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Journal of Human Lactation
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Promoting the Exclusive Feeding of Own Mother's Milk through the Use of Hindmilk and Increased Maternal Milk Volume for Hospitalized, Low Birth Weight Infants (< 1800 grams) in Nigeria: A Feasibility Study

Tina Slusher, MD

Rebecca Hampton, MD

Fidelia Bode-Thomas, MBBS

Sunday Pam, MBBS

Francis Akor, MBBS

Paula Meier, RN, DNSc, FAAN

A feasibility study was used to determine (1) if hindmilk feedings of own mother's milk, as reported in the United States, could be instituted in a Nigerian neonatal intensive care unit and result in adequate infant weight gain without exogenous additives; and (2) if the use of a hospital-grade electric breast pump to separate foremilk from hindmilk was feasible in this setting. Mean weight gain for 16 preterm infants during the hindmilk intervention (18.8 g/d) exceeded intrauterine standards without the use of exogenous substances. At the time of hospital discharge, mean maternal daily milk volume was 342 mL/kg/d, indicating that the infants, on average, had 90% more milk available to them than they required. Mean infant weight gains were 14.2 and 16.6 g/d from 1 to 7 and 8 to 23 ( = 14.8) days postdischarge, respectively. Therefore, hindmilk feedings are effective and feasible for hospitalized, low birth weight infants in developing countries, and lactation specialists may use our protocol for further research. J Hum Lact. 19(2): 191-198.

Key Words: breastfeeding • developing countries • low birth weight • breast pumps

Journal of Human Lactation, Vol. 19, No. 2, 191-198 (2003)
DOI: 10.1177/0890334403252490
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This article has been cited by other articles:


Home page
 J Hum LactHome page
R. Bishara, M. S. Dunn, S. E. Merko, and P. Darling
Nutrient Composition of Hindmilk Produced by Mothers of Very Low Birth Weight Infants Born at Less Than 28 Weeks' Gestation
J Hum Lact, May 1, 2008; 24(2): 159 - 167.
[Abstract] [PDF]

Home page
 J Trop PediatrHome page
T. Slusher, I. L. Slusher, M. Biomdo, F. Bode-Thomas, B. A. Curtis, and P. Meier
Electric Breast Pump Use Increases Maternal Milk Volume in African Nurseries
J Trop Pediatr, April 1, 2007; 53(2): 125 - 130.
[Abstract] [Full Text] [PDF]