Maternal lactation for preterm newborn infants

• Published in: Early Human Development 2001-11, Vol.65, p.S19-S29
• Main Author: Aguayo, Josefa
• Format: Article
• Language: English
• Subjects: Biological and medical sciences; Breast; Breast Feeding; Breastfeeding; Dietary Supplements; Enteral Nutrition; Female; Fundamental and applied biological sciences. Psychology; Human milk; Humans; Infant Nutritional Physiological Phenomena; Infant, Newborn; Infant, Premature; Lactation - physiology; Milk, Human - chemistry; Milk, Human - physiology; Mother. Fetoplacental unit. Mammary gland. Milk; Posture; Pregnancy. Parturition. Lactation; Preterm infants; Sucking Behavior; Vertebrates: reproduction
• ISSN: 0378-3782; 1872-6232
• DOI: 10.1016/S0378-3782(01)00203-1

In recent decades, neonatologists have made considerable progress in life support techniques, especially in the treatment and prevention of respiratory disorders, which has led to a higher neonatal survival rate. Research into neonatal nutrition has also produced great benefits. It has been found that one of the key points regarding the improved survival rate of infants is the necessity for nutrition that is both adequate and as natural as possible. In this respect, it is necessary to achieve a better understanding of the process, protection, support and maintenance of maternal lactation in neonatal units. Humanization of perinatal attention during delivery, respect for the rights of parents and their children, protection of the mother and child bonding process, early skin contact with the mother and greater attention to individualized care are all key factors in the reinforcement of maternal lactation and are issues that must be addressed within the field of neonatology. Research activities need to concern themselves with: (1) acquiring greater knowledge concerning the common problems and difficulties that arise with mothers and their preterm babies; (2) training healthcare professionals in these aspects, for example in the extraction and storage of milk and in improving techniques of emotional and communicational skills; (3) by means of specific programmes such as the setting up of support groups, so that the effort made to encourage the initiation of breastfeeding is justified by its continuation for as long as possible. Thus, we hope to establish standards of care based on starting, encouraging and prolonging maternal lactation, in sufficient quantity and quality, always remembering that the fundamental goal of our research is the well-being of the child and its family.