Document Detail

An innovative model for achieving breast-feeding success in infants with complex surgical anomalies.
MedLine Citation:
PMID:  20697242     Owner:  NLM     Status:  MEDLINE    
This manuscript describes an innovative nurse-driven continuous quality improvement project. Infants born with congenital surgical anomalies face significant challenges within the newborn period and human milk/breast-feeding may not be viewed as a priority. In many hospitals, nurses refer families to lactation consultants for all breast-feeding assistance and support. The Transition to Breast Pathway was developed on the basis of the evidence-based standards and protocols at The Children's Hospital of Philadelphia. The pathway consists of (1) initiation of pumping and maintenance of milk supply, (2) mouth care with human milk, (3) skin-to-skin care, (4) nonnutritive sucking at the breast, (5) transitioning to at breast feeds. A sample of 80 infants were enrolled in this project. Major results of the project are as follows: (1) mother's average milk supply was approximately 603 mL/d, (2) 71% (57/80) of the infants received mouth care with human milk, (3) 48% (38/80) mother/infant dyads performed skin-to-skin care, (4) 60% (35/58) of mother/infant dyads performed nonnutritive sucking at the breast, (5) 100% (58/58) of mother-infant dyads transitioned to breast prior to discharge. This continuous quality improvement project demonstrates that nurses can and should lead the process of transitioning infants to at breast feeds.
Taryn M Edwards; Diane L Spatz
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of perinatal & neonatal nursing     Volume:  24     ISSN:  1550-5073     ISO Abbreviation:  J Perinat Neonatal Nurs     Publication Date:    2010 Jul-Sep
Date Detail:
Created Date:  2010-08-10     Completed Date:  2010-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801387     Medline TA:  J Perinat Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  246-53; quiz 254-5     Citation Subset:  N    
The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA.
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MeSH Terms
Breast Feeding*
Clinical Protocols
Enteral Nutrition / methods,  nursing*
Infant Care / methods
Infant Nutritional Physiological Phenomena
Infant, Newborn
Infant, Premature*
Intensive Care, Neonatal / organization & administration*
Milk, Human
Models, Nursing
Mothers / education*
Neonatal Nursing / organization & administration*
Nurse's Role
Nurse-Patient Relations
Patient Education as Topic
Young Adult

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

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