Title

Nurses' Views on Using Pasteurized Donor Human Milk for Hypoglycemic Term Infants.

Author ORCiD Identifier

Froh: 0000-0002-7367-9902

Spatz: 0000-0001-7316-6616

Publication Title

MCN. The American Journal of Maternal Child Nursing

Document Type

Article

PubMed ID

30882766

Abstract

PURPOSE: The purpose of this study was to explore maternal child nurses' knowledge and beliefs about using pasteurized donor human milk (PDHM) to treat newborns with hypoglycemia. Pasteurized donor human milk has been used for decades in neonatal intensive care units, but its use is relatively new in the well-baby population.

STUDY DESIGN AND METHODS: Focus groups of maternal child nurses were conducted to explore this topic.

RESULTS: Six focus groups that included a total 20 nurses were held. Four themes were identified: 1) nurses presumed safety of PDHM but lacked knowledge, 2) nurses' role as patient-family advocate, 3) nurses' logistical concerns about implementation of PDHM, and 4) nurses lacked clarity on formal milk sharing versus PDHM.

CLINICAL IMPLICATIONS: As the use of PDHM increases for well babies, nurses will need more education about PDHM, its safety profile, its use in breastfeeding support and protection of the infant microbiome, and how PDHM differs from informal milk sharing. Nurses play an important role in helping parents weigh risks and benefits of using PDHM or formula when supplementation is needed during the hospital stay. It is important that nurses feel confident in their own knowledge and ability to address parental concerns so they can advocate for their patients and support parental decision-making.

Keywords

Breast Feeding, Clinical Competence, Focus Groups, Humans, Hypoglycemia, Infant Formula, Infant, Newborn, Intensive Care Units, Neonatal, Milk Banks, Milk, Human, Nurses, Pasteurization, Qualitative Research

DOI

10.1097/nmc.0000000000000525

Publication Date

5-1-2019

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