Premature
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Final Note
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Breastfeeding Basics sponsored by Medela
About Lesson

Breastfeeding a premature baby, also known as a preterm baby, requires special attention and support. Here are some strategies to help you navigate breastfeeding your premature baby:

Start as early as possible: If your baby is stable and able to breastfeed, aim to initiate breastfeeding as soon as medically feasible, even if it’s just for a few minutes at a time. Skin-to-skin contact (kangaroo care) is beneficial and can help establish a connection and promote breastfeeding.

Consult with a lactation consultant: Work closely with a lactation consultant who has experience with premature babies. They can provide guidance and support tailored to your baby’s unique needs, including techniques to facilitate latching and optimal milk transfer.

Pump breast milk: If your baby is not yet able to breastfeed directly, it’s important to establish and maintain your milk supply by pumping breast milk. Pumping regularly, about every 2 to 3 hours, can help stimulate milk production. Consider using a hospital-grade breast pump for effective milk extraction.

Provide skin-to-skin care: Skin-to-skin contact is not only beneficial for bonding, but it can also help stimulate your milk production and encourage your baby’s interest in breastfeeding. Make skin-to-skin contact a regular part of your routine, even when your baby is not yet latching.

Practice paced feeding: Preterm babies may have difficulty coordinating their sucking, swallowing, and breathing during breastfeeding. Paced feeding involves offering the breast in a way that allows your baby to control the flow of milk. This helps prevent overwhelm and allows for better coordination.

Gradual introduction of breastfeeding: Start with shorter, frequent breastfeeding sessions, gradually increasing the length and frequency as your baby becomes more comfortable and skilled. Be patient and allow your baby to set the pace.

Seek support from the NICU staff: The healthcare team in the Neonatal Intensive Care Unit (NICU) can provide valuable guidance and support for breastfeeding a premature baby. They can assist with positioning, monitor your baby’s progress, and address any concerns or challenges that may arise.

Consider using nipple shields or alternative feeding methods: In some cases, using nipple shields or alternative feeding methods, such as finger feeding or a supplemental nursing system, may be necessary to support your baby’s ability to latch and breastfeed effectively. Consult with a lactation consultant or healthcare provider to determine if these options are appropriate for your baby.

Remember, breastfeeding a premature baby can be a journey that requires patience, flexibility, and support. Celebrate each small step and progress made by your baby. Continue to work closely with your healthcare team and seek guidance from lactation experts to ensure the best possible breastfeeding experience for you and your baby.