Do you feel frustrated that you can’t spend the time you would like helping and supporting mothers with breastfeeding? Are you worried that you and your office staff don’t have the knowledge and skills to help mothers with breastfeeding problems?

You are not alone. Data has shown that only about 40% of mothers are meeting their breastfeeding goals.1 The CDC Healthy People 2020 has set breastfeeding goals for the United States to meet to help improve the health of mothers and infants.2 The table below shows the goals and the national breastfeeding rates for infants born in 2011. You can find out how your state is doing by checking the Breastfeeding Report Card.3




Any breastfeeding during birth hospitalization



Exclusive breastfeeding at 3 months of age



Any breastfeeding at 6 months of age



Exclusive breastfeeding at 6 months of age



Any breastfeeding at 12 months of age




The women in the United States are almost meeting the goal for breastfeeding initiation, but continuing breastfeeding for 6-12 months seems to be a more difficult goal to accomplish. The AAP PediaLink has a new on-line course called “Breastfeeding Matters, The Role of the Pediatrician” with 2 hrs. of CME credit. It covers the office based care of the breastfeeding mother-infant couple. It covers the following topics:

  1. Newborn (3-5 day) visit, using RNs with breastfeeding training to perform most of the visit, and the pediatrician providing supervision,
  2. 2 week well care visit,
  3. a one month visit with discussion of returning to work,
  4. 2 month well care visit and the use of cold medicines,
  5. outpatient care of the late preterm breastfeeding infant, and
  6. billing for visits related to lactation problems.

This course allows you to learn more about office based support for breastfeeding mothers and infants in an on-line format to help you support breastfeeding mothers and infants reach their breastfeeding goal.

  1. Odom EC, Li R, Scanlon K, Perrine CG, and Grummer-Strawn L. Reasons for Earlier Than Desired Cessation of Breastfeeding. Pediatrics. 2013: 131; e726-732.
  2. Centers for Disease Control and Prevention. Healthy People 2020.
  3. Centers for Disease Control and Prevention. Breastfeeding Report Card 2014.

Mary E O’Connor MD, MP, Colorado Chapter AAP

Kathryn McLeod MD, Georgia Chapter, AAP, CBC