Facilitating Early Breast Milk Expression in Mothers of Very Low Birth Weight Infants

MCN. the American Journal of Maternal Child Nursing
Leslie A ParkerAshley Darcy-Mahoney

Abstract

Although early initiation of human milk (HM) expression after birth is known to increase lactation success in mothers of very low birthweight (VLBW) infants, initiation is frequently delayed, potentially decreasing both short- and long-term HM production. Obstetrical (OB) nurses are typically the healthcare provider responsible for facilitating the initial HM expression session. As delays in initiation are common, it is likely that nurses experience obstacles to facilitation of an early initiation of HM expression. The purpose of this study was to determine barriers OB nurses perceive in facilitating early initiation of HM expression in mothers of VLBW infants. An online survey was administered to nurses from three tertiary care OB units in Florida to determine perceived barriers to early initiation of HM expression in mothers of VLBW infants. Eighty-three nurses completed the survey. The following barriers were identified: (1) lack of time and personnel to assist mothers with HM expression, (2) nurse's perception of the mother's acuity level, and (3) nurse's perception of maternal pain and stress. Discrepancies between nursing judgment, action, and knowledge of unit policies were evident. Obstetric nurses encounter barriers wh...Continue Reading

References

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Citations

Oct 12, 2019·BMC Pregnancy and Childbirth·Sarah HoldrenLiisa Lehtonen
Jan 31, 2020·The Journal of Perinatal & Neonatal Nursing·Leslie A Parker
Jan 12, 2021·Seminars in Perinatology·Rebecca HobanAloka L Patel
Jul 17, 2021·Seminars in Perinatology·Evon DeBose-ScarlettLeslie Ann Parker

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