Part I Introduction
Chapter 1 Introduction
Part II Establishing the
Need for Human Milk
Chapter 2 Establishing the need for human milk in the
NICU
Part III The Baby-Friendly
NICU: The Ten Steps for Providing Maternal Milk
Chapter 3 Step 1: Developing a policy supportive of breastfeeding/human
milk use
Chapter 4 Step 2: Training all health care staff in skills
to implement the policy
Chapter 5 Step 3: Teach mothers about the benefits of
human milk for their preterm infants
Chapter 6 Step 4: Initiate early skin-to-skin as soon
as possible
Chapter 7 Step 5: Help mothers to begin early milk expression,
and provide education and support for establishing and maintaining an adequate
milk supply
Chapter 8 Step 6: Give special care infants only human
milk unless medically contraindicated
Chapter 9 Step 7: Promote skin-to-skin contact between
parents and their preterm infants
Chapter 10 Step 8: Foster early transition to full breastfeeding
Chapter 11 Step 9: Use ethical evidence-based breastfeeding
practices free of conflicts of interest
Chapter 12 Step 10: Foster the establishment of breastfeeding
support groups and community programs and refer mothers to them.
Part IV Use of Banked Donor
Human Milk as an Alternative
Chapter 13 Clinical use of donor milk
Chapter 14 Brief history of donor milk banking in the
US
Chapter 15 International models
Chapter 16 The Ten Steps for a “Baby-Friendly” milk
bank
Part V Conclusions
Chapter 17 Conclusions