Click here to close now.

SYS-CON MEDIA Authors: Jon McNeill, Elizabeth White, Liz McMillan, Pat Romanski, Carmen Gonzalez

News Feed Item

How Critically Ill Infants Can Benefit Most from Human Milk

--During World Breastfeeding Week, CHOP Experts, Colleagues Cover Multiple Topics in Using Human Milk in the NICU

PHILADELPHIA, Aug. 7, 2014 /PRNewswire-USNewswire/ -- Human milk is infant food, but for sick, hospitalized babies, it's also medicine. That's the central premise of a series of articles in a neonatal nursing journal's special issue focused on human milk for sick newborns. The articles are being published during World Breastfeeding Week, Aug. 1-7, 2014.

Diane L. Spatz, Ph.D., R.N.-B.C., FAAN, nurse researcher and director of the Lactation Program at The Children’s Hospital of Philadelphia, is the invited guest editor of the August 2014 issue of Advances in Neonatal Care.

Multiple public health and professional medical associations from the World Health Organization to the American Academy of Pediatrics have endorsed the widespread advantages of human milk and breastfeeding for all infants. A new issue of Advances in Neonatal Care is devoted to best practices in providing human milk to hospitalized infants.

"The immunological and anti-inflammatory properties of human milk are especially important for the critically ill infants in our intensive care units," said Diane L. Spatz, Ph.D., R.N.-B.C., FAAN, nurse researcher and director of the Lactation Program at The Children's Hospital of Philadelphia (CHOP), and the invited guest editor of the August 2014 issue of the journal, published by the National Association of Neonatal Nurses.

An internationally prominent lactation expert, Spatz leads a robust breastfeeding and Lactation Program at CHOP. CHOP is already on the cutting edge of human milk science and lactation services with a state-of-the-art Human Milk Management Center, and round-the-clock support from nurses and international board-certified lactation consultants, as well as widespread institutional support. At CHOP, more than four out of five infants discharged from the Hospital's intensive care units are receiving human milk.

The Hospital has used donor human milk since 2006 for at-risk infants to supplement a mother's own milk supply if it is insufficient or if the mother is unable to provide milk for her infant. This week, CHOP announced plans to launch a non-profit milk bank with the Human Milk Banking Association of North America within a year, an onsite resource not commonly offered within a U.S. children's hospital.

In the special issue, Spatz and her colleagues from CHOP and other institutions cover a variety of topics on the provision of human milk in the neonatal intensive care unit (NICU), including original research articles, ethical rationales for the provision of human milk, and evidence-based methods for implementing particular programs.

  • "Characteristics of the NICU Work Environment Associated with Breastfeeding Support," original research led by Sunny G. Hallowell, Ph.D., PPCNP-BC, IBCLC, of the University of Pennsylvania School of Nursing, analyzes data from a 2008 survey of 6,060 registered nurses in 104 NICUs. This large national sample found that overall, NICU nurses provided breastfeeding support to about 1 in 7 mothers, around the clock. Infants and mothers were more likely to receive this support in units with adequate nurse staffing. Low-birthweight infants were significantly more likely to be discharged on human milk when NICUs were staffed by nurses with B.S.N. degrees.
  • "An Ethical Case for the Provision of Human Milk in the NICU," by Elizabeth B. Froh, Ph.D., R.N., clinical supervisor of CHOP's Lactation Team and the Human Milk Management Center, and Spatz, argues that under the "best interest principle" the infant's best interest, not parental authority, should have priority in guiding infant feeding practices, particularly for critically ill babies in the NICU. The well-documented health benefits of human milk, say the authors, make it the optimal form of nutrition for those infants.
  • "Implementation of a Human Milk Management Center," by Spatz and colleagues describes the CHOP experience in developing its Human Milk Management Center. This centralized facility optimizes the provision of human milk for the most vulnerable infants, allowing staff to analyze human milk, fortifying milk under clean conditions, and making skim milk for infants with conditions requiring it. The authors also discuss logistical considerations, staff training requirements for milk technicians, best safety practices and other organizational processes.   

Additional articles in the issue examine these topics:

--An integrative review of breast pumping support needed by mothers of NICU infants
--Congenital hyperinsulinism: exclusive human milk and breastfeeding
--Implementing a breastfeeding peer support group in a children's hospital
--Considerations in meeting protein needs of the human milk-fed preterm infant
--Environmental factors affecting breastfeeding duration within a NICU

"Supporting the use of human milk is one of the most effective evidence-based strategies to ensure an infant's safe journey through the NICU and promote optimal health and developmental outcomes for these children," added Spatz.  "This special edition provides clinicians with tools in order to transform human milk and breastfeeding practices in their own institutions."

In addition to her CHOP position, Spatz holds a joint appointment as a Professor of Perinatal Nursing and the Helen M. Shearer Professor of Nutrition at the University of Pennsylvania School of Nursing.

Advances in Neonatal Care, August 2014.

About The Children's Hospital of Philadelphia: The Children's Hospital of Philadelphia was founded in 1855 as the nation's first pediatric hospital. Through its long-standing commitment to providing exceptional patient care, training new generations of pediatric healthcare professionals and pioneering major research initiatives, Children's Hospital has fostered many discoveries that have benefited children worldwide. Its pediatric research program receives the highest amount of National Institutes of Health funding among all U.S. children's hospitals. In addition, its unique family-centered care and public service programs have brought the 535-bed hospital recognition as a leading advocate for children and adolescents. For more information, visit http://www.chop.edu.

Contact:
Alison Fraser
The Children's Hospital of Philadelphia
Phone: (267) 426-6054
Cell: (267) 634-2701 
[email protected]

Photo - http://photos.prnewswire.com/prnh/20140806/134177

SOURCE The Children's Hospital of Philadelphia

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
Are your applications getting in the way of your business strategy? It’s time to rethink your IT approach. In his session at 16th Cloud Expo, Madhukar Kumar, Vice President, Product Management at Liaison Technologies, will discuss a new data-centric approach to IT that allows your data, not applications, to inform business strategy. By moving away from an application-centric IT model where data integration and analysis are subservient to the constraints of applications, your organization will b...
As organizations shift toward IT-as-a-service models, the need for managing and protecting data residing across physical, virtual, and now cloud environments grows with it. CommVault can ensure protection &E-Discovery of your data – whether in a private cloud, a Service Provider delivered public cloud, or a hybrid cloud environment – across the heterogeneous enterprise. In his session at 16th Cloud Expo, Randy De Meno, Chief Technologist - Windows Products and Microsoft Partnerships, will disc...
Cloud data governance was previously an avoided function when cloud deployments were relatively small. With the rapid adoption in public cloud – both rogue and sanctioned, it’s not uncommon to find regulated data dumped into public cloud and unprotected. This is why enterprises and cloud providers alike need to embrace a cloud data governance function and map policies, processes and technology controls accordingly. In her session at 15th Cloud Expo, Evelyn de Souza, Data Privacy and Compliance...
Analytics is the foundation of smart data and now, with the ability to run Hadoop directly on smart storage systems like Cloudian HyperStore, enterprises will gain huge business advantages in terms of scalability, efficiency and cost savings as they move closer to realizing the potential of the Internet of Things. In his session at 16th Cloud Expo, Paul Turner, technology evangelist and CMO at Cloudian, Inc., will discuss the revolutionary notion that the storage world is transitioning from me...
The Software Defined Data Center (SDDC), which enables organizations to seamlessly run in a hybrid cloud model (public + private cloud), is here to stay. IDC estimates that the software-defined networking market will be valued at $3.7 billion by 2016. Security is a key component and benefit of the SDDC, and offers an opportunity to build security 'from the ground up' and weave it into the environment from day one. In his session at 16th Cloud Expo, Reuven Harrison, CTO and Co-Founder of Tufin,...
The essence of cloud computing is that all consumable IT resources are delivered as services. In his session at 15th Cloud Expo, Yung Chou, Technology Evangelist at Microsoft, will demonstrate the concepts and implementations of two important cloud computing deliveries: Infrastructure as a Service (IaaS) and Platform as a Service (PaaS). He will discuss from business and technical viewpoints what exactly they are, why we care, how they are different and in what ways, and the strategies for IT ...
Cloud data governance was previously an avoided function when cloud deployments were relatively small. With the rapid adoption in public cloud – both rogue and sanctioned, it’s not uncommon to find regulated data dumped into public cloud and unprotected. This is why enterprises and cloud providers alike need to embrace a cloud data governance function and map policies, processes and technology controls accordingly. In her session at 15th Cloud Expo, Evelyn de Souza, Data Privacy and Compliance...
Roberto Medrano, Executive Vice President at SOA Software, had reached 30,000 page views on his home page - http://RobertoMedrano.SYS-CON.com/ - on the SYS-CON family of online magazines, which includes Cloud Computing Journal, Internet of Things Journal, Big Data Journal, and SOA World Magazine. He is a recognized executive in the information technology fields of SOA, internet security, governance, and compliance. He has extensive experience with both start-ups and large companies, having been ...
There are many considerations when moving applications from on-premise to cloud. It is critical to understand the benefits and also challenges of this migration. A successful migration will result in lower Total Cost of Ownership, yet offer the same or higher level of robustness. In his session at 15th Cloud Expo, Michael Meiner, an Engineering Director at Oracle, Corporation, will analyze a range of cloud offerings (IaaS, PaaS, SaaS) and discuss the benefits/challenges of migrating to each of...
Platform-as-a-Service (PaaS) is a technology designed to make DevOps easier and allow developers to focus on application development. The PaaS takes care of provisioning, scaling, HA, and other cloud management aspects. Apache Stratos is a PaaS codebase developed in Apache and designed to create a highly productive developer environment while also supporting powerful deployment options. Integration with the Docker platform, CoreOS Linux distribution, and Kubernetes container management system ...
The results of a global study commissioned by CA Technologies reveal that mobile and desktop applications have become the new battleground for brand loyalty. In today’s software-driven world, where consumers are more discerning about what they expect from applications, the reality is that businesses that fail to deliver a positive application experience risk losing as much as a quarter of their customer base. “Consumers no longer view applications as nice-to-have novelties. They now have a hug...
There are many considerations when moving applications from on-premise to cloud. It is critical to understand the benefits and also challenges of this migration. A successful migration will result in lower Total Cost of Ownership, yet offer the same or higher level of robustness. In his session at 15th Cloud Expo, Michael Meiner, an Engineering Director at Oracle, Corporation, will analyze a range of cloud offerings (IaaS, PaaS, SaaS) and discuss the benefits/challenges of migrating to each of...
The industrial software market has treated data with the mentality of “collect everything now, worry about how to use it later.” We now find ourselves buried in data, with the pervasive connectivity of the (Industrial) Internet of Things only piling on more numbers. There’s too much data and not enough information. In his session at @ThingsExpo, Bob Gates, Global Marketing Director, GE’s Intelligent Platforms business, to discuss how realizing the power of IoT, software developers are now focu...
SYS-CON Media announced today that Symantec, a provider of leading security, backup and availability solutions for where vital information is stored, accessed and shared, has launched new ad campaigns on SYS-CON's i-Technology sites, which include Cloud Computing Journal, DevOps Journal, Virtualization Journal, and IoT Journal. Symantec’s campaigns focus on Disaster Recovery and High Availability, the availability of business-critical applications in today’s complex heterogeneous environments, ...
Skytap Inc., has appointed David Frost as vice president of professional services. David joins Skytap from Deloitte Consulting where he served as Managing Director leading SAP, Cloud, and Advanced Technology Services. At Skytap, David will head the company's professional services organization, and spearhead a new consulting practice that will guide IT organizations through the adoption of DevOps best practices. David's appointment comes on the heels of Skytap's recent $35 million Series D fundin...