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Expansion of the Baby-Friendly Hospital Initiative Ten Steps to Successful Breastfeeding into Neonatal Intensive Care: Expert Group Recommendations

In English

Författare

  • Kerstin H. Nyqvist
  • Anna-Pia Haggkvist
  • Mette N. Hansen
  • Elisabeth Kylberg
  • Annemi L. Frandsen
  • Ragnhild Måstrup
  • Aino Ezeonodo
  • Leena Hannula
  • Laura N. Haiek

Summary, in English

In the World Health Organization/United Nations Children's Fund document Baby-Friendly Hospital Initiative: Revised, Updated and Expanded for Integrated Care, neonatal care is mentioned as 1 area that would benefit from expansion of the original Ten Steps to Successful Breastfeeding. The different situations faced by preterm and sick infants and their mothers, compared to healthy infants and their mothers, necessitate a specific breastfeeding policy for neonatal intensive care and require that health care professionals have knowledge and skills in lactation and breastfeeding support, including provision of antenatal information, that are specific to neonatal care. Facilitation of early, continuous, and prolonged skin-to-skin contact (kangaroo mother care), early initiation of breastfeeding, and mothers' access to breastfeeding support during the infants' whole hospital stay are important. Mother's own milk or donor milk (when available) is the optimal nutrition. Efforts should be made to minimize parent-infant separation and facilitate parents' unrestricted presence with their infants. The initiation and continuation of breastfeeding should be guided only by infant competence and stability, using a semi-demand feeding regimen during the transition to exclusive breastfeeding. Pacifiers are appropriate during tube-feeding, for pain relief, and for calming infants. Nipple shields can be used for facilitating establishment of breastfeeding, but only after qualified support and attempts at the breast. Alternatives to bottles should be used until breastfeeding is well established. The discharge program should include adequate preparation of parents, information about access to lactation and breastfeeding support, both professional and peer support, and a plan for continued follow-up.

Publiceringsår

2013

Språk

Engelska

Sidor

300-309

Publikation/Tidskrift/Serie

Journal of Human Lactation

Volym

29

Issue

3

Dokumenttyp

Artikel i tidskrift

Förlag

SAGE Publications

Ämne

  • Obstetrics, Gynecology and Reproductive Medicine

Nyckelord

  • neonatal intensive care unit
  • promotion
  • Baby-Friendly Hospital Initiative
  • breastfeeding
  • preterm infants

Status

Published

Projekt

  • Promoting early childhood health; supporting parents, vulnerable children and challenged families
  • LUC3 - Lund University Child Centered Care

Forskningsgrupp

  • Child and Family Health

ISBN/ISSN/Övrigt

  • ISSN: 0890-3344