Breastfeeding Telephone Triage and Advice

Maya Bunik, MD, MPH, FABM, FAAP, is a professor of pediatrics at the University of Colorado School of Medicine and director of the Primary Care Teaching Clinic at Children's Hospital Colorado. As a practicing pediatrician, she has been helping mother-baby pairs with breastfeeding for more than 25 years. Her experience also includes serving as medical director of the Pediatric Advice Line Call Center at Children's Hospital Oakland. Dr Bunik is also the Chair of the Section on Breastfeeding (2022).

• Alphabetic Contents A Accidental Feeding of Breast Milk to Another Parent’s Child (Mistaken Milk Ingestion) Alcohol Use Allergy B Biting Breast, Onset at 6 Months Breast Mass Breast Pain, <1 Week Breast Pain, Chronic >1 Week Breastfeeding in the First Few Weeks: Simplify Your Life (Advice Only) Breastfeeding Station Supplies (Advice Only) C Cannabinoid Use Chestfeeding/Breastfeeding Support in LGBTQIA Individuals Child Care and Breastfeeding (Advice Only) Clicking or Noisy Nursing Color Change of Human Milk Constipation in the Breastfed Baby Contraception, Lactation Amenorrhea Method (Advice Only) Co-Sleeping/Bed-Sharing and Breastfeeding (Advice Only) Cultural Issues and Breastfeeding (Advice Only) D Distraction, Onset at 4 Months E Early Weight Loss, Birth Hospital or First Week Emotional Symptoms With Letdown Engorgement Environmental Exposures and Toxins Exclusive Pumping Expression of Human Milk: Pumping, Parts and Cleaning Equipment, Hand Expression (Advice Only) F Feeding More Frequently Feeding the Baby With Cleft Lip or Palate Feeding the Baby With Hypotonia Feeding the Baby With Trisomy 21 Syndrome (Down Syndrome) Fortification of Human Milk Recipes (Advice Only) Fussiness, Colic, and Crying in the Breastfed Baby G Gassiness in the Breastfed Baby H Hyperlactation/Oversupply/Overactive Letdown I Induced Lactation for Adoptive, Surrogate, and LGBTQIA Parents Itching of the Breast/Nipple Area J Jaundice, Newborn L Late-Preterm Newborn Lifestyle or Personal Care Questions (Advice Only) Long-Term Breastfeeding, Up to 2 Years and Beyond (Advice Only) Low Milk Supply Low Milk Supply in Older Baby >6 Months M Maternal Anesthesia/Analgesia (Advice Only) Maternal Contraindications/Causes for Concern With Breastfeeding (Advice Only) Maternal Illnesses (Advice Only) Maternal Medications (Advice Only) Maternal Methicillin-Resistant Staphylococcus aureus Maternal Nutrition, Ingestion of Specific Foods and Herbs, and Hydration (Advice Only) Maternal Postpartum Depression Maternal Postpartum Vaginal Bleeding Maternal Smoking, Vaping, and Cessation Strategies Maternal Substance Use Milk Leaking From Newborn’s Breasts (Galactorrhea) Milk Storage Multiples (Advice Only) N Newborn Contraindications to Breastfeeding (Advice Only) Nipple Variation: Flat/Short, Inverted, Generous, or Bulbous No Latch or Inability to Latch Nursing Strike or Refusal Nursing With Pregnancy P Pacifiers and Slow-Flow Nipples (Advice Only) Partners/Fathers (Advice Only) Positions for Breastfeeding (Mother and Infant) R Referral to Local Support and Online Resources (Advice Only) Refusing Bottle, Preferring to Nurse Relactation (Advice Only) Return to Work or School (Advice Only) S Sleepy Newborn Solid Food Introduction in Breastfed Infant Sore Nipples Spitting Up (Reflux) T Tandem Nursing Taste Change of Human Milk Tongue-Tie, Lip Tie V Vitamin D, Iron, and Zinc Supplementation W Weaning Appendixes Appendix A. Breastfeeding Touchpoints for Overcoming Obstacles to Exclusivity Appendix B. Quick Reference for Pain With Breastfeeding Appendix C. Risky Time Points Regarding Milk Supply References for All Protocols Index