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Counseling the Nursing Mother: The Lactation Consultant's Reference

by: Lauwers, Judith

Counseling the Nursing Mother: The Lactation Consultant's Reference

by: Lauwers, Judith

ISBN 13:
9780763709754
ISBN 10:
0763709751
Edition: 3rd
Format: Hardcover
Copyright: 07/01/1999
Publisher: Jones & Bartlett Pub
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Summary

Introductory textbook explaining the complete spectrum of the lactation consultant profession. Address prenatal concerns through weaning, maternal health, and nutrition. For students. Halftone illustrations. Previous edition is not cited.

Preface

xiii

Acknowledgments

Foreword

xvii

Breastfeeding Promotion in the Modern World

(6)

Infant Feeding Practices Historically

(2)

Increased Separation of Mothers and Babies

(1)

Breastfeeding Revisited

(1)

Breastfeeding Rates

(1)

Breastfeeding as an Infant Health Issue

(1)

Breastfeeding as a Women's Health Issue

(1)

Physical and Emotional Effects of Breastfeeding on Women

(1)

Cultural Influences on Infant Feeding

(1)

Current Breastfeeding Recommendations

(1)

The Ten Steps to Successful Breastfeeding

(1)

Summary

(1)

References

(2)

The Lactation Consulting Profession

(18)

The Lactation Consultant as Part of the Health Care Team

(2)

Functioning as a Lactation Consultant

(1)

Sharing Information with Physicians

(1)

The Lactation Consultant's Role with Mothers

(1)

Services to Mothers

(1)

Educating Mothers About Breastfeeding Management

(1)

Practice Settings for Lactation Consultants

(11)

Practicing in a Hospital

(1)

Practicing in a WIC Clinic

(2)

Practicing in a Physician Group

(2)

Practicing in Home Health Care

(1)

Working in Private Practice

(5)

Relationship of the Lactation Consultant and Peer Counselor

(1)

Mother-to-Mother Support Groups

(1)

The Lactation Consultant's Services to the Group

(1)

Non-Salaried Volunteer in a Breastfeeding Center

(1)

Summary

(1)

References

(3)

Empowering Women through Your Attitude and Approach

(18)

Empowerment through Breastfeeding

(1)

Making the Breastfeeding Assumption

(2)

Addressing the Issue of Guilt

(1)

Health Consumerism

(3)

Informed Consent

(1)

A Parent's Role in the Health Care System

(1)

The Lactation Consultant's Role in Health Consumerism

(1)

Relinquishing Control

(6)

Trusting in Mothers and Babies

(1)

Using an Adult Learning Approach

(1)

Making Positive Impression on Adult Learners

(1)

Creating an Effective Learning Climate

(2)

Using Humor as a Communication Tool

(2)

Components of Communication

(5)

The Importance of the Spoken Word

(1)

The Effect of Voice Tone

(1)

The Effect of Body Language

(3)

Summary

(1)

References

(2)

Counseling: Learning to Help Mothers

(22)

Understanding the Counseling Process

(3)

Counselor Traits

(1)

The Mother's Needs

(1)

Methods of Counseling

(1)

Using Counseling Methods and Skills

(14)

The Guiding Method

(9)

The Leading Method

(1)

Combining the Guiding and Leading Methods

(3)

The Follow-up Method

(1)

Counseling Examples

(3)

Counseling Example with Pregnant Woman

(1)

Comparison of Two Lactation Consultants

(3)

Summary

(1)

References

(2)

Client Consultations

(22)

Reaching Out Through Anticipatory Guidance

(13)

The Timing of Anticipatory Guidance

(1)

Comparing Anticipatory Guidance and Crisis Intervention

(1)

Providing Anticipatory Guidance

(3)

Using a Problem-Solving Approach

(1)

Using Counseling Skills to Determine the Problem

(1)

Working Toward a Solution

(2)

A Similar Approach to Problem Solving

(1)

Telephone Counseling

(1)

Deciding When a Consultation Is Required

(1)

Last Resort Help

(1)

Elements in a Consultation

(1)

Consent

(1)

Assessment

(1)

Writing Physician Reports

(1)

Evaluation

(1)

Evaluating Your Counseling Skills

(1)

Hospital Documentation

(8)

BREASTfeed Observation Form

(1)

Charting with Breastfeeding Descriptors

(1)

The LATCH Method

(6)

Developing a Plan of Care for Hospital Discharge

(2)

Summary

(1)

References

(1)

The Science of Lactation

(20)

Anatomy of the Breast

(13)

Skin

(1)

Nipple

(1)

Areola

(1)

Montgomery Glands

(1)

Supportive and Sustaining Tissue

(3)

Mammary Growth and Development

(1)

Mammary Growth during the Fetal Stage

(1)

Mammary Growth between Puberty and Pregnancy

(1)

Mammary Growth during Pregnancy

(1)

Lactogenesis

(1)

Hormonal Impact on Lactation

(1)

Colostrum Production

(1)

Milk Synthesis

(1)

Milk Ejection Reflex (Letdown)

(4)

Variations In Breast Structure and Function

100

(5)

Examining the Mother's Breasts

100

(2)

Differences in Nipples

102

(1)

Lumps in the Breast

103

(2)

Summary

105

(1)

References

105

(2)

Maternal Health and Nutrition

107

(22)

Counseling Women Regarding Their Nutritional Needs

107

(1)

Nutritional Issues in Pregnancy and Lactation

107

(11)

The Food Pyramid

108

(1)

The Basic Nutrients

109

(7)

Food Selection

116

(1)

Reading Food Labels

116

(1)

Food Additives and Processing

116

(1)

Causes of Hunger and Fatigue

117

(1)

Offering Nutrition Advice to Breastfeeding Women

118

(8)

Diet Improvement

118

(3)

Special Nutrition Programs

121

(4)

Weight Loss and Exercise

125

(1)

Group Instruction in Nutrition

126

(1)

Summary

126

(1)

References

127

(2)

Properties of Human Milk

129

(32)

Colostrum: The Early Milk

129

(1)

Transition to Mature Milk

130

(1)

Appearance of Mature Milk

130

(1)

Milk Volume

130

(1)

Composition of Human Milk

131

(4)

Calories

131

(1)

Fat

131

(1)

Carbohydrates

132

(1)

Protein

132

(1)

Vitamins

132

(1)

Minerals

133

(1)

Other Constituents

134

(1)

Health Benefits of Human Milk

135

(6)

Immunologic Properties

135

(5)

Allergy Protection

140

(1)

Human Milk for the Premature Infant

141

(1)

Impurities in Human Milk

141

(9)

Drugs and Contaminants

142

(1)

Effect of Contaminants on the Breastfeeding Infant

143

(1)

Giving Advice about Medications

143

(3)

Social Toxicants

146

(3)

Breast Implants

149

(1)

Environmental Contaminants

149

(1)

Guidelines for Counseling a Mother about Impurities

150

(1)

Differences between Human Milk and Infant Formula

150

(4)

Risks of Artificial Baby Milk

151

(1)

Deficiencies in Infant Formula

151

(2)

Informing Parents of the Risks of Artificial Feeding

153

(1)

Choosing and Preparing An Artificial Baby Milk

153

(1)

Summary

154

(1)

References

154

(7)

Prenatal Considerations

161

(14)

Making the Decision to Breastfeed

161

(3)

Factors That Influence a Woman's Decision to Breastfeed

161

(2)

Realistic Expectations Regarding Breastfeeding

163

(1)

Conditions That Contraindicate Breastfeeding

164

(1)

Preparation for Breastfeeding

164

(6)

Learning about Breastfeeding

164

(3)

Prenatal Breast Care

167

(1)

Practical Planning Suggestions

168

(2)

Physician for Mother and Baby

170

(2)

Factors to Explore in Selecting a Physician

170

(1)

Recommending Physicians

171

(1)

Questions to Ask the Baby's Physician

171

(1)

Working with the Physician

171

(1)

When the Physician's Advice Seems Detrimental to Breastfeeding

172

(1)

Summary

172

(1)

References

172

(3)

Hospital Practices That Support Breastfeeding

175

(18)

Setting the Stage Prior to Birth

175

(1)

Establishing Supportive Breastfeeding Policies

175

(1)

Teaching Breastfeeding Management to Staff

176

(1)

Educating Pregnant Women

176

(1)

Labor and Delivery Practices That Support Early Breastfeeding

176

(4)

Provide Labor Support

176

(1)

Limit Interventions

177

(1)

Promote Bonding

178

(1)

Help Mothers Initiate Breastfeeding

179

(1)

Creating a Supportive Postpartum Climate

180

(6)

Eliminate Negative and Unnecessary Practices

181

(1)

Promote Practices That Support Breastfeeding

182

(4)

A 48-Hour Plan of Care for Breastfeeding Management in the Hospital

186

(1)

Labor and Delivery

186

(1)

Hours 1 to 8

186

(1)

Hours 9 to 16

186

(1)

Hours 17 to 24

186

(1)

Hours 25 to 32

186

(1)

Hours 33 to 40

186

(1)

Hours 41 to 48

187

(1)

Discharge

187

(1)

Baby Friendly Hospital Practices

187

(1)

Summary

188

(2)

References

190

(3)

Infant Assessment and Behavior

193

(28)

Assessment of the Newborn

193

(4)

Posture

193

(1)

Skin

194

(1)

Head

195

(1)

Oral Cavity

195

(1)

Clavicle

196

(1)

Reflexes

196

(1)

Digestion

197

(7)

Burping

197

(1)

Spitting Up

197

(2)

Projectile Vomiting

199

(1)

Gastroesophageal Reflux

199

(1)

Elimination

200

(4)

Infant Communication

204

(3)

Approach and Avoidance Behaviors

204

(1)

Feeding Cues and Stages of Alertness

205

(2)

Infant Behavior Patterns

207

(1)

Average Baby

207

(1)

Easy Baby

207

(1)

Placid Baby

207

(1)

Active and Fussy Baby

208

(1)

Infant Growth

208

(1)

Caloric Intake

208

(1)

Weight Gain

209

(1)

Sleeping Patterns

209

(2)

Encouraging Baby to Sleep

209

(1)

Breastfeeding Issues with Sleep

209

(1)

Cosleeping

210

(1)

Sudden Infant Death Syndrome

210

(1)

Crying and Colic

211

(6)

Crying

212

(1)

Identifying the Cause of Crying

212

(2)

Distinguishing Crying from Colic

214

(1)

Cow and Soy Milk Intolerances

215

(1)

Mother's and Infant's Diets

216

(1)

Lactose Overload

216

(1)

Summary

217

(1)

References

218

(3)

Getting Breastfeeding Started

221

(12)

Getting Ready to Nurse

221

(1)

Establishing a Breastfeeding Routine

221

(1)

Encouraging Baby-Led Feeds

221

(1)

Positioning for Feeding

222

(2)

The Mother's Body: Zone One

222

(1)

The Mother's Breast: Zone Two

223

(1)

The Baby's Body: Zone Three

224

(1)

The Baby's Mouth: Zone Four

224

(1)

Using a Variety of Breastfeeding Positions

224

(3)

Cradle Hold

224

(1)

Clutch (Football) Hold

225

(1)

Dominant Hand Position

225

(1)

Lying Down Position

226

(1)

Posture Feeding

226

(1)

Other Creative Breastfeeding Positions

227

(1)

Assisting at a Feed

227

(4)

Observing the Feed

228

(1)

Assisting the Reluctant Nurser

228

(2)

Ending the Feed

230

(1)

Summary

231

(1)

References

231

(2)

Infant Attachment and Sucking

233

(14)

Sucking and Suckling

233

(2)

The Infant's Sucking Pattern

233

(1)

Physiology of Suckling

234

(1)

Suckling at the Breast Versus Sucking on a Bottle

235

(1)

Latching the Baby On

235

(1)

Principles of a Good Latch

236

(1)

The Baby's Latch in the First Few Days

236

(1)

The Transfer of Milk to the Baby

236

(2)

Problems Getting the Baby Latched onto the Breast

238

(3)

Feeding Adjustments to Improve latch-On

239

(1)

The Baby Who Cannot Stay Attached

239

(1)

Consequences of a Poor Latch

239

(2)

Babies Who Have Difficulty Suckling

241

(1)

The Baby Who Attaches and Is Not Suckling Nutritively

241

(1)

Developing a Plan of Care

241

(3)

Noninterventive Techniques

243

(1)

Minimal Level of Intervention

243

(1)

Low-Level Intervention

243

(1)

Moderate-Level Intervention

244

(1)

High-Level Intervention

244

(1)

Summary

244

(1)

References

245

(2)

Breastfeeding Issues in the Early weeks

247

(26)

Confidence and Commitment to Continue Breastfeeding

247

(2)

Misconceptions That Interfere with Breastfeeding Management

248

(1)

Establishing Milk Production

249

(3)

Signs of Sufficient Milk

249

(1)

One Breast or Two

250

(1)

Duration of Feeds

250

(1)

Frequency of Feeds

251

(1)

Leaking

252

(1)

Causes of Leaking

252

(1)

When Leaking Poses a Problem

252

(1)

Measures to Control Leaking

253

(1)

Excessive or Inappropriate Leaking

253

(1)

Nipple Soreness

253

(8)

Causes and Prevention of Nipple Soreness

254

(1)

Assessment of Sore Nipples

254

(1)

Treatment and Plan of Care

254

(2)

Alternating Breastfeeding Positions

256

(1)

Cracked Nipples

256

(3)

Yeast Infections

259

(2)

Engorgement

261

(5)

Problems Caused by Engorgement

262

(1)

Preventing Engorgement

262

(1)

Helping Mothers Relieve Engorgement

262

(2)

Guidelines for Pumping When Engorged

264

(2)

Plugged Ducts

266

(1)

Mastitis

267

(3)

Causes of Mastitis

268

(1)

Treatment of Mastitis

268

(1)

Recurrent Mastitis

269

(1)

Abscessed Breast

270

(1)

Summary

270

(1)

References

271

(2)

Breastfeeding Beyond the First Month

273

(22)

Patterns of Growth in a Breastfed Baby

273

(1)

Overfeeding a Breastfed Baby

273

(1)

Infant Developmental Stages

274

(5)

Newborn Development

274

(1)

Two to Three Months

274

(1)

Four to Five Months

275

(1)

Six Months

276

(1)

Seven to Nine Months

276

(1)

Ten to Twelve Months

277

(1)

Beyond One Year

278

(1)

Developmental Factors Associated with Sleep

279

(1)

Breastfeeding as Baby Grows

279

(5)

Breastfeeding in Public

279

(1)

Traveling with a Breastfeeding Baby

280

(1)

Teething and Biting

281

(3)

Complementary Feeds

284

(5)

Pressure to Begin Solid Foods

285

(1)

Choosing the Appropriate Time to Introduce Solid Foods

285

(1)

Signs of the Baby's Readiness for Solid Foods

286

(1)

How to Introduce Solid Foods

286

(2)

Allergy Considerations

288

(1)

Weaning

289

(4)

After Weaning

293

(1)

Summary

293

(1)

References

293

(2)

Problems with Milk Production and Transfer

295

(12)

The Perception of insufficient Milk Supply

295

(1)

Reasons for a Perceived Low Milk Supply

295

(1)

Recognizing Sufficient Milk Production

296

(1)

Identifying Problems with Infant Growth

296

(4)

Newborn Dehydration

296

(1)

Concerns with Infant Weight Gain

297

(1)

Identifying Mothers at Risk for Low Milk Production or Transfer

298

(1)

Warning Signs That a Baby Is Not Gaining Adequate Weight

298

(2)

Failure to Thrive

300

(2)

Issues to Address with the Mother

301

(1)

Reversing the Trend of Failure to Thrive

301

(1)

Measures to Increase Milk Production

302

(2)

Summary

304

(1)

References

304

(3)

Changes in the Family

307

(16)

Acquiring the Parental Role

307

(7)

Emotional Adjustments to Becoming a Mother

308

(2)

The Mother's Physical Recovery Following Birth

310

(2)

Becoming a Father

312

(2)

Changes in Family Relationships

314

(4)

Sexual Adjustments

314

(2)

Menstruation and Fertility

316

(2)

Sibling Reactions and Adjustments

318

(2)

Helping Siblings Prepare for the New Baby

319

(1)

Preparing for the Mother's Absence

319

(1)

Adjusting to the New Baby

319

(1)

Summary

320

(1)

References

320

(3)

Special Counseling Circumstances

323

(16)

Opposition to Breastfeeding

323

(3)

Opposition from Strangers

323

(1)

Opposition from Friends

324

(1)

Opposition from the Mother's Employer

324

(1)

Opposition from a Physician

324

(1)

Opposition from Grandparents and Other Relatives

324

(1)

Opposition from the Baby's Father

325

(1)

Mother's Confidence

326

(1)

Mother's Environment

326

(9)

Low-Income Mother

326

(3)

Single Mother

329

(1)

Teenage Mother

329

(3)

Mothers with Cultural Differences

332

(3)

Mother-to-Mother Support Groups

335

(1)

Outreach Counseling

335

(1)

Meeting the Needs of the Mothers

335

(1)

Regular Meetings for Mothers

335

(1)

When No Support Group Is Available

336

(1)

Summary

336

(1)

References

336

(3)

Breastfeeding Techniques and Devices

339

(24)

Breastfeeding Techniques

339

(2)

Pinch Test

339

(1)

Breast Massage

339

(1)

C-Hold

340

(1)

Dancer Hand Position

340

(1)

Breastfeeding Devices

341

(4)

Lubricants on the Breast and Nipple

341

(1)

Inverted Syringe for Flat or Inverted Nipples

342

(1)

Breast Shells

343

(1)

Nipple Shield

343

(1)

Pacifiers

344

(1)

Evaluator Techniques

345

(1)

Finger to Pacify Baby

345

(1)

Finger to Evaluate Oral Cavity

346

(1)

Suck Reorganization

346

(1)

Suck Training

346

(1)

Milk Expression

346

(7)

Manual Expression

346

(1)

Use of a Breast Pump

347

(1)

Selecting a Breast Pump

348

(2)

Collecting and Storing Human Milk

350

(2)

Human Milk Banks

352

(1)

Alternate Feeding Methods

353

(5)

Cup Feeding

353

(1)

Tube-Feeding Device

354

(2)

Finger Feeding

356

(1)

Syringe Feeding

356

(1)

Bottle Feeding

357

(1)

Artificial Baby Milk

358

(2)

Acceptable Medical Reasons for Foods Other Than Human Milk

358

(1)

Choosing an Infant Formula

359

(1)

Safety Tips from the American Academy of Pediatrics

359

(1)

Summary

360

(1)

References

360

(3)

Temporary Breastfeeding Situations

363

(16)

Hyperbilirubinemia (Jaundice)

363

(6)

Types of Jaundice

363

(2)

Risks and Treatment of High Bilirubin

365

(2)

Parental Concerns Associated with Jaundice

367

(2)

Delayed Onset of Breastfeeding

369

(1)

Expressing Milk to Maintain Lactation

369

(1)

Transition from Milk Expression to Breastfeeding

370

(1)

Mothers Who Return to Bottle Feeding

370

(1)

Relactation

370

(2)

Maternal Motivation

371

(1)

The Process of Relactation

371

(1)

Increasing the Mother's Success

372

(1)

Nursing an Adopted Baby

372

(1)

The Process of Inducing Lactation

372

(1)

Baby Losing Interest in Breastfeeding

373

(3)

Possible Causes of the Baby's Disinterest

374

(1)

What the Mother Can Do

375

(1)

Baby Who Prefers One Breast

376

(1)

Encouraging the Baby to Feed at Both Breasts

376

(1)

Summary

376

(1)

References

377

(2)

High-Risk Infants

379

(16)

Prolonged Hospitalization of the High-risk Infant

379

(3)

Parents' Reactions

379

(1)

Baby's Care

380

(1)

The Neonatal Intensive Care Unit Environment

380

(1)

Taking the Baby Home

381

(1)

Babies Not Born at Term

382

(6)

Small for Gestational Age Infants

382

(1)

Prematurity

383

(5)

Postmaturity

388

(1)

Counseling a Mother Whose Baby Has Died

388

(3)

Breastfeeding Concerns

389

(1)

Support Systems for Parents

390

(1)

Summary

391

(1)

References

391

(4)

When Breastfeeding Is Interrupted

395

(12)

Managing Breastfeeding through a Separation

395

(2)

The Mother's Needs

395

(1)

Considerations for Timing of the Separation

395

(1)

Maintaining Milk Production

396

(1)

Nourishing the Baby during the Absence

396

(1)

Motivation to Continue Nursing

396

(1)

Coping with Difficulties

396

(1)

Following the Separation

397

(1)

Short-term Separations

397

(3)

Hospitalization of Mother or Baby

398

(1)

When the Mother Is Ill

399

(1)

Hospitalization of the Mother

399

(1)

When the Baby Is Ill

399

(1)

Supporting the Working Mother

400

(4)

Making the Decision to Return to Work

400

(1)

Before Returning to Work

401

(1)

Returning to Work

402

(1)

The Baby-Friendly Workplace

403

(1)

Summary

404

(1)

References

405

(2)

Mothers and Babies with Long-Term Special Needs

407

(22)

Multiple Birth

407

(3)

Breastfeeding Management

407

(1)

Parenting Challenges with Multiples

408

(2)

Tandem Nursing

410

(1)

Breastfeeding during Pregnancy

410

(1)

Breastfeeding Siblings

410

(1)

Special Maternal Health Conditions

411

(5)

Diabetes

411

(2)

Hypothyroidism

413

(1)

Cystic Fibrosis

413

(1)

Maternal Phenylketonuria

413

(1)

Tuberculosis

414

(1)

Hepatitis C

414

(1)

Herpes

414

(1)

Human Immunodeficiency Virus (HIV)

415

(1)

Special Infant Health Conditions

416

(10)

Infant with Phenylketonuria

416

(2)

Galactosemia

418

(1)

Cleft Lip and Cleft Palate Infant

418

(5)

Neurologically Impaired Infant

423

(3)

Summary

426

(1)

References

426

(3)

Professional Considerations

429

(20)

Acquiring the Role of Lactation Consultant

429

(1)

Anticipatory Stage

429

(1)

Formal Stage

429

(1)

Informal Stage

430

(1)

Personal Stage

430

(1)

Facilitating the Role Acquisition

430

(1)

Preparing for the Profession

430

(3)

Educational Preparation

431

(1)

Clinical Experience

431

(1)

Other Educational Experience

431

(1)

Professional Networking

432

(1)

Certification

432

(1)

Standards of Practice for the Lactation Consultant

433

(4)

Standards of Practice for Plan of Care

433

(1)

Standards of Practice for Education and Counseling

433

(1)

Standards of Practice for Professional Responsibilities

434

(1)

Standards of Practice for Legal Considerations

434

(2)

Standards of Practice for Ethical Issues

436

(1)

Developing Resources

437

(1)

Promoting Your Services

437

(5)

Referral System

438

(1)

Community Awareness

438

(1)

Writing a Resume or Curriculum Vitae

438

(2)

Developing a Lactation Consultant Job Description or Proposal

440

(2)

Staff Education

442

(1)

Creating Enthusiasm Among Staff

443

(1)

Maturing Through Consulting Experiences

443

(4)

Mothers Who Do Not Follow Your Advice

444

(1)

Medical Complications

444

(1)

External Interference

444

(1)

Professional Burnout

444

(2)

Avoiding Pitfalls in Consulting

446

(1)

Summary

447

(1)

References

448

(1)

Critical Reading and Review of Research

449

(32)

Types of Articles in Scientific Journals

449

(1)

Case Studies

449

(1)

Meta-Analysis

449

(1)

Review Articles

450

(1)

Clinical Practice

450

(1)

Research

450

(1)

Structure of a Scientific Article

450

(2)

Identifying Information

450

(1)

Title of the Article

451

(1)

Authors

451

(1)

Abstract

451

(1)

Introduction

451

(1)

Review of the Literature

451

(1)

Methods

451

(1)

Instruments

452

(1)

Definition of Terms

452

(1)

Statistical Methods

452

(1)

Results

452

(1)

Discussion

452

(1)

References, Literature Cited, and Bibliography

452

(1)

Critical Reading of a Scientific Article

452

(14)

Look at the Title

453

(1)

Read the Authors' Names

454

(1)

Read the Abstract

454

(1)

Study the Tables and Graphs

454

(1)

Read the Results

454

(1)

Read the Methods (or Subjects and Methods)

455

(6)

Read the Introduction and Literature Review

461

(1)

Read the Discussion

462

(1)

Read the Results Again

462

(4)

Practicing Critical Reading Skills

466

(12)

First Practice Article: Sore Nipple Treatments: Gooeypaste Works Best

468

(7)

Second Practice Article: Nursing Strikes---Identifying Patterns

475

(3)

Summary

478

(1)

Bibliography

478

(3)

Breastfeeding Promotion and Change

481

(26)

Traits of a Strong Leader

481

(3)

Increasing Your Effectiveness

481

(2)

Incresing Self-Confidence

483

(1)

Increasing Assertiveness

484

(1)

Becoming a Change Agent

484

(10)

Anticipating Resistance to Change

485

(7)

Conflict Resolution

492

(1)

Using Humor As a Tool for Change

493

(1)

Beginning the Process of Change

494

(3)

The Art of Persuasion

494

(1)

Do Your Homework

494

(1)

A Model for Planned Change

494

(1)

Planning a Breastfeeding Committee

495

(1)

Take It Slow and Easy

496

(1)

Give Recognition and Praise

497

(1)

The Infant Formula Industry

497

(2)

Advertising Practices

497

(2)

A Global Response to Formula Advertising

499

(1)

Promoting Baby-Friendly Practices

499

(5)

A Baby-Friendly Health Profession

500

(3)

Official Baby-Friendly Designation

503

(1)

A Baby-Friendly World

503

(1)

Summary

504

(1)

References

504

(3)

Glossary

507

(12)

Appendix A. Professional Resources

519

(3)

Organizations

519

(1)

Sources for Lactation Resources

520

(1)

Drug Hot Lines

521

(1)

Appendix B. Recommended Reading

522

(3)

Professional Publications

522

(1)

Journals and Newsletters

523

(2)

Index

525

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Counseling the Nursing Mother: The Lactation Consultant's Reference

Counseling the Nursing Mother: The Lactation Consultant's Reference

9780763709754

0763709751

Summary

Table of Contents

Supplemental Materials

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Amazon no longer offers textbook rentals. We do!

Counseling the Nursing Mother: The Lactation Consultant's Reference

Counseling the Nursing Mother: The Lactation Consultant's Reference

9780763709754

0763709751

Summary

Table of Contents

Supplemental Materials

Write a Review

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