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Journal of Human Lactation
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Supporting A Preterm Infant's Behaviour During Breastfeeding: A Case Report

Kerstin Hedberg Nyqvist, RN, MS

Department of Pediatrics, Neonatal Intensive Care Unit 95 F, University Children's Hospital, 751 85 Uppsala, Sweden.

Uwe Ewald, MD, PhD

Department of Pediatrics, Uppsala University.

Per-Olow Sjödén, PhD

Uppsala University.

Preterm infants present a special challenge to lactation consultants because of their high reactivity to stimuli from their physical and social environment, low muscle tone, and limited extent of awake, alert behavior. In a descriptive case report, a girl at an age corresponding to a gestational age of 29 weeks was observed during a breastfeeding session according to the Newborn Individualized Developmental Care and Assessment Program (NIDCAP). Recommendations, based on her behavioral responses, were given to her mother. In an observation two days later, she showed more wakefulness and more efficient sucking. General recommendations are offered for support of preterm infants' behavior during breastfeeding. The NIDCAP structure is advocated as a mental checklist for breastfeeding assessment and advice.

Key Words: behavior • breastfeeding • preterm infant • observation

Journal of Human Lactation, Vol. 12, No. 3, 221-228 (1996)
DOI: 10.1177/089033449601200320
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