Breastfeeding the Premature Infant: Experience of a Baby-Friendly Hospital in Brazil

Abstract

Breastfeeding is the natural way of feeding infants, providing nutritional, immunological, psychological, and economic advantages. These qualities are especially important in premature neonates because of their vulnerability. Nevertheless, a lower incidence of successful breastfeeding has been observed in this population. This prospective study investigated the frequency of mother’s milk use on discharge of premature neonates from an at-risk neonatal unit. It involved 244 premature neonates and took place at a Brazilian Baby-Friendly Hospital. The observed frequency of mother’s milk use at neonatal unit discharge was 94.6%. The finding that most premature neonates were receiving mother’s milk reflects a well-structured program for promoting breastfeeding of premature neonates at this institution, which relies on an interdisciplinary team to provide adequate support to the mothers.

Keywords

breastfeeding Baby-Friendly Hospital Initiative premature infant

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References

American Academy of Pediatrics . Work group on breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 1997;100:1035-1039.

Nyqvist KH , Ewald U , Sjödén P. Supporting a preterm infant’s behaviour during breastfeeding: a case report. JHum Lact. 1996;12:221-228.

Mccoy R , Kadowaki C , Wilks S , Engstron J , Meier P. Nursing management of breastfeeding for preterm infants. J Perinat Neonatal Nurs. 1988;2:42-55.

Wohlberg LK , Geary BF . Team approach to breastfeeding the ELBW infant: a case report. J Hum Lact. 1994;10:181-183.

World Health Organization/United Nations Children’s Fund . Protecting, Promoting and Supporting Breastfeeding: The Special Role of Maternity Service(Joint WHO/UNICEF statement). Geneva, Switzerland: World Health Organization; 1989.

Meier P , Mangurten H. Breastfeeding the preterminfant. In: Riordan J , Auerbach KG , eds. Breastfeeding and Human Lactation. Boston, Mass: Jones and Bartlett; 1993:253-278.

Labbok M , Krasovec K. Toward consistency in breastfeeding definitions. Stud Fam Plann. 1990;21:226-230.

Meier PP . Breastfeeding in the special care nursery: prematures and infants with medical problems. Pediatr Clin North Am. 2001;48:425-442.

Jones E , Dimmock AS , Spencer SA . A randomised controlled trial to compare methods of milk expression after preterm delivery. Arch Dis Child Fetal Neonatal Ed. 2001;85:F91-F95.

10.

Fucile S , Gisel E , Lau C. Oral stimulation accelerates the transition from tube to oral feeding in preterm infants. J Pediatr. 2002;141:230-236.

11.

Verronen P. Breastfeeding of low birthweight infants. Acta Paediatr Scand. 1985;74:495-499.

12.

Lefebvre F , Ducharme M. Incidence and duration of lactation and lactational performance among mothers of low-birth-weight and term infants. CMAJ. 1989;140:1159-1164.

13.

Hill PD , Ledbetter RJ , Kavanaugh KL . Breastfeeding patterns of lowbirth-weight infants after hospital discharge. J Obstet Gynecol Neonatal Nurs. 1997;26:189-197.

14.

Hunkeler B , Aebi C , Minder CE , Bossi E. Incidence and duration of breastfeeding of ill newborns. J Pediatr Gastroenterol Nutr. 1994;18:37-40.

15.

Meier P , Engstrom JL , Mangurten HH , Estrada E , Zimmermam B , Kopprthi R. Breastfeeding support services in the neonatal intensivecare unit. J Obstet Gynecol Neonatal Nurs. 1993;22:338-347.

16.

Meberg A , Willgraff S , Sande HA . High potential for breast feeding among mothers giving birth to pre-term infants. Acta Paediatr Scand. 1982;71:661-662.

17.

Nyqvist KH , Ewald U. Infant and maternal factors in the development of breastfeeding behaviour and breastfeeding outcomes in preterm infants. Acta Paediatr. 1999;88:1194-1203.

18.

Ehrenkranz RA , Ackerman BA , Mezger J , Bracken MB . Breastfeeding and premature infants: incidence and success [abstract]. Pediatr Res. 1985;19:199A-199A.

19.

Richards MT , Lang MD , Mcintosh C , Hartman S , Clyman RI , Ballard R. Breastfeeding the VLBW infant: successful outcome and maternal expectation [abstract]. Pediatr Res. 1986;20:383A-383A.

20.

Furman L , Minich NM , Hack M. Breastfeeding of very low birth weight infants. J Hum Lact. 1998;14:29-34.

21.

Xavier CC, Jorge MS, Gonçalves AL. Prevalência do aleitamento materno em recém-nascidos de baixo peso. Rev Saúde Públ. 1991; 25:381-387.

22.

Facchini FP. Aleitamento materno em recém-nascidos com internação prolongada no pós-parto: avaliação de um programa de estímul[tese]. Campinas, Brazil: Universidade Estadual de Campinas; 1996.

23.

Cattaneo A , Davanzo R , Worku B , et al. Kangaroo mother care for low birthweight infants: a randomized controlled trial in different settings. Acta Paediatr. 1998;87:976-985.

24.

Levin A. Humane neonatal care initiative. Acta Paediatr. 1999;88:353-355.

25.

Hill PD , Brown LP , Harker TL . Initiation and frequency of breast expression in breastfeeding mothers of LBW and VLBW infants. Nurs Res. 1995;44:352-355.