Great article just published in 
Pediatrics.  Great work by the IBCLCs 
concerned.  Great PR for our profession. :-)

<http://pediatrics.aappublications.org/content/early/2013/03/27/peds.2012-1310.abstract>http://pediatrics.aappublications.org/content/early/2013/03/27/peds.2012-1310.abstract 


Evaluation of an Office Protocol to Increase Exclusivity of Breastfeeding
Sharon K. Corriveau, DNP, RN, CFNP, IBCLCa, Emily 
E. Drake, PhD, RNb, Ann L. Kellams, MD, IBCLCc, and Virginia G. Rovnyak, PhDb
Pediatrics, Published online April 1, 2013  (doi: 10.1542/peds.2012-1310)
+
  Author Affiliations
aLoudoun Pediatric Associates, Leesburg, Virginia;
bSchool of Nursing, University of Virginia, Charlottesville, Virginia; and
cNewborn Nursery, University of Virginia, Charlottesville, Virginia
Abstract

OBJECTIVE: The purpose of this study was to 
determine whether implementing a program based on 
a clinical protocol affects breastfeeding rates 
within a pediatric primary care setting. 
Increasing breastfeeding rates is an important 
public health initiative identified by multiple agencies.

METHODS: The Academy of Breastfeeding Medicine 
(ABM) clinical protocol (“The 
Breastfeeding-Friendly Physician’s Office, Part 
1: Optimizing Care for Infants and Children”) was 
used as a template for the provision of 
breastfeeding services within a pediatric primary 
care clinic. There were 757 mother–infant pairs 
included in the study. A retrospective 
before-and-after study design was used. Data 
collection points included the hospital stay, the 
newborn visit, and the 2-, 4-, and 6-month health 
maintenance visits. The 2 groups were compared to 
estimate the protocol’s effectiveness as a method 
of increasing breastfeeding rates.

RESULTS: The results of this evaluation were 
positive for exclusive breastfeeding, with group 
comparisons showing a statistically significant 
increase in exclusive breastfeeding rates at all 5 time points.

CONCLUSIONS: Our diverse patient population 
within a pediatric practice had increased 
initiation rates and exclusive breastfeeding 
rates after implementation of the ABM’s 
breastfeeding-friendly protocol. Families who 
receive care in a pediatric primary care setting 
that has implemented the ABM clinical protocol 
may have increased rates of exclusive breastfeeding.

Pamela Morrison IBCLC
Rustington, England


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