https://books.google.com/books?id=LyXTCQAAQBAJ&pg=PA263&lpg=PA263&dq=%E2%80%9CBa
ID: 241230 • Letter: H
Question
https://books.google.com/books?id=LyXTCQAAQBAJ&pg=PA263&lpg=PA263&dq=%E2%80%9CBarriers+to+breastfeeding+small+and+sick+newborns+are+partially+based+on+their+abilities,+on+how+sick+they+are,+and+on+the+care+system.%E2%80%9D&source=bl&ots=CX9YndeSH_&sig=PGWrIqKB47N7uNJgJFeJPgB4ShU&hl=en&sa=X&ved=0ahUKEwjA1-LN7urZAhXGzVMKHTuGADAQ6AEIJzAA#v=onepage&q=%E2%80%9CBarriers%20to%20breastfeeding%20small%20and%20sick%20newborns%20are%20partially%20based%20on%20their%20abilities%2C%20on%20how%20sick%20they%20are%2C%20and%20on%20the%20care%20system.%E2%80%9D&f=false
The book chapter stated, “Barriers to breastfeeding small and sick newborns are partially based on their abilities, on how sick they are, and on the care system.” Support this statement by giving one example within each of these categories of barriers.
Explanation / Answer
Small and sick newborns require timely, high-quality inpatient care to survive. This includes provision of breast feeding . Inpatient care for newborns requires dedicated ward space, staffed by health workers with specialist training and skills.
Sickness is the major barrier of breastfeeding for a small and sick baby. Inability to initiate sucking, and requirements of other medical supports such as phototherapy, oxygen administration and other life care support adversely affect the breastfeeding of such newborns.
Studies have identified major deficits relevant to breastfeeding in hospital policies and clinical practices, including a low priority given to support for breastfeeding and education about it, inappropriate routines and provision of care, fragmented care, and inadequate hospital facilities for women who are breastfeeding the small and sick newborns. A recent report that summarizes maternity practices related to breastfeeding in 2,687 hospitals and birth centers in the United States indicated that these practices are often not evidence based and frequently interfere with breastfeeding.Separating mothers from their babies during their hospital stay has a negative impact on the initiation and duration of breastfeeding. In addition, an inverse relationship exists between breastfeeding rates and invasive medical interventions . Physicians who are ambivalent about breastfeeding or who feel inadequately trained to assist patients with breastfeeding may be unable to properly counsel their patients on specifics about breastfeeding techniques, current health recommendations on breastfeeding, and strategies to combine breastfeeding and work.
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