In Reply We thank Triunfo for her interest and thoughtful comments to our article in JAMA Pediatrics, “National Trends in the Provision of Human Milk at Hospital Discharge Among Very-Low-Birth-Weight [VLBW] Infants.”¹ We whole-heartedly agree with the 2 main points brought forward for further discussion. Regarding the first point, we agree that discussions regarding health benefits of human milk should begin during the prenatal course with obstetrical clinicians because most mothers make decisions about infant feeding before delivery. The American College of Obstetrics and Gynecology (ACOG) stresses the importance of the role of the obstetrician in breastfeeding support and strongly recommends incorporating education and lactation support into routine prenatal care, including helping women make informed choices about their breastfeeding goals, assessment of previous breastfeeding difficulties and experiences, and providing accurate advice regarding safe medication use while breastfeeding. Regarding women with preterm infants, ACOG recommends that these women should receive anticipatory guidance on establishing a full milk supply and that “hospital staff should facilitate early, frequent milk expression within 1 hour of delivery, if possible.”²

在答复中，我们感谢Triunfo对我们在JAMA儿科杂志上发表的文章“对极低出生体重[VLBW]婴儿出院时提供人乳的全国趋势”的关注和周到的评论。^1个我们全心同意提出的进​​一步讨论的两个要点。关于第一点，我们同意应该在产前阶段与产科临床医生就人乳对健康的益处进行讨论，因为大多数母亲在分娩前就婴儿喂养做出了决定。美国妇产科学院（ACOG）强调了妇产科医生在母乳喂养支持中的作用，并强烈建议将教育和哺乳支持纳入常规的产前护理，包括帮助妇女就其母乳喂养目标做出明智的选择，评估以前的母乳喂养困难和经验，并提供有关在母乳喂养期间安全使用药物的准确建议。对于有早产儿的妇女，²