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Maternal production of milk for infants in the neonatal intensive care unit

Journal

SEMINARS IN PERINATOLOGY
Volume 45, Issue 2, Pages -

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.semperi.2020.151381

Keywords

human milk; breastfeeding; lactation consultant; outborn NICU

Funding

  1. National Institute On Minority Health And Health Disparities of the National Institutes of Health [R01MD013969]

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Breastfeeding is crucial for the health of premature infants in the NICU, but there are significant racial and economic disparities in breast milk provision that need to be addressed. Helping mothers improve breastfeeding skills and providing support is essential.
Mother's own milk (MOM) feeding is a cost-effective strategy to reduce risks of comorbidities associated with prematurity and improve long-term health of infants hospitalized in the Neonatal Intensive Care Unit (NICU). Significant racial and socioeconomic disparities exist in MOM provision in the NICU, highlighting the importance of developing strategies to reduce these disparities. Mothers of infants in the NICU experience many health concerns which may negatively impact lactation physiology. Objective measures of lactation physiology are limited but may assist in identifying mothers at particular risk. Several strategies to assist mothers of hospitalized infants are essential, including maternal education, qualified lactation professionals, early and frequent milk expression with a hospital-grade double electric breast pump, and providing support for transitioning to direct breastfeeding prior to discharge from the NICU. (c) 2020 Elsevier Inc. All rights reserved.

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