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Intervening to Promote Early Initiation of Breastfeeding in the LDR

Komara, Carol MSN, RN; Simpson, Diana BSN, RN, IBCLC; Teasdale, Carla BSN, RN; Whalen, Gaye MSN, RN, IBCLC; Bell, Shay BSN, RN; Giovanetto, Laurie BSN, RN

MCN, The American Journal of Maternal/Child Nursing: March-April 2007 - Volume 32 - Issue 2 - p 117–123
doi: 10.1097/01.NMC.0000264293.72221.a6
feature article

Purpose To evaluate the effectiveness of an interventional protocol for the early initiation of breastfeeding that would remove barriers in the labor, delivery, recovery (LDR) unit.

Study Design and Methods Descriptive design using 100 postpartum mothers who were interviewed before discharge at a large university hospital in the south-central United States. Descriptive statistics were used for analysis.

Results The protocol was effective for initiating breastfeeding, and breastfeeding increased from 53% to 66%.

Clinical Implications When barriers to breastfeeding are reduced in the LDR setting, women will breastfeed. It is possible that reducing hospital barriers to breastfeeding in the LDR can also set the stage for sustained breastfeeding during hospitalization and for less supplementation with formula.

Learn how a birthing center changed its practice regarding timing of initiation of breastfeeding and how the mothers reacted.

Carol Komara is a Staff Development Specialist, OB/Women's Care, University of Kentucky Hospital, Lexington. She can be reached via e-mail at cakoma2@email.uky.edu or cakoma@alltel.net.

Diana Simpson is a Staff Nurse and Lactation Specialist, University of Kentucky Hospital, Lexington.

Carla Teasdale is a Charge Nurse, Birthing Center, University of Kentucky Hospital, Lexington.

Gaye Whalen is a Lactation Specialist, University of Kentucky Hospital, Lexington.

Shay Bell is a Staff Nurse, University of Kentucky Hospital, Lexington.

Laurie Giovanetto is a Staff Nurse, University of Kentucky Hospital, Lexington.

This research was funded by the U.K. Department of Nursing Dorothy Brockopp Nursing Research Award.

© 2007 Lippincott Williams & Wilkins, Inc.