Breastfeeding & Infant Nutrition

The following resources provide recommendations and guidelines for how you can address breastfeeding and infant nutrition with your clients.

1. Public Health Breastfeeding Clinic

Refer your breastfeeding clients to the Public Health Breastfeeding Clinic if they are experiencing difficulties with:

  • Babies with  more than 10% weight loss or are slow to gain weight
  • Babies with low birth weight ( less than 2500 g)
  • Breast reduction or augmentation
  • Congenital newborn abnormalities
  • Suckling or latch difficulties
  • Tongue tie
  • Supplementation
  • Use of lactation aids  such as a shield or tubes
  • Sore, cracked or bleeding nipples
  • Flat or inverted nipples
  • Previous difficulties with milk supply
  • Low or perceived low milk supply
  • Preterm birth issues
  • Multiple birth
  • Management of yeast or thrush
  • Management of mastitis
  • Management of blocked ducts
  • Behavioural or developmental issues

Refer clients by completing the Breastfeeding Clinic Referral Form (PDF, 40 kB) and faxing to 905-628-6465.  

2. Breastfeeding and Infant Nutrition Recommendations

Joint statements from Health Canada, Canadian Pediatric Society, Dietitians of Canada and Breastfeeding Committee for Canada recommend breastfeeding exclusively for the first six months, and sustained for up to two years or longer with appropriate complementary feeding.  Breastfeeding is important for the nutrition, immunologic protection, growth and development of infants and toddlers.

3. Acceptable Medical Reasons for Use of Breastmilk Substitutes

The World Health Organization compiled a list of health conditions an infant or mother may have that justifies recommending that she does not breastfeed temporarily or permanently. Whenever a mother considers stopping breastfeeding, the benefits of breastfeeding should be weighed against the risks posed by the presence of the specific conditions listed. 

4. Clinical Protocols for Breastfeeding

These protocols serve as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient.  Protocols are available for things such as mastitis, co-sleeping and breastfeeding and supplementation.

5. Health Canada: Vitamin D Recommendations

This outlines the recommended daily intake of vitamin D and calcium.

6. Breastfeeding Desk Reference

This desk reference contains information on infant feeding, output and weight on one side and assessment of effective breastfeeding on the other.  You can order copies or print off your own.

7. Breastfeeding videos

Stanford University provides videos on latch and hand expression as well as other breastfeeding resources.