Dear Members, Dear Colleagues,
The initiation of breastfeeding does not always take place under ideal conditions. Stressful experiences or medical challenges can make it difficult to get started. This issue highlights ways to support families in such situations through empathetic guidance and expert advice. Ute Taschner explores how traumatic birth experiences influence breastfeeding initiation, bonding and the family system. She raises awareness of warning signs and presents approaches that enable trauma-sensitive support and aid the healing process.
The start of breastfeeding for newborns with congenital heart defects is also complex. Daniela Volzberger uses a case study to illustrate how interdisciplinary cooperation, early support and ongoing counselling can make successful breastfeeding possible even amidst intensive medical care.
For breastfeeding babies with Down syndrome, Pia Müller presents the results of a parent survey that highlights the importance of patience, professional support and supportive structures. The role of evidence-based medication information is illustrated in Elise Armoiry’s report about a mother who, despite immunosuppressive therapy after liver and lung transplantation and cystic fibrosis, was able to exclusively breastfeed her child.
For premature babies, the transition from feeding tube to breast is a sensitive process. Sarah Rabstejnek describes how a needs-based approach, systematic assessments and active parental involvement can support the transition to independent oral feeding. Our handout on difficult breastfeeding initiation in small newborns provides a practical guide for starting breastfeeding.
In light of recent events, Andrea Hemmelmayr addresses the question of how the professional community of IBCLCs can responsibly engage with companies claiming compliance with the WHO code.
We wish you a peaceful Christmas season and a healthy, joyful start to the new year 2026.
Eva Bogensperger-Hezel and the entire editorial team – Mihaela Nita and the ELACTA board