Step by Step






Credit Hours: CME 1.00

Target Audience:

This activity is directed to physicians who take care of hospitalized children, medical students, nurse practitioners, and physician assistants working in the emergency room, intensive care unit, or hospital wards.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • List the benefits of breastfeeding to the mother.
  • Discuss the contraindications for breastfeeding.
  • Discuss how to evaluate breastfeeding in a patient who is not gaining appropriate weight and exclusively breastfed.

There is no educational content to this course. This course is designed to only administer the post-test and collect CME evaluations for the podcast associated with this training.


A Note From Dr. Tarchichi:
Welcome to  a series of podcasts on pediatric hospital medicine. This series was created to keep the busy physician of today informed and up to date on some of the most important diagnoses and issues we face every day in the care of hospitalized children. With this first podcast, I hope to provide you with a unique and interesting perspective on the origins of pediatric hospital medicine. Please do not forget to log in and get your CME credit. Thank you for listening and enjoy.

Suggested Additional Reading:

  1. Lawrence R. Breastfeeding: More Than Just Good Nutrition. Pediatrics in Review Vol.32 No.7 July 2011.
  2. AAP Policy Statement – Breastfeeding and the Use of Human Milk. Pediatrics 2012;129:e827–e841
  3. Huggins K, The Nursing Mother’s Companion. Boston: The Harvard Common Press. 2010.
  4. Getting Started with Breastfeeding. 2013. Stanford School of Medicine, Newborn Nursery. .
  5. Basic Breastfeeding Assessment. 2011. American Academy of Pediatrics Breastfeeding Residency Curriculum. 
  6. Schanler RJ, Dooley S. Breastfeeding Handbook for Physicians. Elk Grove Village, IL: American Academy of Pediatrics, Washington, DC: American College of Obstetricians and Gynecologists; 2006.
  7. Sebesta, Emilie. Management of Common Breastfeeding Situations. 2011. American Academy of Pediatrics Breastfeeding Residency Curriculum. .
  8. Hsi, Andrew and Leeman, Larry. Management of Common Breastfeeding Problems. 2011. American Academy of Pediatrics Breastfeeding Residency Curriculum. 
  9. Breast pain protocol . UNC Lactation Program. 

Jennifer Spanbauer Zarit, MD — General Academic Pediatrics. UPMC Children's Hospital of Pittsburgh
No relationships with industry relevant to the content of this educational activity have been disclosed.
Tony R. Tarchichi MD — Assistant Professor, Department of Pediatrics, Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC.) Paul C . Gaffney Diagnostic Referral Group
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

This activity is approved for AMA PRA Category 1 Credit™

The University of Pittsburgh is an affirmative action, equal opportunity institution.