By Sandra Cole RNC IBCLC

Evidence-based study underscores the significance of breastfeeding for the fit improvement of overdue preterm babies, but major demanding situations can hamper its good fortune. this can be a groundbreaking, problem-solving consultant to the simplest options for breastfeeding this susceptible inhabitants. Written for lactation specialists, NICU nurses, obstetrical nurses, and nurse-midwives, the publication bargains transparent, easy, evidence-based strategies to the specified breastfeeding problems affecting overdue preterm babies. The consultant describes the features of past due preterm babies and the physiological challenges-often invisible and missed by way of wellbeing and fitness care providers-caused through disturbances of breathing, metabolic, neurologic, and immunologic features. those difficulties are usually exacerbated by way of terrible breastfeeding and lead to thirteen% of medical institution readmissions via past due preterm babies. The e-book examines maternal stipulations that impact breastfeeding good fortune and offers particular, easy-to-follow directions for the simplest breastfeeding suggestions. It describes particular techniques wellbeing and fitness care pros can take to beat breastfeeding problems, together with right positioning and latch process, using breast pumps and different important apparatus, supplemental feedings, and extra. images that illustrate right techniques make clear particular options, and ordinary sufferer instructing courses additional inspire winning breastfeeding. The booklet additionally helps the pursuits of many hospitals trying to in achieving Baby-Friendly prestige, in addition to the objectives of the Multidisciplinary guidance for Care of past due Preterm babies lately issued by means of the nationwide Perinatal Association.

Key Features:
Comprises the one finished consultant particular to the breastfeeding problems with overdue preterm infants.

Describes developmental demanding situations confronted through past due preterm infants.

Provides designated, easy-to-follow directions for breastfeeding and methods for overcoming difficulties.

Offers transparent, easy, evidence-based options that nurses, lactation specialists, and midwives can supply to mothers.

Supports the targets of hospitals looking Baby-Friendly prestige.

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Extra resources for Breastfeeding Challenges Made Easy for Late Preterm Infants: The Go-To Guide for Nurses and Lactation Consultants

Sample text

Constant skin-to-skin contact helps the baby to smell the breast and be more likely to wake and breastfeed while also encouraging more vigilance from the mother to watch for early hunger cues. indd 20 18/10/13 11:51 AM 3. Immature Neurological Development and Hypotonia 21 the baby is breastfeeding, a conscientious attempt to keep the baby awake and feeding well must be made. Breast compressions allow colostrum or breast milk to be pushed to the tip of the nipple, providing a continual taste to the baby and encouraging continued suckling without excess expenditure of energy.

They concluded that spontaneous preterm births with intact membranes were associated with shorter cervical length, abnormal uterine Doppler flow, maternal prepregnancy use of marijuana, lack of overall feeling of well-being, being of Caucasian ethnicity, having a mother with diabetes and/or a history of preeclampsia, and having a family history of low-birth-weight babies. Independent risk factors for spontaneous preterm birth after PROM included short cervical length, short stature, mother not being firstborn in the family, longer time to conceive, not waking up at night during pregnancy, hormonal fertility treatment (excluding clomiphene), mild hypertension, family history of recurring gestational diabetes, and low BMI (Ͻ 20).

High-pitched cry, irritability, and fever can be related to sepsis or unintentional hyperthermia, such as from overdressing the infant or from overheating in a radiant warmer. Apnea can be caused from poor positioning, sepsis, central nervous system immaturity, hypothermia, or several other causes. Seizures can be caused by brain insults, sepsis, and metabolic disorders. Bilirubin and phototherapy, used to decrease bilirubin levels, both can cause excess sleepiness in an already sleepy baby. EXTREME IMPORTANCE OF EFFECTIVE BREASTFEEDING FOR THE LATE PRETERM INFANT Early, frequent, and effective colostrum feedings help speed the passage of meconium, thereby decreasing bilirubin levels and avoiding the consequences of hyperbilirubinemia, such as the need for phototherapy or exchange transfusion, and decreases the risk of developing kernicterus.

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