Walker Marsha
National Alliance for Breastfeeding Advocacy, Weston, MA, USA.
J Obstet Gynecol Neonatal Nurs. 2008 Nov-Dec;37(6):692-701. doi: 10.1111/j.1552-6909.2008.00293.x.
Late preterm infants comprise the fastest growing segment of babies born prematurely. They arrive with disadvantages relative to feeding skills, stamina, and risk for conditions such as hypoglycemia, hyperbilirubinemia, and slow weight gain. Breastfeeding these babies can be difficult and frustrating. Individualized feeding plans include special considerations to compensate for immature feeding skills and inadequate breast stimulation. Breastfeeding management guidelines are described that operate within the late preterm infant's special vulnerabilities.
晚期早产儿是早产婴儿中增长最快的群体。相对于喂养技能、耐力以及患低血糖、高胆红素血症和体重增长缓慢等病症的风险而言,他们出生时就存在劣势。对这些婴儿进行母乳喂养可能会困难重重且令人沮丧。个性化喂养计划包括特殊考量,以弥补不成熟的喂养技能和乳房刺激不足的问题。文中描述了在晚期早产儿特殊脆弱性范围内实施的母乳喂养管理指南。