Human Milk & Breastfeeding in Infants with Congenital Heart Disease

2.50
Hdl Handle:
http://hdl.handle.net/10755/308242
Category:
Abstract
Type:
Presentation
Title:
Human Milk & Breastfeeding in Infants with Congenital Heart Disease
Author(s):
Spatz, Diane L.
Lead Author STTI Affiliation:
Xi
Author Details:
Diane L. Spatz, PhD, RN-BC, FAAN, spatz@nursing.upenn.edu
Abstract:

Session presented on: Sunday, November 17, 2013

Purpose: This research explores human milk (HM) and breastfeeding practices in infants born with congenital heart disease (CHD) and admitted to a cardiac intensive care unit (CICU).

 Background and Significance:  The World Health Organization recommends exclusive breastfeeding for the first six months with continued breastfeeding for one year or more.  Human milk feeding decreases the risk of necrotizing enterocolitis by 77% and decreases the risk of respiratory infections, bacteremia and sepsis.  A paucity of evidence exists on the role of HM in infants with CHD.

 Research questions: 1) What is the pumping initiation rate of mothers? 2) What is the ability of mothers to initiate and maintain milk supply throughout the duration of the infant’s hospitalization?

 Methods: This was a prospective cohort study of infants < 1week of age admitted a CICU at the Children’s Hospital of Philadelphia.  On enrollment, it was documented if the mother elected to initiate pumping or if the infant would receive only formula.  Mothers were giving a pump log and asked to record every pumping session and milk volume in milliliters.  Pump logs were photo-copied twice per week through discharge of the infant.  Data was entered into an excel file and mean number of pumps per day & mean daily milk volume were calculated. 

Results: Approximately 89% of mothers initiated pumping for their infant.  Only the first 14 days of pumping and milk volume will be presented as the majority of infants were discharged prior to 14 days. On average mothers pumped 6 times per day. Mean, median and range of milk volumes will be presented.

Clinical implications:   Mothers were able to successfully initiate lactation, however, 14 days does not provide sufficient time to establish breastfeeding.  A post-discharge model of intervention may be warranted.

Keywords:
Human Milk; Congenital Heart Disease; Breastfeeding
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleHuman Milk & Breastfeeding in Infants with Congenital Heart Diseaseen_GB
dc.contributor.authorSpatz, Diane L.en_GB
dc.contributor.departmentXien_GB
dc.author.detailsDiane L. Spatz, PhD, RN-BC, FAAN, spatz@nursing.upenn.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308242-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p>Purpose: This research explores human milk (HM) and breastfeeding practices in infants born with congenital heart disease (CHD) and admitted to a cardiac intensive care unit (CICU). <p> Background and Significance:  The World Health Organization recommends exclusive breastfeeding for the first six months with continued breastfeeding for one year or more.  Human milk feeding decreases the risk of necrotizing enterocolitis by 77% and decreases the risk of respiratory infections, bacteremia and sepsis.  A paucity of evidence exists on the role of HM in infants with CHD. <p> Research questions: 1) What is the pumping initiation rate of mothers? 2) What is the ability of mothers to initiate and maintain milk supply throughout the duration of the infant’s hospitalization? <p> Methods: This was a prospective cohort study of infants < 1week of age admitted a CICU at the Children’s Hospital of Philadelphia.  On enrollment, it was documented if the mother elected to initiate pumping or if the infant would receive only formula.  Mothers were giving a pump log and asked to record every pumping session and milk volume in milliliters.  Pump logs were photo-copied twice per week through discharge of the infant.  Data was entered into an excel file and mean number of pumps per day & mean daily milk volume were calculated.  <p>Results: Approximately 89% of mothers initiated pumping for their infant.  Only the first 14 days of pumping and milk volume will be presented as the majority of infants were discharged prior to 14 days. On average mothers pumped 6 times per day. Mean, median and range of milk volumes will be presented. <p>Clinical implications:   Mothers were able to successfully initiate lactation, however, 14 days does not provide sufficient time to establish breastfeeding.  A post-discharge model of intervention may be warranted.en_GB
dc.subjectHuman Milken_GB
dc.subjectCongenital Heart Diseaseen_GB
dc.subjectBreastfeedingen_GB
dc.date.available2013-12-19T17:28:45Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:28:45Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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