Maternal production of milk for infants in the neonatal intensive care unit |
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| Authors: | Rebecca Hoban Rakhee M. Bowker Megan E. Gross Aloka L. Patel |
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| Affiliation: | 1. Department of Pediatrics, Division of Neonatology, Rush University Medical Center, Chicago, USA;2. Department of Paediatrics, Division of Neonatology, The Hospital for Sick Children, 555 University Ave, Toronto, Ontario M5G 1X8 Canada;1. Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA;2. Department of Neonatology, Harvard Medical School, Boston, MA;1. Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA;2. Division of Newborn Medicine, Harvard Medical School, Boston, Massachusetts, USA;3. Division of Neonatology, University of Florida, Gainesville, Florida, USA;4. Division of Neonatology, Oregon Health and Science University, Portland, Oregon, USA;5. Department of Pediatrics, SUNY Downstate Health Sciences University, Brooklyn, New York, USA;6. Division of Newborn Medicine, Boston Children''s Hospital, Boston, Massachusetts, USA;7. Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA;1. Department of Pediatrics, Division of Neonatology, University of New Mexico School of Medicine, Albuquerque, NM;2. Center for Education Policy Research, University of New Mexico, Albuquerque, NM;3. Pacific Institute for Research and Evaluation, Albuquerque, NM |
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| Abstract: | Mother's own milk (MOM) feeding is a cost-effective strategy to reduce risks of comorbidities associated with prematurity and improve long-term health of infants hospitalized in the Neonatal Intensive Care Unit (NICU). Significant racial and socioeconomic disparities exist in MOM provision in the NICU, highlighting the importance of developing strategies to reduce these disparities. Mothers of infants in the NICU experience many health concerns which may negatively impact lactation physiology. Objective measures of lactation physiology are limited but may assist in identifying mothers at particular risk. Several strategies to assist mothers of hospitalized infants are essential, including maternal education, qualified lactation professionals, early and frequent milk expression with a hospital-grade double electric breast pump, and providing support for transitioning to direct breastfeeding prior to discharge from the NICU. |
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