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Case Report: Managing Growth Failure While Maintaining Exclusive Breastfeeding.

Diane L Spatz1, Nicole M Conover2

  • 1University of Pennsylvania School of Nursing, Children's Hospital of Philadelphia, United States of America.

Journal of Pediatric Nursing
|March 21, 2021
PubMed
Summary

This case study shows how a mother successfully continued exclusive breastfeeding despite infant growth concerns. Evidence-based interventions and support helped maintain breastfeeding and improve infant weight gain.

Keywords:
Case reportExclusive breastfeedingManaging growth failure

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Area of Science:

  • Pediatrics
  • Lactation Science

Background:

  • Exclusive breastfeeding is recommended for infant health.
  • Infant growth faltering can lead to recommendations for formula supplementation.

Observation:

  • A mother exclusively breastfed her infant, who subsequently showed slowed growth between 2 and 4 months.
  • The infant "fell off the growth curve" at the 4-month visit, prompting advice to formula feed.

Findings:

  • The mother sought support to continue breastfeeding and avoided formula supplementation.
  • An individualized feeding plan developed with an advanced practice nurse facilitated continued breastfeeding.
  • The infant achieved appropriate weight gain under the revised feeding plan.

Implications:

  • Early breastfeeding assessment and support are crucial during pediatric wellness visits.
  • Evidence-based breastfeeding interventions can help overcome challenges and maintain lactation.
  • Individualized care plans are effective in supporting breastfeeding mothers facing infant growth concerns.