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Journal of Human Lactation
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Mothers' Advice About Facilitating Breastfeeding in a Neonatal Intensive Care Unit

Kerstin Hedberg Nyqvist, RN, BSN

NICU 95F, University Children's Hospital, 751 85 Uppsala, Sweden

Per-Olow Sjoden

uppsala University

Uwe Ewald

University Children's Hospital NICU; Pediatrics

Admission of newborn infants to neonatal intensive care units (NICU) has been considered an obstacle to breastfeeding because of mother-infant separation and hospital feeding routines. In order to obtain advice on facilitating breastfeeding, we interviewed by telephone 178 mothers of fullterm NICU patients three months after the infants' discharge from hospital. Mothers' advice, in order of prominence, concerned the disturbing impact of the NICU environment, lack of systematic breastfeeding advice, distance between infants' and mothers' units in the hospital, conflicts about parents' roles, perceived lack of organization of work, dissatisfaction with nurse behavior towards parents, and importance of skin-to-skin contact during the mother's first visit. Adaptation of the NICU environment, nurses' awareness of mothers' perspectives, and nurse attitudes and behavior change appear to be as important for facilitating breastfeeding as are routines for breastfeeding advice.

Key Words: breastfeeding • neonatal intensive care units

Journal of Human Lactation, Vol. 10, No. 4, 237-243 (1994)
DOI: 10.1177/089033449401000418
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[Abstract] [Full Text] [PDF]