Hi Susie

Good luck; I have been invited on to a 2 hour chat show on Monday evening, 
so I'm delving into this too :-)

I would say to all mothers - skin to skin contact from birth, no separation. 
Then the baby will most likely breastfeed....:-)

Tell them about the breastcrawl video (there are a few and you can google). 
All suckling should be done at the breast.  Also that even adoptive mothers 
can bring in a supply, so most birth mothers surely can.  Hand expression or 
hands on pumping in the first 3 days maximises output if they are separated 
from their babies (Two Effective Hand Techniques: Hand expression and 
Hands-on Pumping, Morton J, J Perinatol. 2009 Nov;29(11):757-64. Epub 2009 
Jul 2)

Abbreviate from the 10 Steps (as in the World Breastfeeding Week theme this 
year) - http://www.worldbreastfeedingweek.org/ for more ideas.

In brief, the 10 Steps for better success in breastfeeding are that 
institutions where mothers birth should:

1.      Have a written breastfeeding policy that is routinely communicated 
to all health care staff.
2.      Train all health care staff in skills necessary to implement this 
policy.
3.      Inform all pregnant women about the benefits and management of 
breastfeeding.
4.      Help mothers initiate breastfeeding within a half-hour of birth.
5.      Show mothers how to breastfeed and how to maintain lactation, even 
if they should be separated from their infants.
6.      Give newborn infants no food or drink other than breast milk unless 
medically indicated.
7.      Practice rooming- in - allow mothers and infants to remain 
together - 24 hours a day.
8.      Encourage breastfeeding on demand.
9.      Give no artificial teats or pacifiers (also called dummies or 
soothers) to breastfeeding infants.
10.  Foster the establishment of breastfeeding support groups and refer 
mothers to them on discharge from the hospital or clinic.

DiGirolamo AM, Pediatrics 2008; 122:S43-S49 in a study of 1907 mothers said 
that the most important of these was initiation in the first hour, no 
supplementation, no pacifiers or bottles.  Throw in demand feeding, rooming 
in and discharge to support group, and outcomes for breastfeeding were 13 
times better than having none of those steps in place.

And finally, breastfeeding is fun, babies love it, mothers glory in it once 
it is going well.

Guess your 3 minutes are up!

Best wishes
Jacquie Nutt IBCLC
South Africa

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