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Subject:
From:
Kermaline Cotterman <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 28 Dec 2005 16:35:43 -0500
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Seen on PubMed while checking "related articles" on a past reference:

MCN Am J Matern Child Nurs. 2006 January/February;31(1):45-51.


Preserving Breastfeeding for the Rehospitalized Infant: A Clinical
Pathway.

Spatz DL, Goldschmidt KA.

Diane L. Spatz is an Associate Professor, University of Pennsylvania
School of Nursing, and the Children's Hospital of Philadelphia. She can
be reached via e-mail at [log in to unmask] Karen A. Goldschmidt is
an Educational Nurse Specialist, The Children's Hospital of Philadelphia,
and an MSN candidate.

ABSTRACTThe benefits of feeding newborns with human milk are well
established. Unfortunately some hospital practices do not support
successful breastfeeding; practices such as early hospital discharge
after birth, lack of appropriate follow-up primary care providers, and
lack of access to breastfeeding support services can contribute to
breastfeeding failure, as well as morbidity and mortality in the infant.
Infants experiencing breastfeeding difficulties are sometimes admitted to
the hospital with diagnoses such as hyperbilirubinemia/jaundice,
dehydration/hypernatremia, rule out sepsis, and weight loss/failure to
thrive.This article describes a clinical pathway developed with the
express purpose of maintaining and enhancing lactation in mother-infant
dyads experiencing breastfeeding difficulties.The goal of the pathway is
to maintain lactation and breastfeeding while returning the infant to a
state of health. A key focus of the pathway is milk transfer, a concept
that is missing from much of the research on lactation difficulties.The
pathway considers breastfeeding from both a maternal and an infant
perspective, with a goal of preserving breastfeeding. It uses technology
to support the breastfeeding process and could be useful for all
practitioners working with mother-infant dyads experiencing breastfeeding
difficulties.

PMID: 16371825 [PubMed - as supplied by publisher] 


Jean
**********************
K. Jean Cotterman RNC, IBCLC
Dayton, OH USA

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