Meier P P, Brown L P
University of Illinois at Chicago, USA.
Nurs Clin North Am. 1996 Jun;31(2):351-65.
There is support in the research literature for encouraging mothers of preterm and LBW to breastfeed their infants, although the numerous barriers to their successful breastfeeding have been well documented. The emerging work addressing short- and long-term health benefits for preterm infants provide's scientific rationale for allocation of resources, that is, equipment and personnel, to assist these mothers in attaining their breastfeeding goals. The literature also has linked selected, individualized interventions to breastfeeding outcomes for this population. Examples of this linkage include milk expression recommendations for maximizing milk yield, techniques for in-hospital breastfeeding, and models for providing breastfeeding services in the NICU. Clinical priorities should focus on strategies for implementing the available research into practice and for using the research to establish standards of care for mothers who breastfeed preterm and LBW infants. Research priorities should focus on practice models for providing breastfeeding services that demonstrate improved breastfeeding outcomes and cost effectiveness for this vulnerable population.
研究文献支持鼓励早产和低体重儿的母亲对其婴儿进行母乳喂养,尽管她们成功进行母乳喂养存在诸多障碍已得到充分记录。针对早产儿短期和长期健康益处的新研究为资源分配提供了科学依据,即分配设备和人员来帮助这些母亲实现母乳喂养目标。文献还将特定的、个性化的干预措施与该人群的母乳喂养结果联系起来。这种联系的例子包括为最大化乳汁分泌量而进行的挤奶建议、院内母乳喂养技巧以及新生儿重症监护病房提供母乳喂养服务的模式。临床重点应集中在将现有研究应用于实践的策略上,以及利用该研究为早产和低体重儿母亲建立护理标准。研究重点应集中在提供母乳喂养服务的实践模式上,这些模式要能证明对这一弱势群体有更好的母乳喂养结果和成本效益。