Toronto Breastfeeding Protocols: Evidence-Based Revision For Health Care Providers.pdf

Informed Decision Making for Infant Feeding

## Overview
This protocol guides healthcare providers in supporting informed decision-making regarding infant feeding, emphasizing breastfeeding as the optimal choice. It is based on the City of Toronto's Breastfeeding Protocols (2013) and updated through a revision process following evidence-informed decision-making principles. The goal is to ensure parents receive accurate, non-judgmental information and support tailored to their unique circumstances.

## Process and Contributors
The protocol revision involved a multidisciplinary team, including experienced breastfeeding consultants, healthcare professionals, and external reviewers from Ontario and other provinces. The process adhered to evidence-informed decision-making methodologies, ensuring the highest quality of information.

## Use and Disclaimer
Healthcare providers are encouraged to use this protocol as a resource for educating practitioners. It should be copied or printed for educational purposes only, with proper attribution. The protocol emphasizes individual assessment, professional judgment, and consultation with breastfeeding experts when needed.

## Starting the Conversation

### Prenatal Conversations
- Provide evidence-based information: Share current research and guidelines regarding breastfeeding benefits and management strategies during pregnancy.
- Address concerns: Address common prenatal concerns, such as return to work or specific medical conditions, offering reassurance and practical advice.

### Postpartum Conversations
1. Facilitate informed consent: Offer clear, unbiased information about breastfeeding options, risks of not breastfeeding, and how to optimize feeding success.
2. Support and encourage: Provide non-judgmental support, encouraging direct breastfeeding while respecting individual choices and circumstances.
3. Educate on breastfeeding benefits: Emphasize the health benefits of breastfeeding for both mother and infant, supporting long-term positive outcomes.
4. Risk mitigation: Inform parents about potential risks associated with formula feeding or partial breastfeeding and strategies to minimize these risks.

## Key Points:
1. Direct Breastfeeding vs. Expressed Breast Milk (EBM): Support direct breastfeeding whenever possible, but also educate on the benefits of EBM if direct feeding is not feasible.
2. Individualized Approach: Advocate for a feeding plan that aligns with each parent's needs, ensuring it is acceptable, feasible, affordable, sustainable, and safe.
3. Beliefs and Practices: Respect and explore parents' beliefs and practices, helping them make informed choices and develop a personalized care plan.
4. Community Resources: Direct parents to community resources for further support and information regarding infant feeding.

## Key Resources:
- Refer to the complete protocol for a detailed list of references and additional resources.
- Utilize Appendix 1 for a comprehensive overview of potential risks associated with not breastfeeding or suboptimal breastfeeding.

This concise summary highlights critical aspects of the Breastfeeding Protocol, emphasizing informed decision-making and supportive care for new parents.