Massachusetts Breastfeeding Coalition


New Statewide QI initiative continues

Building the success of the DPH Baby-Friendly trainings and the Mother-Baby Summits, MBC has expanded our Baby-Friendly Collaborative. After several sessions in the winter/spring 2013 on the First Hour, we are now focusing around issues of supplementation and infant formula.  Learn More.

Hand-expression gives moms’ confidence

Many lactation professionals find that when moms see that can can hand-express milk, they see that they can produce enough milk and formula use drops. See Jane Morton’s great Stanford video to learn the technique.

The Affordable Care Act insurance requirements

The Affordable Care Act mandates that new private insurance plans cover “breastfeeding supplies” and “breastfeeding counseling” with no copayments. See MBC’s guidelines on breast pumps and breastfeeding support. To report a problem in Massachusetts with an insurer to the Mass. Division of insurance, call 617-521-7794.
Breast Pump Guidelines 10/20/12 →
The Landscape of Breastfeeding Support →

Breastfeeding support and help– what it all means

There are many different types of breastfeeding support, with an “alphabet soup” of different credentials. Our table shows all these different support available to help moms and babies, and what the different qualifications mean.
Learn More →

Neighborhood breastfeeding help is a click away!

ZipMilk is a community service of the Massachusetts Breastfeeding Coalition, providing listings for breastfeeding resources based on zipcode. Check it out here!

Breastfeeding software for your handheld

1-Top_iphoneBreastfeeding information is now available wherever you are with our new handheld applications. MassBFC’s Breastfeeding Management is a reference for supporting breastfeeding mothers and helps you provide on-the-go management of common breastfeeding issues.

It’s available for the iPhone/iPod touch [iTunes link], classic Palm OS, and Blackberry. Please visit our handheld page for more information about all our mobile applications.

Management of Early Breastfeeding flowcharts


Our flowcharts provide clear guidelines for managing breastfeeding of healthy term newborns from ages birth until two weeks. You can view and download them here.


Telephone triage tool for neonates

Download the Massachusetts Breastfeeding Coalition’s new telephone triage tool designed especially for neonates. Please visit our handouts page for this tool and all our other printable handouts.

What’s wrong with those cute formula company “gift” bags?

Parents may appreciate a free gift, but the bags promote sales of formula at the expense of breastfeeding. Read More.For one mother’s example of the pervasive effects of formula marketing, read Lesley Porcelli’s Jan. 2009 article from Gourmet.

Massachusetts Perinatal Regulations

Perinatal regulations related to hospital licensure were revised and updated April 2017.

The Baby-Friendly Rap

Here’s a quick fun way to educate families on what to expect for evidence-based maternity care. Read More.

Joint Commission’s Perinatal Care Core Measure Set

Read more about this measure and checck out the US Breastfeeding Committee’s Toolkit to help hospitals improve their practices. Hospitals with more than 1100 births/year will be mandated to report this measure effective January 2014. Read More.

MBC’s Video Library— We’ve assembled some great videos from around the Web to help with everything from latch, to hand expression, paced bottle feeding, and education around evidence-based best practices.

Surgeon General’s Call to Action to Support Breastfeeding

Launched in 2011, this important blueprint frames our nation’s action plan for improving breastfeeding support. Download the Document. Download the Executive Summary.

AAP residency curriculum

The American Academy of Pediatrics introduced a breastfeeding residency curriculum for 2009. You can read it here on the AAP’s web site.

ACOG special report on breastfeeding

The American College of Obstetricians and Gynecologists has released a special report on breastfeeding in the Jan-Feb 2007 issue of ACOG Clinical Review. View report (click here).

Just One Bottle

Just one bottle won’t hurt– or will it? Marsha Walker has updated her well-known article, Just One Bottle in 2014.

Patient Handouts:

Please visit our handouts page to download our FREE one-page handouts for patients, in multiple languages.

Got Questions?

For parents with questions about breastfeeding, browse the coalition’s frequently asked question archive. Learn More.

The Baby Friendly Hospital Initiative

How can you and your hospital help get breastfeeding off to the right start? The Baby Friendly Hospital Initiative details ten steps to a breastfeeding-friendly health care system. Learn More.

Make Your Practice Breastfeeding-Friendly

Obstetricians, midwives, family practitioners and pediatricians have enormous power to help women breastfeed successfully. Marsha Walker, RN, IBCLC, offers ten steps to a breastfeeding-friendly obstetrics and pediatrics practices.

Incorporate Breastfeeding Into Prenatal Care

Help your patients make an informed feeding decision during pregnancy, by incorporating a few questions into your routine visits. Learn More.

Academy of Breastfeeding Medicine Protocols

The Academy of Breastfeeding Medicine is a worldwide organization of physicians dedicated to the promotion, protection, and support of breastfeeding. It is based in the US.

The ABM has developed 18 clinical protocols. The protocols may be found on the ABM website (click here).

WHO Growth Charts for Breastfed Children

The World Health Organization released new growth charts for breastfed children in April 2006. Learn more

Provider Quiz

Take our new Provider Quiz! Health care providers, test your breastfeeding know-how.

Breastfeeding in Massachusetts: How are we doing?

View the results of MBC’s Maternity Nurse Manager survey, published in 2006 in Maternal and Child Health. Learn more about the study results.

Also, read the abstract on PubMed.

Insurance Coverage for Breastpumps.

Health plans can vary widely, even within the same insurance company. They may also change their benefits frequently. Please check with your insurance company directly to find out what is covered.

Milk Banks

Learn about how to donate and use banked human milk. Read More.


For info on Medications, view our medication page, complete with links to resources.

Massachusetts Breastfeeding Resource Guide

Distributed annually to more than 1000 providers in the Commonwealth, the Breastfeeding Resource Guide includes information on breastfeeding support, materials for patient education, and resources for providers who want to learn more about lactation management. Much of the guide is available online, and providers can order free printed copies for their offices. Learn More

Breastfeeding Statistics in Massachusetts Hospitals

The Massachusetts Division of Health Care Finance and Policy has compiled maternity statistics on all the hospitals in the state, including rates of breastfeeding at hospital discharge, available here. As you review these statistics, bear in mind that nationally, breastfeeding rates are higher among wealthier populations, and lower among poorer populations. A hospital’s rate may reflect these trends, rather than how well it supports breastfeeding. The best way to measure how well a hospital supports breastfeeding is to measure later breastfeeding rates, such as at two months or four months, as breastfeeding rates tend to drop dramatically in the first two weeks. We do not have statistics for these later breastfeeding rates.

Coding and Reimbursement for LC Visits

Click here to print AAP’s document for free.

Massachusetts Health Quality Partners releases guidelines

MHQP has released guidelines for perinatal care, emphasizing the importance of counseling woman about breastfeeding. The new guidelines call on obstetrical care providers to discuss feeding plans throughout prenatal care, and includes a patient handout on the benefits of breastfeeding.