Medela Neonatal Perspectives

Breastfeeding Barriers: 4 Infant At-Risk Conditions

Evi Dewhurst / October 2017

Are you an L&D nurse, a maternity nurse, or neonatal nurse? I’ve got something for you. It’s something that will help you deliver more human milk nutrition to infants in your care. I recently wrote about 10 at-risk conditions for mothers which negatively impact breastfeeding success and duration. Interest in such information is high, because… Read More about “Breastfeeding Barriers: 4 Infant At-Risk Conditions”

Protecting Developing Brains with Human Milk

Sandra Sundquist Beauman, MSN, RNC-NIC / October 2017

The concept of the “neuro NICU” came about around the time that hypothermia for hypoxic ischemic encephalopathy (HIE) came into general practice. These babies have a high likelihood of brain damage, and while cooling (hypothermia) has been shown to improve outcomes, it is apparent that we need to do as much as possible to aid… Read More about “Protecting Developing Brains with Human Milk”

Lactational Abscess: How Deep Can It Go?

Carol Chamblin, DNP, APN, RN, IBCLC / October 2017

Helping mothers learn to breastfeed at times can be challenging. Because breastfeeding is considered a natural process, it is often assumed that infants will simply know how to latch easily to their mothers’ breasts. When I teach breastfeeding instruction to pregnant mothers, I want to boost maternal confidence in being able to breastfeed, and to… Read More about “Lactational Abscess: How Deep Can It Go?”

Neonatal Gastric Feeding Tubes, Part 4: Clinical Management of Feeding Tubes

Sandra Sundquist Beauman, MSN, RNC-NIC / September 2017

In part 3 of this blog series, we discussed several studies around bacterial growth in feeding tubes. The knowledge that this occurs in a fairly short amount of time, and can lead to feeding intolerance and perhaps clinical sepsis, requires that we evaluate our clinical practice. Changes in practice may be indicated based on those… Read More about “Neonatal Gastric Feeding Tubes, Part 4: Clinical Management of Feeding Tubes”

NICU Family-Integrated Care: Mommy Knows Best (Just Ask Her)

Jae Kim, MD, PhD / September 2017

In our NICU, as I suspect in many other units, we have been actively involved in providing family-centered care practices for more than a decade. We did this to bring parents more into the fold of their baby’s care. This has become increasingly challenging on so many fronts, given the rising complexity of neonatal care… Read More about “NICU Family-Integrated Care: Mommy Knows Best (Just Ask Her)”

NICU Human Milk Preparation: Do We Need Dedicated Milk Technicians?

Patrice Hatcher, MBA, BSN, RNC-NIC / August 2017

Have you noticed that there is a human milk preparation practice change that is sweeping across the nation? The actual process for preparing human milk feedings for the most part is still the same. However, the BIG CHANGE that is being implemented by many Children’s Hospitals is with “who” is preparing the feeds, and “where”… Read More about “NICU Human Milk Preparation: Do We Need Dedicated Milk Technicians?”

Neonatal Gastric Feeding Tubes, Part 3: Bacterial Risks and Benefits

Sandra Sundquist Beauman, MSN, RNC-NIC / August 2017

I recently discussed the state of the evidence related to gastric tube placement in the Neonatal Perspectives blog, including proper measurement, securing of the tube, and checking of placement. So, what’s left? This is, after all, considered a very simple procedure, and one that is often taught as a first procedure in the neonatal intensive… Read More about “Neonatal Gastric Feeding Tubes, Part 3: Bacterial Risks and Benefits”

Can Pharmacy and Enteral Nutrition Resources Be Streamlined?

Kathy Quellen, RN, BSN / August 2017

The clinical complexities and requirements of your neonatal patient population when dealing with enteral feeding systems impact your resource decisions. When looking at purchasing an enteral feeding system for the NICU, the focus is on feeding. When looking at enteral administration systems in the pharmacy, the focus is on the medication. Feeding and medication: One… Read More about “Can Pharmacy and Enteral Nutrition Resources Be Streamlined?”