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The Need to Improve Human Milk Rates for Vulnerable Infants

Spatz, Diane L. PhD, RN-BC, FAAN

MCN: The American Journal of Maternal/Child Nursing: November/December 2019 - Volume 44 - Issue 6 - p 360
doi: 10.1097/NMC.0000000000000574
ONGOING COLUMNS: Breastfeeding

Our breastfeeding expert, Dr. Spatz, discusses her 10-step model to improve use of human milk and breastfeeding for vulnerable infants in the neonatal intensive care unit. The most vulnerable infants should receive 100% human milk diet for the entire hospital stay and beyond. For preterm or other vulnerable infants, human milk is a life-saving medical intervention. Parental education and support, along with a focus on the critical window of opportunity for establishing milk supply can enhance the likelihood of the infant being fed breastmilk as recommended.

Diane L. Spatz is a Professor of Perinatal Nursing & the Helen M. Shearer Professor of Nutrition at the University of Pennsylvania. She holds a joint appointment with the Children's Hospital of Philadelphia (CHOP) where she is a nurse researcher-lactation program & clinical coordinator of CHOP's Mothers' Milk Bank. Dr. Spatz can be reached via e-mail at

The author declares no conflicts of interest.

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