Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/15693
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dc.contributor.authorMcInnes, Rhonaen_UK
dc.contributor.authorShepherd, Ashleyen_UK
dc.contributor.authorCheyne, Helenen_UK
dc.contributor.authorNiven, Catherineen_UK
dc.date.accessioned2018-04-17T22:38:49Z-
dc.date.available2018-04-17T22:38:49Zen_UK
dc.date.issued2010-10en_UK
dc.identifier.urihttp://hdl.handle.net/1893/15693-
dc.description.abstractInfants admitted to a neonatal unit (NNU) are frequently unable to feed by breast or bottle because of ill health or prematurity. These infants require nutritional support until they can start oral feeding. Breastfeeding is advocated for these infants, and mothers are frequently encouraged to express breast milk to be fed via the enteral tube. However, by discharge, breastfeeding rates tend to be low. Oral feeding requires careful management, and although practices may vary because of clinical need, some may be informed by unit norms. There is limited evidence for effective breastfeeding support in this environment and little exploration of the effect of routine feeding decisions. This study aimed to explore feeding decisions and considered how these might affect outcomes. The staff in the two large urban NNUs who participated in the feeding decisions were interviewed and the data were analysed using a theoretical framework. Feeding decisions were made mainly by the unit staff, with limited parental involvement. Subsequent management varied, with differences being related to staff experience and beliefs, unit norms, parent's expectations and physical constraints within the unit. The staff were overtly supportive of breastfeeding, but the need to monitor and quantify milk intake may undermine breastfeeding. Furthermore, feeding breastfed infants during the mothers' absence was controversial and provoked debate. There is a need for clear guidelines and increased parental involvement in feeding decisions. Routine practices within the system may discourage mothers from initiating and persisting with breastfeeding. A change in unit culture is required to fully support the parent's feeding choices.en_UK
dc.language.isoenen_UK
dc.publisherBlackwell Publishing Ltden_UK
dc.relationMcInnes R, Shepherd A, Cheyne H & Niven C (2010) Infant feeding in the neonatal unit. Maternal and Child Nutrition, 6 (4), pp. 306-317. https://doi.org/10.1111/j.1740-8709.2009.00210.xen_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.rights.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_UK
dc.subjectinfant feedingen_UK
dc.subjectbreastfeeding supporten_UK
dc.subjectneonatal uniten_UK
dc.subjecthealth professionalen_UK
dc.subjectpreterm infantsen_UK
dc.subjectdecision makingen_UK
dc.subjectInfant feedingen_UK
dc.subjectNeonatal intensive careen_UK
dc.subjectInfants (Newborn)en_UK
dc.titleInfant feeding in the neonatal uniten_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate3000-01-01en_UK
dc.rights.embargoreason[Infant feeding in the neonatal unit.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.1111/j.1740-8709.2009.00210.xen_UK
dc.identifier.pmid21050385en_UK
dc.citation.jtitleMaternal and Child Nutritionen_UK
dc.citation.issn1740-8709en_UK
dc.citation.issn1740-8695en_UK
dc.citation.volume6en_UK
dc.citation.issue4en_UK
dc.citation.spage306en_UK
dc.citation.epage317en_UK
dc.citation.publicationstatusPublisheden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailh.l.cheyne@stir.ac.uken_UK
dc.publisher.addressUKen_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNMAHPen_UK
dc.identifier.isiWOS:000281894900002en_UK
dc.identifier.scopusid2-s2.0-78149472671en_UK
dc.identifier.wtid891107en_UK
dc.contributor.orcid0000-0002-7687-4586en_UK
dc.contributor.orcid0000-0001-5738-8390en_UK
dcterms.dateAccepted2010-10-31en_UK
dc.date.filedepositdate2013-06-28en_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorMcInnes, Rhona|en_UK
local.rioxx.authorShepherd, Ashley|0000-0002-7687-4586en_UK
local.rioxx.authorCheyne, Helen|0000-0001-5738-8390en_UK
local.rioxx.authorNiven, Catherine|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate3000-01-01en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||en_UK
local.rioxx.filenameInfant feeding in the neonatal unit.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1740-8695en_UK
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