Being baby friendly: evidence-based breastfeeding support

Abstract

Breast feeding improves important outcomes for mothers and infants. In the UK, breastfeeding rates have historically been low, particularly among socially disadvantaged young women. Although there have been gradual increases in breastfeeding initiation rates since 2000, rates of exclusive breast feeding and continuation until 6 months remain lower than those in similar countries. This review summarises the evidence for effective and cost-effective strategies to help women, particularly those in low income groups, make informed choices, overcome barriers and establish and maintain breast feeding. We describe the development and impact of the Unicef Baby Friendly Initiative, and the roles and responsibilities, and challenges and opportunities that clinicians have in promoting breast feeding and maintaining a baby-friendly culture and environment.

Support for breastfeeding is an environmental imperative

“…Powdered infant formula can be made safely only with water that has been heated to at least 70°C 16. In the UK, the estimated energy cost of boiling kettles for families that formula feed over the first year of life equates to over 1.5 million kg of CO 2 ,17 equivalent to charging almost 200 million smartphones 18…”

The Watch Study – Alarm Watch for Treating Daytime Urinary Incontinence

“…Early antenatal support and education is crucial for successful breastfeeding and this needs to be addressed. (3,5).…”

Maternal Social Background and Mental Health has a Significant Impact On the Success of Breastfeeding in the Term, Healthy Newborn

“…Early antenatal support and education is crucial for successful breastfeeding and this needs to be addressed. (3,5).…”