Navigation Links
Even the sickest babies benefit from breast-feeding
Date:10/27/2010

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 surgical anomalies, such as abdominal wall defects, abnormalities in the esophagus, or congenital diaphragmatic hernia (a defect in the diaphragm, the muscle separating the chest cavity from the abdomen).

"This project was driven by bedside nurses, who carried out a goal of systematically integrating evidence-based lactation support and education as part of standard nursing care," said Spatz. Edwards and Spatz note in their study that Children's Hospital strongly supports breast-feeding, but for these medically fragile newborns, mothers may have to wait days or weeks before they are able to even hold their babies.

Therefore, the nurses followed a step-wise system called the Transition to Breast Pathway, which begins with the mother learning to pump breast milk shortly after delivery. Before the baby is able to nurse at the breast, mothers learn to provide mouth caresupplying the infant with a bit of human milk on a cotton swab or a pacifier. Nurses also teach skin-to-skin care, letting the mother hold the child close to her body. The skin-to-skin contact reduces stress in both child and mother, increases the mother's milk supply, and nurtures the mother-infant bond.

Although not all the mothers were willing or able to transition to breast-feeding, 58 of the 80 infants were breast-feeding before they were discharged. For each step of the pathway, success rates improved in the second nine months of the project compared to the first six months.

"This CQI project demonstrates that even the most vulnerable infants can transition to at-breast feeds prior to discharge," said Spatz. "This pathway can be replicated in intensive-care nurseries throughout the world, allowing infants to achieve improved health outcomes, and their mothers to have the opportunity to follow the natural path of bonding that breastfeeding allows for."


'/>"/>

Contact: John Ascenzi
Ascenzi@email.chop.edu
267-426-6055
Children's Hospital of Philadelphia
Source:Eurekalert

Related biology news :

1. First babies born from genetic screening study
2. Treating tongue tie could help more babies breastfeed
3. Do eggs matured in the laboratory result in babies with Large Offspring syndrome?
4. Babies and sleep: Another reason to love naps
5. Study: Crickets forewarn unborn babies about spiders
6. Bilingual babies: The roots of bilingualism in newborns
7. New study possibly links cognitive and motor delays with flat head syndrome in young babies
8. Prevention is key research goal for premature babies, scientists say
9. Faithful mothers have healthier babies
10. Healthy babies by the numbers
11. Will giving coffee to babies keep them awake as adults?
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/19/2016)... , UAE, April 20, 2016 ... be implemented as a compact web-based "all-in-one" system solution ... the biometric fingerprint reader or the door interface with ... of modern access control systems. The minimal dimensions of ... ID readers into the building installations offer considerable freedom ...
(Date:4/15/2016)... 2016 Research and Markets has ... Market 2016-2020,"  report to their offering.  , ... ,The global gait biometrics market is expected to ... period 2016-2020. Gait analysis generates multiple ... used to compute factors that are not or ...
(Date:4/13/2016)... -- IMPOWER physicians supporting Medicaid patients in Central ... in telehealth thanks to a new partnership with higi. ... patients can routinely track key health measurements, such as ... when they opt in, share them with IMPOWER clinicians ... retail location at no cost. By leveraging this data, ...
Breaking Biology News(10 mins):
(Date:4/28/2016)... Hill, Conn. (PRWEB) , ... April 28, 2016 ... ... of financing and ongoing support for Connecticut's innovative, growing companies, today announced the ... digital health and financial technology (fintech) companies. , “VentureClash looks to ...
(Date:4/27/2016)... ... , ... Shimadzu Scientific Instruments (SSI) will be showcasing a ... and Expo. Shimadzu’s high-performance instruments enable laboratories to test cannabis products for potency, ... by booth 1021 to learn how Shimadzu’s instruments can help improve QA/QC testing, ...
(Date:4/27/2016)... ... April 27, 2016 , ... The Board of Directors of ... John Tilton as Chief Commercial Officer.  Mr. Tilton joined Biohaven from Alexion Pharmaceuticals, ... leaders responsible for the commercialization of multiple orphan drug indications. Mr. Tilton ...
(Date:4/27/2016)... ... ... Global Stem Cells Group and the University of Santiago Biotechnology ... development initiatives for potential stem cell protocol management for 2016 – 2020. , ... meeting to establish a working agenda and foster initiatives to promote stem cell research ...
Breaking Biology Technology: