Department of Health Promotion & Development, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania (Ms Davis and Drs Glasser and Demirci); Fetal Diagnosis and Treatment Center (Mss Clemens and Eichhorn) and Center for Advanced Fetal Diagnostics (Dr Vats), University of Pittsburgh Medical Center (UPMC) Magee Women's Hospital, Pittsburgh, Pennsylvania; and Department of Pediatrics, Division of Newborn Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (Dr Vats).
J Perinat Neonatal Nurs. 2022;36(4):E25-E30. doi: 10.1097/JPN.0000000000000680.
A diet high in parent's own milk (parental milk) is a lifesaving intervention for critically ill infants. Lactating parents whose infants are born with birth defects that require surgical repair (surgical infants) shortly after birth often struggle to initiate and maintain a milk supply that meets their infant's nutritional needs. Antenatal milk expression has been identified as a safe, feasible, and potentially effective strategy that promotes parents' direct chest/breastfeeding or milk expression (lactation) confidence and helps parents attain their lactation goals. Two cases are presented to illustrate the potential for using antenatal milk expression as a lactation support intervention for parents of surgical infants.
Cases were drawn from a pilot study exploring the feasibility of implementing antenatal milk expression among pregnant parents of surgical infants. Participants were healthy women recruited after 30 weeks of gestation who received a fetal diagnosis of a complex congenital heart defect. Despite variability in clinical course and length of stay, parental milk was provided for the duration of each infant's hospitalization. Participant perceptions of antenatal milk expression varied.
More research is needed to evaluate the feasibility, efficacy, and parent or provider perceptions of antenatal milk expression as a lactation support intervention for parents of surgical infants.
富含父母自身奶（亲代奶）的饮食对于重症婴儿是一种救命干预措施。出生后不久就患有需要手术修复的出生缺陷的哺乳期父母（手术婴儿）常常难以开始并维持满足婴儿营养需求的奶量。产前挤奶已被确定为一种安全、可行且潜在有效的策略，可促进父母直接进行胸部/母乳喂养或挤奶（泌乳）信心，并帮助父母实现其泌乳目标。介绍了两个案例，以说明产前挤奶作为手术婴儿父母的泌乳支持干预措施的潜力。
这些病例来自一项探索在接受手术婴儿的孕妇父母中实施产前挤奶的可行性的试点研究。参与者是在妊娠 30 周后招募的健康女性，她们在胎儿诊断出复杂的先天性心脏缺陷。尽管临床病程和住院时间存在差异，但每个婴儿住院期间都提供了父母的奶。参与者对产前挤奶的看法各不相同。
需要进一步研究以评估产前挤奶作为手术婴儿父母泌乳支持干预措施的可行性、疗效以及父母或提供者的看法。
