Kerstin Hedberg Nyquist has published on this topic. In her nursery in 
Sweden, they get 28 weekers started breastfeeding, and many babies are 
exclusively bf by 34 weeks, some even earlier.

Nyqvist KH, Rubertsson C, Ewald U, et al.: Development of the preterm 
infant breastfeeding behavior scale (PIBBS), a study of nurse-mother 
agreement. Journal of Human Lactation 1996;12:207-19
Nyqvist KH, Ewald U, Sjodén P-O. Supporting a preterm infant’s behavior 
during breastfeeding: A case report. Journal of Human Lactation 
1996;12:221-28
Nyqvist KH, Ewald U, Sjodén P-O: Development of preterm infants’ 
breastfeeding behavior. Early Human Development 1999;55:247-64
Nyqvist KH, Ewald U: Infant and maternal factors in the development of 
breastfeeding behavior and breastfeeding outcome in preterm infants. 
Acta Paediatrica1999; 88:1194-203
Nyqvist KH, Strandell E: Evaluation of a cup feeding protocol in a 
neonatal intensive care unit. Journal of Neonatal Nursing 1999;31-36
Nyqvist KH, Farnstrand C, Edebol Eeg-Olofsson K, Ewald U.: Early oral 
behaviour in preterm infants during breastfeeding: an EMG Study. Acta 
Pediatrica 2001;90:658-63
Nyqvist KH: The development of preterm infants’ milk intake during 
breast feeding. Journal of Neonatal Nursing 2001;(7):48-52

Catherine Watson Genna, IBCLC  NYC

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