Breastfeeding Characteristics and Duration of Feeding Human Milk in Infants With Congenital Heart Disease

Sarah M Russel1, Rachelle Lessen, Alisha J Rovner

  • 1Department of Behavioral Health and Nutrition, University of Delaware, Newark (Mss Russel and Delahanty and Drs Rovner and Trabulsi); Department of Lactation, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania (Ms Lessen); and Pueblo Department of Public Health & Environment, Pueblo, Colorado (Ms Hollowell).

Insights

Mothers of infants with congenital heart disease (CHD) who perceived insufficient milk experienced shorter exclusive human milk feeding. Supporting milk production is key for these infants.

Area of Science:

  • Pediatric Cardiology
  • Neonatology
  • Lactation Science

Background:

  • Infants with congenital heart disease (CHD) can breastfeed.
  • Factors influencing human milk feeding in infants with CHD are not well understood.

Purpose of the Study:

  • To investigate breastfeeding characteristics.
  • To determine relationships between characteristics and human milk feeding exclusivity and duration in infants with CHD.

Main Methods:

  • Analysis of breastfeeding data from 75 infants with CHD.
  • Study focused on human milk type and infant growth in the first year.

Main Results:

  • Mothers reporting insufficient milk led to shorter exclusive human milk feeding duration (P = .04).
  • Average daily milk volume at 1 month correlated positively with exclusive and any human milk feeding duration (β = .07, P = .04).

Conclusions:

  • Future support for human milk feeding in infants with CHD should focus on enhancing milk production.
  • Strategies to maximize human milk production are recommended.
Abstract

Related Concept Videos

Mitral Regurgitation IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
52
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
128
Myocarditis IV: Nursing Management01:22

Myocarditis IV: Nursing Management

Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
14
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
17
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
25
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.7K