Notes from Marty...
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 We are heading into the home stretch for EHM phase 1! Mark your calendars for this months webinars and take time to review how you all are doing based on progress in current indicators.
HM NICU: Tuesday, September 13th, 2:00 - 3:00 (note that due to popular demand the regular date has been changed from the 2nd Monday of the month to the 2nd Tuesday of the month)
HM Well Baby: Wednesday, September 28th, 2:00 - 3:00
-Marty
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Question from Laurie...
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If you are using donor milk, do you know how much is used in your critical care unit and how much is used for the well-baby? How many babies are getting supplemented, and of those, what percent is receiving donor milk? Please respond directly to this email - thanks!
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New Resources
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 CDC, Breastfeeding, 10 steps
Background: Childhood obesity is a national epidemic in the United States. Increasing the proportion of mothers who breastfeed is one important public health strategy for preventing childhood obesity. The World
Health Organization and United Nations Children's Fund (UNICEF) Baby-Friendly Hospital Initiative specifies Ten Steps to Successful Breastfeeding that delineate evidence-based hospital practices to improve breastfeeding initiation, duration, and exclusivity.
Methods: In 2007 and 2009, CDC conducted a national survey of U.S. obstetric hospitals and birth centers. CDC analyzed these data to describe the prevalence of facilities using maternity care practices consistent with the Ten Steps to Successful Breastfeeding.
Results: In 2009, staff members at most hospitals provide prenatal breastfeeding education (93%) and teach mothers breastfeeding techniques (89%) and feeding cues (82%). However, few hospitals have model breastfeeding policies (14%), limit breastfeeding supplement use (22%), or support mothers postdischarge (27%). From 2007 to 2009, the percentage of hospitals with recommended practices covering at least nine of 10 indicators increased only slightly, from 2.4% to 3.5%. Recommended maternity care practices vary by region and facility size.
Calculating postnatal growth velocity in very low birth weight (VLBW) premature infants Objective: Currently, there is no standardized approach to the calculation
of growth velocity (GV; g kg -1 day-1) in hospitalized very low birth weight
(VLBW) infants. Thus, differing methods are used to estimate GV, resulting
in different medical centers and studies reporting growth results that are
difficult to compare. The objective of this study was to compare actual GV
calculated from infant daily weights during hospitalization in a Neonatal
Intensive Care Unit (NICU) with estimated GV using two mathematical
models that have been shown earlier to provide good estimated GVs in
extremely low birth weight (ELBW) infants: an exponential model (EM)
and a 2-Point model (2-PM).
Impact of a Feeding Log on Breastfeeding Duration and Exclusivity The aim of this study was to test the efficacy of a daily feeding log, guided by Bandura's social cognitive learning theory, on breastfeeding duration and exclusivity in primiparous mothers.
The impact of feeding interval on feeding outcomes in very low birth-weight infants Objective: Test the hypothesis that very low birth-weight (VLBW) infants fed every 2 h (q2) are able to reach full enteral feedings more quickly than infants fed every 3 h (q3).
ABM Clinical Protocol #9: Use of Galactogogues in Initiating or Augmenting the Rate of Maternal Milk Secretion (First Revision January 2011)
Galactogogues commonly have been used to increase a faltering rate of milk production, often due to the effects of maternal or infant illness and hospitalization or because of regular separation such as work or school. One very common area of use has been the neonatal intensive care unit, where the aim has been to stimulate initial secretory activation or augment declining milk secretion in these mothers. Mothers
who are not breastfeeding but are expressing milk by hand or with a pump often experience a decline in milk production after several weeks. Galactogogues have also been used for adoptive breastfeeding (induction of lactation in a woman who was not pregnant with the current child) and relactation (reestablishing milk secretion after weaning).
Handout: Why should I give breast milk to my baby?
The American Academy of Pediatrics (AAP) and the World Health Organization (WHO) recommend mother's milk as the ideal food for babies.
WakeMed Patient Information handout: Breast Milk for Your Baby in the NICU/SCN
in English in Spanish |
| Contact |
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Keith M. Cochran
PQCNC Debrouillard
keith_cochran@unc.edu
919.966.8182
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