Still Swimming Upstream: Breastfeeding in a Formula feeding world

Time-frame: 60 minutes
CERP: yes

In 1995 Chris Mulford published a timely article on the difficulties faced by breastfeeding mothers in a formula feeding culture.  That article was as accurate then as it is today.  This discussion will focus on continued difficulties faced by breastfeeding mothers in a society that is still decidedly focused on the formula feeding.  We will discuss the concept of “culture” and how it impacts breastfeeding, discuss the routine actions in the hospital that contribute to the formula feeding culture, and identify the prejudices of both society in general and the average American mother-baby unit against breastfeeding.

Jarold (Tom) Johnston

Country: United States of America
Phone number: 910-964-7679
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Incorporating “Father-Friendly” Breastfeeding language in maternity settings

The purpose of this commentary is to provide perinatal providers with the tools they need to incorporate fathers into the breastfeeding relationship. Research shows that engaged fathers increase initiation rates, decrease the rate of breastfeeding complications that lead to premature cessation, and increase the duration and exclusivity of a mother’s breastfeeding efforts. Despite this evidence, studies frequently show that fathers report being ignored or excluded from breastfeeding education. This is likely an oversight on the behalf of perinatal providers rather than a conscious effort. Ultimately, however, perinatal providers need to be prepared to address the concerns of all parents who will provide care to the infant and not the mother alone. This commentary discusses the value of fathers as breastfeeding supporters and offers evidence-based teaching strategies requested by fathers. This commentary also identifies and describes 4 father-friendly breastfeeding promotion resources and highlights the techniques used to draw fathers into the mother’s breastfeeding efforts.

Johnston & LeRoy (2018) Engaging and Supporting Fathers with Breastfeeding Partners. Clinical Lactation 9(1); 18-22

This article explores the need for healthcare professionals to address fathers’ concerns regarding engagement and supportiveness with breastfeeding partners. Fathers often feel left out during the partner’s perinatal care and do not get the same amount of education and support, especially regarding breastfeeding. The desire to have practical information that is specifically related to the paternal figure is a common complaint among fathers. Educational classes involving childcare and breastfeeding information provide positive results regarding an increase in breastfeeding rates. The purpose of this article is to address the need to acquire interventions that engage and assist fathers with supporting their partners. Currently, two known programs exist to attempt to speak directly to fathers seeking practical breastfeeding advice: “Dads and Breastfeeding” and “Cribside Assistance.” However, there is still a lack of research regarding effective interventions that assist fathers and increase breastfeeding duration.


Document Type: Research Article

Publication date: February 1, 2018

“Clinical Lactation” in A Guide to Mastery in Clinical Nursing

This chapter is a brief description of Human Lactation for the nurse generalist.  It includes the major concepts of human lactation (Milk Synthesis, Milk Production, and Milk Transfer). The chapter also offers an explanation and description of the clinical assessment skills required to provide basic breastfeeding supportive care.  This chapter is intended for the generalist nurse or the newly qualified registered nurse.

“Self-Efficacy” in The Encyclopedia of Nursing Research, 4th Ed.

This chapter is a brief description of Albert Bandura’s Self-Efficacy Theory.  It includes examples of the application of Self-Efficacy Theory in Modern Nursing Research

Labor and Delivery in my Pocket: “Fetal Death”

Tom contributed a small section on perinatal loss and bereavement care to the first and second edition of this handy little pocket guide for Labor and Delivery nurses.

New route of Danazol for Endometriosis needs more study

Johnston, JT & Ericson-Owens, D. (2004) “New route of Danazol for Endometriosis needs more study” JNMWH 49(6) p. 546-8

In this article the authors discuss the use of a Danazol loaded IUD tested for the treatment of endometriosis.

On Bed Sharing [Letter]

On Bed Sharing [letter]  JOGNN 37(6), p. 619-21. Nov/Dec

In this letter to the editor the authors discuss a recent study regarding the hazards of bed sharing and attempt to counter arguments that American mothers continue to sleep with their babies despite knowing the risks.  The Authors took issue with the statistics used and the exaggerated risks portrayed in the original published article.

Dads in Breastfeeding (published in Breastfeeding in Combat Boots, 2010)

Published in Robyn Rouche-Paull’s groundbreaking book on Breastfeeding while serving in the US Military, this little piece lays out breastfeeding for new fathers using military friendly language that all Soldiers, Sailors, Airmen and Marines can understand.  Perhaps the most popular section is the appropriation of the well known basic rifle marksmanship acronym SPORTS as a troubleshooting mantra to help fathers fix a bad latch.  Mrs. Rouche-Paull has kindly modified that section into a father friendly handout for public use.


Johnston, J.T. (2013) “Fatherhood”.  Breastfeeding Matters, La Leche League of the United Kingdom.

A brief article written by a father, for fathers in the UK.  This article discusses useful tips that fathers can use to help his wife and child breastfeed successfully.