The New policy statement by the AAP ( 
www.pediatrics.org/cgi/content/full/115/2/496 )is authored by Lawrence Gartner and Dr. Eidelman. Kudos to them and 
all the other authors for a very well written with very specific 
recommendations.  A few highlights are:

1. breast pumps and lactation consultations should be covered by insurance 
payments.
2. Infant should be placed skin to skin immediately after delivery and not 
moved until after the first feeding is accomplished.  (other procedures that 
should be delayed are even outlined)
3. Formal evaluation of milk transfer should occur twice daily in the 
hospital.
4.  3-5 days postpartum the infant should be evaluated and this included 
assessing latch, positioning and MILK TRANSFER.
5.  They stick with the duration of BF statement of one year and beyond but 
then also outline that THERE IS NO UPPER Limit and no evidence of harm from BF 
3 year or more. 
6.  Mother and infant should sleep in proximity to each other. 

For what it is worth, the only thing I did not agree with is the 
recommendation to give all newborns VIt D--As I believe doing an assessment of risk is 
important and more reasonable. 
Chris

Christine Betzold NP IBCLC MSN

www.theBFclinic.com

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