Hello! My name is JennY and I am a junior II nursing student at the 
University of North Dakota.  I am currently taking a childbearing class and 
I am doing clinicals on the OB unit.  I joined this listserv a week ago and 
was able to view the some of the different topics discussed so far.  Labor 
and Delivery is a fascinating topic for me and I eager to learn and read 
about OB and pediatrics.  
	I am interested in breastfeeding and the role nurses play in 
helping a new mom with the experience.  I realize that breastfeeding is not 
considered the “norm”, but I am glad to see that health care professionals 
are emphasizing the importance as well as the benefits of breastfeeding. 
The journal articles that I researched are about the nurse’s role in 
breastfeeding.  According to Sinusas and Gagliardi (2001), the earlier 
breastfeeding is initiated or introduced, the better success of 
breastfeeding is found to occur.  Factors found to increase the success of 
breastfeeding include allowing skin to skin contact between the mother and 
baby immediately after birth and allowing the infant to root and latch on 
within the first hour of life.   
	A five year follow up study was done on the effectiveness of a ten 
step breastfeeding plan implemented in the Philadelphia hospitals (Kovach, 
2002).  The study concluded that most hospitals were only implementing 
about 5 of the ten steps of the program.  Areas that needed improvement 
were found in the breastfeeding education of health care professionals and 
mothers, outreach to mothers both prenatal and after discharge, and the 
restriction of supplementations given to the infants.  
	Another study reports on the perceptions of mothers had about their 
nurse’s support on breastfeeding.  The results suggest that the mothers 
were given educational information, but did not feel as though they were 
given support through encouragements (Gill, 2001).
	My questions are what method is your agency implementing to assist 
moms with latching on and how can I assist her with breastfeeding so that 
her experience is enjoyable. 

Thank You, 
JennY   SN

Gill, S. (2001, July/August).  The Little Things: Perceptions of 
Breastfeeding Support. 
	Journal of Obstetric, Gynecologic, and Neonatal Nuring, 30(4). 401.
Kovach, A (2002).  A 5-year Follow-up Study of Hospital Breastfeeding 
Policies in the 
Philadelphia Area: A Comparison with the Ten Steps.  Journal of Human 
Lactation. 18(2). 144
Sinusas, K. and Gagliardi, A (2001).  Initial Management of Breastfeeding. 
 American Family Physician.  64 (6). 981.


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