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Journal of Human Lactation
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Team Approach to Breastfeeding the ELBW Infant: A Case Report

Laura K. Wohlberg, MS, RD

University Department of Nutrition; 22 South Greene Street, PMH- 14, University of Maryland Medical Systems, Department of Nutrition, Baltimore, MD 21201-1595 USA.

Bernadine F. Geary, RN, IBCLC

Lactation Support Center at the UMMS

Breastfeeding the extremely low birth weight (ELBW) infant with complex medical problems presents many challenges. This case study focuses on a 24-week ELBW infant whose mother was committed to breastfeeding. The mother was supported by the Neonatal Nutrition Lactation Team composed of the neonatal nutritionist and the lactation specialist, who collaborated to optimize the breastfeeding experience while meeting the nutritional needs of this high risk infant. Numerous medical setbacks required changes in the infant's nutritional management. Creamatocrits were used to assess breastmilk and a variety of artificial infant feeding products were added as supplements. Management of the infant's complex nutritional needs while maximizing the human milk provided requires commitment from the mother and all members of the health care team.

Key Words: creamatocrit • ELBW infant • fortification • lactation consultant • neonatal nutritionist

Journal of Human Lactation, Vol. 10, No. 3, 181-183 (1994)
DOI: 10.1177/089033449401000315
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This article has been cited by other articles:


Home page
 J Hum LactHome page
M. B. Reinert do Nascimento and H. Issler
Breastfeeding the Premature Infant: Experience of a Baby-Friendly Hospital in Brazil
J Hum Lact, February 1, 2005; 21(1): 47 - 52.
[Abstract] [PDF]