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Hospitalization for nipple confusion: a method to restore a healthy breastfeeding

by Dr. Asti Praborini, MD, Pediatrician, IBCLC
  • Duration: 30 Mins
  • Credits: 0.5 CERP, 0.5 L-CERP
  • Learning Format: Webinar
  • Handout: No
  • Origin: GOLD Lactation 2015

Optimal breastfeeding is at the top of the list of effective preventive interventions for child survival. Unfortunately, bottle feeding with formula, which is inferior to breastmilk, has contributed to lower breastfeeding rates. Initial exposure to bottle feeding can lead to nipple confusion. Hospitalization for nipple confusion is a method to restore healthy breastfeeding. This program has helped many mothers and babies achieve a happy and healthy breastfeeding relationship. Mothers and babies, who come into our Lactation Clinic and complain of breast rejection, are advised to be hospitalized. In hospital they practice skin to skin, and if indicated, frenotomy for tongue tie or lip tie will be done after parents consent. Counselors visit mother and baby to help them have a good latch. Supplementation is done via lactation aid, and galactogogues, and acupuncture help mothers to restore their milk supply. Both mother and baby are discharged from the hospital after the baby has established a good latch. In our clinics, there were 58 cases of nipple confusion between January – December 2012, 53 cases (91.4%) led to successful breastfeeding.

Learning Objectives:

Objective 1: Almost all mothers in Indonesia will return to their parent's or in law's home to be helped caring of their babies, they usually get a poor breastfeeding advice.
Objective 2: Babies who were unable to latch while discharged from the hospital and helped to drink by bottle, nipple shield or cup were find difficulties to breastfeed.
Objective 3: Hospitalization for nipple confusion is able to restore the healthy breastfeeding dyad for those babies, with success rate above 91.4%, through skin to skin contact method; and This method will increase mother's compliance and self confidence through continues guidance by breastfeeding counselors and consultants at the hospital

Presentations: 27  |  Hours / CE Credits: 25  |  Viewing Time: 8 Weeks