Literature review for - Flourish Paediatrics

Conclusion
PIM is one of the most common and influential reasons for
low rates of breastfeeding duration and exclusivity. Future
research should be conducted to determine who is at high
risk and to further validate screening tools; and whether
PIM is a physiological or psychological issue. Perceived
milk supply is considered modifiable and well-informed
interventions to reduce the incidence of PIM might be a
key element for improving rates of successful
breastfeeding.
The primary health care units should inform, encourage, and
support pregnant women in breastfeeding; the maternity
hospitals should allow women to bond with their babies and
help them to establish breastfeeding; and the primary health
care units should be able to guide, reinforce, and support this
practice continuously, completing the cycle. Although there is
evidence supporting the effectiveness of primary care strategies
in extending breastfeeding duration, there is a need for broadbased,
well-designed studies testing the effect of the
combination of the procedures referred above, preferably
spanning the prenatal and postnatal periods, to encourage the
development of evidence-based protocols concerning the
promotion, protection, and support of breastfeeding in primary
care.
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