Quiz

Alice is considering if she wants to continue breastfeeding when she returns to work as a hair stylist next month. Her daughter Ellie is 11 months old and is breastfeeding mostly in the evening and morning. She tells you her goal has been to breastfeed until her next pregnancy and asks you about what she […]

Additional Resources

Please note some links below are to webpages external to AHS. Outside of specific information we are linking to, these websites have not been reviewed in their entirety or endorsed by AHS for scientific accuracy or alignment with AHS policies. User discretion is advised as other resources on the websites may not align with AHS […]

Quiz

Question 1  Lee has made the decision to have her newborn son adopted. She gave birth six hours ago and is preparing to be discharged. What would you include in your teaching about lactation suppression? Question 2  You are seeing Manuela who tells you she has made the decision to gradually start weaning her daughter […]

Topic 4: Extended Breastfeeding

Extended breastfeeding, also known as prolonged or long-term breastfeeding, is not well defined or researched. Generally, extended breastfeeding means breastfeeding through toddler and/ or early childhood years.18 Extended breastfeeding is more common in low- and middle-income countries than it is in high-income countries like Canada.19 Breastfeeding beyond 1-2 years is an important source of comfort and […]

Case Study

You see Justine and her 4-month-old Rose for breastfeeding support. Rose has been exclusively breastfeeding since birth, but Justine reports Rose has suddenly self-weaned. Resources: Is Your Baby Getting Enough Breastmilk?   Breastfeeding Assessment Components  LEARN Model Strategies: For information on infant growth and feeding difficulties such as temporary breast refusal (nursing strikes), refer to the […]

Topic 3: Breastfeeding Children of Different Ages

Breastfeeding children of different ages is also referred to as tandem nursing. This most frequently occurs as an older sibling nursing alongside a new infant, but can also include other scenarios such as adoption.17 Parents may wish to continue breastfeeding throughout pregnancy and the birth of a new child, or the older sibling may wish to […]

Topic 2: Weaning

Weaning is the process of replacing breastfeeding with other sources of nutrition.9 Depending on the age of the infant, the most appropriate replacement may be infant formula or pasteurized donor human milk, or it may be complementary foods.9 Weaning can be led by the breastfeeding parent, the child, or both may be ready to wean […]

Topic 2: Breastfeeding During Pregnancy

Pregnancy results in changes in milk production and the breastfeeding experience.  In mid-pregnancy, mature milk begins to transition to colostrum in preparation for the new infant, causing a decline in milk supply and a change in taste.4,16   Oxytocin released while breastfeeding during pregnancy may trigger benign uterine contractions.16 Breastfeeding parents may experience increased nipple or […]

Topic 1: Early Postpartum Lactation Suppression

After birth, some individuals may not breastfeed. Reasons reported for not initiating breastfeeding include:23 Other reasons may include experiences such as perinatal loss, the infant being adopted or fostered, being a surrogate, family members unsupportive of breastfeeding, a previous negative experience with breastfeeding, having a history of sexual trauma, or lack of access to maternity […]

Topic 1: Return to Work or School

Many parents manage to balance breastfeeding with work or school responsibilities. However, it is not uncommon for parents to encounter physical and emotional challenges that may impact their breastfeeding goals.11 Support is needed from employers, school administrators, coworkers, peers, and family members to help parents continue to breastfeed after returning to work or school.    Parental […]