In the Academy of Breastfeeding Medicine’s new position statement, we describe the scope of the field, who practices in the field, the problems addressed, challenges faced, and some cases that exemplify this work. Paula K. Schreck, MD IBCLC FABM, contacted the lead author on the position statement, Casey Rosen-Carole, MD NABBLM-C MPH MSEd FABM, to gain more insight into the topic.

Dr. Rosen-Carole, what would you say is the defining characteristic of the breastfeeding and lactation medicine (BFLM) provider?
Great question, and one that I think we are still working out as a field, so I’ll answer from my perspective. I believe BFLM providers are experts in interpersonal physiology and the social dynamics of care. We understand that at least two physiologies are at play in most of our patient encounters, and their interplay is fraught with its own joys and challenges! Moreover, because breastfeeding is both a physiological process and a socially determined behavior, we must be very good at promoting health through motivational interviewing, trauma-informed care, counseling, and advocacy. 

In the Academy of Breastfeeding Medicine’s new position statement, we recognize the critical role of exclusive breastfeeding for the first six months of life to ensure optimal infant health. Paula K. Schreck, MD IBCLC FABM, contacted the lead author on the position statement, Lori Feldman-Winter, MD MPH FABM, to get more insight into the topic.

Question:

Dr. Feldman-Winter, I attended a presentation by you many years ago at an ABM annual meeting entitled “Why Not Just One Bottle?” which I still remember vividly. It had a great impact on me. How has the messaging on exclusivity evolved since you first started teaching the importance of exclusivity?