Breastfeeding Challenges Made Easy for Late Preterm Infants: The Go-To Guide for Nurses and Lactation Consultants / Edition 1

by Sandra Cole RNC, IBCLC

Overview

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 challengesóoften invisible and overlooked by health care providersócaused 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:	11/11/2013
Pages:	280
Product dimensions:	5.90(w) x 8.90(h) x 0.60(d)

About the Author

Sandra Cole, RNC, IBCLC, 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.

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

Appendixes

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

Editorial Reviews

Reviewer: Elizabeth Froh, BSN, MS, PhD (c)(The Children's Hospital of Philadelphia)
Description: This is a true guide for lactation consultants, clinicians, or healthcare providers caring for the mother and family of the late preterm infant. The book includes helpful background information to call attention to the significance of breastfeeding in this population and offers guidance to promote and protect breastfeeding for the family whose goal is breastfeeding for infant feeding.
Purpose: According to the author, the purpose is to help those who care for late preterm infants and their families understand how the late preterm infant is different from the healthy full-term breastfeeding baby and, with that understanding, to acquire the needed knowledge and techniques to help the late preterm infant and mother overcome some common obstacles and obtain the goal of direct breastfeeding. Although there are many journal articles published on this topic, it is helpful to have the information gathered in one source.
Audience: The audience includes nurses, midwives, nurse practitioners, physician assistants, lactation consultants, physicians, and other healthcare providers who support and promote the provision of human milk and breastfeeding for the late preterm infant and family. This is not a book for family members or persons outside of the infant's care team. The author is an international board certified lactation consultant and registered nurse who has 20 years of clinical experience.
Features: This is truly a clinical guide, and the organization and the table of contents make navigation clear and easy. Part I outlines the necessary background information about what differentiates the late preterm breastfeeding baby from the healthy, full-term breastfeeding baby and focuses on the maternal perspectives. Part II describes potential challenges to transitioning the late preterm baby to direct breastfeeding and provides tips and guidance for healthcare providers for overcoming these challenges. Helpful appendixes include an algorithm for the late preterm breastfeeding baby and an outline of a sample of a patient and family education sheet. I would prefer to see color pictures in this book — I find that when working with families or educating staff, large, color pictures are most helpful. I also would like to see online resources connected with the book. This is a most helpful guide to keep on the bookshelf, but it could be enhanced with an online component. The appendixes are thoughtful and well designed, but, again, it would be helpful if they were available online. I appreciate the author's use of current evidence-based references throughout the book.
Assessment: 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 Review Service