The Development of an Accurate Test Weighing Technique for Preterm and High-Risk Hospitalized Infants

Haase, Barbara; Barreira, Jeanne; Murphy, Pamela K.; Mueller, Martina; Rhodes, Jean E.

doi:10.1089/bfm.2007.0125

Cited by 15 publications

(18 citation statements)

References 15 publications

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“…If the infant breastfed during the 24-hour milk volume measurement session, the nurse measured intake through test weighing (e.g., weighing infants prior to and following breastfeeding), which has been shown to be an accurate method to determine intake during breastfeeding in preterm infants. 30 …”

Section: Milk Collection and Volume Measurementmentioning

confidence: 99%

Association of Timing of Initiation of Breastmilk Expression on Milk Volume and Timing of Lactogenesis Stage II Among Mothers of Very Low-Birth-Weight Infants

Parker

Sullivan

Krueger

et al. 2015

Breastfeeding Medicine

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134

111

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Background: Feeding breastmilk to premature infants decreases morbidity but is often limited owing to an insufficient milk supply and delayed attainment of lactogenesis stage II. Early initiation of milk expression following delivery has been shown to increase milk production in mothers of very low-birth-weight (VLBW) infants. Although recommendations for milk expression in this population include initiation within 6 hours following delivery, little evidence exists to support these guidelines. This study compared milk volume and timing of lactogenesis stage II in mothers of VLBW infants who initiated milk expression within 6 hours following delivery versus those who initiated expression after 6 hours. Subjects and Methods: Forty mothers of VLBW infants were grouped according to when they initiated milk expression following delivery. Group I began milk expression within 6 hours, and Group II began expression after 6 hours. Milk volume was measured daily for the first 7 days and on Days 21 and 42. Timing of lactogenesis stage II was determined through mothers' perceptions of sudden breast fullness. Results: Group I produced more breastmilk during the initial expression session and on Days 6, 7, and 42. No difference in timing of lactogenesis stage II was observed. When mothers who began milk expression prior to 1 hour following delivery were removed from analysis, benefits of milk expression within 6 hours were no longer apparent. Conclusions: Initiation of milk expression within 6 hours following delivery may not improve lactation success in mothers of VLBW infants unless initiated within the first hour.

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Section: Milk Collection and Volume Measurementmentioning

confidence: 99%

Association of Timing of Initiation of Breastmilk Expression on Milk Volume and Timing of Lactogenesis Stage II Among Mothers of Very Low-Birth-Weight Infants

Parker

Sullivan

Krueger

et al. 2015

Breastfeeding Medicine

Self Cite

134

111

View full text Add to dashboard Cite

show abstract

“…If the infant breastfed during the 24-h milk volume measurement session, intake was measured by test weighing (weighing infants prior to and following breastfeeding), which has been shown to be an accurate method to determine intake during breastfeeding in preterm infants. 32 Determination of lactogenesis stage II Beginning at 24 h and continuing daily until initiation of lactogenesis stage II, mothers were questioned regarding if and when they noticed a sudden feeling of fullness in their breasts. Timing was recorded in 12-h increments as occurring (0800 to 2000 or 2000 to 0800 hours).…”

Section: Milk Collection and Volume Measurementmentioning

confidence: 99%

Effect of early breast milk expression on milk volume and timing of lactogenesis stage II among mothers of very low birth weight infants: a pilot study

et al. 2011

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Objective: The purpose of this randomized pilot study was to collect preliminary data regarding the feasibility and effects of early initiation of milk expression on the onset of lactogenesis stage II and milk volume in mothers of very low birth weight (VLBW) infants.Study Design: Twenty women were randomized to initiate milk expression within 60 min (group 1) or 1 to 6 h (group 2) following delivery. Milk volume and timing of lactogenesis stage II was compared between groups using Wilcoxon's rank sum tests.Result: Group 1 produced statistically significantly more milk than group 2 during the first 7 days (P ¼ 0.05) and at week 3 (P ¼ 0.01). Group 1 also demonstrated a significantly earlier lactogenesis stage II (P ¼ 0.03). Conclusion:Initiation of milk expression within 1 h following delivery increases milk volume and decreases time to lactogenesis stage II in mothers of VLBW infants.

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“…This further highlights the usefulness of 24-hour milk-production studies to provide accurate information regarding the infant' s feeding skills and milk supply to the clinician. 14 …”

mentioning

confidence: 99%

Evidence of Improved Milk Intake After Frenotomy: A Case Report

et al. 2013

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Ankyloglossia (tongue tie) is a well-recognized cause of breastfeeding difficulties and, if untreated, can cause maternal nipple pain and trauma, ineffective feeding, and poor infant weight gain. In some cases, this condition will result in a downregulation of the maternal milk supply. Milk-production measurements (24-hour) for a breastfeeding infant with ankyloglossia revealed the ineffective feeding of the infant (78 mL/24 hours), and a low milk supply (350 mL/24 hours) was diagnosed. Appropriate management increased milk supply (1254 mL/24 hours) but not infant milk intake (190 mL/24 hours). Test weighing convincingly revealed the efficacy of frenotomy, increasing breastfeeding milk transfer from 190 to 810 mL/24 hours. Postfrenotomy, breastfeeding almost completely replaced bottle-feeding of expressed breast milk. This case study confirms that ankyloglossia may reduce maternal milk supply and that frenotomy can improve milk removal by the infant. Milk-production measurements (24-hour) provided the evidence to confirm these findings.

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The Development of an Accurate Test Weighing Technique for Preterm and High-Risk Hospitalized Infants

Cited by 15 publications

References 15 publications

Association of Timing of Initiation of Breastmilk Expression on Milk Volume and Timing of Lactogenesis Stage II Among Mothers of Very Low-Birth-Weight Infants

Association of Timing of Initiation of Breastmilk Expression on Milk Volume and Timing of Lactogenesis Stage II Among Mothers of Very Low-Birth-Weight Infants

Effect of early breast milk expression on milk volume and timing of lactogenesis stage II among mothers of very low birth weight infants: a pilot study

Evidence of Improved Milk Intake After Frenotomy: A Case Report

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