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Barriers to Providing Mother's Own Milk to Extremely Preterm Infants in the NICU.
Adv Neonatal Care. 2019 Oct; 19(5):349-360.AN

Abstract

BACKGROUND

Mothers' own milk (MOM) has more than nutritional benefits for extremely preterm infants (<28 weeks). However, mothers encounter barriers that make it difficult to provide their own milk to their extremely preterm infants.

PURPOSE

The aim of this study was to describe and understand the experiences of mothers of extremely preterm infants regarding barriers to providing their own milk during infant hospital stay in the neonatal intensive care unit (NICU).

METHODS

This study followed a qualitative, interpretative design using Gadamer's hermeneutic approach and included 15 in-depth semistructured interviews. The data were analyzed using a modified form of the steps described by Fleming.

RESULTS

Fifteen mothers of extremely preterm infants participated in the study. The following themes were extracted from the data analysis: (1) "unexpected and unusual lactation," including the subthemes "the extremely preterm birth and the decision to provide MOM," "the battle to produce milk," and "my job was to make milk"; and (2) "providing MOM to a tiny infant in an unknown technological environment," with the subthemes "the limitations of providing MOM in the NICU" and "the difficulties of having an extremely preterm infant."

IMPLICATIONS FOR PRACTICE

To provide MOM to an extremely preterm infant, there is a need for informational and practical counseling by neonatal nurses educated in breastfeeding according to mothers' requirements and emotional needs.

IMPLICATIONS FOR RESEARCH

Future research may analyze the parents' and neonatal nurses' experience about facilitators to improve MOM provision and the influence of women's sociodemographic characteristics in providing MOM to the extremely preterm infants.

Authors+Show Affiliations

Department of Nursing, Physiotherapy and Medicine, University of Almeria, Almería, Spain (Drs Fernández Medina, López-Rodríguez, Jiménez Lasserrotte, and Granero-Molina); Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile (Drs Fernández-Sola and Granero-Molina); and Adult, Child and Midwifery Department, School of Health and Education, Middlesex University, London, United Kingdom (Dr Hernández-Padilla).No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31651469

Citation

Fernández Medina, Isabel María, et al. "Barriers to Providing Mother's Own Milk to Extremely Preterm Infants in the NICU." Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, vol. 19, no. 5, 2019, pp. 349-360.
Fernández Medina IM, Fernández-Sola C, López-Rodríguez MM, et al. Barriers to Providing Mother's Own Milk to Extremely Preterm Infants in the NICU. Adv Neonatal Care. 2019;19(5):349-360.
Fernández Medina, I. M., Fernández-Sola, C., López-Rodríguez, M. M., Hernández-Padilla, J. M., Jiménez Lasserrotte, M. D. M., & Granero-Molina, J. (2019). Barriers to Providing Mother's Own Milk to Extremely Preterm Infants in the NICU. Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, 19(5), 349-360. https://doi.org/10.1097/ANC.0000000000000652
Fernández Medina IM, et al. Barriers to Providing Mother's Own Milk to Extremely Preterm Infants in the NICU. Adv Neonatal Care. 2019;19(5):349-360. PubMed PMID: 31651469.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Barriers to Providing Mother's Own Milk to Extremely Preterm Infants in the NICU. AU - Fernández Medina,Isabel María, AU - Fernández-Sola,Cayetano, AU - López-Rodríguez,María Mar, AU - Hernández-Padilla,José Manuel, AU - Jiménez Lasserrotte,María Del Mar, AU - Granero-Molina,José, PY - 2019/10/26/entrez PY - 2019/10/28/pubmed PY - 2020/3/25/medline SP - 349 EP - 360 JF - Advances in neonatal care : official journal of the National Association of Neonatal Nurses JO - Adv Neonatal Care VL - 19 IS - 5 N2 - BACKGROUND: Mothers' own milk (MOM) has more than nutritional benefits for extremely preterm infants (<28 weeks). However, mothers encounter barriers that make it difficult to provide their own milk to their extremely preterm infants. PURPOSE: The aim of this study was to describe and understand the experiences of mothers of extremely preterm infants regarding barriers to providing their own milk during infant hospital stay in the neonatal intensive care unit (NICU). METHODS: This study followed a qualitative, interpretative design using Gadamer's hermeneutic approach and included 15 in-depth semistructured interviews. The data were analyzed using a modified form of the steps described by Fleming. RESULTS: Fifteen mothers of extremely preterm infants participated in the study. The following themes were extracted from the data analysis: (1) "unexpected and unusual lactation," including the subthemes "the extremely preterm birth and the decision to provide MOM," "the battle to produce milk," and "my job was to make milk"; and (2) "providing MOM to a tiny infant in an unknown technological environment," with the subthemes "the limitations of providing MOM in the NICU" and "the difficulties of having an extremely preterm infant." IMPLICATIONS FOR PRACTICE: To provide MOM to an extremely preterm infant, there is a need for informational and practical counseling by neonatal nurses educated in breastfeeding according to mothers' requirements and emotional needs. IMPLICATIONS FOR RESEARCH: Future research may analyze the parents' and neonatal nurses' experience about facilitators to improve MOM provision and the influence of women's sociodemographic characteristics in providing MOM to the extremely preterm infants. SN - 1536-0911 UR - https://www.unboundmedicine.com/medline/citation/31651469/Barriers_to_Providing_Mother's_Own_Milk_to_Extremely_Preterm_Infants_in_the_NICU_ L2 - https://doi.org/10.1097/ANC.0000000000000652 DB - PRIME DP - Unbound Medicine ER -