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Human milk and breastfeeding in surgical infants
Guglielmo Salvatori1, Silvia Foligno, Francesca Occasi
11 Department of Medical and Surgical Neonatology, Bambino Gesù Children's Hospital , Rome, Italy .
Insights
Promoting breastfeeding for surgical infants is crucial. Human milk offers significant benefits, and a dedicated program can overcome barriers for these vulnerable newborns.
Area of Science:
- Neonatal surgery
- Pediatric nutrition
- Breastfeeding medicine
Background:
- Human milk and breastfeeding are the nutritional standards for newborns.
- Surgical infants require specialized care in neonatal intensive care units and neonatal surgery units.
- Obstacles to breastfeeding surgical infants include clinical instability, separation, and lack of focus on feeding.
Purpose of the Study:
- To assess breastfeeding practices and the benefits of human milk for newborns with surgical diseases.
- To advocate for the promotion and support of breastfeeding for surgical infants.
- To propose the creation of a specific program to facilitate breastfeeding for these vulnerable infants.
Main Methods:
- Review of existing literature on breastfeeding in surgical neonates.
- Identification of barriers to breastfeeding in this population.
- Proposal for a targeted breastfeeding support program.
Main Results:
- Few studies have investigated breastfeeding rates and outcomes in surgical newborns.
- Significant barriers impede breastfeeding for infants undergoing surgery.
- Human milk is believed to be beneficial for the outcome of surgical infants.
Conclusions:
- Breastfeeding and human milk are the optimal choices for surgical infants.
- A dedicated program is needed to support breastfeeding for these vulnerable infants.
- Training for surgical and pediatric staff is essential to implement such a program.
Abstract:
Human milk and breastfeeding represent the nutritional normative standards for term and preterm newborns. With the term "surgical infants" we refer to all newborns who undergo surgery during the first days of life and who are assisted in the neonatal intensive care unit during the postoperative period and then in the neonatal surgery unit. There are many obstacles to breastfeeding these newborns. The "barriers" include the unstable clinical conditions before and after surgery, the period of separation between the mother and child, and often the lack of attention to breastfeeding. Few studies have assessed if newborns with surgical diseases are breastfeed and if human milk is beneficial for their outcome. We believe that the best option is to offer them their own mother's milk through the promotion and support of breastfeeding. A specific program focused on the needs of these vulnerable children should be created. Furthermore the surgical and pediatric staff of the neonatal surgery unit should be informed and trained to increase such a program's feasibility.
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