Pediatric researchers at The Children's Hospital of Philadelphia describe a successful program in which nurses helped mothers attain high rates of breast-feeding in very sick babies--newborns with complex birth defects requiring surgery and intensive care.
Many of these highly vulnerable newborns immediately experience a paradoxical situation. Their mother's milk helps to fend off infection and provides easily digestible, nutritious ingredients that can reduce the infant's stay in the neonatal intensive care unit (NICU). But because the babies are often in critical condition, breast-feeding may not be considered a priority, or even be feasible, when compared to urgent medical problems.
"Human milk is important for all newborns, but especially for sick infants," said project mentor Diane L. Spatz, Ph.D., R.N.-B.C., nurse researcher, of The Children's Hospital of Philadelphia. Breast milk protects an infant in the NICU from necrotizing enterocolitisa devastating disease of the boweland from a host of infectious diseases. "It is of critical importance that all mothers make the informed decision to provide human milk for their infants, and that nurses provide evidence-based lactation care and support in order for mothers to achieve success," added Spatz.
The study, a continuous quality improvement (CQI) project, appears in the July/September 2010 issue of the Journal of Perinatal & Neonatal Nursing.
Spatz and co-author Taryn M. Edwards, B.S.N., R.N.-B.C., also of Children's Hospital, describe a series of steps called the Transition to Breast Pathway, in which NICU nurses systematically guide the mother in breast-feeding practices, which culminated in a majority of the infants in the study (58 out of 80) feeding at their mother's breast before being discharged from the hospital.
The 80 newborns in the CQI project were patients in the Children's Hospital NICU during 2008 and 2009. All were born with complex surgica
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Children's Hospital of Philadelphia