Jaye:  I have taught such a class for 20+ years.  I teach a 6 hour prenatal 
breastfeeding class ( three 2 hour classes a week apart).  The first class I 
gear towards answering questions parents have about breastfeeding, dispelling 
myths, breastfeeding in an unsupportive culture, and some basic A&P.  The 
2nd class we get more into the mechanics of breastfeeding, as well as how to 
deal with problems, when/how to introduce solid foods; mother-led and baby-
led weaning.  The 3rd class I call my returning to work and breastfeeding 
class.  We discuss pumps ( I have a wide variety I "review" in the class as well 
as any pumps the couples may have already been given or purchased; how to 
pump; I show moms how to fit breastfeeding into their particular lifestyles; milk 
storage; day care issues; introducing the bottle ( I have a variety of 
bottles/nipples to show).  This 3rd class has always been very popular - the 
couples come for the 1st class with questions about pumping and bottles.  I 
ask if they can wait until the 3rd class!  Let's learn how to breastfeed 1st, 
then figure out how to fit it into lifestyles.
Several times over the years I have tried offering such a class for PP moms 
and their babies who are at least a month old.  Have never had very good 
attendance - don't know if moms are still too overwhelmed with new 
motherhood or what.  I find a lot of my phone calls as well as my support 
group discussions deal with the "fitting breastfeeding into my lifestyle" topics.
Now whether this falls under Code compliance, I don't know, but I try to 
meet "consumer demand" and this is what my moms are telling me they need.  
I have many a mom tell me they would not be breastfeeding for as long as 
they did (or are) if not for the information they got from the 3rd class, through 
the support group, or in a phone conversation with me.
Simply put, breastfeeding duration is increased if a mom finds a way to 
successfully incorporate it into HER lifestyle.


Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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