title: Five steps to improve bedside breastfeeding care.
abstract: Best postpartum breastfeeding practices must address the caloric needs of all infants, including vulnerable infants, while enabling long-term, exclusive breastfeeding. An adequate subsequent milk supply depends on early, frequent and effective colostrum removal. A combination of hand expression of colostrum, spoon-feeding and unrestricted breastfeeding provide more milk for infants and more stimulation for subsequent breast milk production. A sustainable, preventive practice model for low- and high-risk infants depends on elevating staff expertise and shifting the focus of lactation educators to address staff learning needs. We propose a five-step implementation program to achieve this.
authors.forename: Jane
authors.initials: J
authors.lastname: Morton
authors.forename: Judith Y
authors.initials: JY
authors.lastname: Hall
authors.forename: Molly
authors.initials: M
authors.lastname: Pessl
mesh_terms: D019985:Benchmarking; D001942:Breast Feeding / Q000379:methods*; D005260:Female; D006801:Humans; D007774:Lactation / Q000502:physiology*; D009035:Mothers / Q000193:education* / Q000523:psychology; D017283:Neonatal Nursing / Q000592:standards*; D009723:Nurse-Patient Relations; D011181:Postnatal Care; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011785:Quality Assurance, Health Care / Q000379:methods*
keywords: breast milk; breastfeeding; colostrum; hand expression; milk expression; spoon-feeding