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

Nyqvist, Kerstin H.; Haggkvist, Anna-Pia; Hansen, Mette N.; Kylberg, Elisabeth; Frandsen, Annemi L.; Måstrup, Ragnhild LU ; Ezeonodo, Aino; Hannula, Leena and Haiek, Laura N. (2013) In Journal of Human Lactation 29(3). p.300-309
Abstract
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
neonatal intensive care unit, promotion, Baby-Friendly Hospital Initiative, breastfeeding, preterm infants
in
Journal of Human Lactation
volume
29
issue
3
pages
300 - 309
publisher
SAGE Publications Inc.
external identifiers
  • wos:000321984400005
  • scopus:84880351030
ISSN
0890-3344
DOI
10.1177/0890334413489775
language
English
LU publication?
yes
id
a05f8a0e-df04-4ea4-9295-d2f2b4f112d5 (old id 4050366)
date added to LUP
2013-10-01 15:18:51
date last changed
2019-02-10 04:01:24
@article{a05f8a0e-df04-4ea4-9295-d2f2b4f112d5,
  abstract     = {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.},
  author       = {Nyqvist, Kerstin H. and Haggkvist, Anna-Pia and Hansen, Mette N. and Kylberg, Elisabeth and Frandsen, Annemi L. and Måstrup, Ragnhild and Ezeonodo, Aino and Hannula, Leena and Haiek, Laura N.},
  issn         = {0890-3344},
  keyword      = {neonatal intensive care unit,promotion,Baby-Friendly Hospital Initiative,breastfeeding,preterm infants},
  language     = {eng},
  number       = {3},
  pages        = {300--309},
  publisher    = {SAGE Publications Inc.},
  series       = {Journal of Human Lactation},
  title        = {Expansion of the Baby-Friendly Hospital Initiative Ten Steps to Successful Breastfeeding into Neonatal Intensive Care: Expert Group Recommendations},
  url          = {http://dx.doi.org/10.1177/0890334413489775},
  volume       = {29},
  year         = {2013},
}