Human Milk and Breastfeeding Outcomes in Infants With Myelomeningocele

被引:5
|
作者
Spatz, Diane L. [1 ,2 ]
Froh, Elizabeth B. [1 ,2 ]
机构
[1] Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA
[2] Childrens Hosp Philadelphia, Dept Nursing & Clin Care Serv, Philadelphia, PA 19104 USA
关键词
breastfeeding; human milk; late preterm infants; myelomeningocele; quality improvement; surgical congenital anomalies; TERM INFANTS;
D O I
10.1097/ANC.0000000000000653
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: In 2015, the study setting instituted an enteral feeding pathway, "PO Ad Lib Feeding to Support Breastfeeding." Many infants admitted to the study setting's newborn/infant intensive care unit with a primary diagnosis of myelomeningocele fall within the setting's enteral feeding pathway's inclusion criteria. Purpose: The primary objective of this study is to describe the enteral feeding exposure and trends, by type and method, among infants with myelomeningocele. Methods: Retrospective descriptive cohort design. Participants were infants with a primary diagnosis of myelomeningocele between 2013 and 2016. The electronic health record was used to collect descriptive data (demographics and daily enteral feeding exposure). Data were analyzed using descriptive statistics. Findings/Results: More than 80% (n = 148, 81.3%) of the participants' mothers had a personalized prenatal nutrition consultation and the majority of those mothers (n = 102/118, 86.4%) had a goal to breastfeed for more than 6 months. The majority (n = 144/182, 79.1%) of the study cohort was exposed to mothers' own human milk as their first feed. It is also notable that 80.8% (n = 147) fed at least once directly at the breast; however, infants were also fed by bottle or by feeding tube.
引用
收藏
页码:376 / 382
页数:7
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