Document Detail

Birth to breast--a feeding care map for the NICU: helping the extremely low birth weight infant navigate the course.
MedLine Citation:
PMID:  19065966     Owner:  NLM     Status:  MEDLINE    
Breast milk has been shown to contribute significantly to positive neurodevelopmental and medical outcomes in the extremely low birth weight (ELBW) infant population. It is crucial that ELBW infants receive their mother's colostrum as a first feeding, followed by expressed breast milk for as long as possible. Evidence-based literature supports the difficult challenges both mothers and ELBW infants face if they are to succeed at breast pumping and breastfeeding. Influencing factors include the medical fragility of the infant, limited frequency and duration of kangaroo care between mother and infant, lack of an adequate volume of breast milk, as well as inconsistent or incorrect information surrounding the use of breast milk and breastfeeding. A feeding care map as described in this article can help the bedside nurse assist the mother-ELBW infant dyad in optimizing breast milk volumes, laying the groundwork for breastfeeding. Displaying supportive practices and preterm infant developmental milestones, the map categorizes infant, maternal, and dyad feeding issues along a progressive time line from admission to discharge.
Dorothy Dougherty; Maureen Luther
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neonatal network : NN     Volume:  27     ISSN:  0730-0832     ISO Abbreviation:  Neonatal Netw     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-12-10     Completed Date:  2009-02-12     Revised Date:  2009-07-13    
Medline Journal Info:
Nlm Unique ID:  8503921     Medline TA:  Neonatal Netw     Country:  United States    
Other Details:
Languages:  eng     Pagination:  371-7     Citation Subset:  N    
Sunnybrook Health Sciences Centre, Neonatal Intensive Care Unit, Toronto, Ontario, Canada.
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MeSH Terms
Breast Feeding* / psychology
Critical Pathways / organization & administration*
Evidence-Based Nursing
Infant Care
Infant, Extremely Low Birth Weight* / physiology,  psychology
Infant, Newborn
Intensive Care, Neonatal / organization & administration*
Mothers* / education,  psychology
Neonatal Nursing / organization & administration*
Nurse's Role / psychology
Patient Care Planning / organization & administration
Patient Education as Topic
Rooming-in Care
Social Support
Sucking Behavior
Suction / education,  psychology
Comment In:
Neonatal Netw. 2009 Jul-Aug;28(4):267-8; author reply 268   [PMID:  19592371 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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