Lactation Guidelines 
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Ten Steps to Successful Breastfeeding
Every facility providing maternity services and care for newborn infants 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.

A Joint WHO/UNICEF Statement (1989)

The Innocenti Declaration was signed in Florence, Italy, August 1, 1990. It was produced and adopted to protect, promote and support breastfeeding. The declaration recognizes that breastfeeding:

  • Provides ideal nutrition for infants, contributing to their healthy growth and development
  • Reduces occurrence of infectious diseases, thus lowering infant mortality
  • Contributes to women's health by reducing the risk of breast and ovarian cancer
  • Provides social and economic benefits to the family and national health care

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