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

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

by Sandra Cole RNC, IBCLC


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I would recommend this book to my peers and I would use it in my day-to-day work. It is most helpful to have a comprehensive guide that can be used in a variety of care settings and by many different healthcare providers."—Doody's Medical Reviews

Evidence-based research underscores the importance of breastfeeding for the healthy development of late preterm infants, yet significant challenges can impede its success. This is a groundbreaking, problem-solving guide to the most effective techniques for breastfeeding this vulnerable population. Written for lactation consultants, NICU nurses, obstetrical nurses, and nurse-midwives, the book offers clear, simple, evidence-based solutions to the distinct breastfeeding difficulties affecting late preterm infants.

The guide describes the characteristics of late preterm infants and the physiological challenges—often invisible and overlooked by health care providers—caused by disturbances of respiratory, metabolic, neurologic, and immunologic functions. These problems are often exacerbated by poor breastfeeding and result in 13% of hospital readmissions by late preterm infants. The book examines maternal conditions that affect breastfeeding success and provides detailed, easy-to-follow instructions for the most effective breastfeeding techniques. It describes specific strategies health care professionals can take to overcome breastfeeding difficulties, including proper positioning and latch technique, the use of breast pumps and other helpful equipment, supplemental feedings, and more. Pictures that illustrate correct procedures clarify specific techniques, and user-friendly patient teaching guides further encourage successful breastfeeding. The book also supports the goals of many hospitals seeking to achieve Baby-Friendly Status, as well as the goals of the Multidisciplinary Guidelines for Care of Late Preterm Infants recently issued by the National Perinatal Association.

Key Features:

• Comprises the only comprehensive guide specific to the breastfeeding issues of late preterm infants
• Describes developmental challenges faced by late preterm infants
• Provides detailed, easy-to-follow instructions for breastfeeding and techniques for overcoming difficulties
• Offers clear, simple, evidence-based solutions that nurses, lactation consultants, and midwives can offer to mothers
• Supports the goals of hospitals seeking Baby-Friendly Status

Product Details

ISBN-13: 9780826196033
Publisher: Springer Publishing Company
Publication date: 11/28/2013
Pages: 276
Product dimensions: 5.90(w) x 8.90(h) x 0.60(d)

About the Author

Sandra Cole, RNC, IBCLC, is an International Board Certified Lactation Consultant with over 20 years of progressive experience in this field. She currently serves as a staff Lactation Consultant at Sharp Mary Birch Hospital for Women and Newborns in San Diego, CA, which delivers over 8,000 babies a year.

She previously was in private practice as a Lactation Consultant and private duty Baby Nurse, which involved extensive work with premature infants overcoming developmental challenges. In addition, she is certified as a High Risk NICU Nurse as well as an ECMO specialist, and has worked in several Level 3 NICU units (caring for the most vulnerable premature infants) as Charge Nurse, Preceptor, and Transport Nurse.

Table of Contents

Part 1: Physiological Challenges that Undermine Successful Breastfeeding for the Late Preterm Infant

Part One Prologue

Special Characteristics of the Late Preterm Infant

Chapter 1: Defining the Late Preterm Infant

Chapter 2: Risk Factors for Late Preterm Births

Specific Physiological Challenges for the Late Preterm Infant

Chapter 3: Immature Neurological Development and Hypotonia

Chapter 4: Temperature Instability, Hypoglycemia, and Increased Metabolism

Chapter 5: Hyperbilirubinemia

Chapter 6: Unstable Respiratory Status

Chapter 7: Increased Risk for Infection

Maternal Conditions Affecting Breastfeeding Success

Chapter 8: Maternal Conditions Affecting Breast Milk Supply

Chapter 9: Maternal Self Esteem and Its Effect on Breastfeeding

Chapter 10: The Risks of Not Breastfeeding

Part 2: Conquer Breastfeeding Challenges for the Late Preterm Infant

Part Two Prologue

Setting the Stage for Successfully Breastfeeding the Late Preterm Infant

Chapter 11: Health Initiatives

Chapter 12: Early and Frequent Breastfeeding

Specific Strategies for Overcoming Breastfeeding Challenges

Chapter 13: Decrease Stimuli and Energy Expenditure

Chapter 14: Proper Positioning and Latch Technique

Chapter 15: Breast Compressions

Chapter 16: Nipple Shields

Chapter 17: Breast Pumps

Chapter 18: Hand Expression

Chapter 19: Supplemental Feedings

Encouragement for a Successful Breastfeeding Experience

Chapter 20: Overcoming Other Challenges

Chapter 21: Maternal Satisfaction and Breastfeeding Success: The Big Picture

Chapter 22: Putting It All Together. Summary of Important Highlights for Successful Breastfeeding for Late Preterm Infants


Appendix A: Late Preterm Feeding Algorithm

Appendix B: Sample Late Preterm Infant Initiative

Appendix C: Follow Up Care of the Breastfeeding Late Preterm Infant

Appendix D: Sample Patient Teaching Handout

Appendix E: Sample Late Preterm Infant Feeding Plan

Additional Resources for Nurse and Parents

Additional Reading

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