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Midwifery Management of Breastfeeding: Using the Evidence


  • Jan Weingrad Smith CNM, MS, MPH,

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    • Jan Weingrad Smith received nurse-midwifery education and graduate degrees in nursing and public health from the Columbia University Graduate Schools of Nursing (CUSON) and Public Health. Currently, she is assistant professor of midwifery and public health at the Boston University School of Public Health, Department of Maternal and Child Health, and the Chairperson of the Breastfeeding Committee of the Maternal and Child Health Section of the American Public Health Association.

  • Rose Tully Mary MPH, IBCLC

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    • Mary Rose Tully received her MPH in Maternal Child Health at the University of North Carolina at Chapel Hill, School of Public Health. She is certified as a lactation consultant by the International Board of Lactation Consultant Examiners and has been a hospital-based lactation consultant since 1978. Currently, she is Director of Lactation Services at University of North Carolina Women's & Children's Hospitals and on faculty in the School of Medicine.

Department of Maternal and Child Health, Boston University School of Public Health, 715 Albany Street, T-5W, Boston, MA 02118.


Strong evidence supports breastfeeding as the appropriate health choice for both mothers and infants. However, the mechanics of breastfeeding are frequently less well understood. This review of both the research and clinical evidence regarding appropriate breastfeeding management is designed to aid the midwife and other health care professionals in providing care and teaching, which will optimize maternal and infant health.