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Breastfeedilzg Support Services in the Neonutd Intensive-Care Unit |
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| Authors: | PAULA P. MEIER RN DNSc FAAN JANET L. ENGSTROM RN Ph D HENRY H. MANGURTEN MD ELIZABETH ESTRADA RN MS BETH ZIMMERMAN RN MS RAM KOPPARTHI MD |
| Affiliation: | Paula P. Meier is an associate professor of maternal-child nursing at the University of Illinois in Chicago. She is a member of AWHONN.;Janet L. Engstrom is an assistant professor of maternal-child nursing at the University of Illinois in Chicago. She is a member of AWHONN.;Henry H. Mangurten is the director of neonatology at Lutheran General Hospital in Park Ridge, IL, and associate professor of clinical pediatrics at the University of Chicago.;Elizabeth Estrada is a clinical nurse specialist in the neonatal intensive-care unit at Children's Hospital in Washington, DC. She was a research specialist in the Department of Maternal-Child Nursing at the University of Illinois in Chicago when this study was conducted. She is a member of A WHONN.;Beth Zimmerman is a clinical nurse specialist at the University of Chicago hospitals. She was a graduate nursing student in the perinatal sequence at the University of Illinois in Chicago when this study was conducted. She is a member of AWHONN.;Ram Kopparthi is a neonatologist at Sparrow Hospital in Lansing, MI. He was a neonatal fellow at Lutheran General Hospital and Medical Center in Park Ridge when this study was conducted. |
| Abstract: | Objective: To describe a model for providing breastfeeding support in the neonatal intensive-care unit (NICU). Design: Naturalistic, participant observation. Setting: Suburban Level III NICU. Patients: One hundred thirty-two mother-infant pairs over 1 year. Infants were hospitalized In the NICU, and mothers had initiated lactation efforts. Interventions: Investigators provided breastfeeding interventions for the mother-infant pairs, based on identified problems, the research literature, or both. Main Outcome Measures: Percentage of mothers who were breastfeeding at the time of discharge from the NICU. Results: Interventions were classified into jive categories: expression and collection of mothers' milk, gavage feeding of expressed mothers' milk, in-hospital breastfeeding sessions, postdischarge breastfeeding management, and additional consultation. Conclusions: This model was effective In preventing breastfeeding failure for this population. The model can provide the basis for NICU breastfeeding standards of care, protocols, and chart records, or for reimbursement purposes. The model also provides a framework for studying a specific category or breastfeeding intervention. |
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