Annotation: This document, which is focused on the importance of breastfeeding and breastfeeding promotion, describes a plan for changing breastfeeding practices in Illinois. The document discusses the evidence base for breastfeeding, including benefits for mothers, psychosocial benefits, and benefits for families and communities. Illinois breastfeeding data are also presented.

Contact: Illinois Breastfeeding Blueprint, E-mail: http://www.ilbreastfeedingblueprint.org/pages/contact_us/12.php Web Site: http://www.ilbreastfeedingblueprint.org/ Available from the web site.

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Keywords: State surveys, Breastfeeding, Breastfeeding promotion, Communities, Families, Illinois, Infant health, Mental health, Statistical data, Women's health

Annotation: This fact sheet explains how physicians and other health professionals can support breastfeeding in clinical care practices. It describes how doctors can support their patients' intentions to breastfeed; provide best practices guidelines and breastfeeding support; avoid serving as advertisers for infant formula; develop skilled lactation care teams; and help create health care systems that guarantee continuity of skilled support for lactation between hospitals and health care settings in the community. Included are key actions steps identified by the Surgeon General to support breastfeeding in clinical care and a call for changes in clinical care practices that promote breastfeeding.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: cdc@cdcinfo.gov Web Site: http://www.cdc.gov Available from the website.

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Keywords: Breastfeeding promotion, Breastfeeding promotion campaigns, Family support, Health care systems, Lactation management, Physicians, Public health

Annotation: This fact sheet explains how to support breastfeeding in health care systems by improving maternity care practices, providing breastfeeding support after hospital discharge, improving clinician knowledge and skills, including breastfeeding support as a standard of care, and developing skilled lactation care teams. Included are key actions steps identified by the Surgeon General to support breastfeeding in health care systems and a call for changes in health care that promote breastfeeding.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: cdc@cdcinfo.gov Web Site: http://www.cdc.gov Available from the website.

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Keywords: Advocacy, Breastfeeding promotion, Breastfeeding promotion campaigns, Health care systems, Public health

Annotation: This fact sheet explains how nurses can help breastfeeding mothers in clinical care practices. It describes how nurses can support mothers' intentions to breastfeed; promote breastfeeding as a standard of care; seek out opportunities to improve knowledge and skills; develop skilled lactation care teams. and provide breastfeeding support after hospital discharge. Included are key actions steps identified by the Surgeon General to support breastfeeding in clinical care and a call for changes in clinical care practices that promote breastfeeding.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: cdc@cdcinfo.gov Web Site: http://www.cdc.gov Available from the website.

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Keywords: Breastfeeding promotion, Breastfeeding promotion campaigns, Family support, Health care systems, Lactation management, Nurse clinicians, Physicians, Public health

Annotation: This fact sheet outlines breastfeeding provisions in the Patient Protection and Affordable Care Act (ACA) and discusses how maternal and child health programs can use the ACA to strengthen breastfeeding efforts for women. Topics include breastfeeding support, counseling, and equipment, as well as reasonable break time and appropriate space in the workplace. Sources and selected resources for further information are provided.

Contact: Association of Maternal and Child Health Programs, 2030 M Street, N.W., Suite 350, Washington, DC 20036, Telephone: (202) 775-0436 Fax: (202) 775-0061 E-mail: info@amchp.org Web Site: http://www.amchp.org Available from the website.

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Keywords: Breastfeeding, Health care reform, Legislation, State MCH programs, Women, Working mothers, Workplace health promotion

Annotation: This kit is designed for educating pediatricians, physicians; public health workers; nurses; hospital, clinic, or private practice staff; dentists; and others on the topic of breastfeeding support and promotion. The content is presented in five sections, each of which contains presentation slides and notes. Topics include the benefits, process, management, and advocacy of breastfeeding.

Contact: American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, IL 60007-1098, Telephone: (847) 434-4000 Fax: (847) 434-8000 Contact E-mail: lactation@aap.org Web Site: http://www.aap.org Available from the website.

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Keywords: Breastfeeding, Breastfeeding promotion, Breastfeeding promotion programs

Annotation: This report describes steps that mothers and their families, communities, clinicians, employers, researchers, and government leaders can take to participate in a society-wide approach to support mothers and babies who are breastfeeding. Topics include the importance of breastfeeding, rates of breastfeeding, and barriers to breastfeeding in the United States. Recommended actions and their associated implementation strategies are detailed.

Contact: U.S. Office of the Surgeon General, 5600 Fishers Lane, Room 18-66, Rockville, MD 20857, Telephone: (301) 443-4000 Fax: (301) 443-3574 Web Site: http://www.surgeongeneral.gov/index.html Available from the website.

• Full Report
• Executive Summary

Keywords: Barriers, Breastfeeding promotion, Community action, Infant feeding, Infant nutrition, Lactation management, National initiatives, Public health infrastructure, Public policy, Public private partnerships

Annotation: This report presents the strategic plan of the United States Breastfeeding Committee (USBC) to promote breastfeeding in the United States. It contains sections on the mission and vision of the USBC and details specific goals. These goals are: to ensure that quality breastfeeding services are an essential component of health care for all families, to reduce marketing that undermines optimal breastfeeding, to increase protection, promotion and support for breastfeeding mothers in the workforce, and to ensure the sustainability and effectiveness of the USBC. Strategies for each goal are provided. [Funded by the Maternal and Child Health Bureau]

Contact: United States Breastfeeding Committee, 2025 M Street, N.W., Suite 800, Washington, DC 20036, Telephone: (202) 367-1132 Fax: (202) 367-2132 E-mail: office@usbreastfeeding.org Web Site: http://www.usbreastfeeding.org Available from the website.

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Keywords: Breastfeeding promotion, Infant health, Infant nutrition, Strategic plans

Annotation: This document presents presentations and discussions from a workshop held to provide input on how to effectively build on the successes of the national breastfeeding support and promotion campaign, Loving Support Makes Breastfeeding Work, launched in 1997. The workshop focused on using an evidence-based social marketing strategiy to make the campaign relevant and effective. The document summarizes opening remarks from the president of the National WIC Association; discusses changes over the past 15 years; describes lessons learned from other public health campaigns; and discusses suggestions for moving the social marketing campaign forward, including program components and messages, communication tools, implementation tools for state WIC programs, strategic community-based partnerships, identification of research gaps, and evaluation of program success.

Contact: National Academies Press, 500 Fifth Street, N.W., Keck 360, Washington, DC 20001, Telephone: (202) 334-3313 Secondary Telephone: (888) 624-8373 Fax: (202) 334-2451 E-mail: customer_service@nap.edu Web Site: http://www.nap.edu Available from the website after free registration; $38.75, plus shipping and handling. Document Number: ISBN 978-0-309-21919-8.

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Keywords: Breastfeeding promotion, Breastfeeding promotion programs, Communication, Community programs, Program evaluation, Public awareness campaigns, Research, WIC Program

Annotation: This report discusses a study of the Loving Support Peer Counseling Program, an initiative designed to increase breastfeeding initiation and duration rates for WIC participants and to increase community support for WIC participants who breastfeed. The report focuses on the implementation component of the study; an impact component is also being developed. The report summarizes information collected through a Web-based survey on how states, Indian tribal organizations, and territories (ITOT) implement peer counseling programs using the Loving Support model to understand how Loving Support peer counseling is being used at the state and ITOT levels. The report describes the general characteristics of local WIC agencies (LWAs) implementing the program and compares them to those that are not currently implementing it. The report also summarizes information about Loving Support Peer Counseling Program operations from 40 LWAs selected to represent LWAs that implement the program. The report concludes with five local case studies of the Loving Support Peer Counseling Program.

Contact: U.S. Food and Nutrition Service, 3101 Park Center Drive, Alexandria, VA 22302, Web Site: http://www.fns.usda.gov/fns Available from the website.

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Keywords: Breastfeeding promotion, Case studies, Initiatives, Local programs, Peer counseling, Program evaluation, Programs, State programs, WIC program

Annotation: This report presents core competencies in breastfeeding care and service that provide health professionals with a guideline and framework to integrate evidence-based breastfeeding knowledge, skills, and attitudes into their standard health care deliver practices. The report presents the minimum knowledge, skills, and attitudes that all health professionals need to have in order to provide care that protects, promotes, and supports breastfeeding and also presents a more comprehensive list of core competencies in these three areas. [Funded by the Maternal and Child Health Bureau]

Contact: United States Breastfeeding Committee, 2025 M Street, N.W., Suite 800, Washington, DC 20036, Telephone: (202) 367-1132 Fax: (202) 367-2132 E-mail: office@usbreastfeeding.org Web Site: http://www.usbreastfeeding.org Available from the website.

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Keywords: Attitudes, Breastfeeding, Breastfeeding promotion, Competence, Knowledge level

Annotation: This report explains how hospitals and maternity facilities can implement the core measure on exclusive breast milk feeding which is one of the Perinatal Care core measures that replaced The Joint Commission's Pregnancy and Related Conditions core measures set beginning in April 2010. The report provides guidelines to help health professionals achieve compliance with the new measure by collecting data that supports exclusive breast milk feeding, defined by The Joint Commission as "a newborn receiving only breast milk and no other liquids or solids except for drops or syrups." It explains how compliance may require facilities to modify their paper charts and/or electronic medical records and includes examples from exemplary hospitals that already collect data on exclusive breast milk feeding.

Contact: United States Breastfeeding Committee, 2025 M Street, N.W., Suite 800, Washington, DC 20036, Telephone: (202) 367-1132 Fax: (202) 367-2132 E-mail: office@usbreastfeeding.org Web Site: http://www.usbreastfeeding.org Available from the website.

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Keywords: Breastfeeding, Data collection, Guidelines, Hospital accreditation, Measures, Standards

Annotation: This paper provides a background for understanding the role of lactation breaks in the workplace as a critical way to improve the health and productivity of working women and their children, in compliance with Section 4207 of the Patient Protection and Affordable Care Act. Section topics include the public health case; how lactation breaks support the physical process of maintaining milk supply; lactation breaks in the context of other work-family and workplace wellness issues and explores the business case for breastfeeding; U.S. laws about breastfeeding and the workplace; and looks ahead to unfinished business. The appendix offers a quick look at the history of infant feeding and women’s work, in order to provide context for decision-makers in government and business.

Contact: United States Breastfeeding Committee, 2025 M Street, N.W., Suite 800, Washington, DC 20036, Telephone: (202) 367-1132 Fax: (202) 367-2132 E-mail: office@usbreastfeeding.org Web Site: http://www.usbreastfeeding.org Available from the website.

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Keywords: Breastfeeding promotion, Infant health, Infant nutrition, Maternal health, Working mothers

Annotation: This report describes findings from focus groups and interviews with a diverse cross section of mothers of infants in MInnesota. The research -- conducted by the Minnesota Department of Health’s Physical Activity and Nutrition Unit and Women, Infants and Children (WIC) Program in partnership with Wilder Research -- is based on questions that centered on the supports for and challenges of breastfeeding infants, particularly in relation to their experiences with health care settings, worksites, and social influences. The report discusses the characteristics of participants; their perceived knowledge of infant feeding; the knowledge and influence of health care providers; and worksite support and other social influences for infant feeding; Included are a summary of findings among specific populations (Native American women; Latina women; Somali women; Hmong women; and women with low levels of education). Recommendations are included.

Contact: Minnesota Department of Health, P.O. Box 64975, St. Paul, MN 55164-0975, Telephone: (651) 201-5000 Secondary Telephone: (888) 345-0823 Web Site: http://www.health.state.mn.us Available from the website.

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Keywords: Breastfeeding, Focus groups, Infant feeding, Interviews, Minnesota, Research, State initiatives

Annotation: This breastfeeding promotion kit includes a booklet and 7-minute video to help health professinals and other stakeholders partner with WIC to create a national environment that encourages mothers to breastfeed. The video explains how new mothers need a network of support to continue breasffeeding successfully and how the WIC program is working to promote breastfeeding. The video includes breastfeeding experiences shared by WIC mothers and their partners. The booklet discusses the physical and emotional benefits of breastfeeding for infants, mothers, and families and describes how WIC is reaching out to community partners to build a network of support.

Contact: U.S. Food and Nutrition Service, Special Supplemental Nutrition Program for Women, Infants and Children, 3101 Park Center Drive, Room 520, Alexandria, VA 22302, Telephone: (703) 305-2746 Fax: (703_ 305-2196 Web Site: http://www.fns.usda.gov/wic/ Available at no charge; also available from the website.

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Keywords: Breastfeeding, Breastfeeding promotion, Breastfeeding promotion programs, Videos, WIC Program

Annotation: This training curriculum was developed to help ensure that all staff attain a level of proficiency in the skills required to promote and support breastfeeding within a WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) setting. The competencies covered in the individual training modules are designed to help staff address questions, conduct assessments, individually tailor food packages that enable mothers to breastfeed exclusively, and provide support to help mothers meet their breastfeeding goals. The curriculum reinforces the message that staff working within a WIC setting play an important role as part of the family’s circle of care.

Contact: U.S. Food and Nutrition Service, Special Supplemental Nutrition Program for Women, Infants and Children, 3101 Park Center Drive, Room 520, Alexandria, VA 22302, Telephone: (703) 305-2746 Fax: (703_ 305-2196 Web Site: http://www.fns.usda.gov/wic/ Available at no charge; also available from the website.

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Keywords: Breastfeeding, Breastfeeding support, Professional training, Training materials, WIC program

Annotation: This fact sheet gives information that highlights the importance of breastfeeding to infant health during an emergency and advises relief organizations and health care providers on how they can support breastfeeding before and during an emergency. The fact sheet lists links to several organizations that can provide more information and resources.

Contact: United States Breastfeeding Committee, 2025 M Street, N.W., Suite 800, Washington, DC 20036, Telephone: (202) 367-1132 Fax: (202) 367-2132 E-mail: office@usbreastfeeding.org Web Site: http://www.usbreastfeeding.org Available from the website.

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Keywords: Breastfeeding promotion, Educational materials, Emergencies

Annotation: This CD-ROM illustrates how the WIC program supports and promotes breastfeeding through peer counseling programs, breastfeeding classes, and other efforts. The 8 minute video features testimony from WIC medical professionals and consumers enrolled in the WIC program and invites other organizations to partner with WIC.

Contact: U.S. Food and Nutrition Service, 3101 Park Center Drive, Alexandria, VA 22302, Web Site: http://www.fns.usda.gov/fns Single photocopies available at no charge; also available from the website.

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Keywords: Breastfeeding promotion programs, WIC program

Annotation: This CD set was written by leading physicians and International Board Certified Lactation Consultants from Washington state to provide tools for physicians and their staff to learn about and discuss ways of integrating evidence-based research into practice. The first disk provides foundations about breastfeeding. Disk two focuses on breastfeeding problems, challenges, support, and troubleshooting. Ten different lactation topics are discussed and each topic includes a slide presentation, slide notes, presentation outline, learning objectives and purpose, references, and discussion questions.

Contact: Breastfeeding Coalition of Washington, 155 North East 100th Street, #500, Seattle, WA 98125, Telephone: (206) 281-8032 Fax: (206) 270-8891 E-mail: rachels@wihtinreachwa.org Web Site: http://www.breastfeedingwa.org/ $23.00 for orders outside of Washington state; free in-state..

Keywords: Audiovisual materials, Breastfeeding, CD-ROMs, Infant nutrition, Lactation, Resources for professionals

Annotation: This report examines how policies directly influence breastfeeding behaviors It summarizes how breastfeeding affects infant and mother health, where and how some hospitals are lagging in encouraging breastfeeding, and where and how California hospitals can improve supports for breastfeeding.

Contact: California WIC Association, 1107 Ninth Street, Suite 625, Sacramento, CA 95814, Telephone: (916) 448-2280 Fax: (916) 448-7826 E-mail: ltrue@calwic.org Web Site: http://www.calwic.org Available from the website.

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Keywords: Breastfeeding, Breastfeeding promotion, California, Hospitals

Annotation: This fact sheet describes the importance of breastfeeding and the survey of women on breastfeeding initiation and current breastfeeding, presents an overview of the data on prevalence at various intervals postpartum, and provides recommendations on the use of data to identify states and groups of women with low prevalence of breastfeeding.

Contact: Centers for Disease Control and Prevention, Pregnancy Risk Assessment Monitoring System, 4770 Buford Highway, N.E., MS K-20, Atlanta, GA 30341-3717, Telephone: (770) 488-5200 Fax: (770) 488-6450 E-mail: cdcinfo@cdc.gov Web Site: http://www.cdc.gov/prams/ Available from the website.

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Keywords: Breastfeeding, Infant feeding, Newborn infants, PRAMS, Statistical data, Surveys

Annotation: This report summarizes information on breastfeeding rates in the United States based on data from the 1999-2006 National Health and Nutrition Examination Survey. The following topics are discussed: (1) have breastfeeding rates in the United States changed over time? (2) Are children from some population subgroups more likely to be breastfed than others? (3) Do breastfeeding rates differ by other sociodemographic characteristics? and (4) Has there been a change in the United States in the proportion of infants who are still breastfed at age 6 months? A summary, definitions, data sources and methods, and references are provided. Statistics information is presented in figures throughout the report.

Contact: National Center for Health Statistics, 3311 Toledo Road, Hyattsville, MD 20782, Telephone: (301) 458-4000 Secondary Telephone: (800) 232-4636 Fax: (301) 458-4020 E-mail: nchsquery@cdc.gov Web Site: http://www.cdc.gov/nchs Available from the website.

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Keywords: Age factors, Breastfeeding, Economic factors, Infant health, Nutrition, Racial factors, Statistics, Trends

Annotation: This summary provides information on state laws with language specifically allowing women to breastfeed in any public or private location, in the workplace, exempting breastfeeding mothers from jury duty, or have implemented or encouraged the development of a breastfeeding awareness education campaign, as well as other laws unique to individual states. Legislative codes are cited in each entry along with a brief summary.

Contact: National Conference of State Legislatures, 7700 East First Place, Denver, CO 80230, Telephone: (303) 364-7700 Fax: (303) 364-7800 Web Site: http://www.ncsl.org Available from the website.

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Keywords: Breastfeeding, State legislation

Annotation: This report about exclusive breastfeeding provides information on what exclusive breastfeeding is, why it is important, and who supports it; discusses U.S. rates and trends; presents three areas of influence that have been identified as presenting obstacles and constraints to exclusive breastfeeding (the health care system and health professionals; social, economic, and political factors; and media and marketing practices); discusses methods for selection of materials for the literature review; and presents findings. [Funded by the Maternal and Child Health Bureau]

Contact: United States Breastfeeding Committee, 2025 M Street, N.W., Suite 800, Washington, DC 20036, Telephone: (202) 367-1132 Fax: (202) 367-2132 E-mail: office@usbreastfeeding.org Web Site: http://www.usbreastfeeding.org Available from the website.

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Keywords: Attitudes, Breastfeeding, Breastfeeding promotion, Economic factors, Health care, Infant health, Mass media, Research, Social factors, Women's health

Annotation: This annual report provides perspectives on state and national trends in breastfeeding. Topics include breastfeeding rates from the U.S. National Immunization Survey, birth facility support, mother-to-mother support, professional support, infrastructure, and support in child care settings. Each report contains information on what's new since the release of the first report in 2007, as well as information on how states can use the report card to improve breastfeeding rates. State-by-state data tables are included.

Contact: National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, N.E., Mailstop K-40, Atlanta, GA 30341-3717, Telephone: (404) 498-1515 Secondary Telephone: (800) 232-4636 E-mail: cdcinfo@cdc.gov Web Site: http://www.cdc.gov/nccdphp Available from the website.

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• Link

Keywords: Breastfeeding promotion, Hospitals, Legislation, Measures, Parent support services, State programs, Statistical data

Annotation: This document contains guidelines outlining evidence-based assessment and intervention parameters designed to assist health care providers who care for breastfeeding mothers and their infants, women who are considering breast-feeding, or those who are planning to breastfeed. The guidelines provide information to support and guide women during the preconception, prenatal, and postpartum periods. Topics include trends in breastfeeding, the benefits to both infant and mother, breastfeeding promotion, and management and research in breastfeeding, and benefits to vulnerable and preterm infants. References are provided along with a continuing nursing education credit application, post test questions, and a participant evaluation form.

Contact: Association of Women's Health, Obstetric and Neonatal Nurses, 2000 L Street, N.W., Suite 740, Washington, DC 20036, Telephone: (202) 261-2400 Secondary Telephone: (800) 673-8499 Fax: (202) 728-0575 E-mail: customerservice@awhonn.org Web Site: http://www.awhonn.org/awhonn/ $53.95 for non-members, $34.95 for AWHONN members, plus shipping and handling.

Keywords: Breastfeeding, Breastfeeding promotion, Continuing education, Guidelines, Infant health, Maternal health, Nursing education, Resources for professionals, Trends

Annotation: This fact sheet outlines standards of practice for individuals certified by the International Lactation Consultant Association to assure quality practice and service to clients, families, and other health care professionals. It address four areas: (1) professional responsibilities, (2) legal considerations, (3) clinical practice, and (4) breastfeeding education and counseling.

Contact: International Lactation Consultant Association, 2501 Aerial Center Parkway, Suite 103, Morrisville, NC 27560, Telephone: (919) 861-5577 Fax: (919) 459-2075 E-mail: info@ilca.org Web Site: http://www.ilca.org Available from the website.

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Keywords: Breastfeeding, Lactation, Lactation specialists, Nutrition counseling, Professional education, Professional training, Resources for professionals

Annotation: This blueprint, which provides information on the importance of breastfeeding for both mothers and infants, incorporates input from a broad spectrum of community, state, and national stakeholders and experts and is intended to serve as a guide for North Carolina communities, health care systems, professional societies, academic and training programs, workplaces, and child care facilities to support, promote, and protect breastfeeding. The document discusses benefits to and barriers of breastfeeding, provides recommendations, and discusses ways to translate recommendations into action.

Contact: North Carolina Division of Public Health, Nutrition Services Branch, 1914 Mail Service Center, Raleigh, NC 27699-1914, Telephone: (919) 707-5799 Fax: (919) 870-4818 E-mail: nutritionnc.feedback@dhhs.nc.gov Web Site: http://www.nutritionnc.com Available from the website.

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Keywords: Breastfeeding, Breastfeeding promotion, Child health, Infant health, Mothers, North Carolina, State initiatives, Women's health, Working mothers

Annotation: This book provides health care professionals and students in all specialties with a teaching and reference aid to enhance their knowledge of breastfeeding physiology and clinical practice to encourage and support breastfeeding. Introductory chapters discuss epidemiology, the importance of breastfeeding, and anatomy and physiology. Additional chapter topics include maternal and infant contraindications, breastfeeding techniques, feeding patterns, nursing refusal, insufficient milk syndrome, complementary feeding, milk expression, bottle-feeding, breast evaluation while nursing, and infants with special needs. Appendices provide information on additional breastfeeding resources, policy statements on breastfeeding and the use of human milk and the transfer of drugs and other chemicals into human milk, and an educational bulletin on maternal and infant aspects of breastfeeding. An index concludes the book. [Funded in part by the Maternal and Child Health Bureau]

Contact: American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, IL 60007-1098, Telephone: (847) 434-4000 Fax: (847) 434-8000 Web Site: http://www.aap.org $44.95, plus shipping and handling. Document Number: ISBN 1-58110-090-6.

Keywords: Breastfeeding, Child nutrition, Complementary feeding, Health promotion, Infant feeding, Infant nutrition, Lactation, Lactation management, Maternal health, Resources for professionals

Annotation: This report describes the findings of a Congressionally requested study to review the potential impact of infant formula marketing on breastfeeding rates, especially for infants in the WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) program. Topics include an estimate of breastfeeding rates for infants in the general population and for infants on WIC, and how these rates compare to recommended breastfeeding rates; how infant formula is marketed to women in general and to women on WIC in particular; and what is known about the impact of infant formula marketing. Topics also include the benefits of breastfeeding, WIC and infant formula, efforts to limit formula advertising, breastfeeding trends, and formula marketing and the use of WIC trademarks. Conclusions and an agency recommendation are provided along with appendices on advertising data and a literature review.

Contact: U.S. Government Accountability Office, 441 G Street, N.W., Washington, DC 20548, Telephone: (202) 512-3000 Secondary Telephone: E-mail: contact@gao.gov Web Site: http://www.gao.gov Available at no charge; also available from the website. Document Number: GAO-06-282.

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Keywords: Breastfeeding, Infant feeding, Infant formula, Infant nutrition, Marketing, WIC program

Annotation: This revised policy statement cites substantial new research on the importance of breastfeeding and sets forth principles to guide pediatricians and other health professionals in assisting women and children in the initiation and maintenance of breastfeeding. It includes information on child, maternal, and community health benefits of breastfeeding; contraindications to breastfeeding; recommendations on breastfeeding for healthy term infants and high-risk infants; and the role of pediatricians and other health professionals in protecting, promoting, and supporting breastfeeding. The policy statement emphasizes the central role of the pediatrician in coordinating breastfeeding management and providing a medical home for the child. The statement lists members of the Section on Breastfeeding and extensive references.

Contact: American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, IL 60007-1098, Telephone: (847) 434-4000 Fax: (847) 434-8000 Web Site: http://www.aap.org Contact for cost information.

Keywords: Breastfeeding, Health policy, Health promotion, Infant feeding, Pediatricians, Primary care, Public policy, Role

Annotation: This paper provides model hospital hospital recommendations for providing breastfeeding support to new mothers. The paper includes a list of ten policy recommendations that are designed to give basic information and guidance to perinatal professionals who wish to revise policies that affect breastfeeding mothers. Following the list is an expanded explanation of each recommendation, including information on intervention and management, rationales, and references.

Contact: California Department of Public Health, Maternal, Child and Adolescent Health Program, MS 8305, P.O. Box 997420, Sacramento, CA 95899-7420, Telephone: (866) 241-0395 Fax: (916) 650-0305 E-mail: mchinet@cdph.ca.gov Web Site: http://www.cdph.ca.gov/programs/MCAH/Pages/default.aspx Available from the website.

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Keywords: Breastfeeding promotion, Guidelines, Hospitals, Infant health, Newborns, Nutrition policy

Annotation: This guide provides state and local community members with information to help them choose a breastfeeding intervention that best meets their needs. Included in the guide are all types of breastfeeding interventions that have been received by the Cochrane Collaboration and published through the Cochrane Library. The chapters in the guide are divided into two sections based on evidence for effectiveness. In the first section, the evidence is significant; in the second, it is limited. Section 1 includes the following categories: (1) maternity care practices, support for breastfeeding in the workplace, (3) peer support, (4) educating mothers, (5) professional support, and (6) media and social marketing. Section 2 includes the following categories:(1) countermarketing and the WHO International Code, (2) professional education, (3) public acceptance, and (4) hotlines and other information resources. A list of references is included. The guide includes two appendices: (1) expert panel and (2) glossary.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: cdc@cdcinfo.gov Web Site: http://www.cdc.gov Available at no charge; also available from the website.

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Keywords: Breastfeeding, Breastfeeding promotion, Breastfeeding promotion programs, Education, Evidence based medicine, Hotlines, Interventions, Literature reviews, Marketing, Peer support programs, Working mothers

Annotation: This report summarizes federal laws enacted concerning breastfeeding, including breastfeeding promotion and breastfeeding in federal buildings and on federal property, and briefly examines current legislative proposals concerning breastfeeding. Proposed legislation introduced in the 108th and 109th Congresses is reviewed. The report includes footnotes.

Contact: Library of Congress, Congressional Research Service, 101 Independence Avenue, S.E., Washington, DC 20540-7500, Fax: Web Site: http://www.loc.gov/crsinfo Available from the website.

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Keywords: Breastfeeding, Federal legislation

Annotation: This brief discusses the importance of continuing breastfeeding during emergencies as it may be the only sustainable element of food security for infants and young children. It addresses the following topics: breastfeeding during mother's stress or malnourishment, redeveloping the milk supply, and providing specific assistance to breastfeeding women. Additional information is provided about human milk substitutes and optimal feeding practices in emergencies. A chart illustrates a triage approach to decision-making for feeding infants under six months during emergencies.

Contact: Wellstart International, P.O. Box 80877, San Diego, CA 92138-0877, Telephone: (619) 295-5192 Fax: (619) 574-8159 E-mail: info@wellstart.org Web Site: http://www.wellstart.org Available from the website.

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Keywords: Breastfeeding, Consumer education, Emergencies, Emergency child care, Food supply, Infant feeding, Infants, Lactation management, Young children

Annotation: This paper lists and analyzes state legislation that protects, promotes, and supports breastfeeding. Part 1 discusses state breastfeeding legislation. Part 2 discusses state maternity leave legislation. The paper includes appendices: a state-by-state list of enacted breastfeeding legislation (summarized), a state-by-state list of enacted breastfeeding legislation (by category), and a table showing an analysis of legislation broken down by category.

Contact: United States Breastfeeding Committee, 2025 M Street, N.W., Suite 800, Washington, DC 20036, Telephone: (202) 367-1132 Fax: (202) 367-2132 E-mail: office@usbreastfeeding.org Web Site: http://www.usbreastfeeding.org Available from the website.

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Keywords: Breastfeeding, Breastfeeding promotion, Parental leave, State legislation

Annotation: This paper uses data from the Fragile Families and Child Wellbeing Study to test the hypothesis that (1) the Hispanic paradox extends to breastfeeding and (2) acculturation accounts for part of the paradox. The Hispanic paradox refers to the fact that Hispanics, especially recent immigrants, have remarkably good health outcomes given their low socioeconomic status and other classic risk factors. The paper provides background; discusses the data, variables, and methods; and includes results and a discussion. Statistical information is presented in tables and figures at the end of paper. The paper includes one appendix: results of pooled-sample logistic regression analyses predicting breastfeeding. References and footnotes are included.

Contact: Princeton University, Bendheim-Thoman Center for Research on Child Wellbeing, Wallace Hall, Princeton, NJ 08544, Telephone: (609) 258-5894 Fax: (609) 258-5804 E-mail: crcw@opr.princeton.edu Web Site: http://crcw.princeton.edu Available from the website.

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Keywords: Acculturation, Breastfeeding, Child health, Cultural factors, Economic factors, Families, Health behavior, Hispanic Americans, Immigrants, Low income groups, Racial factors, Risk factors

Annotation: This document presents evidence-based criteria about breastfeeding for use in practice settings (clinic, hospital, public health; WIC, and the community). The document consists of a table that presents critera, inpatient and outpatient practicies, potential perinatal outcomes, critical time, and exceptions. References for each criterion are provided, and the document concludes with a reference list.

Contact: Wisconsin Association for Perinatal Care, McConnell Hall, 1010 Mound Street, Madison, WI 53715, Telephone: (608) 417-6060 Fax: 608/267-6089 E-mail: wapc@perinatalweb.org Web Site: http://www.perinatalweb.org/ Available from the website.

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Keywords: Breastfeeding, Breastfeeding support, Guidelines, Infants, Mothers

Annotation: This report summarizes the various state laws concerning breastfeeding and briefly examines current legislative proposals concerning breastfeeding. The report includes a section for each state; each law is cited and is followed by a brief summary of its provisions. A comparative chart of existing state breastfeeding legislation is also included. The report includes footnotes.

Contact: Library of Congress, Congressional Research Service, 101 Independence Avenue, S.E., Washington, DC 20540-7500, Fax: Web Site: http://www.loc.gov/crsinfo Available at no charge; also available from the website.

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Keywords: Breastfeeding, State legislation

Annotation: This document, which is intended for child care providers, state regulators, health consultants, and parents, is a compilation of the standards for reducing the risk of sudden infant death syndrome (SIDS) in child care settings. The standards are taken from Caring for Our Children: National Health and Safety Performance Standards for Out-of-Home Child Care Programs, 2nd edition, which was released by the American Academy of Pediatrics, the American Public Health Assocation, the Maternal and Child Health Bureau, and the National Resource Center for Health and Safety in Child Care in January 2002. This document discusses (1) caregiver qualifications, (2) caregiver training, (3) proper sleep position, (4) reporting illness and death, (5) breastfeeding, (6) bedding, and (7) related health policies. An index is included.

Contact: National Resource Center for Health and Safety in Child Care and Early Education, University of Colorado Denver, 13120 East 19th Avenue, Mail Stop F541, P.O. Box 6511, Aurora, CO 80045, Telephone: (800) 598-5437 Secondary Telephone: (800) 598-KIDS Fax: (303) 724-0960 E-mail: info@nrckids.org Web Site: http://nrckids.org Out of print.

Keywords: Breastfeeding, Child care, Health policy, SIDS, Safety, Sleep position, Standards, Training

Annotation: The objective of this paper is to estimate the effect of participation in WIC on two important health investments that take place during the first year of life: the initiation and persistence of breastfeeding and well child care. The study uses 1999-2000 survey data on low-income, unmarried mothers living in 20 urban areas across the country. The survey responses are sampled so that their children represent all nonmarital births in the United States with populations over 200, 000.

Contact: Princeton University, Bendheim-Thoman Center for Research on Child Wellbeing, Wallace Hall, Princeton, NJ 08544, Telephone: (609) 258-5894 Fax: (609) 258-5804 E-mail: crcw@opr.princeton.edu Web Site: http://crcw.princeton.edu Available from the website.

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Keywords: Breastfeeding, Data, Infant health, Low income groups, Maternal health, Research, Single parents, Surveys, Urban population, WIC Program, Well infant exams

Annotation: This report presents key findings from eight focus groups held to gain an in-depth understanding of how community health workers (CHWs) think about using technology in their jobs and how they could be further supported in their efforts to promote breastfeeding. The following topics are addressed: (1) providing ongoing education and training for CHWs, (2) providing culturally and age-appropriate educational materials for CHWs, (3) enhancing access to CHWs for mothers as well as hospitals and other service providers, (4) increasing public awareness of breastfeeding, (5) providing ongoing education and support for parents, (6) involving fathers, grandparents, and other family members in breastfeeding education, and (7) addressing mothers' other basic needs and priorities.

Contact: National Healthy Mothers, Healthy Babies Coalition, 4401 Ford Avenue, Suite 300, Alexandria, VA 22302, Telephone: (703) 837-4792 Fax: (703) 664-0485 E-mail: info@hmhb.org Web Site: http://www.hmhb.org Available from the website.

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Keywords: Access to health care, Breastfeeding promotion, Community health services, Cultural factors, Education, Families, Fathers, Focus groups, Grandparents, Health personnel, Hospitals, Infants, Mothers, Parent support services, Service delivery, Technology, Training

Annotation: This annotated bibliography provides scientific and epidemiological evidence in support of global efforts to support breastfeeding and the beneficial effects on child development. Topics include breastfeeding effects on infant and child morbidity, mortality, intellectual and motor development, chronic diseases, maternal health, and economic benefits. Each entry provides a full citation; the country studied along with the setting and study design; and annotations on breastfeeding definitions used, outcome measures, results, and methodological issues. An index is provided as well as an extensive section of tables outlining research by condition.

Contact: Pan American Health Organization, 525 23rd Street, N.W., Washington, DC 20037, Telephone: (202) 974-3000 Fax: (202) 974-3663 Web Site: http://new.paho.org Available from the website.

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Keywords: Bibliographies, Breastfeeding, Breastfeeding promotion, Child development, Child health, Economic factors, Health promotion, Infant health, Infant mortality, Infant nutrition, International health, Maternal health, Surveys

Annotation: This fact sheet provides brief descriptions of various successful state and local Healthy Mothers Health Babies (HMHB) coalition programs and what makes each of them unique. The following HMHB coalitions are described: the Georgia state and Kern County, California programs on breastfeeding promotion; the Montana and Arizona programs on child passenger safety; the Washington state program on immunization; the Connecticut program on folic acid awareness; the Illinois state program on oral health; the Palm Beach County, Florida program on father and male involvement in child development; and the Pennsylvania program for community health outreach for expecting mothers and new families. Each entry provides contact information.

Contact: National Healthy Mothers, Healthy Babies Coalition, 4401 Ford Avenue, Suite 300, Alexandria, VA 22302, Telephone: (703) 837-4792 Fax: (703) 664-0485 E-mail: info@hmhb.org Web Site: http://www.hmhb.org Available at no charge.

Keywords: Arizona, Breastfeeding promotion programs, California, Child safety, Community programs, Connecticut, Father child relations, Florida, Folic acid, Georgia, Healthy Mothers Healthy Babies Coalition, Illinois, Immunization, Montana, Oral health, Outreach, Pennsylvania, Program evaluation, Public private partnerships, State programs, Washington

Annotation: This report describes a study that researched the following: (1) factors that support breastfeeding families or make breastfeeding difficult for families in Los Angeles; (2) existing breastfeeding capacity, resources, and needs for breastfeeding support in Los Angeles; and (3) potential strategies for developing a breastfeeding-integrated pathway and a framework for linking resources that protect and support breastfeeding at all levels for families in Los Angeles County. The report discusses (1) the benefits of breastfeeding and its history; (2) current initiation and duration rates of breastfeeding in the nation, in California, and in Los Angeles County; (3) critical pathways to successful breastfeeding, (4) Los Angeles breastfeeding assessment: key findings; and (5) possible strategies and activities. Twelve appendices include statistical information, lists of key informant organizations, California breastfeeding legislation, 10 steps to successful breastfeeding, and California's Lactation Accommodation Act. References and a conclusion are included.

Contact: UCLA Center for Healthier Children, Families and Communities, University of California, Los Angeles, 10990 Wilshire Boulevard, Suite 900, Los Angeles, CA 90024, Telephone: (310) 794-2583 Fax: (310) 312-9210 E-mail: chcfc@ucla.edu Web Site: http://www.healthychild.ucla.edu Available from the website.

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Keywords: Breastfeeding, Breastfeeding promotion, California, Families, Family support programs, Infant health, Local programs, Needs assessment, Research, Women's health

Annotation: This report discusses the economic benefits of breastfeeding. Topics discussed include the medical costs of not breastfeeding, the nonmedical costs of artificial feeding, other costs of not breastfeeding, investing in supporting breastfeeding, and what's needed to increase the incidence and duration of breastfeeding. The report concludes with a list of references.

Contact: United States Breastfeeding Committee, 2025 M Street, N.W., Suite 800, Washington, DC 20036, Telephone: (202) 367-1132 Fax: (202) 367-2132 E-mail: office@usbreastfeeding.org Web Site: http://www.usbreastfeeding.org Available from the website.

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Keywords: Breastfeeding, Breastfeeding promotion, Costs, Infant formula, Infant health, Women's health

Annotation: This fact sheet discusses the impact of not breastfeeding infants on the short- and long-term health of the child, family economics, and future national economics due to higher costs for additional needed health services, loss of productivity in the workforce by parents and the child as an adult, and other strains on the national economy. It outlines programs of the federal government in supporting breastfeeding and what is needed to achieve national goal for increasing the incidence and duration of breastfeeding. References conclude the fact sheet. [Funded in part by the Maternal and Child Health Bureau]

Contact: United States Breastfeeding Committee, 2025 M Street, N.W., Suite 800, Washington, DC 20036, Telephone: (202) 367-1132 Fax: (202) 367-2132 E-mail: office@usbreastfeeding.org Web Site: http://www.usbreastfeeding.org Available from the website.

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Keywords: Breastfeeding, Breastfeeding promotion, Cost effectiveness, Costs, Infant health, Infant nutrition, National programs

Annotation: This Web site hosts text, links, and multimedia resources on breastfeeding benefits, methods, myths and facts, as well as breastfeeding advocacy materials, materials for fathers, and links to similar organizations. Materials include brochures for families, a rap DVD and other videos available for purchase, and free videos and materials from the WIC program.

Contact: California Department of Public Health, Sacramento, CA Telephone: (916) 558-1784 Web Site: http://www.cdph.ca.gov Available from the website.

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Keywords: Advocacy, Audiovisual materials, Blacks, Breastfeeding, Breastfeeding promotion programs, Consumer education materials, Infant nutrition, Infants, Information networks, Multimedia