to the editor: We would like to commend Dr. Sinusas and Ms. Gagliardi for their excellent article on breastfeeding.¹ They describe ways for family physicians to facilitate the early initiation and long-term success of breastfeeding in their patients.

The authors suggest the use of the “Ten Steps” of the Baby-Friendly Hospital Initiative of WHO/UNICEF to promote, protect, and support breastfeeding.² A Baby-Friendly hospital should also adhere to the WHO/UNICEF International Code of Marketing of Breast-milk Substitutes and subsequent World Health Assembly (WHA) resolutions.³ The code seeks to protect breastfeeding by preventing inappropriate marketing of breast-milk substitutes, feeding bottles, soothers, and complimentary foods when used to replace breast milk.⁴ To provide an optimal environment for breastfeeding, family physicians and pediatricians should follow the recommendations of the American Academy of Pediatrics (AAP) listed in the accompanying table⁵ and ensure that their offices are breastfeeding-friendly.⁴