BREASTFEEDING MEDICINEABM ProtocolVolume 18,Number 3,2023Mary Ann Liebert.Inc.D0l:10.1089/bfm.2023.29236.abmOpen camera or QR reader andscan code to access this articleand other resources online.ABM Clinical Protocol #37:Physiological Infant Care-Managing NighttimeBreastfeeding in Young InfantsDeena Zimmerman,Melissa Bartick,2.3 Lori Feldman-Winter,and Helen L.Ball5:and the Academy of Breastfeeding MedicineAbstractA central goal of the Academy of Breastfeeding Medicine (ABM)is the development of clinical protocols formanaging common medical problems that may impact breastfeeding success.These protocols serve only asguidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course oftreatment or serve as standards of medical care.Variations in treatment may be appropriate according to theneeds of an individual patient.The ABM empowers health professionals to provide safe,inclusive,patient-centered,and evidence-based care.Pregnant and lactating people identify with a broad spectrum of genders,pronouns,and terms for feeding and parenting.There are two reasons ABM's use of gender-inclusive languagemay be transitional or inconsistent across protocols.First,gender-inclusive language is nuanced and evolvingacross languages,cultures,and countries.Second,foundational research has not adequately described theexperiences of gender-diverse individuals.Therefore,ABM advocates for,and will strive to use language that isas inclusive and accurate as possible within this framework.For more explanation,please read ABM PositionStatements on Infant Feeding and Lactation-Related Language and Gender (https://doi.org/10.1089/bfm.202129188.abm)and Breastfeeding As a Basic Human Right (https://doi.org/10.1089/bfm.2022.29216.abm).Keywords:breastfeeding,infant care,newborn,infant,sleep deprivation,sudden infant deathIntroductionAcademy of Breastfeeding Medicine (ABM)Protocol #6(Bedsharing and Breastfeeding),serves as an importantec p tin eneadjunct to this protocol.cient sleep are among parents'biggest concems.Young in-Key Informationfants require frequent feedings day and night,particularlythose who are breastfeeding.This can be a challenge toNormal maternaHinfant physiologyparents who are balancing other responsibilities such as workNormal infant feeding patterns.A newbom will breast-outside the home,caring for older children,and dailyfeed ~8 to 12 times per 24 hours but not necessarily athousehold responsibilities.The goal of this protocol is toregular intervals.Newborns need to breastfeed according toaddress managing these challenges in the context of nommaltheir feeding cues.As stated in the rationale to step 8 of thephysiology for breastfeeding dyads.revised Baby-Friendly Hospital Initiative,"BreastfeedingMaternal-Child and Adolescent Division,Public Health Service,Israel Ministry of Health,Jerusalem,Israel.Department of Medicine,Mount Auburn Hospital,Cambridge,Massachusetts,USA."Department of Medicine,Harvard Medical School,Boston
