Hebamme 2014; 27(4): 246-251
DOI: 10.1055/s-0034-1384464
SCHWERPUNKT
Stillberatung nach Frühgeburt
Hippokrates Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG Stuttgart

Das späte Frühgeborene: eine Herausforderung in der Stillberatung

Hella R. Köster
Hebamme, Dipl.-Medizinpädagogin, IBCLC, Solingen
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
16. Dezember 2014 (online)

Späte Frühgeborene adaptieren sich meistens recht gut nach der Geburt und haben überwiegend ein ausreichend hohes Geburtsgewicht, um auf der regulären Wochenstation betreut werden zu können. Das täuscht allerdings darüber hinweg, dass sie noch eine nennenswerte organische und neurologische Unreife aufweisen und über unzureichende Energiereserven verfügen. Eine Folge ist ineffektives Stillen mit dem Risiko für mehr oder weniger schwerwiegende Komplikationen. Was ist bei der Stillberatung besonders zu beachten, um bei diesen Kindern effektives Stillen zu ermöglichen?

 
  • Literatur

  • 1 Poets CF, Wallwiener D, Vetter K. Risks associated with delivering infants 2 to 6 weeks before term – a review of recent data. Dtsch Arztebl Int 2012; 109(43): 721-726
  • 2 Leone A, Ersfeld P, Adams M, Schiffer PM, Bucher HU, Arlettaz R. Neonatal morbidity in singleton late preterm infants compared with full-term infants. Acta Paediatr 01/2012; 101(1): 6-10
  • 3 Gouyon JB et al. Neonatal outcome associated with singleton birth at 34–41 weeks of gestation. International Journal of Epidemiology 2010; 39: 769-776
  • 4 Cole S. Breastfeeding challenges made easy for late preterm infants: the go-to guide for nurses and lactation consultants. New York: Springer Publishing Company; 2014
  • 5 Radtke JV. The Paradox of Breastfeeding-Associated Morbidity among Late Preterm Infants. J Obstet Gynecol Neonatal Nurs 2011; 40(1): 9-24
  • 6 Hallowell SG, Spatz DL. The Relationship of Brain Development and Breastfeeding in the Late-Preterm Infant. Journal of Pediatric Nursing 2012; 27: 154-162
  • 7 Meier P, Patel AL, Wright K, Engstrom JL. Management of Breastfeeding During and After the Maternity Hospitalization for Late Preterm Infants. Clin Perinatol 2013; 40: 689-705
  • 8 Walker M. Breastfeeding Management for the Late Preterm Infant: Practical Interventions for „Little Imposters“. Clinical Lactation 2010; Fall 1 22-26
  • 9 McDonald SW, Benzies KM, Gallant JE, McNeil DA, Dolan SM, Tough SC. A Comparison Between Late Preterm and Term Infants on Breastfeeding and Maternal Mental Health. Matern Child Health J 2013; 17: 1468-1477
  • 10 Ayton J, Hansen E, Quinn S, Nelson M. Factors associated with initiation and exclusive breastfeeding at hospital discharge: late preterm compared to 37 week gestation mother and infant cohort. International Breastfeeding Journal 2012; 7: 16
  • 11 Radtke Demirci J, Sereika SM, Bogen D. Prevalence and Predictors of Early Breastfeeding Among Late Preterm Mother-Infants Dyads. Breastfeeding Medicine 2013; 8(3): 277-285
  • 12 Meier PP, Furmann LM, Deghenhardt M. Increased Lactation Risk for Late Preterm Infants and Mothers: Evidence and Management Strategies to Protect Breastfeeding. J Midwifery Womens Health 2007; 52: 579-587
  • 13 Deoni SC L, Dean DC, Piryatinsky I, O‘Muircheartaigh J, Waskiewicz N, Katie Lehman K, Han M, Dirks H. Breastfeeding and early white matter development: A cross-sectional study. NeuroImage 2013; 82: 77-86
  • 14 Vice FL, Gewolb IH. Respiratory patterns and strategies during feeding in preterm infants. Developmental Medicine & Child Neurology 2008; 50: 467-472
  • 15 The Academy of Breastfeeding Medicine. Breastfeeding the Late Preterm Infant (34 0/7 to 36 6/7 Weeks Gestation). First Revision June 2011 Breastfeeding Medicine 2011; 3: 151-156
  • 16 Radtke Demirci J, Happ MB, Bogen DL, Albrecht SA, Cohen SM. Weighing worth against uncertain work: The interplay of exhaustion, ambiguity, hope and disappointment in mothers breastfeeding late preterm infants. Matern Child Nutr Author manuscript; available in PMC 2014 April 01
  • 17 Ludwig SM. Oral Feeding and the Late Preterm Infant. Newborn & Infant Nursing Rewiews 06/2007; 7 (2) 72-75
  • 18 Zanardo V, Gambina I, Begely C, Cosmi E, Giustardi A, Trevisanuto D. Psychological distress and early lactation performance in mothers of late preterm infants. Early Human Development 2011; 87: 321-323
  • 19 Moore ER, Anderson GC, Bergman N, Dowswell T. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews 2012; (5)
  • 20 Tsang RC, Uauy R, Koletzko B, Zlotkin SH Hrsg. Nutrition of the Preterm Infant: Scientific Basis and Practical Guidelines. © Digital Educational Publishing, Inc.; Provided Courtesy of Mead Johnson Nutritionals 2005
  • 21 Thomas J, Marinelli KA, Hennessy M and the Academy of Breastfeeding Medicine Protocol Committee. ABM Clinical Protocol #16: Breastfeeding the Hypotonic Infant. Breastfeeding Medicine 2 (2) 2007;