November marks Prematurity Awareness Month, a time to spotlight the challenges and triumphs associated with preterm birth. For the South African Certified Lactation Consultants (SACLC), this month presents an opportunity to raise awareness about the unique breastfeeding journey of mothers with premature babies and how vital our role is in supporting these families.
The Impact of Prematurity on Bonding and Breastfeeding
Premature birth, defined as delivery before 37 weeks of gestation, often leads to medical challenges that affect both the baby and the mother. These challenges can significantly impact bonding and breastfeeding, two critical elements for the health and well-being of both.
Challenges to Bonding
Premature babies frequently require specialised care in neonatal intensive care units (NICUs). The physical separation and medical interventions, while life-saving, can make bonding feel distant and disjointed for parents. Kangaroo Mother Care (KMC), which involves skin-to-skin contact, is essential but may not be immediately possible in all cases.
Breastfeeding Hurdles
Breastfeeding a premature baby comes with its own set of challenges:
Premature babies often lack the strength and coordination to latch effectively.
Mothers may experience delayed lactogenesis (milk production), adding stress to an already overwhelming situation.
The need to rely on expressed breast milk or donor milk may feel disheartening for some mothers.
Despite these challenges, breast milk is a lifeline for preterm infants. It provides essential nutrients, antibodies, and protection against infections, which are critical for their survival and growth. The unique properties of breast milk adapt to meet the specific needs of premature babies, offering a powerful argument for supporting mothers on their breastfeeding journey.
The Role of SACLC in Supporting Mothers of Premature Babies
SACLC-certified professionals are uniquely positioned to provide compassionate, evidence-based guidance to mothers navigating the complexities of breastfeeding a premature baby. Here’s how we can help:
Early Education and Encouragement
Many mothers of preterm infants feel unprepared or overwhelmed. As SACLCs, we can educate them on the importance of breast milk for their baby’s development and help them set realistic expectations. Providing resources, such as information on hand expression, pumping schedules, and storage, empowers mothers to take control of their breastfeeding journey.
Building Milk Supply
For mothers whose babies cannot yet latch, maintaining a milk supply is crucial. SACLCs can guide them on how to initiate and sustain milk production through pumping and other methods. Introducing practices like power pumping, optimal pumping schedules, and breast massage can significantly boost milk supply.
Facilitating Bonding Through Feeding
Once the baby is ready for oral feeds, SACLCs can assist with latch techniques, pacing feeds, and transitioning from tube or bottle feeding to breastfeeding. Supporting KMC and skin-to-skin sessions as early as possible can also help mothers bond and establish breastfeeding.
Overcoming Emotional Barriers
The emotional toll of a premature birth cannot be underestimated. SACLCs provide not just practical advice but also emotional support, reassuring mothers that their efforts are invaluable. Encouraging a nurturing mindset can help reduce guilt and build confidence.
Collaborating with NICU Teams
In NICU settings, SACLCs can work closely with neonatologists, nurses, and dietitians to create a breastfeeding plan tailored to each baby’s needs. This multidisciplinary approach ensures that mothers receive consistent and comprehensive care.
Spreading Awareness During National Prematurity Awareness Month
National Prematurity Awareness Month is a poignant reminder of the resilience of preterm infants and their families. As SACLCs, we play a pivotal role in supporting mothers through this challenging yet rewarding journey. By providing expert guidance, unwavering support, and advocacy, we can help mothers give their babies the best possible start in life—one drop of breast milk at a time.
Let’s use this month to shine a light on prematurity and reaffirm our commitment to empowering mothers with the tools they need to thrive. Together, we can make a lasting difference.
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