Kimberly Black received a bachelor's degree in nursing from George Mason University and a master of science degree from the nurse-midwifery education program at Georgetown University. She is currently working as a nurse practitioner in the area of Womens' Health and is a clinical instructor in the Georgetown University School of Nursing. She has experience as a Certified Childbirth Educator and as an RN in a Level II neonatal nursery.
Breastfeeding the High Risk Infant: Implications for Midwifery Management
Article first published online: 26 JAN 2011
2000 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 45, Issue 3, pages 238–245, May-June 2000
How to Cite
Black, K. A. and Hylander, M. A. (2000), Breastfeeding the High Risk Infant: Implications for Midwifery Management. Journal of Midwifery & Womens Health, 45: 238–245. doi: 10.1016/S1526-9523(00)00017-9
- Issue published online: 26 JAN 2011
- Article first published online: 26 JAN 2011
The mother of a high risk infant is confronted with numerous parenting challenges, not the least of which is the decision about how to nourish her vulnerable newborn. Successful breastfeeding depends on overcoming obstacles posed by infant condition, maternal health, and the neonatal intensive care environment. These obstacles include maternal separation from the nursing infant during hospitalization, delayed initiation of the expression of breast milk due to maternal illness and/or surgery, the inability to suckle her infant or feed on demand, and the lack of sufficient maternal follow-up after discharge. This article reviews the benefits of providing breast milk to high risk infants, problems that may be encountered by mothers of high risk infants, and the interventions that may be used by the midwife to facilitate the breastfeeding process.