Public Closing Keynote Presentation

Abstract: Breastfeeding is a robust system; however, lactation can be negatively impacted by multiple variables that occur around the time of birth. One variable of hospital birth that has the potential to impact breastfeeding is birth during the nighttime hours. While delivery in the overnight hours is totally normal for mammals, nighttime birth can inadvertently create challenges for breastfeeding initiation and continuation.

Using the latest research, this lecture aims to shed light on the variables that are present during nighttime births in the hospital setting that can potentially interfere with breastfeeding initiation and lactation support. Through analysis of the current literature, this lecture examines breastfeeding obstacles that may arise from giving birth at night, including increased formula supplementation, increase in birth interventions that can negatively impact breastfeeding, delay in lactogenesis II, lack of support for breastfeeding on the night shift, and increased likelihood of NICU admission. Furthermore, this lecture will emphasize the importance of hospital policies that protect breastfeeding, such as the Ten Steps to Successful Breastfeeding. In addition, this lecture explores strategies known to enhance breastfeeding that parents can utilize during the overnight hours, with or without the assistance of high-level lactation support. Finally, this talk includes various strategies that lactation consultants can use to help remediate breastfeeding challenges resulting from nighttime birth.

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