Hi! My name is Shawna I am currently a junior in the nursing
> program at the University of North Dakota. I joined the listserv
> recently, and have since enjoyed reading and learning about the
> topics discussed. I am very interested in Labor and Delivery,
> Since I will be returning to a rural area when I am finished with
> school I would like to learn as much as possible in this area,
> because in rural areas we get a little of everything including
> babies.
> I am interested in breastfeeding and how as a nurse I can
> encourage and contribute to new mom’s breastfeeding experiences as
> well as continuation of breastfeeding upon discharge. I also know
> from previous experience that in rural areas breastfeeding is not
> encouraged as much and bottle feeding is. But after having lived
> in a more urban area breastfeeding is encouraged by healthcare
> providers and education about breastfeeding is given early on
> before the birth of the baby. I have researched some on
> breastfeeding and according to Barrett (2006), that breast feeding
> should be established at birth, but if it is not and a mother
> wants to breastfeed later, she can if her baby is less than six
> months old. I also found that beyond six months lactation can be
> induced for partial breastfeeding supplies.
> Ganni, Vegni, Ferraris and Mosca (2006) found that
> breastfeeding needs to be established within the six month
> guideline, and maternal age plays a role in the continuation of
> the breastfeeding upon discharge. With this study, they assessed
> all new breastfeeding moms in the hospital and used 4 variables
> with each receiving a score after the initial assessment. The
> three variables used were maternal age, previous breastfeeding
> experience, difficulty with latching, and how often the mothers
> breastfed the babies. Each new mom received a score of 0-2, with a
> score of zero indicating that breastfeeding had failed at every
> feeding, the score of one indicating partial breastfeeding
> difficulties, and a score of two indicating that breastfeeding was
> completely successful at each feeding. The study had higher scores
> with new moms over the age of 21 and previous breastfeeding
> experiences, so the variables they used played a major role in the
> successfulness of a new mom’s breast feeding.
> Riordan, Hopple & Angeron (2005) found that breastfeeding
fails when new moms are
> questioning if their baby is getting enough breast milk at each
> feeding. They identified the key factors in determining how
> effective the breastfeeding as being observable and audible
> sucking, length of time before latch on, rooting, and suckling.
> They found that observable swallowing and rooting in early
> postpartum are good indicators that the infant is getting adequate
> amounts at each feeding. New moms will often question
> breastfeeding, because unlike a bottle that can be measured,
> breastfeeding there is a lot of anxiety, which may also contribute
> to the discontinuation of breastfeeding upon discharge.
> How do you encourage breastfeeding upon discharge
> and as a nurse how can I help a new mom’s breastfeeding education,
> and experience without being too pushy. I want to make
> breastfeeding a bonding and joyful experience for her.
> Thank-you,
> Shawna SN
>
> Barrett, J. (2006). Children’s Health, Breastfeeding: Nature’s
> MRE. Environmental Health Perspectives, 114 (1)
> Riordan, J., Gill-Hopple, K., Andgeron, J. (2005) Indicators of
> Effective Breastfeeding and Estimates of Breast Milk Intake.
> Journal of Human Lactation 21(4)
> Gianni, M.L, Vegni, C., Ferrais, G., Mosca, F. (2006, March) Short
> communication Usefulness of an assessment Score to Predict Early
> Stopping of Exclusive Breastfeeding.
> Journal of Pediatric Gastroenterology and Nutrition. 42(329) 330.
>
>
>
>
>
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