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Educate moms on breast-feeding preterm infants: promotional strategies.(Obstetrics)
STANFORD, CALIF. -- Don't expect the mother of a premature newborn to know when and how to breast-feed.
Set up your health care system to promote breast-feeding for premature infants, Dr. Jane A. Morton said at a conference on perinatal and pediatric nutrition.
Most mothers of premature infants have not had time to attend a breast-feeding class before the baby arrives, and their babies need extra help to learn to breast-feed. "It's our responsibility" to make this happen, said Dr. Morton, director of breastfeeding medicine at Stanford University.
Nearly 12% of births in 2000 were preterm, up from less than 10% in 1980. Fewer than half of 42,891 infants discharged from 124 neonatal intensive care units (NICUs) were getting breast milk in a 2001 study. Rates of breast-feeding premature infants varied by institution from less than 10% to more than 75% upon discharge from the NICU. The "culture" of the NICU significantly affected breastfeeding rates even after adjusting for gestational age, race, and marital status.
"It's easy to assume that this is someone else's responsibility when there are no clear guidelines on who should do what" to promote breast-feeding, Dr. Morton said at the meeting, jointly sponsored by Symposia Medicus and the university.
Should the delivery room be the first to help the mother start pumping breast milk? Should the postpartum ward help her pump every 3 hours? Both obstetric and neonatal care teams should create environments that will help mothers over the two biggest hurdles in breast-feeding: insufficient milk production, and transitioning from tube feedings to breast-feeding, she advised.
Begin frequent breast pumping on day 1, preferably within 6 hours of birth. Anticipate obstacles to pumping and introduce nonpharmacologic interventions early to promote breast-feeding.
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Source: HighBeam Research, Educate moms on breast-feeding preterm infants: promotional...