Infant Feeding
  • If interest is expressed in breastfeeding and there are no medical contraindications, support the choice. Offer educational materials, information about local classes, and a visit with a peer counselor.

  • If bottle feeding is chosen, ask: Have you considered breastfeeding? What have you heard about breastfeeding? Offer written information on breastfeeding or alert the woman and her family to sources of visual and oral information, including breastfeeding counselors. Videotapes may be helpful.

  • If the woman reports a history of breastfeeding problems or early discontinuation of breastfeeding, offer information that addresses these issues.

  • For women with inverted nipples, reassure them by saying: You have inverted nipples. We'll give you some extra help in the third trimester to make them ready for breastfeeding. Document the treatment plan.

Addressing Problems

Problems with Access to Food
  • Provide assistance or refer the woman so that she can obtain assistance with food, housing, insurance, and income support programs. (See Tab 10 for information about federal food and nutrition assistance programs and about referrals to WIC.)

Low Food or Nutrient Intake
  • Help the woman develop a concrete plan for eating enough food to gain weight. (See Tabs 7 and 8.)

  • Engage her in identifying acceptable food sources of needed nutrients. (For this purpose, try using



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