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Preserving breastfeeding for the rehospitalized infant: a clinical pathway
Journal article   Peer reviewed

Preserving breastfeeding for the rehospitalized infant: a clinical pathway

Diane L Spatz and Karen A Goldschmidt
MCN, the American journal of maternal child nursing, v 31(1)
Jan 2006
DOI: https://doi.org/10.1097/00005721-200601000-00010
PMID: 16371825
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Aftercare Algorithms Breast Feeding Critical Pathways - organization & administration Decision Trees Dehydration - complications Failure to Thrive - complications Health Promotion - organization & administration Health Services Needs and Demand Hospitals, Pediatric Humans Hyperbilirubinemia - complications Hypernatremia - complications Lactation Disorders - etiology Lactation Disorders - prevention & control Medical History Taking Mothers - education Mothers - psychology Neonatal Nursing - organization & administration Nurse's Role Nursing Assessment Patient Education as Topic Patient Readmission Philadelphia Sepsis - complications Social Support Suction - methods
The 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.

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12 Record Views
9 citations in Web of Science
10 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

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Web of Science research areas
Nursing
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