Keywords

Baby-friendly hospital initiative, Bottle-feeding, Breast feeding, Breastfeeding exclusive, Exclusive breastfeeding, Human milk, Lactation

 

Authors

  1. Penny, Frances PhD, MSN, MPH, RN, IBCLC
  2. Brownell, Elizabeth A. PhD, MA
  3. Judge, Michelle PhD
  4. Marshall-Crim, Mary MSN, FNP-BC, IBCLC
  5. Cartagena, Diana PhD, RN, CPNP
  6. McGrath, Jacqueline M. PhD, RN, FNAP, FAAN

Abstract

Background: Mothers having difficulty breastfeeding their infants may use alternative supportive feeding methods. Although a supplemental feeding tube device is commonly used, efficacy for supporting sustained breastfeeding remains unknown.

 

Purpose: To describe supplemental feeding tube device use by breastfeeding mothers as an alternative feeding method through exploration of associations between supplemental feeding tube device use and continued breastfeeding at 4 weeks of infant's age.

 

Method: Forty mothers participated. They were interviewed during the birth hospitalization and at 4 weeks postpartum. Questions addressed use of supplemental feeding tube devices, breastfeeding issues, and continued breastfeeding relationships. We examined the relationship between LATCH scores at 2 to 3 days of life.

 

Results: Breastfeeding mothers who chose to supplement with bottle-feeding instead of use of a supplemental feeding tube device were 30% less likely to continue breastfeeding at a medium/high/exclusive level.

 

Conclusion: Use of the supplemental feeding tube device may help avoid the potentially detrimental effect of bottle-feeding on continued breastfeeding.