What are the recommendations for breast-feeding in the Healthy People Initiative 2020?
Answer
Based on the World Health Organization and the American Academy of Pediatrics, there is the Healthy People Initiative 2020 in the United States. The Healthy People objectives mirror the recommendations for breast-feeding. For 2020, there is the goal of increasing the proportion of infants who are breastfed to 81%. The target for some breast-feeding at six months is 60%, whereas the target for exclusive breastfeeding through six months is set at 25%. About 80% of women in the United States intend to breastfeed and 75% even initiate breast-feeding. We see at three months and at six months that a relatively large proportion of those women are still feeding some breast milk to their infants. When we look at exclusive breastfeeding, we see a big drop in those percentages. In the 2010 outcomes, exclusive breastfeeding for six months was only about 12% or 13%. You could see the gap between women’s and families’ interests and intentions to breastfeed (75% - 80%), but only 12% to 13% are actually able to exclusively breastfeed for that recommended six months. It is this dilemma that needs to be studied.
Jennifer Pitonyak, PhD, OTR/L, SCFES, CIMI
Jennifer Pitonyak has over 14 years of clinical experience as an occupational therapist in a diversity of practice settings, including early intervention and the neonatal intensive care unit. She holds specialty certification in feeding, eating, and swallowing from AOTA, and is a Certified Infant Massage Instructor. She is currently on the faculty at University of the Sciences in Philadelphia, where in addition to teaching, she collaborates with community partners to develop occupational therapy programs for infants and families. She recently completed doctoral studies in health policy with research on the social and contextual factors that impact breastfeeding duration. Her clinical and research interests include infant and family mental health.
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