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Date: | Wed, 14 Feb 2007 11:40:05 -0500 |
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HELLO! My name is Linda Kibot and I am a junior II nursing student at the
University of North Dakota. I am currently taking a childbearing class and I
have finished my OB nursing clinical.
I joint the listserv a few weeks ago and have enjoyed learning about several
topics that I learned on the OB floor and several that I did not.
I am interested in information about breast feeding with multiple births,
especially triplets and the role nurses play in education and support of families
faced with such births. I realized that many mothers may choose not to breast
feed because multiple infants, but I feel that with proper education and
instruction; breastfeeding could be performed effectively with multiple infants.
According to Moxley and Haddon, (1999) there has been an increase in
multiple births to approximately 30-35% in North America. This increase
coupled with the importance of breastfeeding provides an even greater reason
to provide parents with accurate information and anticipatory guidance on the
subject of breastfeeding.
Parents need to understand that breastfeeding is not only nutritional important
but builds maternal child relationship, provides infants with emotional security,
nurturing, physiologic and immunological protection and therefore decreases
the chances of viral and bacteria infection for the infant (Leonard, 2002).
A case report conducted by Auer and Gromada (1998) pointed out that
complete rooming-in is possible for mothers of multiples and can increase the
chances of successful breastfeeding in multiple births. They also found that
the majority of higher order multiple birth women are unable to cope with 24-
hour or long stretches of rooming-in in the early days after delivery even with
family and other support. The study concluded that rooming-in should be
individualized based on the needs of the families with the help of lactation
consultants and home care nurse.
Another study was done on enhancing support during the postpartum
hospitalization period for higher order multiples (Leonard, 2002). The study
found that mothers of multiple newborns felt that the interactions with multiple
nurses could be stressful because they were unaware of their particular
situation. The study emphasized that it is important for lactation consultants
to follow-up with parents because they may become overwhelmed or too
exhausted to contact lactation support services after discharge from the
hospital if they run into problems.
I would like to find out what guidelines/policies are set by your agency to
provide information or teachings on breastfeeding to mothers with multiple
newborns. How many nurses are lactation consultants at your agency? Are
there guidelines for follow-up visits/calls and some tips or guidelines to help me
support mothers in a hospital setting with multiple newborns to start or
continue breastfeeding?
Thank you for your time.
Linda Kibot, SN
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