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[(with)-339.6(expertise)-341.7(in)-336.4(breastfeeding)-341.5(support)-335.9(and/or)-341.9(with)]TJ
0 -1.1116 TD
[(an)-354.7(internation)-9.2(al)-354.8(board-certied)-359.9(lactation)-365.3(consultant)]TJ
T*
(\(IBCLC\).)Tj
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 189.3543 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 188.0503 Tm
[(Supervised)-485.4(assessment)-487.4(of)-486(latch)-486.1(and)-482.5(breastfeeding)]TJ
T*
[(technique)-336.2(with)-333.8(mother/infant)-340.9(dyads.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 167.4708 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 166.1669 Tm
[(Supervised)-370.2(management)-375.4(of)-370.8(maternal)-370.9(problems)-368.2(and)]TJ
T*
[(maintenance)-393.8(of)-382.3(breastfeeding)-393.4(after)-388(return)-388(to)-382.5(work,)]TJ
0 -1.1174 TD
[(including)-276.4(knowledge)-284(of)-278.6(applicable)-281(legal)-278.8(protections)]TJ
0 -1.1116 TD
[(for)-371.9(lactating)-382.5(women)-371.6(in)-376.7(the)-373.2(workplace)-377.2(and)-373.1(training)]TJ
T*
[(in)-336.4(use)-332.6(of)-336.2(hand)-333.9(expression)-335.6(or)-336.2(breast)-331.4(pumps.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 112.6488 Tm
()Tj
/F8 1 Tf
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[(Observation)-337.9(of)-336.2(breastfeeding)-335.8(consults.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 101.707 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 100.4031 Tm
[(Participation)-265.9(in)-261.5(outpatient)-267.3(breastfeeding)-266.6(or)-267.1(lactation)]TJ
T*
[(consultant/specialist)-340.4(clinics.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 79.7669 Tm
()Tj
/F8 1 Tf
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[(At)19.8(te)19.6(nd)15.1(an)19.7(ce)-165.8(at)-164.8(pe)13.9(er)-164.6(co)19.7(un)20.8(se)14.1(lo)20.7(r)-173.9(m)0(e)18.4(e)0(t)19.5(i)0(n)15(g)0(s)-163.3(\()0(e)19.7(.)0(g)18.5(.)0(,)-168.1(L)0(a)-165.8(L)0(e)18.5(c)0(h)19.7(e)]TJ
T*
[(Le)18.5(ag)19.7(ue)-320.1(In)15.1(te)19.5(rn)20.9(at)19.5(io)20.7(na)13.9(l\))-319.1(or)-319(at)-326(pe)19.7(er)-320.1(su)21(pp)15.1(or)20.9(t)-329.5(p)0(r)20.9(o)0(v)15.1(i)0(d)20.7(e)0(d)-320.1(a)0(t)]TJ
T*
[(ot)20.7(he)19.7(r)-456.1(v)0(o)20.8(l)0(u)20.7(n)0(t)20.7(e)0(e)18.5(r)-450.3(or)-445.7(go)20.8(ve)19.7(rn)20.9(me)18.4(nt)20.7(-s)15.3(up)20.8(po)20.8(rt)20.7(ed)-441.1(pr)15.1(og)20.8(ra)19.7(ms)]TJ
25.504 67.9242 TD
[(\(e)14(.)13.8(g)0(.)18.5(,)-297.2(Au)20(st)20.9(ra)19.7(li)20.6(an)-285.6(Br)19.8(ea)12.8(st)20.9(fe)19.7(ed)19.7(in)20.7(g)-294.8(A)0(s)14.4(s)0(o)21(c)0(i)19.5(a)0(t)19.5(i)0(o)20.7(n)0(,)-286.8(N)0(a)18.8(t)0(i)20.6(o)0(n)20.8(a)0(l)]TJ
0 -1.1174 TD
[(Ch)14(il)20.6(db)20.8(ir)20.7(th)-319.1(Tr)13.9(us)21(t)-329.5([)0(U)20(n)0(i)20.7(t)0(e)13.8(d)-329.4(Ki)19.8(ng)20.8(do)20.8(m])19.6(,)-331.7(o)0(r)-319(S)0(p)15.2(e)0(c)18.5(i)0(a)19.5(l)-329.5(Su)21(p-)]TJ
0 -1.1116 TD
[(pl)14.9(em)18.5(en)19.7(ta)19.6(l)-197.1(N)0(u)20(t)0(r)20.7(i)0(t)20.6(i)0(o)20.7(n)-196.9(Pr)21(og)20.8(ra)14(m)-192.4(f)0(o)20.9(r)-196.9(Wo)18.6(me)18.4(n,)-183.1(In)15.1(fa)19.7(nt)20.7(s,)-182.9(an)19.7(d)]TJ
T*
[(Ch)14(il)20.6(dr)20.9(en)-239.5([U)20(ni)14.9(te)19.6(d)-248.8(S)0(t)20.9(a)0(t)19.5(e)0(s)14.1(])0(,)-240.6(a)0(n)19.7(d)-248.8(ho)20.8(sp)21(it)14.8(al)19.5(-b)20.9(as)19.9(ed)-245.3(gr)20.9(ou)20.8(ps)21(\).)]TJ
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[(c.)-501(For)-331.4(primary)-327(care)-336.2(disciplines,)-329(resident)-333.7(competencies)-337.1(in)]TJ
1.198 -1.1116 TD
[(breastfeeding)-468.2(build)-466.5(on)-463(those)-467.4(established)-470.6(for)-464(medical)]TJ
T*
(students.)Tj
7.3823 0 0 6.5614 366.3495 657.8077 Tm
[(8,10,20)-10.4(,24,25,30,3)-7.9(2,4244)]TJ
9.843 0 0 9.843 452.9196 653.4423 Tm
[(The)-719.9(residency)-727.5(compe-)]TJ
-12.3258 -1.1174 TD
[(tencies)-402.9(are)-397.3(classied)-404.8(below)-399.3(according)-399.4(to)-399.7(the)-402(Accred-)]TJ
0 -1.1116 TD
[(itation)-694.8(Council)-695.6(for)-694.4(Graduate)-698.7(Medical)-703.5(Education)]TJ
7.3823 0 0 6.5614 542.551 635.8676 Tm
(45)Tj
9.843 0 0 9.843 331.5968 620.5605 Tm
[(\(ACGME\))-392.7(competenc)-10.2(y)-387(domains.)-393.6(The)-391.6(ACGME)-396.3(is)-393.8(the)]TJ
0 -1.1174 TD
[(organization)-368.4(responsible)-365.6(for)-360.3(the)-361.7(accreditation)-372(of)-359.3(post-)]TJ
0 -1.1116 TD
[(medical)-410.1(degree)-407.5(medical)-410.1(training)-407.7(programs)-408.4(within)-405.3(the)]TJ
T*
[(United)-394.8(States)-394.7(and)-396.1(some)-398.3(international)-398.6(sites.)-395.9(The)-391.6(com-)]TJ
0 -1.1174 TD
[(petencies)-337.2(are)-333.9(relevant)-340.8(worldwide.)]TJ
/F2 1 Tf
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[(Medical)-330.8(knowledge.)]TJ
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[(Identify)-707.1(risks)-707.9(of)-704.8(not)-706.1(breastfeeding)-710.1(for)-705.9(infants,)]TJ
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[(mothers,)-336(and)-338.5(society.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 334.7715 518.1164 Tm
()Tj
/F8 1 Tf
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[(Identify)-338.5(anatomic)-336.3(structures)-341.5(of)-330.5(the)-332.9(breast.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 334.7715 507.1747 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 343.6156 505.8707 Tm
[(De)18.8(sc)25.6(ri)20.7(be)-222.2(p)16.2(h)0(y)20.8(s)0(i)20.9(o)16.2(lo)20.7(gy)-221.1(o)16.2(f)-231.4(mi)19.5(lk)-221.2(p)16.2(r)0(o)20.9(d)0(u)26.6(c)0(t)19.5(i)0(o)26.5(n)-231.5(an)19.7(d)-231.5(r)0(e)25.5(m)0(o)19.6(v)16.2(al)19.5(.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 334.7715 496.2329 Tm
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/F8 1 Tf
9.843 0 0 9.843 343.6156 494.929 Tm
[(Describe)-738.8(the)-736.1(physiology)-736.8(of)-733.7(lactational)-737.4(fertility)]TJ
T*
[(suppression)-312.3(and)-309.7(its)-308.6(use)-309.5(and)-309.7(limitations)-314.6(as)-308.4(a)-313.3(method)]TJ
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[(of)-336.2(family)-337.5(planning.)]TJ
/F11 1 Tf
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()Tj
/F8 1 Tf
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[(Describe)-399(the)-390.5(hormones)-391.1(of)-388.1(lactation)-394.1(and)-390.4(their)-392.8(mul-)]TJ
0 -1.1116 TD
[(tiple)-335.4(effects)-339.4(on)-336.3(mother)-331.6(and)-338.5(child.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 334.7715 441.4109 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 343.6156 440.107 Tm
[(Explain)-390.5(the)-390.5(biochemical)-392.8(and)-384.6(immunolog)-6.9(ic)-383.6(proper-)]TJ
T*
[(ties)-339.7(of)-330.5(human)-336.2(milk.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 334.7715 419.5275 Tm
()Tj
/F8 1 Tf
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[(Describe)-571.8(the)-569(importance)-568.9(of)-566.6(breastfeeding)-571.9(in)-566.8(the)]TJ
T*
[(establishment)-341.7(of)-336.2(microbiome.)]TJ
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[(Describe)-341.4(breastfeeding)-341.5(recommendations.)]TJ
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/F8 1 Tf
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[(Discuss)-337.6(the)-338.7(importance)-338.5(of)-330.5(exclusive)-336(breastfeeding.)]TJ
/F11 1 Tf
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[(Describe)-473.9(differences)-471.6(in)-463.1(the)-465.4(rates)-468.5(of)-462.9(breast)-8.8(feeding)]TJ
0 -1.1174 TD
[(initiation)-519.8(and)-517.1(duration)-517.1(based)-514.5(on)-514.8(factors,)-520.2(such)-518(as)]TJ
0 -1.1116 TD
[(race/ethnicity,)-434.2(socioeconomic)-435(status,)-425.8(and)-430.7(maternal)]TJ
T*
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/F11 1 Tf
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()Tj
/F8 1 Tf
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[(Describe)-456.6(suckling)-447.8(and)-448(compare)-450.1(breastfeeding)-456.7(and)]TJ
T*
[(bottle-feed)-10.2(ing)-331.7(mechanics.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 334.7715 309.9401 Tm
()Tj
/F8 1 Tf
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[(Recognize)-424.7(the)-419.3(impact)-419.4(of)-416.9(intrapartum)-419.2(and)-419.2(postpar-)]TJ
T*
[(tum)-338.7(medications)-333.8(and)-338.5(procedures)-336.8(on)-330.5(lactation.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 334.7715 287.9999 Tm
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[(Describe)-289.5(the)-281.1(importance)-280.9(of)-278.6(skin-to-skin)-283.9(care)-284.3(for)-279.7(the)]TJ
T*
[(initiation)-341.3(of)-330.5(breastfeeding.)]TJ
/F11 1 Tf
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()Tj
/F8 1 Tf
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[(De)13(sc)19.9(ri)20.7(be)-262.5(si)20.9(gn)20.8(s)-271.6(o)0(f)-267.1(a)0(d)19.7(e)0(q)19.7(u)0(a)19.7(t)0(e)-262.7(m)0(i)19.5(l)0(k)-261.5(i)0(n)20.7(t)0(a)19.5(k)0(e)-262.5(b)0(y)-261.4(t)0(h)20.7(e)-273(in)14.9(fa)19.7(nt)20.7(.)]TJ
/F11 1 Tf
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[(Describe)-537.2(the)-534.5(normal)-533.2(growth)-531.7(pattern)-534.4(of)-532.1(breastfed)]TJ
T*
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/F11 1 Tf
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[(List)-339.7(absolute)-333.8(contraindications)-340.6(to)-336.4(breastfeeding.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 334.7715 222.2361 Tm
()Tj
/F8 1 Tf
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[(Describe)-687(the)-672.7(lactational)-685.5(amenorrhea)-679.2(method)-683(of)]TJ
T*
[(family)-337.5(planning.)]TJ
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()Tj
/F8 1 Tf
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[(Identify)-338.5(indications)-337.3(for)-331.5(maternal)-342.1(milk)-334.2(expression.)]TJ
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/F8 1 Tf
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[(Describe)-675.4(how)-672.3(to)-670.5(maintain)-675.1(breastfeeding)-675.6(during)]TJ
T*
[(maternal/i)-10.5(nfant)-335.1(separation.)]TJ
/F11 1 Tf
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()Tj
/F8 1 Tf
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[(List)-478(the)-476.9(specic)-477.5(benets)-482.1(of)-474.5(human)-474.4(milk)-478.2(for)-475.5(pre-)]TJ
T*
[(mature)-338.6(infants.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 334.7715 145.5307 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 343.6156 144.2267 Tm
[(Identify)-413.3(the)-407.8(late)-415.9(preterm)-408.7(infant)-411.2(as)-412.1(being)-410(at)-406.7(higher)]TJ
T*
[(risk)-707(of)-699.1(complications)-710.5(and)-701.4(breastfeeding)-704.4(failur)-8(e)]TJ
T*
[(compared)-341.8(with)-333.8(the)-332.9(term)-335.2(infant.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 334.7715 112.6488 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 343.6156 111.3448 Tm
[(Describe)-358.7(the)-350.2(interactions)-351.1(betwe)-8.8(en)-348.9(jaundice,)-350.1(breast-)]TJ
T*
[(feeding,)-261.2(and)-252.1(breast)-262.3(milk)-253.6(with)-259(appropriate)-257.7(diagnostic)]TJ
T*
[(and)-338.5(management)-335.1(strategies.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 334.7715 79.7669 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 343.6156 78.463 Tm
[(Describe)-416.3(the)-413.5(role)-414.6(of)-411.1(human)-411.1(milk)-414.8(banking)-412.2(and)-413.4(the)]TJ
T*
[(appropriate)-660.9(indications)-659.9(and)-661.1(utilization)-660.3(of)-653(donor)]TJ
T*
[(human)-336.2(milk.)]TJ
/F5 1 Tf
8.9663 0 0 8.9663 59.7543 749.7069 Tm
[(ABM)-336(STATEMENT)]TJ
54.1178 0 TD
(7)Tj
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8.9663 0 0 8.9663 72 725.7825 Tm
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[(Patient)-331.4(care.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 85.9464 703.5588 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 94.8472 702.2549 Tm
[(Obtain)-389(a)-388.2(relevant)-392.7(medical)-392.8(history)-393.6(of)-388.1(breastfeeding)]TJ
0 -1.1116 TD
[(mothers)-332.6(and)-338.5(babies.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 85.9464 681.6187 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 94.8472 680.3715 Tm
[(Perform)-562.8(a)-566.7(maternal)-566.7(breast)-567.5(assessment,)-571.5(including)]TJ
0 -1.1174 TD
[(nipple)-336.3(conguration)-332.4(and)-338.5(assessment)-337.6(for)-331.5(scars.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 85.9464 659.7352 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 94.8472 658.4313 Tm
[(Facilitate)-361.7(skin-to-skin)-358.7(care)-359.2(in)-359.4(the)-355.9(delivery)-362.7(room)-356.9(or)]TJ
0 -1.1116 TD
[(operating)-335(room.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 85.9464 637.7951 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 94.8472 636.4911 Tm
[(Provide)-446.5(assistance)-453.1(with)-449(the)-453.8(rst)-447.6(feeding)-447.9(after)-451.4(de-)]TJ
T*
[(livery)-336.3(as)-331.5(needed.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 85.9464 615.9116 Tm
()Tj
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[(Perform)-413(infant)-411.2(oral)-408.8(assessment)-412.5(and)-413.4(general)-414.5(health)]TJ
0 -1.1174 TD
(assessment.)Tj
/F11 1 Tf
7.9702 0 0 7.9702 85.9464 593.9715 Tm
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/F8 1 Tf
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[(Evaluate)-307.5(breastfeeding)-307(latch)-301.8(and)-304(attachment)-305.3(for)-302.7(the)]TJ
0 -1.1116 TD
[(breastfeeding)-335.8(mother)-337.4(and)-332.8(infant.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 85.9464 572.0314 Tm
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[(Evaluate)-336.3(effective)-337.3(nutritive)-339.9(suckling)-332.6(pattern.)]TJ
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[(Identify)-373(mothers)-378.6(and)-378.8(infants)-377.5(at)-372.1(risk)-378.7(for)-371.9(inade)-8(quate)]TJ
T*
[(milk)-334.2(transfer.)]TJ
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7.9702 0 0 7.9702 85.9464 539.1495 Tm
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/F8 1 Tf
9.843 0 0 9.843 94.8472 537.9022 Tm
[(Weigh)-780.9(the)-782.2(benets)-787.4(of)-779.7(exclusive)-785.3(breastfeeding)]TJ
0 -1.1174 TD
[(against)-332.6(a)-336.3(potential)-335.3(need)-335(for)-337.3(supplementation.)]TJ
/F11 1 Tf
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[(Counsel)-263.3(mothers)-263.4(about)-260.2(the)-258(perception)-268.2(of)-261.4(inadequate)]TJ
0 -1.1116 TD
(milk.)Tj
/F11 1 Tf
7.9702 0 0 7.9702 85.9464 495.3259 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 94.8472 494.0219 Tm
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[(Couns)-15.8(e)9.8(l)-241.7(mother)-15.8(s)-230.9(o).4(n)-241.5(t).3(echn)-15.8(i)10.7(ques)-241.3(f).4(o)-15.8(r)-231.1(hand)-241.5(expr)-15.8(e)9.7(ssi)-15.8(o)10.7(n).4(.)]TJ
7.3823 0 0 6.5614 293.896 498.444 Tm
-.0239 Tc
(46)Tj
/F11 1 Tf
7.9702 0 0 7.9702 85.9464 484.3841 Tm
0 Tc
()Tj
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(49)Tj
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/F8 1 Tf
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[(Diagnose)-587.9(and)-586.2(treat)-589.8(plugged)-590.7(ducts,)-586(mastitis,)-590.7(and)]TJ
T*
(abscess.)Tj
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(50)Tj
/F11 1 Tf
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/F8 1 Tf
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T*
[(transmission)-337.9(to)-330.6(the)-338.7(breastfed)-335.8(infant.)]TJ
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[(Counsel)-476.4(families)-479.1(on)-480.3(the)-476.9(risks)-477.5(and)-476.8(benets)-482.1(of)-474.5(in-)]TJ
T*
[(formal)-331.6(milk)-340(sharing.)]TJ
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(51)Tj
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[(poglycemia)-309.7(and)-304(manage)-310.8(newborn)-303.5(blood)-305.1(sugars)-306.9(in)-307.6(a)]TJ
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[(manner)-332.7(that)-339.9(supports)-331.1(breastfeeding.)]TJ
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(52)Tj
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[(Evaluate)-261.4(and)-257.9(manage)-259(infants)-256.6(with)-259(neonatal)-260.2(jaundice)]TJ
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[(in)-330.6(a)-336.3(manner)-338.4(that)-334.1(supports)-331.1(breastfeeding.)]TJ
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(53)Tj
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/F8 1 Tf
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[(Monitor)-550.3(for)-544.6(inade)-8(quate)-549.4(milk)-547.3(production)-553.8(or)-543.6(milk)]TJ
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[(transfer)-840.4(and)-833.9(implement)-838.7(supplementation)-839.5(when)]TJ
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[(medically)-337.6(necessary.)]TJ
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(54)Tj
/F11 1 Tf
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[(Identify)-298.2(and)-298.2(manage)-299.3(newborns)-304.4(at)-297.2(risk)-298(for)-297(excessive)]TJ
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[(weight)-337.2(loss)-332.4(and)-332.8(dehydration.)]TJ
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()Tj
/F8 1 Tf
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[(Evaluate)-336.3(and)-332.8(manage)-339.6(infants)-337.2(with)-333.8(ankyloglossia.)]TJ
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(55)Tj
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()Tj
/F8 1 Tf
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[(Measure,)-332.1(plot,)-336.4(monitor,)-329.4(and)-332.8(interpret)-335.1(infant)-336.3(growth)]TJ
T*
[(patterns)-333.7(using)-333.7(the)-338.7(WHO)-335.6(growth)-335.9(standards.)]TJ
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[(Evaluate)-261.4(and)-257.9(manage)-264.8(infants)-262.3(with)-259(poor)-257.8(weight)-262.3(gain.)]TJ
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()Tj
/F8 1 Tf
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[(Develop)-281.7(management)-277.5(plans)-283.1(that)-276.5(incorporate)-286.5(the)-275.3(use)]TJ
T*
[(of)-532.1(expressed)-531.4(maternal)-537.9(milk)-530(and/or)-532(donor)-535.4(human)]TJ
T*
[(milk)-334.2(when)-334.7(supplementation)-338.4(is)-336.2(necessary.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 85.9464 100.8 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 94.8472 99.4961 Tm
[(Support)-278.4(nontraditional)-283.3(family)-279.9(units)-282(in)-278.8(breastfeeding)]TJ
T*
[(support)-335.9(\(e.g.,)-331.5(same)-336.1(sex)-338.3(couples,)-336(transgender\).)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 85.9464 78.9165 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 94.8472 77.6126 Tm
[(Counsel)-557(families)-565.5(about)-559.7(breastfeeding)-560.4(adopted)-563.1(or)]TJ
T*
[(surrogate)-334.7(children.)]TJ
/F11 1 Tf
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()Tj
/F8 1 Tf
9.843 0 0 9.843 345.8834 726.5195 Tm
[(Counsel)-280.6(families)-277.5(about)-283.3(vaccination)-282.1(practices)-279.5(during)]TJ
0 -1.1174 TD
(breastfeeding.)Tj
/F11 1 Tf
7.9702 0 0 7.9702 336.9826 705.8833 Tm
()Tj
/F8 1 Tf
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[(Counsel)-568.5(families)-571.2(about)-565.5(family)-567.9(planning)-568.9(and)-568.9(the)]TJ
0 -1.1116 TD
[(potential)-335.3(impact)-338.7(on)-336.3(breastfeeding.)]TJ
/F11 1 Tf
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[(Counsel)-505.2(mothers)-505.3(about)-502.1(maintaining)-505.8(breastfeeding)]TJ
T*
[(during)-335(separation)-337.1(from)-333.9(the)-338.7(infant.)]TJ
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[(Counsel)-303.6(mothers)-303.7(about)-306.3(storage)-303.7(of)-301.7(expressed)-306.7(human)]TJ
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/F8 1 Tf
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[(Counsel)-292.1(mothers)-286.5(about)-289(returning)-287.7(to)-290.3(work)-287.5(or)-290.1(school.)]TJ
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[(Evaluate)-365.1(medication)-361.7(risk)-361.4(during)-358.1(lactation)-365.3(by)-359.3(refer-)]TJ
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[(ring)-401.9(to)-394(appropriate)-401.7(evidence-based)-408.2(resources)-398.8(\(e.g.,)]TJ
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(LactMed\).)Tj
7.3823 0 0 6.5614 387.3259 610.2991 Tm
(56)Tj
/F11 1 Tf
7.9702 0 0 7.9702 336.9826 596.2959 Tm
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/F8 1 Tf
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[(Counsel)-441.8(breastfeeding)-451(mothers)-442(on)-439.9(the)-442.3(use)-442(of)-439.9(rec-)]TJ
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[(reational)-336.3(drugs.)]TJ
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()Tj
/F8 1 Tf
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[(Evaluate)-365.1(and)-355.8(manage)-362.7(infants)-360.2(born)-361.5(to)-359.4(mothers)-361.3(with)]TJ
T*
[(substance)-341.4(abuse)-335.9(who)-332.5(desire)-337.1(to)-330.6(breastfeed.)]TJ
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(57)Tj
/F11 1 Tf
7.9702 0 0 7.9702 336.9826 552.4723 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 345.8834 551.1683 Tm
-.0216 Tc
[(S)-5.3(upp)-5.4(ort)-408.7(b)-5.4(rea)-6.6(s).5(tf)-5.4(eed)-5.4(in)-5.4(g)-402.8(i)-5.5(n)-408.6(s).5(pe)]TJ
11.41 0 TD
-.0205 Tc
[(cia)-5.5(l)-407.6(circum)-5.5(sta)-5.5(n)1.5(ce)-5.5(s)-407.3(\()1.5(e.g.,)]TJ
-11.41 -1.1174 TD
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[(pr)4.5(emat)4.3(u)4.4(r)-1.3(i)4.3(t)-1.5(y)4.4(,)-1051.9(i)4.3(n)4.4(fant)-1049.7(co)4.4(ng)4.4(eni)4.3(t)4.3(a)-2.5(l)-1049.7(a)3.3(no)4.4(mali)4.3(es)4.6(,)-1051.9(c)3.3(l)4.3(e)-2.5(f)4.5(t)]TJ
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[(l)-5.6(i).1(p/)-5.7(pal)-5.6(a)-.9(te)-6.7(,)]TJ
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-.0315 Tc
(58)Tj
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[(conge)-4.9(n)2(ital)-689.2(he)-4.9(art)-689.3(d)-3.7(isease,)-691.5(trisomy)-689.1(2)2(1,)]TJ
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[(ma)-6.5(ter)-5.3(n).4(al)-339.5(dia)-6.5(b).4(et)-5.5(es,)-336(a)-6.5(nd)-333.6(d)-5.3(e)-.7(la)-6.5(yed)-333.6(l)-5.4(act)-5.4(oge)-6.5(nes)-5.1(i).3(s)-339.2(s).6(ta)-6.5(ge)-334.8(I)-5.3(I\).)]TJ
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0 Tc
()Tj
/F8 1 Tf
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[(Provide)-285.3(appropriate)-286.5(introduction)-285.6(and)-286.7(progression)-283.7(of)]TJ
T*
[(breastfeeding)-577.7(for)-567.7(premature)-573.4(infants)-567.6(according)-572.2(to)]TJ
T*
[(gestational)-338.5(age.)]TJ
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/F8 1 Tf
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[(Counsel)-643.4(mothers)-637.8(about)-640.4(introduction)-636.9(of)-635.7(comple-)]TJ
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[(mentary)-339.7(feedings.)]TJ
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[(Counsel)-338.2(mothers)-332.6(about)-335.1(weaning.)]TJ
/F2 1 Tf
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[(Communication)-339.4(and)-329.4(interpersonal)-335.7(skills.)]TJ
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()Tj
/F8 1 Tf
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[(Apply)-427(shared)-429.2(decision-making)-436.1(principles)-428.2(to)-428.5(coun-)]TJ
T*
[(seling)-503.2(mothers)-499.6(and)-505.6(families)-502.1(about)-502.1(optimal)-500.1(infant)]TJ
0 -1.1116 TD
[(feeding)-263.6(decision)-264.6(for)-262.4(health)-262.6(outcomes,)-263.4(child)-260.3(spacing,)]TJ
T*
[(and)-332.8(nutrition.)]TJ
/F11 1 Tf
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/F8 1 Tf
9.843 0 0 9.843 345.8834 374.1165 Tm
[(Demonstrate)-420.9(sensitivity)-422.5(to)-417(cultural)-420.4(and)-413.4(ethnic)-423.9(dif-)]TJ
T*
[(ferences)-376.1(and)-367.3(practices)-377.5(related)-374.3(to)-370.9(breastfeeding)-376.1(and)]TJ
T*
[(infant)-336.3(care.)]TJ
/F11 1 Tf
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()Tj
/F8 1 Tf
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[(Demonstrate)-432.4(sensitivity)-434(to)-422.8(the)-430.8(spectrum)-427(of)-428.4(family)]TJ
T*
[(congurations)-339.1(and)-332.8(the)-332.9(impact)-338.7(on)-336.3(breastfeeding.)]TJ
/F2 1 Tf
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[(Systems-based)-335.2(practice.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 336.9826 298.0345 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 345.8834 296.7307 Tm
[(Identify)-447.9(and)-442.2(help)-449.2(implement)-447.1(policies)-449.1(that)-443.6(support)]TJ
T*
[(breastfeeding)-422.2(in)-422.8(maternity)-422.8(care)-416.8(facilities)-423.9(\(e.g.,)-423.7(the)]TJ
T*
[(Ten)-276.4(Steps\),)]TJ
7.3823 0 0 6.5614 391.0676 279.2125 Tm
(11)Tj
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[(managed)-277.4(by)-278.7(Baby-Friendly)-276.9(USA,)]TJ
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(59)Tj
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[(specic)-339.3(agencies,)-339.4(such)-333.7(as)-331.5(ministries)-341.8(of)-330.5(health.)]TJ
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[(Identify)-597.7(barriers)-598.5(to)-589.8(successful)-601.5(breastfeeding)-600.7(and)]TJ
T*
[(suggest)-336.9(strategies)-337(to)-336.4(overcome)-336.1(them.)]TJ
/F11 1 Tf
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()Tj
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[(Describe)-352.9(structural,)-345.2(institutiona)-9.2(l,)-344.5(and)-344.3(systemic)-352.1(bar-)]TJ
T*
[(riers)-421.2(that)-414.8(contribute)-422.6(to)-417(disparities)-417.7(in)-417(breastfeeding)]TJ
T*
[(initiation)-444.9(and)-442.2(duration)-447.9(experienced)-450(by)-439.9(BIPOC,)-443.7(or)]TJ
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[(based)-307.1(on)-301.7(education)-301.6(level)-307.6(and)-304(socioeconomic)-302.5(status.)]TJ
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[(Describe)-358.7(how)-349.8(exposure)-356.5(to)-347.9(racism)-355.6(and)-350(implicit)-357.4(bia-)]TJ
0 -1.1116 TD
[(ses)-430.3(pose)-431.6(challenges)-436.2(to)-428.5(families)-438.7(of)-428.4(color)-433(receiving)]TJ
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[(equitable)-336.3(breastfeeding)-341.5(and)-332.8(lactation)-342.2(support.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 336.9826 144.6236 Tm
()Tj
/F8 1 Tf
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[(Identify)-413.3(cultural)-408.9(and)-407.6(psychosocial)-414(factors)-413.1(that)-409(im-)]TJ
0 -1.1116 TD
[(pact)-335.2(breastfeeding)-341.5(rates.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 336.9826 122.6834 Tm
()Tj
/F8 1 Tf
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[(Refer)-406.2(breastfeeding)-404.9(mothers)-401.7(and)-401.9(babies)-406.3(for)-400.7(expert)]TJ
0 -1.1174 TD
[(assistance)-337.9(as)-337.2(needed.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 336.9826 100.8 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 345.8834 99.4961 Tm
[(List)-564.4(ways)-559.2(in)-561(which)-560.6(the)-557.5(community)-566.7(can)-558.6(support)]TJ
0 -1.1116 TD
(breastfeeding.)Tj
/F11 1 Tf
7.9702 0 0 7.9702 336.9826 78.8598 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 345.8834 77.5558 Tm
[(Identify)-407.6(community)-405.5(resources)-410.4(to)-405.5(assist)-404.9(breastfeed-)]TJ
T*
[(ing)-354.8(mothers,)-359(including)-362.8(breastfeeding-friendly)-364.3(prac-)]TJ
/F5 1 Tf
8.9663 0 0 8.9663 62.022 749.6502 Tm
(8)Tj
45.9486 0 TD
[(ABM)-336(STATEMENT)]TJ
ET
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[(titioners,)-533.2(prenatal)-536.7(or)-532.1(postpartum)-531.8(classes,)-538.3(drop)-528.5(in)]TJ
0 -1.1174 TD
[(breastfeeding)-566.1(services,)-568.4(mother-to-mother)-569.9(support,)]TJ
0 -1.1116 TD
[(and)-332.8(internet)-339.8(resources.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 693.5809 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 692.277 Tm
[(Describe)-416.3(the)-407.8(role)-414.6(of)-411.1(IBCLCs,)-411.5(other)-409.9(levels)-417.9(of)-405.3(pro-)]TJ
T*
[(fessional)-386.5(and)-378.8(lay)-384.7(breastfeeding)-387.6(support,)-379.7(as)-383.3(well)-381.1(as)]TJ
0 -1.1174 TD
[(other)-289(members)-294.5(of)-290.2(the)-292.6(health)-291.4(care)-290.1(team)-290.3(in)-290.3(caring)-291.3(for)]TJ
0 -1.1116 TD
[(mothers)-338.3(and)-332.8(babies.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 649.7006 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 648.4534 Tm
[(Be)-401.8(able)-398.5(to)-394(identify)-402(current)-401.8(laws)-398(protecting)-399.6(breast-)]TJ
0 -1.1174 TD
[(feeding)-563.1(mothers)-562.9(with)-564.2(regard)-561.8(to)-561(maternity)-561(leave,)]TJ
0 -1.1116 TD
[(breastfeeding)-330(or)-324.7(pumping/expressing)-328.6(breast)-331.4(milk)-322.7(at)]TJ
T*
[(work,)-337(and)-332.8(breastfeeding)-341.5(in)-330.6(public.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 605.877 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 604.5731 Tm
[(Advocate)-347.4(for)-337.3(legislative)-344.4(policies)-345.4(to)-342.1(enable)-338.5(families)]TJ
T*
[(to)-336.4(meet)-336.4(their)-335.2(breastfeeding)-335.8(goals.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 583.9935 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 582.6896 Tm
[(Facilitate)-275.3(follow-up)-270.2(visits)-271.5(for)-268.2(breastfeeding)-272.4(mothers)]TJ
T*
[(and)-332.8(babies.)]TJ
/F2 1 Tf
8.9663 0 0 8.9663 69.7323 539.2628 Tm
[(Practice-based)-337.5(learning)-334.3(and)-329.4(improvement.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 524.1259 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 522.8219 Tm
[(Locate)-339.7(resources)-335.5(for)-337.3(CME.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 513.1841 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 511.8802 Tm
[(Assess)-480.2(current)-476.6(breastfeeding)-479.8(knowledge)-479.8(base)-473.1(and)]TJ
0 -1.1174 TD
[(identify)-338.6(gaps)-333.7(in)-330.6(knowledge)-341.6(and)-332.8(clinical)-335.4(skills.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 491.244 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 489.94 Tm
[(Perform)-631.9(evidence-based)-638.6(review)-631.9(of)-630(breastfeeding)]TJ
0 -1.1116 TD
[(educational)-339.7(topics)-336.1(or)-330.5(clinical)-341.1(issues.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 469.3038 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 468.0565 Tm
[(Investigate)-758.8(program)-758.8(or)-756.7(hospital-specic)-759.5(breast-)]TJ
0 -1.1174 TD
[(feeding)-338.4(initiation)-335.5(and)-332.8(duration)-338.5(rates.)]TJ
/F11 1 Tf
7.9702 0 0 7.9702 83.6787 447.4204 Tm
()Tj
/F8 1 Tf
9.843 0 0 9.843 92.5795 446.1164 Tm
[(Participate)-270.5(in)-267.3(or)-267.1(devel)-8(op)-267.1(quality)-268.4(improvement)-270.6(plans)]TJ
0 -1.1116 TD
[(to)-440.1(improve)-442.2(breastfeeding)-445.2(rates)-439.7(and)-442.2(support)-439.6(in)-434.3(the)]TJ
0 -1.1174 TD
[(local)-336.4(clinic,)-335.3(practice,)-339.7(or)-336.2(hospital)-332.7(environment.)]TJ
-2.4191 -1.7164 TD
[(d.)-499.9(Lactation)-567.9(education)-566.6(should)-571(be)-562.1(integrated)-573.5(longitudi-)]TJ
1.2499 -1.1174 TD
[(nally)-312.2(throughout)-316.5(the)-315.6(curriculum)-320(and)-315.5(should)-311.8(occur)-318.8(in)-313.4(a)]TJ
0 -1.1116 TD
[(variety)-309.8(of)-313.2(clinical)-312.3(settings:)-310.7(outpatient)-313.4(continuity)-312.2(clinic)]TJ
T*
[(and)-332.8(practices;)-344.1(inpatient)-341.1(settings)-338.3(\(e.g.,)-337.3(labor)-340.8(and)-338.5(deliv-)]TJ
0 -1.1174 TD
[(ery,)-244(newborn)-251.6(nursery,)-248.2(mother/baby)-252.1(units)-247.5(or)-249.8(postpartum)]TJ
0 -1.1116 TD
[(units,)-423.7(neonatal)-427.3(intensive)-427.1(care)-428.3(units,)-423.7(inpatient)-427.5(general)]TJ
T*
[(pediatrics,)-323.4(and)-321.2(adult)-323.7(medical)-329.5(and)-321.2(surgical)-328(wards\);)-320.6(and)]TJ
0 -1.1174 TD
[(community)-388.2(settings)-395.9(such)-391.3(as)-389.1(public)-388.2(health)-395.1(department)]TJ
0 -1.1116 TD
[(clinics)-401.9(or)-399.6(government-funded)-409.4(community)-399.7(health)-406.6(cen-)]TJ
T*
[(ters.)-918.9(In)-923.7(addition,)-918.1(breastfeeding-specic)-929.5(curricula)]TJ
T*
[(should)-582.5(be)-579.3(presented)-589.3(through)-583.8(a)-584(variety)-586.2(of)-578.1(teaching)]TJ
0 -1.1174 TD
[(modalities,)-277.5(to)-278.8(include)-281(didactics,)-276.2(case)-284.2(presentations)-277(and)]TJ
0 -1.1116 TD
[(discussions,)-862.9(daily)-865.1(attending)-865.1(rounds,)-868(and)-862.7(journal)]TJ
T*
[()50.8(clubs)48.9()-473.4(i)0(n)-468.9(which)-474.2(peer-reviewed)-481.8(journal)-475.6(articles)-473.2(are)]TJ
0 -1.1174 TD
[(reviewed)-347.3(critically.)-352.6(Residents)-347.2(may)-351.3(attend)-349(live)-345.6(presen-)]TJ
0 -1.1116 TD
[(tations)-458.3(or)-462.9(discussions,)-465.5(review)-464.9(online)-463(resources)-462.2(\(e.g.,)]TJ
T*
[(videos\),)-530.6(read)-536.6(breastfeeding)-537.3(textbooks)-535.3(or)-532.1(periodicals)]TJ
0 -1.1174 TD
(\(e.g.,)Tj
/F4 1 Tf
2.4421 0 TD
[(Breastfeeding)-416.4(Medicine,)]TJ
/F8 1 Tf
10.3848 0 TD
(the)Tj
/F4 1 Tf
1.6415 0 TD
[(Journal)-417.8(of)-411.3(Human)]TJ
-14.4684 -1.1116 TD
(Lactation)Tj
/F8 1 Tf
3.8417 0 TD
[(,)-498.8(o)0(r)-503.3(specialty-specic)-509.5(literature\),)-503.3(and)-505.6(com-)]TJ
-3.8417 -1.1116 TD
[(plete)-445.8(online)-445.8(web-based)-446(training)-448.1(modules.)]TJ
7.3823 0 0 6.5614 251.3196 203.4141 Tm
(6062)Tj
9.843 0 0 9.843 274.2235 199.0488 Tm
[(In)-439.9(the)]TJ
-19.6233 -1.1174 TD
[(United)-429.4(States,)-432.7(a)-434.2(multidisciplinary,)-435.3(competency-based)]TJ
0 -1.1116 TD
[(curriculum)-533.1(in)-538(breastfeeding)-537.3(education)-537.8(that)-535.7(provides)]TJ
T*
[(multiple)-368.8(activities)-372.1(for)-371.9(integration)-372(throughout)-368.4(the)-373.2(resi-)]TJ
T*
[(dency)-284.3(program)-292.3(is)-284.4(available)-291.4(on)-284.4(the)-286.8(American)-291(Academy)]TJ
0 -1.1174 TD
[(of)-526.3(Pediatrics)-532.9(website.)]TJ
7.3823 0 0 6.5614 171.2125 148.5921 Tm
(63)Tj
9.843 0 0 9.843 183.8551 144.2267 Tm
[(Use)-529.3(of)-526.3(this)-528.6(curriculum)-533.1(has)]TJ
-10.4423 -1.1116 TD
[(been)-404.1(associated)-407.2(with)-408.7(better)-406.6(care)-405.3(of)-405.3(lactating)-405.6(mothers)]TJ
T*
[(and)-528.6(infants)-538.8(and)-528.6(improved)-535.4(breastfeeding)-537.3(rates)-537.6(when)]TJ
0 -1.1174 TD
[(implemented)-248.8(in)-250(residency)-249.5(programs.)]TJ
7.3823 0 0 6.5614 225.2409 115.7102 Tm
(64)Tj
9.843 0 0 9.843 235.0488 111.3448 Tm
[(In)-249.8(each)-249.8(country,)]TJ
-15.6434 -1.1116 TD
[(resident)-397.1(participation)-404.3(in)-399.7(public)-399.7(clinics)-401.9(would)-398.2(provide)]TJ
T*
[(an)-792.4(important)-796(exposure)-794.2(to)-791.4(common)-793.6(breastfeeding)]TJ
0 -1.1174 TD
[(problems)-333.7(in)-336.4(a)-330.6(diverse)-338.2(patient)-338.7(population.)]TJ
-1.2499 -1.1116 TD
[(e.)-501(The)-443.4(knowledge,)-454.4(skills,)-447.8(and)-448(attitudes)-450.3(of)-445.7(residents)-449.8(are)]TJ
1.198 -1.1116 TD
[(important)-341(in)-336.4(supporting)-339.4(breastfeeding)-347.3(in)-336.4(patients.)-343.1(It)-336.4(is)]TJ
25.504 67.9242 TD
[(equally)-488.3(important)-485(that)-483.9(residents)-490.1(in)-486.1(training)-482.6(are)-489.4(sup-)]TJ
0 -1.1174 TD
[(ported)-503.2(themselves)-505.2(when)-507.5(they)-501(are)-506.7(breastfeeding)-508.5(par-)]TJ
0 -1.1116 TD
[(ents.)-245.1(Residents)-243.5(report)-244(lack)-243(of)-244.1(support)-243.8(for)-239.4(breastfeeding,)]TJ
T*
[(and)-448(their)-456.1(need)-450.2(to)-445.8(express)-453.1(milk)-455.1(after)-451.4(return)-451.3(to)-451.6(work,)]TJ
T*
[(from)-345.4(their)-346.7(faculty)-344.3(and)-344.3(peer)-346.5(colleagues.)]TJ
7.3823 0 0 6.5614 488.8062 685.7006 Tm
(65,66)Tj
9.843 0 0 9.843 508.8188 681.3352 Tm
(Residency)Tj
-18.0048 -1.1174 TD
[(directors,)-511(faculty,)-509(deans)-508.7(and)-505.6(department)-511.3(chairs,)-507.6(and)]TJ
0 -1.1116 TD
[(administrative)-360.4(support)-353.2(personnel)-357.7(need)-352.3(to)-353.7(advocate)-359.2(for)]TJ
T*
[(program)-597.5(and)-597.7(human)-595.4(resource)-599.5(policies)-604.6(that)-593.3(support)]TJ
0 -1.1174 TD
[(breastfeeding)-583.4(for)-579.2(residents,)-580(as)-579.1(well)-582.7(as)-579.1(for)-579.2(medical)]TJ
0 -1.1116 TD
[(students,)-335.8(faculty,)-336.2(and)-332.8(staff.)]TJ
-1.198 -1.1116 TD
[(f.)-499.8(The)-282.1(need)-277.4(for)-279.7(physician)-283(leadership)-285.2(in)-278.8(residency)-284(training)]TJ
1.0828 -1.1174 TD
[(to)-468.9(make)-468.7(the)-471.1(human)-468.7(lactation)-468.9(curriculum)-475.5(an)-464.1(ongoing)]TJ
0 -1.1116 TD
[(sustainable)-372.7(component)-376.5(of)-370.8(medical)-375.6(education)-370.8(has)-372.9(been)]TJ
T*
(described.)Tj
7.3823 0 0 6.5614 370.7715 587.0549 Tm
(24)Tj
9.843 0 0 9.843 381.2598 582.6896 Tm
[(Physician)-317.4(administrators)-324.3(\(e.g.,)-314.2(department)]TJ
-5.1607 -1.1116 TD
[(chairs,)-605.5(residency)-600.8(program)-603.3(directors\))-600.8(either)-602.4(need)-605.7(to)]TJ
0 -1.1174 TD
[(identify)-442.3(and)-442.2(support)-439.6(or)-439.9(develop)-442.1(this)-442.2(expertise)-439.6(within)]TJ
0 -1.1116 TD
[(the)-332.9(local)-336.4(training)-338.6(program,)-336(institution,)-332.9(or)-336.2(hospital.)]TJ
-1.0828 -1.1116 TD
[(g.)-499.9(Breastfeeding)-336.8(medicine)-336.3(electives)-337.3(in)-336.4(the)-332.9(form)-333.9(of)-330.5(block)]TJ
1.2499 -1.1174 TD
[(ro)20.9(ta)19.5(ti)20.6(on)15.1(s)-225.5(d)0(e)19.7(v)0(o)20.8(t)0(e)19.6(d)-225.7(to)-215.4(br)20.9(ea)18.5(st)20.9(fe)19.7(ed)19.7(in)20.7(g,)-217.6(oc)19.7(cu)19.7(rr)20.9(in)15(g)-220(i)0(n)-215.4(a)-226.9(va)19.7(ri)20.7(et)19.5(y)]TJ
0 -1.1116 TD
[(of)-606.9(cl)13.8(in)20.7(ic)19.5(al)-608.3(se)19.9(tt)14.8(in)20.7(gs)21(,)-619.7(h)0(a)19.7(v)0(e)-608.1(b)0(e)19.7(e)0(n)-613.9(d)0(e)19.7(s)0(c)19.9(r)0(i)20.7(b)0(e)19.7(d)-623.1(in)-607.1(fa)19.7(mi)19.5(ly)]TJ
T*
[(me)18.4(di)20.7(ci)19.5(ne)-239.5(an)19.7(d)-248.8(p)0(e)19.7(d)0(i)20.7(a)0(t)19.5(r)0(i)20.7(c)-249.9(re)19.7(si)20.9(de)19.7(nc)13.9(y)-243(t)0(r)20.7(a)0(i)13.8(n)0(i)20.7(n)0(g)-238.3(p)0(r)20.9(o)0(g)20.8(r)0(a)19.7(m)0(s)19.8(.)]TJ
7.3823 0 0 6.5614 533.7069 510.3495 Tm
-.0173 Tc
[(37)-17.3(,67)]TJ
9.843 0 0 9.843 332.107 494.9857 Tm
0 Tc
[(Th)19.6(es)19.9(e)-584(e)0(l)19.5(e)0(c)18.5(t)0(i)20.6(v)0(e)13.9(s)-582.6(ma)18.4(y)-582.8(i)0(n)20.7(c)0(l)19.5(u)0(d)20.8(e)-584(mo)19.6(re)-573.5(advanced)-595.2(topics)]TJ
T*
[(\(e.g.,)-406.4(relactation,)-412.3(induced)-413.3(lactation\))-406.7(and)-407.6(should)-409.7(stim-)]TJ
T*
[(ulate)-250(more)-254.4(sophisticated)-254.1(clinical)-249(problem)-252.1(solving)-249.7(skills)]TJ
0 -1.1174 TD
[(and/or)-468.6(provide)-469.8(an)-469.9(experience)-472(in)-468.9(clinical)-473.6(research)-474(or)]TJ
0 -1.1116 TD
[(advocacy.)-270.3(Faculty)-275.1(oversight)-270.3(by)-267.1(individuals)-272.8(with)-270.5(a)-267.2(high)]TJ
T*
[(degree)-436.3(of)-434.1(knowledge)-433.7(and)-430.7(skills)-432.8(in)-434.3(breastfeeding)-439.4(and)]TJ
T*
[(human)-486(lactation)-492(is)-480.2(essential.)-494.9(The)-483.7(ABM)-489.9(has)-482.3(a)-486.1(peer-)]TJ
0 -1.1174 TD
[(reviewed)-531.6(process)-528(for)-533.1(review)-528.3(of)-526.3(the)-528.7(credentials)-535.3(and)]TJ
0 -1.1116 TD
[(background)-525.9(of)-520.5(physic)-7.7(ians)-523.9(in)-520.7(breastfeeding)-531.6(with)-523.9(the)]TJ
T*
[(Fellow)-544.4(of)-537.8(the)-546(Academy)-543.2(of)-537.8(Breastfeeding)-549.9(Medicine)]TJ
0 -1.1174 TD
(award.)Tj
7.3823 0 0 6.5614 358.6393 389.7637 Tm
(19)Tj
9.843 0 0 9.843 370.2046 385.3983 Tm
[(Fellowship)-427.8(in)-417(the)-425.1(ABM)-426.6(is)-422.6(one,)-422.6(but)-418.1(not)-423.9(the)]TJ
-3.8705 -1.1116 TD
[(only,)-497.5(means)-504.2(of)-497.5(identifying)-503.3(those)-501.9(individuals)-503.2(with)-495.1(a)]TJ
T*
[(high)-465.3(degree)-465.1(of)-462.9(specialization)-465.2(in)-463.1(breastfeeding)-468.2(medi-)]TJ
0 -1.1174 TD
[(cine.)-384.7(The)-385.8(emergence)-385.6(of)-382.3(breastfeeding)-387.6(medicine)-388.2(prac-)]TJ
0 -1.1116 TD
[(tices)-353.5(provides)-355.5(an)-354.7(additional)-359.4(opportunity)-352.3(for)-354.6(education)]TJ
T*
[(of)-295.9(residents)-294.3(in)-296.1(an)-291.3(intensive)-294.7(settin)-8(g)-289.1(and)-298.2(should)-294.5(assist)-295.4(in)]TJ
T*
[(encouraging)-384.3(participating)-381.3(residents)-386.5(to)-376.7(make)-382.3(the)-379(prac-)]TJ
0 -1.1174 TD
[(tice)-312.3(of)-313.2(breastfeeding)-312.7(medicine)-313.3(an)-314.4(integral)-311(part)-316.7(of)-307.4(their)]TJ
0 -1.1116 TD
[(professional)-337.9(practices.)]TJ
7.3823 0 0 6.5614 421.2282 302.1165 Tm
(68)Tj
9.843 0 0 9.843 319.8046 286.8094 Tm
[(h.)-499.9(Subspecialty)-437.2(training)-436.6(programs)-437.2(\(e.g.,)-435.2(fellowship)-439.4(pro-)]TJ
1.2499 -1.1174 TD
[(gram)-254.4(in)-255.7(subspecialty)-258.6(disciplines,)-259.9(such)-253(as)-256.6(maternal/fetal)]TJ
0 -1.1116 TD
[(medicine)-480.3(or)-480.2(neonatology\))-482.3(require)-476.6(additionally)-482.7(struc-)]TJ
T*
[(tured)-450.3(didactic)-450.4(and)-448(experiential)-450.3(education,)-449.1(as)-452.4(well)-450.2(as)]TJ
0 -1.1174 TD
[(research)-404.9(opportunities,)-410.9(to)-399.7(further)-406.3(the)-402(science)-409.7(and)-401.9(ad-)]TJ
0 -1.1116 TD
[(vance)-308.5(the)-309.9(understanding)-310.4(of)-307.4(the)-304.1(role)-310.9(and)-304(importance)-315.5(of)]TJ
T*
[(breastfeeding)-341.5(and)-332.8(human)-336.2(milk.)]TJ
/F10 1 Tf
8.9663 0 0 8.9663 310.8472 183.1181 Tm
(Postgraduate/In-Service/CME)Tj
/F8 1 Tf
9.843 0 0 9.843 319.8046 166.1669 Tm
[(a.)-501(Practicing)-544.6(physicians,)-546.5(especially)-551.5(those)-542.3(in)-543.7(the)-540.2(disci-)]TJ
1.198 -1.1116 TD
[(plines)-399.5(of)-393.8(obstetrics)-399.2(and)-401.9(gynecology,)]TJ
7.3823 0 0 6.5614 479.5652 159.5905 Tm
(69)Tj
9.843 0 0 9.843 490.8471 155.2252 Tm
[(pediatrics,)-404(and)]TJ
-16.179 -1.1174 TD
[(family)-510.3(medicine,)]TJ
7.3823 0 0 6.5614 401.2156 148.5921 Tm
(70)Tj
9.843 0 0 9.843 413.6314 144.2267 Tm
[(require)-517(ongoing)-508.9(CME)-513.3(in)-509.2(breast-)]TJ
-8.3343 -1.1116 TD
[(feeding)-396(medicine)-399.7(to)-388.2(maintain)-398.7(and)-396.1(enhance)-398.3(their)-392.8(clin-)]TJ
T*
[(ical)-439(sk)21(il)14.8(ls)-416.8(an)19.7(d)-427.3(e)0(x)19.7(p)0(e)19.7(r)0(t)20.7(i)0(s)15.1(e)0(.)-414.6(K)0(e)18.8(y)-427.3(co)19.7(mp)19.6(on)15.1(en)19.7(ts)-416.8(of)-416.9(on)20.8(go)20.8(in)20.7(g)]TJ
0 -1.1174 TD
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[(Acad)-336(Pediatr)]TJ
/F8 1 Tf
5.7394 0 TD
(2011;11:7579.)Tj
-14.4674 -1.1284 TD
[(37.)-500.5(Freed)-392.5(GL,)-394.2(Clark)-395.7(SJ,)-392.7(Lohr)-395.1(JA,)-397.5(et)-394.3(al.)-394.3(Pediatrician)-393.5(involve-)]TJ
1.7505 -1.1284 TD
[(ment)-577.1(in)-573(breast-feeding)-584.9(promotion:)-575(A)-575(national)-575.1(study)-578.7(of)]TJ
0 -1.1223 TD
[(residents)-338.5(and)-334(practitioners.)]TJ
/F4 1 Tf
11.2836 0 TD
(Pediatrics)Tj
/F8 1 Tf
4.4524 0 TD
(1995;96;490494.)Tj
-17.4865 -1.1284 TD
[(38.)-500.5(Guise)-462.5(J-M,)-464.7(Freed)-465.7(G.)-459.2(Resident)-469.8(physicians)-460.8(knowledge)-468.2(of)]TJ
1.7505 -1.1223 TD
[(breastfeeding)-338.5(and)-334(infant)-335.6(growth.)]TJ
/F4 1 Tf
13.6135 0 TD
(Birth)Tj
/F8 1 Tf
2.397 0 TD
(2000;27:4953.)Tj
-17.761 -1.1284 TD
[(39.)-500.5(Eden)-336(A,)-337.3(Mir)-336.9(M.)-341(Breastfeeding)-343.3(education)-336(of)-338.1(pediatric)-343.9(resi-)]TJ
1.7505 -1.1223 TD
[(dents:)-314.1(A)-312.8(national)-318.9(survey.)]TJ
/F4 1 Tf
10.5212 0 TD
[(Arch)-316.8(Pediatr)-316.1(Adolesc)-314.8(Med)]TJ
/F8 1 Tf
11.1738 0 TD
(2000;)Tj
-21.695 -1.1284 TD
(154:12711272.)Tj
-1.7505 -1.1223 TD
[(40.)-500.5(Saenz)-540.8(RB.)-534.5(A)-538.4(lactation)-542.3(management)-541.4(rotation)-536.6(for)-535.7(family)]TJ
1.7505 -1.1284 TD
[(medicine)-335.5(residents.)]TJ
/F4 1 Tf
8.1669 0 TD
[(J)-333.7(Hum)-332.9(Lact)]TJ
/F8 1 Tf
5.1661 0 TD
(2000;16:342345.)Tj
-15.0834 -1.1223 TD
[(41.)-500.5(Hillenbrand)-390.3(KM,)-385.5(Larsen)-390.8(PG.)-389.1(Effect)-387.3(of)-386.9(an)-388.7(educational)-388.8(in-)]TJ
1.7505 -1.1284 TD
[(tervention)-510.6(about)-510.6(breastfeeding)-515.4(on)-512.6(the)-510.3(knowledge,)-510.9(con-)]TJ
0 -1.1223 TD
[(dence,)-672.1(and)-675.6(behaviors)-669.3(of)-673.5(pediatric)-673.2(resident)-674.7(physicians.)]TJ
/F4 1 Tf
0 -1.1284 TD
(Pediatrics)Tj
/F8 1 Tf
4.4585 0 TD
(2002;110:e59.)Tj
-6.209 -1.1223 TD
[(42.)-500.5(Bunik)-236.7(M,)-231.2(Gao)-238(D,)-233.6(Moore)-238.3(L.)-233.9(An)-233.6(investigation)-238.3(of)-234.4(the)-235.8(eld)-238.9(trip)]TJ
1.7505 -1.1284 TD
[(model)-363.8(as)-363.5(a)-358.1(method)-363.9(for)-364.9(teaching)-360.3(breastfeeding)-369(to)-359.6(pediatric)]TJ
0 -1.1223 TD
(residents.)Tj
/F4 1 Tf
4.1475 0 TD
[(J)-333.7(Hum)-332.9(Lact)]TJ
/F8 1 Tf
5.1661 0 TD
(2006;22:195202.)Tj
-11.064 -1.1284 TD
[(43.)-500.5(Baldwin)-431.3(C,)-431.9(Kittredge)-432.7(D,)-434.8(Bar-on)-429.2(M,)-432.5(et)-430.9(al.)-430.9(Academic)-433.3(Pe-)]TJ
1.7505 -1.1223 TD
[(diatric)-559(Association)-563.1(Educational)-563.3(Guidelines)-557.8(for)-560.1(Pediatric)]TJ
0 -1.1284 TD
[(Residency.)-633.4(MedEdPORTAL;)-631.1(2009.)-628.9(Available)-635.9(at)-626(http://)]TJ
0 -1.1223 TD
(services.aamc.org/30/mededportal/servlet/s/segment/)Tj
0 -1.1284 TD
[(mededportal/?subid=1736)-341.2(\(accessed)-340(November)-336.3(2,)-329.6(2018\).)]TJ
-1.7505 -1.1223 TD
[(44.)-500.5(Ho)22.5(we)18.3(t)12.6(t)-274(M)12.8(,)-274.5(Sp)21.2(an)19.9(gl)24.7(er)-263(A,)-264.1(C)13.4(a)0(n)19.9(n)0(o)18(n)-268.5(RB)20.7(.)-274.5(D)0(e)18.3(s)12.9(i)12.6(g)0(n)18(i)12.6(ng)-262.6(a)-272.7(u)0(n)24.1(i)0(v)18.6(e)0(r)17.6(s)12.9(i)12.6(t)0(y)18.6(-)]TJ
1.7505 -1.1284 TD
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/F4 1 Tf
9.3867 0 TD
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[(JH)327.6(u)350.1(m)2.6(L)327.6(a)348.8(c)341.6(t)]TJ
/F8 1 Tf
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[(20)18(06)24.1(;2)18.6(2:)24.7(10)18(4)24.1(10)18(7.)]TJ
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[(45.)-500.5(Accreditation)-581.4(Council)-576.1(for)-572.3(Graduate)-578.2(Medical)-579(Education.)]TJ
1.7505 -1.1284 TD
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1.7505 -1.1284 TD
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[(med)-11.4(.).8(st)-4.8(anford)-11.4(.edu/newborns/pro)]TJ
13.1378 0 TD
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[(fes)-4.7(s)1.4(ional-edu)-5.6(c)2.4(ation/b)-5.6(r)4.2(eas)-4.7(t)]TJ
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11.2897 0 TD
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-11.2897 -1.1284 TD
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[(2,)-335.1(2018\).)]TJ
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1.7505 -1.1284 TD
[(and)-456(other)-458(sleep-related)-458(infant)-457.6(deaths:)-458.7(Updated)-455.7(2016)-451.9(rec-)]TJ
0 -1.1223 TD
[(ommendations)-348.8(for)-352.7(a)-345.9(safe)-352(infant)-347.8(sleeping)-349.1(environment.)]TJ
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22.5794 0 TD
(Pe-)Tj
-22.5794 -1.1284 TD
(diatrics)Tj
/F8 1 Tf
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[(48.)-500.5(Feldman-Winter)-603.8(L,)-599.8(Goldsmith)-603.7(JP.)-600.1(AAP)-604.2(Committee)-603.5(on)]TJ
1.7505 -1.1223 TD
[(Fetus)-476(and)-468.2(Newborn,)-474.3(AAP)-476.1(Task)-475.4(Force)-471.8(on)-476(Sudden)-471.5(Infant)]TJ
0 -1.1284 TD
[(Death)-437.1(Syndrome.)-431.1(Safe)-435(sleep)-434.6(and)-431.6(skin-to-skin)-429.8(care)-436.4(in)-432.8(the)]TJ
0 -1.1223 TD
[(neonatal)-634.8(period)-628.9(for)-627.2(healthy)-636.5(term)-628.2(newborns.)]TJ
/F4 1 Tf
19.8469 0 TD
(Pediatrics)Tj
/F8 1 Tf
-19.8469 -1.1284 TD
(2016;138:e20161889.)Tj
-1.7505 -1.1223 TD
[(49.)-500.5(Berens)-375.4(P,)-375.2(Brodribb,)-369.9(Academy)-380.7(of)-368.6(Breastfeeding)-379.9(Medicine.)]TJ
1.7505 -1.1284 TD
[(ABM)-469.6(clinical)-468.9(protocol)-470.1(#20:)-469.6(Engorgement,)-470.7(revised)-473.8(2016.)]TJ
/F4 1 Tf
0 -1.1223 TD
[(Breastfeed)-336.3(Med)]TJ
/F8 1 Tf
6.7397 0 TD
(2016;11:159163.)Tj
-8.4901 -1.1284 TD
[(50.)-500.5(Amir)-473.1(LH,)-473.5(Academy)-478.3(of)-472.2(Breastfeeding)-483.5(Medicine)-475.4(Protocol)]TJ
1.7505 -1.1223 TD
[(Committee.)-506(ABM)-506.2(clinical)-505.5(protocol)-506.7(#4:)-500(Mastitis,)-506.9(revised)]TJ
0 -1.1284 TD
[(March)-334(2014.)]TJ
/F4 1 Tf
5.532 0 TD
[(Breastfeed)-336.3(Med)]TJ
/F8 1 Tf
6.7397 0 TD
(2014;9:239243.)Tj
-14.0221 -1.1223 TD
[(51.)-500.5(Sriraman)-369.9(NK,)-369.5(Evans)-371.9(AE,)-369.8(Lawrence)-377.5(R,)-364.9(et)-369.9(al.)-369.9(Academy)-374.6(of)]TJ
1.7505 -1.1284 TD
[(Breastfeeding)-453.1(Medicines)-452.8(2017)-451.9(position)-449.9(statement)-450(on)-451.6(in-)]TJ
0 -1.1223 TD
[(formal)-539.3(breast)-546.9(milk)-535.7(sharing)-542.8(for)-541.8(the)-540.8(term)-542.8(healthy)-538.9(infant.)]TJ
/F4 1 Tf
0 -1.1284 TD
[(Breastfeed)-336.3(Med)]TJ
/F8 1 Tf
6.7397 0 TD
(2018;13:24.)Tj
-8.4901 -1.1223 TD
[(52.)-500.5(Wight)-467.5(N,)-465.3(Marinelli)-466.4(KA,)-467.1(The)-470.1(Academy)-466.1(of)-466.1(Breastfeeding)]TJ
1.7505 -1.1284 TD
[(Medicine.)-329.1(ABM)-329.3(clinical)-328.6(protocol)-323.7(#1:)-329.2(Guidelines)-326(for)-328.3(blood)]TJ
0 -1.1223 TD
[(glucose)-294.6(monitoring)-294.4(and)-297.4(treatment)-300.8(of)-289.3(hypoglycemia)-299.5(in)-292.5(term)]TJ
27.0074 70.8975 TD
[(and)-388.9(late-preterm)-383.2(neonates,)-390.6(Revised)-384.8(2014.)]TJ
/F4 1 Tf
17.5231 0 TD
[(Breastfeed)-385.1(Med)]TJ
/F8 1 Tf
-17.5231 -1.1223 TD
(2014;9:173179.)Tj
-1.7505 -1.1284 TD
[(53.)-500.5(Flaherman)-274.3(VJ,)-269.4(Maisels)-274.1(MJ,)-267.1(The)-268.8(Academy)-277.1(of)-264.9(Breastfeeding)]TJ
1.7505 -1.1223 TD
[(Medicine.)-682.9(ABM)-677(clinical)-682.4(protocol)-677.5(#22:)-677(Guidelines)-679.8(for)]TJ
0 -1.1283 TD
[(management)-553.6(of)-551.5(jaundice)-549.4(in)-548.6(the)-553(breastfeeding)-552(infant)-549.1(35)]TJ
0 -1.1223 TD
[(weeks)-296.5(or)-289.3(more)-293.3(of)-289.3(gestation,)-293.9(Revised)-287.2(2017.)]TJ
/F4 1 Tf
9.2951 0 0 9.2951 493.0582 672.888 Tm
[(Breastfeed)-293.6(Med)]TJ
/F8 1 Tf
-17.6146 -1.1284 TD
(2017;12:250257.)Tj
-1.7505 -1.1223 TD
[(54.)-500.5(Kellams)-392.8(A,)-386(Harrel)-393.1(C,)-389.2(Omage)-388.4(S,)-387.4(et)-388.2(al.)-388.2(ABM)-390.3(clinical)-389.6(pro-)]TJ
1.7505 -1.1284 TD
[(tocol)-632(#3:)-628.1(Supplementary)-634.2(feedings)-632.6(in)-627.9(the)-632.3(healthy)-630.4(term)]TJ
0 -1.1223 TD
[(breastfed)-309.9(neonate,)-299.8(Revised)-305.5(2017.)]TJ
/F4 1 Tf
13.7355 0 TD
[(Breastfeed)-305.8(Med)]TJ
/F8 1 Tf
6.6787 0 TD
(2017;12:)Tj
-20.4141 -1.1284 TD
(111.)Tj
-1.7505 -1.1223 TD
[(55.)-500.5(Academy)-960.2(of)-948(Breastfeeding)-959.3(Medicine)-951.2(Protocol)-954.8(#11:)]TJ
1.7505 -1.1284 TD
[(Guidelines)-326(for)-316.1(the)-321.2(evaluation)-317.3(and)-321.8(management)-321.8(of)-319.8(neonatal)]TJ
T*
[(ankyloglossia)-452.1(a)-10.4(n)-6.2(d)-457.6(i)-11.8(ts)-462.4(c)-10.4(o)-12.3(mp)-18.2(l)-11.8(i)0(c)-16.1(a)-10.4(t)-11.8(i)-11.8(o)-6.2(n)-12.3(s)-450.6(i)-11.8(n)-457.6(th)-18(e)-455.7(b)-12.3(r)-8.6(e)-10.4(a)-10.4(s)-11.4(tf)-14.2(e)-10.4(e)-10.4(d)-12.3(in)-18(g)]TJ
0 -1.1223 TD
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[(dyad.)-618.1(A)-3.7(vail)10.2(a)-5.9(b)-2.1(le)-616.3(at)-623.7(htt)10.2(p)-7.8(s:)10.2(/)-7.2(/)-1.6(abm.)-8.2(m)10.2(e)-6.1(mbe)10.2(r)-8.8(cl)10.2(i)-7.2(c)-.2(ks)-13.4(.net)10.2(/)-7.2(a)-.2(sset)10.2(s)-6.9(/)]TJ
0 -1.1284 TD
.0117 Tc
[(DO)3.9(CU)3.9(ME)3.6(NT)3.6(S/PRO)3.9(T)3.6(OCO)3.9(L)3.6(S/1)5.5(1)-.6(-)3.1(n)-.6(eo)5.5(nat)11.7(a)-4.4(l-)3.1(ank)5.5(y)-.6(l)11.7(o)-6.3(g)5.5(l)-.1(os)11.7(sia-)]TJ
0 -1.1223 TD
.0104 Tc
[(prot)10.4(o)-7.6(c)0(ol-engli)10.4(s)-6.7(h)-1.9(.)-8(p)4.2(df)-333.6(\(access)10.4(e)-5.4(d)-331.3(N)-3.5(ovem)10.4(b)-7.8(e)0(r)-333.6(2)4.2(,)-331.2(2018\).)]TJ
-1.7505 -1.1284 TD
0 Tc
[(56.)-500.5(Dr)20.2(ug)18(s)-706.8(a)0(n)19.9(d)-707.6(La)18(ct)20.5(at)20.5(io)18.6(n)-707.6(D)0(a)18.3(t)12.6(ab)19.9(as)20.8(e,)-699.7(La)18(ct)20.5(M)12.8(e)0(d)19.9(.)-707.6(Av)16.4(a)13.9(i)0(l)19.2(a)0(b)19.9(l)12.6(e)-711.9(a)0(t)]TJ
1.7505 -1.1223 TD
[(ht)18.6(t)12.6(p)0(s)18.9(:)12.6(//)19.2(t)12.6(o)0(x)18(n)0(e)19.9(t)24.8(.n)18.1(l)12.6(m)12.5(.)18.2(n)0(i)18.6(h)24.3(.g)24.2(ov)18(/)12.6(n)0(e)19.9(w)0(t)17(o)0(x)24.1(n)0(e)19.9(t)12.6(/l)19.2(ac)21.8(tm)19(ed)32.1(.h)18.1(t)12.6(m)-627.9(\(a)23.7(cc)15.7(e)14(s)0(s)19.8(e)0(d)]TJ
0 -1.1284 TD
[(No)16.4(ve)19.9(m)12.5(b)0(e)19.9(r)-319.6(2,)-311.3(20)18(18)24.1(\).)]TJ
-1.7505 -1.1223 TD
[(57.)-500.5(Re)15.1(e)14(c)0(e)15.7(-)0(S)25(t)0(r)16.3(e)14(mt)19(an)-364.3(S)15.3(,)-378.2(M)12.8(a)0(r)17.6(i)12.6(ne)19.9(l)12.6(l)0(i)-365.1(K)0(A)21(,)-372.1(Th)22.2(e)-376.4(A)0(c)18.3(a)14(de)19.9(my)-365.8(of)-362.5(B)13.4(r)0(e)17.6(a)0(s)20.8(t)12.6(-)]TJ
1.7505 -1.1284 TD
[(fe)17.6(ed)19.9(i)12.6(n)0(g)-433.3(M)0(e)20.6(d)0(i)18.6(c)0(i)20.5(n)0(e)19.9(.)-445.3(AB)23.9(M)-444.6(c)0(l)20.5(i)0(n)18.6(i)12.6(ca)21.8(l)-444.8(p)0(r)21.8(o)0(t)18.6(o)0(c)19.9(o)0(l)-432.8(#)0(2)18(1)0(:)-432.8(G)0(u)22.5(i)12.6(de)19.9(li)19.2(ne)19.9(s)]TJ
0 -1.1223 TD
[(fo)15.7(r)-344(b)0(r)21.8(e)0(a)15.7(s)12.9(t)12.6(f)0(e)17.6(e)0(d)19.9(i)12.6(ng)-335.7(an)19.9(d)-347.8(s)0(u)18.9(b)0(s)25(t)0(a)20.5(n)0(c)19.9(e)-352(us)25(e)-352(o)0(r)-338.1(s)12.9(ub)24.1(st)19.5(an)19.9(ce)-338.1(us)18.9(e)-345.9(d)0(i)18.6(s)12.9(or)21.8(-)]TJ
0 -1.1284 TD
[(de)19.9(r,)-313.6(Re)21.2(vi)18.6(s)12.9(e)0(d)-315.6(2)0(0)24.1(1)0(5)18(.)]TJ
/F4 1 Tf
7.8436 0 TD
[(Br)23.1(ea)19.9(s)12.9(t)0(f)19.2(e)0(e)21.8(d)-323.4(Me)17.4(d)]TJ
/F8 1 Tf
6.5994 0 TD
-.0241 Tc
[(2)-24.1(0)0(1)-24.1(5)-6.1(;)-11.5(1)-24.1(0:)-24.1(1)-5.5(3)-24.1(5)-24.1(1)-6.1(4)-24.1(1.)]TJ
-16.1935 -1.1223 TD
0 Tc
[(58.)-500.5(Reilly)-300.9(S,)-295.9(Reid)-295.7(J,)-292.1(Skeat)-298.1(J,)-298.2(et)-296.7(al.)-296.7(ABM)-292.7(clinical)-298.1(protocol)-299.3(#17:)]TJ
1.7505 -1.1284 TD
[(Guidelines)-527.3(for)-523.5(breastfeeding)-527.6(infants)-523.9(with)-519.4(cleft)-528.7(lip,)-517.8(cleft)]TJ
0 -1.1223 TD
[(palate,)-262.5(or)-258.8(cleft)-254.3(lip)-261.5(and)-254.7(palate,)-262.5(revised)-254.3(2013.)]TJ
/F4 1 Tf
17.6451 0 TD
[(Breastfeed)-263.1(Med)]TJ
/F8 1 Tf
-17.6451 -1.1284 TD
(2013;8:349353.)Tj
-1.7505 -1.1223 TD
[(59.)-500.5(Baby-Friendly)-747.3(USA.)-750.7(Available)-745.7(at)-741.9(Available)-751.8(at)-741.9(www)]TJ
1.7505 -1.1284 TD
[(.babyfriendlyusa.org)-337.5(\(accessed)-340(September)-341.4(7,)-329.6(2018\).)]TJ
-1.7505 -1.1223 TD
[(60.)-500.5(Lasarte)-357.9(Velillas)-349.5(JJ,)-352.3(Hernandez-Aguilar)-355.7(MT,)-355.3(Pallas)-351.7(Alonso)]TJ
1.7505 -1.1284 TD
[(CR,)-443(et)-443.1(al.)-443.1(A)-440.9(breastfeeding)-442.2(e-learning)-444.5(project)-443.6(based)-441.3(on)-445.5(a)]TJ
0 -1.1223 TD
[(web)-335.6(forum.)]TJ
/F4 1 Tf
5.0319 0 TD
[(Breastfeed)-336.3(Med)]TJ
/F8 1 Tf
6.7397 0 TD
(2007;2:219228.)Tj
-13.522 -1.1284 TD
[(61.)-500.5(OConnor)-365.9(ME,)-361.4(Brown)-369.3(EW,)-360.4(Lewin)-367.7(LO.)-363.7(An)-361.7(Internet-based)]TJ
1.7505 -1.1223 TD
[(education)-464.1(program)-466.9(improves)-463.2(breastfeeding)-466.6(knowledge)-462.1(of)]TJ
0 -1.1284 TD
[(maternal-child)-325.7(healthcare)-322.5(providers.)]TJ
/F4 1 Tf
14.9858 0 TD
[(Breastfeed)-324.1(Med)]TJ
/F8 1 Tf
6.7092 0 TD
(2011;)Tj
-21.695 -1.1223 TD
(6:421427.)Tj
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(126:289297.)Tj
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1.7505 -1.1223 TD
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17.5353 0 TD
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1.7505 -1.1284 TD
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1.7505 -1.1284 TD
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8.9663 0 0 8.9663 62.022 749.6502 Tm
(12)Tj
45.9486 0 TD
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1.7505 -1.1223 TD
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1.7505 -1.1284 TD
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1.7505 -1.1223 TD
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1.7505 -1.1284 TD
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1.7505 -1.1284 TD
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[(81.)-500.5(Schanler)-390.5(RJ,)-382.4(OConnor)-390.3(KG,)-387.8(Lawrence)-389.7(RA.)-384.9(Pediatricians)]TJ
1.7505 -1.1223 TD
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1.7505 -1.1284 TD
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1.7505 -1.1284 TD
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1.7505 -1.1223 TD
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1.7505 -1.1223 TD
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27.0135 57.3938 TD
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1.781 -1.1223 TD
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9.2951 0 0 9.2951 310.8472 557.8015 Tm
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[(Sarah)-333.6(Calhoun,)-334.9(MD)]TJ
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[(Sarah)-333.6(Dodd,)-337(MD)]TJ
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[(For)-337.2(correspondence:)-339(abm@bfmed.org)]TJ
/F5 1 Tf
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[(ABM)-336(STATEMENT)]TJ
53.5677 0 TD
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