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Date: | Sat, 1 Dec 2001 07:51:55 +0200 |
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This is the slide in my preemie lecture that leaves tham with their mouths
open!!
The development of preterm infants' breastfeeding behavior.
Nyqvist KH, Sjoden PO, Ewald U University Children's Hospital, Uppsala,
Sweden.
Early Hum Dev 1999 Jul;55(3):247-64
Breastfeeding behavior of 71 premature infants (26.7-35.9 gestational weeks
) was studied.
Breastfeeding was initiated at a postmenstrual age (PMA) of 27.9-35.9 weeks.
Observation results:
· Regardless of PMA, rooting and sucking behavior was observed upon
first contact with the breast.
· 28 weeks: Efficient rooting, areolar grasp and latching on were
observed
· 32 weeks: repeated bursts of > or = 10 sucks and maximum bursts of >
or = 30 sucks
· from 30.6 weeks: Nutritive sucking appeared
· 57 infants established full breastfeeding at a mean PMA of 36.0
weeks (33.4-40.0 weeks).
Recommendations: Guidelines for initiation of breastfeeding in preterm
infants should be based on cardiorespiratory stability, irrespective of
current maturity, age or weight.<
There is also a nice transparency from the UNICEF series.
Hope this helps.
Esther Grunis, IBCLC
Lis Maternity Hospital
Tel Aviv, Israel
http://community.walla.co.il/breastfeeding
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