Human Milk in the NICU: Policy into Practice

by Lois D.W Arnold

Overview

This unique text covers the use of banked, or stored, human milk in the hospital for premature and sick infants, and discusses the advantages of human milk feedings and the elements of hazard or risk introduced by the use of formulas, including rationales for the use of both mother’s own milk and donor human milk in the NICU.

This reference also highlights domestic health policies that impact the use of human milk for sick and fragile infants, international models and policies for milk banking, the history of donor milk banking and how it came into being and ethical issues surrounding the delivery of milk banking services and donor human milk in the NICU.

Product Details

ISBN-13:	9780763761332
Publisher:	Jones & Bartlett Learning
Publication date:	10/01/2009
Edition description:	1E
Pages:	490
Product dimensions:	6.90(w) x 8.90(h) x 1.00(d)

Table of Contents

Part I Introduction
Chapter 1 Introduction
Part II Establishing the Need for Human Milk
Chapter 2 Establishing the need for human milk in the NICU
Part III The Baby-Friendly NICU: The Ten Steps for Providing Maternal Milk
Chapter 3 Step 1: Developing a policy supportive of breastfeeding/human milk use
Chapter 4 Step 2: Training all health care staff in skills to implement the policy
Chapter 5 Step 3: Teach mothers about the benefits of human milk for their preterm infants
Chapter 6 Step 4: Initiate early skin-to-skin as soon as possible
Chapter 7 Step 5: Help mothers to begin early milk expression, and provide education and support for establishing and maintaining an adequate milk supply
Chapter 8 Step 6: Give special care infants only human milk unless medically contraindicated
Chapter 9 Step 7: Promote skin-to-skin contact between parents and their preterm infants
Chapter 10 Step 8: Foster early transition to full breastfeeding
Chapter 11 Step 9: Use ethical evidence-based breastfeeding practices free of conflicts of interest
Chapter 12 Step 10: Foster the establishment of breastfeeding support groups and community programs and refer mothers to them.
Part IV Use of Banked Donor Human Milk as an Alternative
Chapter 13 Clinical use of donor milk
Chapter 14 Brief history of donor milk banking in the US
Chapter 15 International models
Chapter 16 The Ten Steps for a “Baby-Friendly” milk bank
Part V Conclusions
Chapter 17 Conclusions