I am resending this.  I originally sent it on May 24 and have been
surprised to  get no reaction. Let me know what you think of it please.
Sincerely, Pat in SNJ

> NAPNAP  Position Statement  on Breastfeeding
> The National Association of Pediatric Nurse Associates and Practitioners'

> (NAPNAP)   goal is to enhance the quality of health care for all
children.
>  To  support this goal, NAPNAP encourages nutritional practices that
> contribute to optimum child health, growth and development.  NAPNAP
> identifies breastfeeding as the natural and preferred method of infant
> feeding and human milk as superior to all substitute feeding options.
> Breastfeeding provides complete infant nutrition and immunologic
> protection, facilitates maternal-infant attachment, and reduces health
care
> costs (Montgomery and Splett, 1997).  Additional advantages for infants,
> families and society include positive developmental and psychosocial
> benefits, maternal health advantages, and environmental protection.
> Benefits of breastfeeding are maximized with exclusive breastfeeding for
> about six months and continued breastfeeding through the first twelve
> months and beyond (AAP, 1997; ACOG, 2000: ADA, 1997; DHHS, 2000: USBC,
> 2000).
>
> Breastfeeding promotion and support are an integral component of
pediatric
> health care.  Pediatric nurse practitioners (PNPs)  should advocate
> breastfeeding by providing families with accurate  and current
information
> on the benefits of breastfeeding and eliminating barriers to
breastfeeding.
>  PNPs should have a significant impact on breastfeeding practices by
> supporting breastfeeding efforts of patients  and implementing strategies
> for increasing breastfeeding rates and duration, including anticipatory
> guidance and clinical assistance.
>
> PNP educational programs should prepare PNPs for primary, secondary and
> tertiary  care   management of the breastfeeding dyad, providing a solid
> knowledge base and skill level to effectively manage  the care of
> breastfeeding infants.  NAPNAP recommends that all PNP educational
programs
> provide comprehensive,  culturally appropriate, and research-based
> education and clinical experiences in lactation and breastfeeding.
NAPNAP
> encourages continuing education  in this area.
>
> NAPNAP recognizes that there may be individual circumstances in which
> breastfeeding is contraindicated.  PNPs should use appropriate
> breastfeeding-focused resources to advise women regarding issues related

> to breastfeeding, maternal  health, and medications.
>
> NAPNAP encourages its membership to:
>
> 1. Provide leadership  in facilitating an informed choice on infant
feeding
> practices by   families through patient education programs promoting
> breastfeeding.
>
> 2. Actively promote and support breastfeeding within their individual
> practice settings and the community at large.
>
> 3. Participate in the design and implementation of local and national
> policies that promote and support breastfeeding and remove barriers to
> breastfeeding, including in the workplace.
>
> 4. Work with birthing facilities to ensure evidence-based guidelines  and
> practices (i.e., The Baby Friendly Hospital Initiative) conducive to
> lactation are implemented  (Randolph et al., 1994).
>
> 5. Support the goals of Healthy People 2010  to  increase breastfeeding
> rates to 75% at birth, 50% continuation until six months of age, 25%
> continuation  at 12 months and beyond (Healthy People 2010, 1999).
>
> 6. Serve as an  educational resource for other health professionals
> regarding the benefits of breastfeeding, thus correcting personal biases
> and knowledge deficits which  may  hinder breastfeeding promotion.
>
> In summary, NAPNAP acknowledges the importance of breastfeeding to
infants,
> mothers, families, and society.  Further, NAPNAP encourages PNPs to
> promote, protect, and support breastfeeding, as normal, expected, and
> achievable.
>
> References
>
>       American Academy of Pediatrics. (1997).  Breastfeeding and the use of
> human  milk.  Pediatrics, 100(6), 1035-1039.
>
>       American College of Obstetricians and Gynecologists.  (2000).
> Breastfeeding: Maternal and  Infant Aspects.  ACOG Educational Bulletin,
> 258, 3-15.
>
>       American Dietetic Association.  (1997).  Promotion  of breastfeeding.
> Journal of the American Dietetic Association, 97(6), 662-6.
>
>       Department  of Health and Human Services. (2000).  HHS Blueprint for
> action on breastfeeding. [On-line].  Available:
> http://www.4woman.gov/Breastfeeding/blueprntbk2.pdf.
>
>       Healthy People 2010.  (1999).  [On-line]  Available:
> http://www.health.gov/healthypeople/PrevAgenda/default.htm.
>
>       International Lactation Consultant Association.  (1999).  Evidence-based
> guidelines for breastfeeding management during the first fourteen days.
> Raleigh, N.C. Author.
>
>       Montgomery, D.L. & Splett, P.L. (1997).  Economic benefit of
> breast-feeding infants enrolled in WIC.  Journal of American Dietetic
> Association, 97(4), 379-85.
>
>       Morrison, P.  (1999).  HIV and Infant feeding: to breastfeed or not to
> breastfeed: the dilemma of competing risks.  Breastfeeding Review, 7(3),
> 11-20.
>
>       Randolph, L., Cooper, L., Fonseca-Becker,  F., York, M. & McIntosh, M.
> (1994).  Baby Friendly Hospital Initiative Feasibility Study: Final
Report.
>  Healthy Mothers, Healthy Babies National Coalition Expert Working Group.

> Internal document.  Washington, DC: U.S. Department of Health and Human
> Services.
>
>       United States Breastfeeding Committee. (2000, August).  Statement on
> exclusive breastfeeding.  Presented at the bi-annual meeting of  the
United
> States Breastfeeding Committee, Washington, DC.
>
> Approved 4/93
> Revised 03/13/2001 (Designation: Regular)
>
> NAPNAP, 1101 Kings Highway, Suite 206, Cherry Hill NJ 08034-1912
> E-mail:  <[log in to unmask]>  Internet: <www.napnap.org>
> 856-667-1773 / Toll free: 877-662-7627/ Fax: 856-667-7187
>
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