. "4 Basic Nutrition Services for Newborn Infants." Nutrition Services in Perinatal Care: Second Edition. Washington, DC: The National Academies Press, 1992.
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Nutrition Services in Perinatal Care
Provide support and technical assistance in the art of breastfeeding and in coping with other aspects of infant feeding.
Communicate in a second language or make effective use of an interpreter or translator to communicate with non-English-speaking families.
Intervention Skills
Use problem-solving techniques to support breastfeeding women who may otherwise wean their babies prematurely.
Manage the nutritional care of infants with health problems who have been discharged to routine care.
Assist the caregiver to solve real or perceived feeding problems.
Facilitate the parents' use of available community services and agencies that provide resources to support maternal and child nutrition.
Management of the Organization and Delivery of Nutritional Care
Assist in training home visitors (including peer counselors) to support breastfeeding and to provide guidance on other aspects of infant feeding.
Develop strategies for achieving consistency of care by various health team members and for triggering appropriate follow-up when there is a change in providers.
Incorporate new knowledge into nutritional care plans and educational programs.
SUMMARY
Because exclusive breastfeeding is the recommended feeding method for infants for the first 4 to 6 months, basic nutritional care for the neonate needs increased attention to support for breastfeeding, preferably beginning before conception. Emphasis should be placed on appropriate anticipatory guidance both pre-and postnatally, direct support in the hospital, and a variety of forms of assistance with breastfeeding management after discharge. Early home visits offer a promising strategy for supporting continued breastfeeding.