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The nurse midwife role in facilitating successful breastfeeding


Breastfeeding has been viewed as the healthiest way of feeding. A wide range of literatures have reinforced this view (Acheson, 1998). Since breastfeeding is helpful to promote babies' health insurance and is generally considered as a professional issue, mothers require professional support for appropriate breastfeeding (Riordan, 2005). Among the primary tasks of nurses/midwives is to promote the fitness of newborns (Riordan, 2005). Thus, it is required for them excel at the skills to support the initiation and continuation of breastfeeding. The aim of this essay is to investigate the role of nurse/midwife in facilitating successful breastfeeding. Firstly, approaches to support the initiation of breasts nourishing in the postnatal period will be studied and discussed. Second of all, methods than can be adopted to support the continuation of breast feeding in the first six months will be discussed. And thirdly, the role of the midwife/ nurse in facilitating breast feeding will be concluded.

Approaches to aid the initiation of breasts nourishing in the postnatal period

All moms own the to decide the best way to feed their infants. Thus, breastfeeding should be provided as an informed choice on their behalf (Registered Nurses Association of Ontario, 2003). Nurses and midwives play the role to provide concise and clear information to all moms in the antenatal period. They shouldn't discriminate any women due to their choice of the way of child feeding but offer completely support for the coffee lover when making that choice.

To ensure that the actual health threats of formula nourishing and the benefits associated with breastfeeding can be conveyed to and comprehended by women that are pregnant, discussion about newborn nourishing between nurse/midwife and pregnant girl can be conducted on the one to 1 basis (Tayside Breastfeeding Policy Group, 2007). In this type of talk, nurse/midwife should make clear the physiology of breastfeeding to all women that are pregnant simply and evidently. This is helpful to reduce common problems such as misunderstanding of breastfeeding and cultivate pregnant women's self-confidence in the ability to breastfeed. Besides, written information such as documents on the antennal feeding checklist can even be printed and wanted to pregnant women.

No subject which feeding method is about to take, early skin-to-skin contact between moms and newborns should be motivated. Once pregnant women decided to take breastfeeding, they must be encouraged to own first breastfeed as soon as possible. Early experiences mentioned that early opportunity to suckle and skin-to-skin contact contribute to improved breastfeeding results (Tayside Breastfeeding Coverage Group, 2007). Nurse/midwife should provide help if it's required. The newborn should be still left with the mother continuously after beginning. When mothers give first breastfeed, nurse/midwife should suggest to them the correct gestures for nourishing, such as how to aid baby's head, shoulders and throat (MDPH, 2008). Besides, it is essential for mothers to acquire proper latch for dairy production and copy and also to reduce possible pain. Nurse/midwife should also provide explanations to this point (MDPH, 2008). As to frequency and length of time of breastfeeding, timed and scheduled feedings should be discouraged. While repeated breastfeeding in the first level of postnatal should be encouraged to build dairy supply, for example, at the 8 to 12 time of nourishing should be provided at 24 hours (MDPH, 2008). Baby-led feeding should be encouraged. Breastfeeding should be provided corresponding to infant's interests. Unnecessary benefits of supplements such as solution and water and unnatural nipples should be prevented. In order to maximize milk supply and raise the overall success of breastfeeding, moms should be instructed to postpone the benefits of solution and bottles through the first 3 to 4 4 weeks after delivery, which is a critical period for establishment of breastfeeding (MDPH, 2008).

The continuation of breastfeeding in the first six months

It was discovered that one of the major factors influencing moms' decision of the continuation of breastfeeding is the brevity of a postpartum hospitalization. Previous studies indicated that many mothers leave hospital before breastfeeding is well established (Morrow et al. , 1999). Thus, the brevity of a postpartum hospitalization can immediately impact the continuation of breastfeeding. Based on this consideration, mothers require more professional immediate and regular advice about breastfeeding. Thus, to be able to support the continuation of breastfeeding, nurse/midwife play the role to ensure the breastfeeding is more developed between mother and baby during the period of hospitalization.

During the first half a year of breastfeeding, nurse/midwife should try to provide sufficient information and support to allow the mothers to breastfeed solely. Based on the overview of Sikorski et al. (2001) concerning the approaches in facilitating breasts feeding, they witnessed that the breastfeeding backed provided by professional health personnel who are usually specialized in guiding breastfeeding such as nurse and midwife, can significantly increased exclusive breastfeeding to two months. In details, breastfeeding support interventions provided during both antenatal and postnatal period were more supportive to increase both rate and period of breastfeeding than interventions offered just during the postnatal period. Therefore, to be able to increase the continuation of breasts feeding in the first half a year, holds from nurse/midwife should be provided because the antenatal period.

According to the ideas given by the entire world Health Company (WHO) (1998), the utilization of pacifiers and man-made teats is associated with early cessation of breastfeeding. Previous studies also suggested that although pacifiers and artificial teats are safe to use, they can straight impact the continuation of breastfeeding in the first half a year. Thus, nurse and midwife should encourage moms to minimize the use or avoid the use of pacifiers and unnatural teats. Besides, it was found by Jones (1994) that cupfed preterm newborns when their moms were not in a position to present and breastfeed were more likely to continue breastfeed than those were fed by containers. This shows that even in a few medical conditions, bottle given should be prevented to be able to ensure that newborns can be breastfeed afterward.

The role of the midwife/ nurse in facilitating breastfeeding

It is health care specialists' responsibility to concerns within the baby's health. Support of breastfeed has been seen as the responsibility of midwife and nurse who straight contact with women that are pregnant and mothers with postnatal babies in their daily work. To assist in breastfeeding, firstly, nurse and midwife play an important role in advocating for "breastfeeding friendly" environments (RNAO, 2003). Their role in this aspect includes advocating for supportive facilities and systems. For example, it was suggested by RNAO (2003) that general public breastfeeding areas, 'mom and baby' areas for breastfeeding, day-care facilities, and 24-hour help for mothers with troubles in breastfeeding should be included. Then, community founded supportive activities for breastfeeding can even be built-into their role. For example, it was recommended by Canadian Institute of Child Health (1996) that nurse and midwife can encourage and help parents to find and interact a supportive community breastfeeding network. Educations can be provided to couples during the get older for childbearing. That is helpful to assist these to make knowledgeable decisions associated with breastfeeding.

Secondly, nurses and midwifes are responsible to convey new research information to the parents to steer the breastfeeding (RNAO, 2003). Nurses and midwifes have more information gain access to about health promotion than the common individuals. And the new health research conclusions may help the moms to breastfeed in an improved way. For example, it was suggested by the WHO (2000) that exclusive breastfeeding through the first half a year; with release of other supplementary food later on with prolonged breastfeeding up 2 yrs is a suitable approach for breastfeeding. It is necessary for nurses and midwives to talk this new proof to the women that are pregnant and moms. However, to ensure nurses and midwifes can keep up with the latest evidence, education and program for these people is also necessary.

Thirdly, nurses and midwives should be accountable for conducting detailed assessments for breastfeeding both prenatal and postnatal predicated on the condition of mom, baby and family (RNAO, 2003). This is helpful to accomplish the introduction of arrange for breastfeeding and conduct correspondent interventions. For instance, prenatal assessment range from attitude about breastfeeding, purpose to breastfeed, usage of support for breastfeeding and physical factor which could effect a woman's potential to breastfeed.


To summarize, breastfeeding plays an important role to market the fitness of babies. And the nurses and midwives' role to advertise and facilitating breastfeeding. To support the initiation of breasts nourishing in the postnatal period, breastfeeding should be provided as the best choice on their behalf. Physiology of breastfeeding and its own benefits should be explained to all pregnant women simply and clearly. Guidance during the initiation period should be provided by midwives and nurses to help moms to establish breastfeeding with the babies. During the first six months, in order to aid the continuation of breastfeeding, nurse/midwife need to ensure the breastfeeding is more developed between mother and baby over hospitalization and to help mothers proven good habit of breastfeeding. Midwives and nurses' functions in facilitating breastfeeding include advocating for "breastfeeding friendly" conditions, to mention new research information to the parents to guide the breastfeeding and to conduct extensive assessments for breastfeeding both prenatal and postnatal predicated on the condition of mom, baby and family.

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