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Abstract

COJ Nursing & Healthcare

Current Practices Related to Feeding Preterm Neonates with Expressed Breast Milk: A Pilot Project

  • Open or Close Daljeet kaur1, Avinash kaur Rana1*, Geetanjli kalyan2 and Praveen Kumar3

    1National Institute of Nursing Education (NINE), Postgraduate Institute of Medical Education & Research, India

    2Clinical instructor, National Institute of Nursing Education (NINE), Postgraduate Institute of Medical Education & Research, India

    3Department of Paediatrics, Postgraduate Institute of Medical Education & Research, India

    *Corresponding author: Avinash kaur Rana, National Institute of Nursing Education (NINE), Postgraduate Institute of Medical Education & Research, India

Submission: March 23, 2018;Published: June 26, 2018

DOI: 10.31031/COJNH.2018.03.000565

ISSN: 2577-2007
Volume3 Issue3

Abstract

A pilot project was conducted to assess current practices related to feeding pretermneonates with expressed breast milk. The present project was conducted with the objectives to assess current practices related to feeding preterm neonates with expressed breast milk admitted in tertiary level hospital, North India. Practices related to expressed breast milk feeding in preterm neonates was assessed in 4 steps. In step one of Information and current practices related to expression of breast milk among mothers was assessed. Practices in neonatal unit revealed that 92% of mothers had knowledge about feeding schedule of babies. In context to infection control practices 96% mothers washed hands, 92% wore gown, and all mothers (100%) used boiled utensils. Eighty two percent mothers expressed milk at least eight times in 24hour including once during night. Feeding detail of preterm neonates revealed that amount of expressed breast milk fed was very less as compare to enteral feed calculated per day.

To fulfill the requirement formula feed was given. In step two audits for expressed breast milk feeding was done. The pre-assessment audit of labour room showed that only three percent of mothers expressed milk with in 1 hour of delivery and out of those who expressed milk after 1hour 20% of mothers were assisted by health professionals at first time expression after delivery. 60% mothers were educated by PHN and 30% by nursing staff in labour room.

Step three feeding details of preterm neonates were assessed. It revealed that maximum amount (102.1ml/kg) of expressed breast milk was fed on day eight and minimum (3.9ml/kg) on day 2 of life. Data showed that breast milk was not sufficient to full fill the requirement of baby throughout 10 days and formula milk was added to meet the requirement. Pilot project concluded that mothers of preterm neonates require health education on expression of breast milk, amount of expressed breast milk feeding is very less as compare to enteral feed calculated.

Keywords: Current practices; Expressed breast milk feeding; Preterm neonates

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