Managing tandem breastfeeding during acute hospitalization: A case study
1Staff Nurse & Chair of Unit Based Human Milk Committee, Newborn/Infant Intensive Care Unit, Children's Hospital of Philadelphia, USA.
Journal of Pediatric Nursing
|August 6, 2023
Summary
This case study highlights a mother
Area of Science:
- Neonatal intensive care
- Pediatric infectious diseases
- Lactation and infant nutrition
Background:
- A critically ill newborn presented with septic shock, streptococcal toxic shock syndrome, and necrotizing fasciitis of the scalp.
- The infant required intensive medical interventions, including surgical procedures and periods of nasogastric tube feeding due to inability to orally feed.
- Maintaining nutrition and maternal bonding is crucial for critically ill infants.
Observation:
- The mother practiced tandem breastfeeding, continuing to breastfeed her younger child throughout the infant's 68-day hospital admission.
- Human milk was administered via nasogastric tube when oral feeding was not possible, and direct breastfeeding occurred when the infant was stable.
- Nursing staff provided support for infant positioning to facilitate breastfeeding, even when the infant was on strict bedrest.
Findings:
- The mother successfully provided a 100% human milk diet to her critically ill infant during the entire hospitalization.
- With nursing support, the mother was able to resume tandem breastfeeding of both her children.
- Continuous provision of human milk was achieved despite the infant's critical condition and medical interventions.
Implications:
- This case demonstrates the feasibility and benefits of sustained breastfeeding support for critically ill infants and their mothers in the NICU.
- Facilitating human milk provision can be achieved even in complex clinical scenarios with appropriate nursing assistance.
- Continued maternal-infant contact through breastfeeding can be maintained, promoting infant well-being during critical illness.
Related Concept Videos
01:30Pneumonia V: Nursing management and Prevention
2.2K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.2K
01:26Acute Coronary Syndrome V: Nursing Management
17
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
17
01:28Pneumonia IV: Management
359
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
359
01:22Acute Kidney Injury VI: Nursing Management
32
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
32
01:22Myocarditis IV: Nursing Management
13
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...
13
01:17Endotracheal Intubation II: Nursing Management
793
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
793