based on inconsistent evidence of moderate quality. It is unclear if hormonal contraception negatively impacts breast milk volume or composition. Overall, there was limited evidence re...
Family physicians can have an important role in promoting breastfeeding, and are well positioned to provide support in the context of family-centered care. The position paper from the American Academy of Family Physicians (AAFP) provides key recommendations to assist family physicians in filling this role.
Breastfeeding duration, rather than exclusivity, may be the most important factor in prevention of atopic diseases. Earlier introduction of foods commonly associated with allergies may help prevent allergic and atopic diseases, but these data are inconclusive.