Primary Care Behavioral Counseling Interventions to Support Breastfeeding: US Preventive Services Task Force Recommendation Statement

JAMA. 2025 May 6;333(17):1520-1526. doi: 10.1001/jama.2025.3650.

Abstract

Importance: The association between breastfeeding and health benefits in children has been previously well established; health benefits have also been found for women who breastfeed. However, breastfeeding rates in the US are relatively modest; as of 2021, 59.8% of infants at age 6 months are breastfed and 27.2% of infants at that age are exclusively breastfed.

Objective: The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the evidence on the benefits and harms of primary care behavioral counseling interventions to support breastfeeding.

Population: Adolescents and adults who are pregnant or postpartum, and their infants and children.

Evidence assessment: The USPSTF concludes with moderate certainty that primary care behavioral counseling interventions to support breastfeeding have a moderate net benefit.

Recommendation: The USPSTF recommends providing interventions or referrals, during pregnancy and after birth, to support breastfeeding. (B recommendation).

Publication types

  • Practice Guideline
  • Comment

MeSH terms

  • Adolescent
  • Adult
  • Advisory Committees / standards
  • Behavior Therapy* / standards
  • Breast Feeding* / psychology
  • Counseling* / standards
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Maternal Health Services* / standards
  • Pregnancy
  • Preventive Health Services* / organization & administration
  • Preventive Health Services* / standards
  • Primary Health Care* / standards
  • Referral and Consultation / standards
  • Systematic Reviews as Topic
  • United States