Prevalence and patterns of gestational parent’s own milk feeds among infants with major congenital surgical anomalies in the NICU

Demirci, Jill; Davis, Jessica A; Glasser, Melissa; Brozanski, Beverly

doi:10.1038/s41372-021-01176-6

Cited by 5 publications

(20 citation statements)

References 35 publications

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“…The sample size for this secondary analysis was fixed and based on the number of available infants admitted to the NICU within the predefined period for the primary study 14. Demographic data, feeding history, defect type, and surgical history were abstracted from the EHR and deidentified by a University-based honest broker 19. Additional details on data abstraction are described elsewhere 19.…”

Section: Methodsmentioning

confidence: 99%

“…The education provided during this program was evidence-based and tailored toward the NICU infant population. In addition, a NICU-based lactation quality improvement project began in 2013 and is summarized by Demirci et al19…”

Section: Methodsmentioning

confidence: 99%

“…This study was a secondary cross-sectional analysis of a data collected for a retrospective electronic health record (EHR) review conducted at a level IV (regional) NICU that was part of a large, 250-bed children's hospital in the northeastern United States between January 2014 and March 2015. 19 Births do not occur at this facility; infants are admitted from outside hospitals. The purpose of the primary study by Demirci et al 19 was to examine patterns and barriers of B/LPOM use in surgical infants to determine feasibility of a lactation support intervention for parents of infants who required surgery for a major congenital anomaly.…”

Section: Methodsmentioning

confidence: 99%

“…26 Further, feeding strategies and treatment modalities specific to surgical infants constitute unique risk factors for a lactation cessation. 14,19 As such, results of research examining B/LPOM patterns and lactation outcomes among nonsurgical term and preterm infants cannot be readily applied to surgical infants. Therefore, the purpose of this analysis was to discern whether early exclusive B/LPOM feeds, operationalized as the first enteral feed in the NICU (first NICU feed type), were significantly associated with total percentage of B/LPOM feeds during NICU stay and continued use of partial or exclusive B/ LPOM feedings (any or exclusive B/LPOM feeds) at NICU discharge among surgical infants.…”

mentioning

confidence: 99%

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First Feed Type Is Associated With Birth/Lactating Parent's Own Milk Use During NICU Stay Among Infants Who Require Surgery

Davis¹,

Glasser²,

Spatz³

et al. 2022

Advances in Neonatal Care

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evere structural birth defects (ie, abdominal wall defects, congenital heart defects, neural tube defects, and congenital diaphragmatic hernia) and disorders that result from pregnancy or birth-related complications (ie, hydrops fetalis) often require surgery in the immediate postpartum period for survival. Infants with these conditions are highly vulnerable to gastrointestinal morbidity, poor growth, delayed neurodevelopment, and death. [1][2][3][4][5][6][7][8][9][10] In fact, congenital malformations and pregnancy complications are 2 leading causes of infant mortality in the United States. 11 In 2018, approximately 118 infant deaths per 100,000 live births were due to structural birth defects; 37.1 infant deaths per 100,000 live births were attributed to pregnancyrelated complications. 11 Birth/lactating parent's own milk (B/LPOM; see Table 1) has well-documented health benefits for vulnerable infants, including those infant who require neonatal surgery (surgical infants). 2,8,12,13 In this population, B/LPOM has been associated with decreased incidence of feeding intolerance and necrotizing enterocolitis, 2,4,5,8,14 and improved growth, 7,15 neurodevelopment, 7,16 and parental bonding. 10,14,17 The benefits of B/LPOM are dosedependent, meaning that the mitigation of adverse outcomes depends on the percentage of the infants' diet that consists of B/LPOM feeds compared with

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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First Feed Type Is Associated With Birth/Lactating Parent's Own Milk Use During NICU Stay Among Infants Who Require Surgery

Davis¹,

Glasser²,

Spatz³

et al. 2022

Advances in Neonatal Care

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“…Common causes for early lactation cessation in this population include low lactation confidence and self-efficacy, lack of focused lactation education in the prenatal and early perinatal period, challenges with milk expression that could negatively impact milk supply, minimal opportunity for direct chest/breastfeeding, and stress related to the infants' diagnosis 5,18,19. Therefore, there is a crucial need for interventions that target and promote lactation confidence among lactating parents of infants with birth defects to ensure continued lactation during the first year of life.…”

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confidence: 99%

Antenatal Milk Expression as a Lactation Support Intervention for Parents of Infants With Severe Birth Defects

Davis

Glasser

Clemens

et al. 2022

Journal of Perinatal &Amp; Neonatal Nursing

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Background: A diet high in parent's own milk (parental milk) is a lifesaving intervention for critically ill infants. Lactating parents whose infants are born with birth defects that require surgical repair (surgical infants) shortly after birth often struggle to initiate and maintain a milk supply that meets their infant's nutritional needs. Antenatal milk expression has been identified as a safe, feasible, and potentially effective strategy that promotes parents' direct chest/breastfeeding or milk expression (lactation) confidence and helps parents attain their lactation goals. Two cases are presented to illustrate the potential for using antenatal milk expression as a lactation support intervention for parents of surgical infants. Case Presentation: Cases were drawn from a pilot study exploring the feasibility of implementing antenatal milk expression among pregnant parents of surgical infants. Participants were healthy women recruited after 30 weeks of gestation who received a fetal diagnosis of a complex congenital heart defect. Despite variability in clinical course and length of stay, parental milk was provided for the duration of each infant's hospitalization. Participant perceptions of antenatal milk expression varied. Conclusion: More research is needed to evaluate the feasibility, efficacy, and parent or provider perceptions of antenatal milk expression as a lactation support intervention for parents of surgical infants.

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Patterns of Breastfeeding and Human Milk Feeding in Infants with Single-Ventricle Congenital Heart Disease: A Population Study of the National Pediatric Cardiology Quality Improvement Collaborative Registry

Elgersma

Spatz

Fulkerson

et al. 2023

Breastfeeding Medicine

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Prevalence and patterns of gestational parent’s own milk feeds among infants with major congenital surgical anomalies in the NICU

Cited by 5 publications

References 35 publications

First Feed Type Is Associated With Birth/Lactating Parent's Own Milk Use During NICU Stay Among Infants Who Require Surgery

First Feed Type Is Associated With Birth/Lactating Parent's Own Milk Use During NICU Stay Among Infants Who Require Surgery

Antenatal Milk Expression as a Lactation Support Intervention for Parents of Infants With Severe Birth Defects

Patterns of Breastfeeding and Human Milk Feeding in Infants with Single-Ventricle Congenital Heart Disease: A Population Study of the National Pediatric Cardiology Quality Improvement Collaborative Registry

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