---------- Forwarded message ----------
Date: Wed, 22 Oct 1997 19:22:06 -0500 (CDT)
From: Tammy Kleindl <[log in to unmask]>
To: [log in to unmask]
Subject: Breastfeeding critical infant (fwd)



---------- Forwarded message ----------
Date: Wed, 22 Oct 1997 19:14:07 -0500 (CDT)
From: Tammy Kleindl <[log in to unmask]>
To: [log in to unmask]
Subject: Breastfeeding critical infant

     Hello, I am a student at the University of North Dakota and have
recently researched anencephaly, a neural tube defect in which both
cerebral hemispheres are absent.  In my research I found that
anencephalic infants born with an intact brainstem have the reflexes to
smile, cry, and suck (Diaz, 1993).  The life expectancy of the
anencephalic infant ranges from a few hours to several weeks.  Comfort
care for the infant includes providing fluids, warmth, and nutrition
(Diaz, 1993).  Due to the fact that the infant can suck, will lead a
short life, and will need nutrition, demonstrates that breastfeeding could
serve many purposes.
      I believe the main benifit in this situation is the way the
emotional bond is enhanced through breastfeeding.  An article by Locklin
& Naber (1993) used quotes from mothers to demonstrate the bond formed
while breastfeeding.  One woman expressed her feelings on breastfeeding
by stating:
             It's like he's part of me, and he's still part of me, I have
             what he needs.  I give it to him, nobody makes it for me.  I
             give it to him.

       A mother with an anencephalic infant has little time to bond and
be with her baby.  What better way to cherish her infant than to hold it
close to her skin, give it warmth, and breastfeed?  What a better way to
exchange intimacy?  Characteristics of intimacy such as mutuality,
reciprocity, being, joy, harmony, trust, emotional closeness, and the
touch of skin are all evidenced in the breastfeeding experience (Dignam,
1995).
      I have been unable to find any research on breastfeening
anencephalic infants.  Has anyone seen this implemented in practice? What
were the outcomes?                   Thank You,
                                         Tammy Kleindl S.N.

References:
     Dignam, Denise,M. (1995). Understanding intamacy as experienced by
breastfeeding women.  Health Care for Women International 16(5), 477-485.

     Diaz, James,H., (1993). The anecephalic organ donor: a challenge to
existing moral and statutory laws. Critical Care Medicine 21(11),1781-1786.

     Locklin, M. P. & Neber, S.J. (1993).  Does breastfeeding empower
women?  insights from a select group of educated, low-income, minority
women.  Birth 20(1), 30-35.