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Evaluation of a Lactation Support Service in a Children's Hospital Neonatal Intensive Care Unit

School of Public Health, University of North Carolina at Chapel Hill

Jareen Meinzen-Derr, MPH

Center for Epidemiology and Biostatistics at Cincinnati Children's Hospital Medical Center, Ohio

Bonnie L. Burke, MS

Children's Hospital of the King's Daughters, Norfolk, Virginia

Arlene J. Hibler, BSN, MSHSA, IBCLC

Dare County Health Department in Manteo, North Carolina

Beth Kavinsky, RNC, MNSc

Eastern Virginia Perinatal Council in Norfolk, Virginia

Sandy Hess, BSN, ICCE, IBCLC

Maryview Hospital in Portsmouth, Virginia, Children's Hospital of the King's Daughters

Larry K. Pickering, MD

Centers for Disease Control and Prevention in Atlanta, Georgia

Ardythe L. Morrow, PhD

Center for Epidemiology and Biostatistics at Cincinnati Children's Hospital Medical Center, Ohio.

Breastfeeding hospitalized infants can be difficult. The authors assessed the effectiveness of an International Board Certified Lactation Consultants (IBCLC) service to increase the proportion of infants given their own mother's milk (OMM) in a children's hospital neonatal intensive care unit (NICU). The charts of 350 randomly selected patients admitted the year before and after implementation of the service in July 1997 were abstracted. Factors significantly associated with infants being given OMM included infant sex, ethnicity, length of NICU stay, and 5-minute Apgar score. After comparison of the periods before and after pro-gram implementation, the proportion of NICU infants ever given their OMM was found to have increased from 31% to 47% (P = .002). This increase differed significantly in relation to infants' clinical status and/or management (5-minute Apgar score, length of NICU stay, and age at NICU admission) but not in relation to maternal factors. Mothers with infants in the NICU should have access to lactation counseling. J Hum Lact. 19(3):286-292.

Key Words: newborn • human milk • NICU • lactation consultants • breastfeeding support

Journal of Human Lactation, Vol. 19, No. 3, 286-292 (2003)
DOI: 10.1177/0890334403255344


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