Establishing Breastfeeding with the Late Preterm Infant in the NICU

Briere, Carrie‐Ellen; Lucas, Richard; McGrath, Jacqueline M.; Lussier, Mary M.; Brownell, Elizabeth A.

doi:10.1111/1552-6909.12536

Cited by 42 publications

(25 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…LPIs exhibit fairly mature muscle tone on initial examination, but parents and caregivers should notice that muscle tone can diminish, much sooner than in a term infant, as demonstrated by arms falling limp quickly during a feeding, and this would indicate decreased stamina [38]. Oftentimes, caregivers interpret fatigue as satiation [17]. Such thinking can have untoward consequences, if they make the wrong inference and preemptively end the feeding.…”

Section: Discussionmentioning

confidence: 99%

“…Among Canadian provinces, Alberta (2015–2016) has the highest rate of preterm birth (8.6%) and Calgary averages 8.9% [2]. Insofar as late preterm infants (LPIs) face an increased risk for various health complications [3–12], the benefits of breast milk [13–16] become particularly meaningful for this vulnerable population [17]. That is, the bioactive components of breast milk can prove especially crucial for LPIs who “have a compromised immunomodulatory response, have immature organs including the brain, and are susceptible to inflammatory injury and oxidative stress” (p. 690) [18].…”

Section: Introductionmentioning

confidence: 99%

“…However, there is insufficient research evidence currently available that discusses the best approaches to promoting and supporting breastfeeding post discharge [17]. All mothers in Calgary, Alberta, Canada are offered care from public health nurses (PHNs), within 24 to 48 h after discharge, either in the home or clinic setting.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Breastfeeding the late preterm infant: experiences of mothers and perceptions of public health nurses

et al. 2016

View full text Add to dashboard Cite

BackgroundThe promotion and maintenance of breastfeeding with late preterm infants (LPIs) remain under examined topics of study. This dearth of research knowledge, especially for this population at-risk for various health complications, requires scientific investigation. In this study, we explore the experiences of mothers and the perceptions of public health nurses (PHNs) about breastfeeding late preterm infants in Calgary, Alberta, Canada.MethodsWe used an exploratory mixed methods design with a convenience sample of 122 mothers to gather quantitative data about breastfeeding. We collected qualitative data by means of individual face-to-face interviews with 11 mothers and 10 public health nurses. Data were collected from April 2013 to June 2014. We then employed an interpretive thematic analysis to identify central themes and relationships across narratives.ResultsWe collected 74 complete data sets about breastfeeding. During the first 6–8 weeks postpartum, 61 mothers breastfed their infants. Of these, 51 partially breastfed and 10 exclusively breastfed. For qualitative purposes, the researchers interviewed 11 mothers with late preterm babies and three themes emerged: significant difficulty with breastfeeding, failing to recognize the infant’s feeding distress and disorganized behavior, and the parental stress caused by the multiple feeding issues. The public health nurses’ comments reinforced and expanded on what the mothers reported. The themes for the nurses included: challenges with initiating breastfeeding, challenges during breastfeeding, and the need for stimulation during breastfeeding.ConclusionMothers face challenges when breastfeeding their late preterm infants and public health nurses can guide them through this experience. Families with a late preterm infant need to be informed about the challenges associated with breastfeeding a late preterm infant. It is necessary for all health care professionals to receive proper training on safe and effective breastfeeding of late preterm infants. It is essential for public health nurses to communicate effectively with families of late preterm infants to provide anticipatory guidance about potential challenges and strategies to resolve any breastfeeding problems.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Breastfeeding the late preterm infant: experiences of mothers and perceptions of public health nurses

et al. 2016

View full text Add to dashboard Cite

show abstract

“…The leading reasons reported by mothers of LPIs for early breastfeeding cessation were perceived inadequate milk supply and breastfeeding difficulties [9,19,20]. Mothers of LPIs are especially likely to have medical issues such as placental abruption, diabetes, thyroid problems, or delivery by cesarean section [21]. These issues can lead to delayed lactogenesis II, which causes poor milk production and secretion [21].…”

Section: Introductionmentioning

confidence: 99%

“…Mothers of LPIs are especially likely to have medical issues such as placental abruption, diabetes, thyroid problems, or delivery by cesarean section [21]. These issues can lead to delayed lactogenesis II, which causes poor milk production and secretion [21]. Therefore, a breastfeeding support program (BSP) for the mothers of LPIs specialized in stimulating breast milk production during the early stages of postpartum.…”

Section: Introductionmentioning

confidence: 99%

Effects of a Breastfeeding Support Program on the Prevalence of Exclusive Breastfeeding and Growth in Late Preterm Infants

Jang¹,

Hong²

2020

Child Health Nurs Res

View full text Add to dashboard Cite

Purpose: The purpose of this study was to investigate the effects of a breastfeeding support program (BSP) on the prevalence of exclusive breastfeeding and growth in late-preterm infants.Methods: A quasi-experimental study was conducted. The participants were 40 late preterm infants (LPIs), of whom 20 were assigned to the experimental group and 20 to the control group. For the mothers in the experimental group, a BSP was provided prior to the LPIs’ discharge and reinforced once a week for 4 weeks. Information on the feeding type was collected by observation and the LPIs’ body weight was measured.Results: There were significant differences in feeding type by group and time. Exclusive breastfeeding was 5.18 times more common in the experimental group than in the control group (odds ratio=5.18, 95% confidence interval=1.11~16.70). However, weekly weight gain did not show a significant relationship with group and time (F=0.40, <i>p</i>=.712).Conclusion: The BSP was helpful for increasing the rate of exclusive breastfeeding in LPIs. Furthermore, the LPIs in the experimental group, which had a higher likelihood of being exclusively breastfed, showed an equivalent amount of weight gain as the LPIs in the control group, in which infants were more likely to be formula-fed.

show abstract