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Pediatric Collections: Breastfeeding: Support Challenges and Benefits

Breastfeeding is a health care intervention of profound significance. Optimal breastfeeding practices, defined as exclusive breastfeeding through 6 months of age followed by continued breastfeeding with introduction of solid foods, save lives. Worldwide, in children 0–23 months, careful meta-analysis demonstrates a significantly decreased mortality rate with dose response in both all-cause and infection-related mortality among infants and children who received recommended breastfeeding, compared to those who received partial or no breastfeeding. Mothers benefit from optimal breastfeeding practices too, and recent analysis of data from high-, middle-, and low-income countries shows that universal optimal breastfeeding could prevent 20,000 deaths due to breast cancer (breastfeeding has been clearly shown to decrease risk of breast cancer in a dose-related manner). Breastfeeding may be the least expensive yet most cost-effective health intervention known.
Heidi Szugye, DO, NABBLM-C, IBCLC, FAAP; Esha Ghosalkar, BS; Sarah Leluga, DO, FAAP; Suet Kam Lam, MD, IBCLC, MPH, MS, FAAP
Lisa Abuogi, MD, MS, FAAP; Lawrence Noble, MD, FAAP; Christiana Smith, MD, MS, FAAP; COMMITTEE ON PEDIATRIC AND ADOLESCENT HIV; Natella Yurievna Rakhmanina, MD, PhD, FAAP; Lisa Abuogi, MD, MS, FAAP; Susan Gillespie, MD, PhD; Anne Neilan, MD, MPH, FAAP; Rosemary Olivero, MD, FAAP; Carina A. Rodriguez, MD, FAAP; Julia Rosebush, DO, FAAP; George Siberry, MD, MPH, FAAP; Steven Nesheim, MD; Bill G. Kapogiannis, MD, FIDSA; Athena P. Kourtis, MD, PhD, MPH, FAAP; Heather Stob; SECTION ON BREASTFEEDING; Lori Feldman-Winter, MD, MPH, FAAP, FABM; Maya Bunik, MD, MSPH, FAAP, FABM; Sahira Long, MD, IBCLC, FAAP, FABM; Monica Richter, MD, PhD, IBCLC, FAAP, FABM; Emily Hannon, MD, IBCLC, FAAP; Ann Kellams, MD, IBCLC, FAAP, FABM; Sharon Mass, MD, FACOG; Lawrence Noble, MD, FAAP, FABM; Rose St. Fleur, MD, FAAP, FABM, IBCLC; Lisa Stellwagen, MD, FAAP; Jennifer Thomas, MD, MPH, IBCLC, FAAP, FABM; Joan Younger Meek, MD, MS, RD, FAAP, FABM, IBCLC; Kera Beskin, MPH, MBA
Jennifer E. Lane, MD; Byron A. Foster, MD, MPH
Gayle M. Shipp, PhD, RDN; Adaeze C. Wosu, PhD; Emily A. Knapp, PhD; Katherine A. Sauder, PhD; Dana Dabelea, MD, PhD; Wei Perng, PhD, MPH; Yeyi Zhu, PhD; Assiamira Ferrara, MD, PhD; Anne L. Dunlop, MD, MPH; Sean Deoni, PhD; James Gern, MD; Christy Porucznik, PhD, MSPH; Izzuddin M. Aris, PhD; Margaret R. Karagas, PhD; Sheela Sathyanarayana, MD, MPH; Tom G. O’Connor, PhD; Kecia N. Carroll, MD, MPH; Rosalind J. Wright, MD, MPH; Christine W. Hockett, PhD; Christine C. Johnson, PhD, MPH; John D. Meeker, MS, ScD; José Cordero; Nigel Paneth, MD, MPH; Sarah S. Comstock, PhD; Jean M. Kerver, PhD, MSc, RDN; program collaborators for Environmental influences on Child Health Outcomes
Valerie J. Flaherman, MD, MPH; Joan Murungi, MBBS; Carlito Bale, MBBS; Stephanie Dickinson, MS; Xiwei Chen, MS; Flavia Namiiro, MBBS; Jolly Nankunda, MBBS; Lance M. Pollack, PhD; Victoria Laleau, MS; Mi-Ok Kim, PhD; David B. Allison, PhD; Amy Sarah Ginsburg, MD, MPH; Augusto Braima de Sa, MS; Victoria Nankabirwa, MBBS, PhD
Mandy Brown Belfort, MD, MPH
John James Parker, MD; Clarissa Simon, PhD, MPH; Anne Bendelow, MPH; Michael Bryan, PhD, MPH; Ruben A. Smith, PhD, MS; Katherine Kortsmit, PhD, MPH, RD; Beatriz Salvesen von Essen, MPH; Letitia Williams, MPH; Ada Dieke, DrPH; Lee Warner, PhD, MPH; Craig F. Garfield, MD, MAPP
Adrienne E. Hoyt-Austin, DO, MAS, IBCLC; Jessica H. Cheng, MD; Hana Moua, MD; Daniel J. Tancredi, PhD; Caroline J. Chantry, MD; Laura R. Kair, MD, MAS
Andrea McGowan, MPH; Ruowei Li, MD, PhD; Kristin J. Marks, PhD, MPH; Heather C. Hamner, PhD, MS, MPH
Joan Younger Meek, MD, MS, RD, FAAP, FABM, IBCLC; Lawrence Noble, MD, FAAP, FABM, IBCLC; Section on  Breastfeeding
Joan Younger Meek, MD, MS, RD, FAAP, FABM, IBCLC; Lawrence Noble, MD, FAAP, FABM, IBCLC
Kelsey A. Miller, MD, EdM; Lois K. Lee, MD, MPH
Hannah R. Crowley, BS; Neera K. Goyal, MD, MSc; Esther K. Chung, MD, MPH
Valerie J. Flaherman, MD, MPH; Andrew Robinson; Jennifer Creasman; Charles E. McCulloch, PhD; Ian M. Paul, MD, MSc; Mark J. Pletcher, MD, MPH
Kirti Gupta, MD, DM; Prakash Amboiram, MD; Umamaheswari Balakrishnan, MD, MRCPCH; Ashok C, MD, DNB; Thangaraj Abiramalatha, MD, DM; Usha Devi, MD, DM
Steven Weinberg, MD; Amanda Mary Brown, CNM, MSN, MPH; Colin Orr, MD; Alison Sweeney, MD
Lisa Mondzelewski, MD, MPH; Thornton Mu, MD; Amy Michalski, MD; Josiah Ward, DO; Laura Cheng, MD; Matthew Chen, BA; Robert Riffenburgh, PhD; Alison Holmes, MD, MPH
Alicia Caldwell, MD; Sarah Riddle, MD, IBCLC
Jean C. Digitale, MPH, RN; Pearl W. Chang, MD; Sherian X. Li, MS; Michael W. Kuzniewicz, MD, MPH; Thomas B. Newman, MD, MPH
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