This presentation will deal with bridging the gap found between theory explained in books and actual scenarios in reality with mother-baby dyads where lactation care providers play an important role in helping parents meet their breastfeeding goals. Case scenarios will be presented, including the following: preterm babies and the potential for their mothers to be milk donors; inducing lactation in a biological mother with a poor obstetric history who has chosen to birth through surrogacy and is keen to exclusively breastfeed; antenatal colostrum harvesting in mothers who are receiving obstetric care in advance of an expected preterm birth, leading to exclusive breast milk feeding throughout the length of NICU stay and early transition to oral and breastfeeds; maintaining mother's milk supply in a special needs situation of a term infant with a bilateral enclosed cleft palate till introduction of solids and cleft palate repair at the age of 1 year; and pasteurization of mother's own milk due to growth of Ecoli and Kleibsiella organisms and usage for enteral feeding in preterm twins.
Learning Objectives:
1. Describe 3 elements of a lactation care plan that facilitates early expression of breast milk.
2. List 2 critical steps in maintaining breast milk supply and building a personal “milk bank”
3. Explain 3 reasons to support early and continuous training of all staff associated with a breastfeeding/chestfeeding dyad.
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