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International Lactation Consultant Association

The sudden unexpected death of an otherwise healthy infant is a tragedy no family should have to experience. In an effort to continue to reduce rates of sudden infant death syndrome (SIDS*) in the United States, the American Academy of Pediatrics Task Force on SIDS has issued a revised set of recommendations that have provoked controversy because of their potential impact on breastfeeding families. Specifically, concerns about the new recommendations to increase the use of pacifiers and to discourage bed sharing have been raised by the Academy of Breastfeeding Medicine, as well as other breastfeeding advocacy groups. Because these recommendations will be used to determine standards of practice among physicians, it is important that lactation consultants understand their basis and significance for breastfeeding families.