In 2005, the Level III neonatal intensive care unit (NICU) at Rush University Medical Center initiated a demonstration project employing breastfeeding peer counselors, former parents of NICU infants, as direct lactation care providers who worked collaboratively with the NICU nurses. This article describes the conceptualization, implementation, and evaluation of this program and provides templates for other NICUs that wish to incorporate breastfeeding peer counselors with the goal of providing quality, evidence-based lactation care.
FurmanLWilson-CostelloDFriedmanHTaylorHGMinichNHackM. The effect of neonatal maternal milk feeding on the neurodevelopmental outcome of very low birth weight infants. J Dev Behav Pediatr. 2004;25(4):247-253. doi:10.1097/00004703-200408000-00004
2.
HylanderMAStrobinoDMDhanireddyR. Human milk feedings and infection among very low birth weight infants. Pediatrics. 1998;102(3):E38. doi:10.1542/peds.102.3.e38
3.
HylanderMAStrobinoDMPezzulloJCDhanireddyR. Association of human milk feedings with a reduction in retinopathy of prematurity among very low birthweight infants. J Perinatol. 2001;21(6):356-362. doi:10.1038/sj.jp.7210548
4.
Meinzen-DerrJPoindexterBWrageLMorrowALStollBDonovanEF. Role of human milk in extremely low birth weight infants’ risk of necrotizing enterocolitis or death. J Perinatol. 2009;29(1):57-62. doi:10.1038/jp.2008.117
5.
PatelALEngstromJLFoggLFJegierBJBiggerHRMeierPP. Balancing Human Milk Feedings: Late Onset Sepsis and Growth in VLBW Infants [abstract]. Uppsala, Sweden: Baby-Friendly Neonatal Care Conference and Workshop; September2011.
6.
SchanlerRJLauCHurstNMSmithEOB. Randomized trial of donor human milk versus preterm formula as substitutes for mothers’ own milk in the feeding of extremely premature infants. Pediatrics. 2005;116(2):400-406. doi:10.1542/peds.2004-1974
7.
SchanlerRJShulmanRJLauC. Feeding strategies for premature infants: beneficial outcomes of feeding fortified human milk versus preterm formula. Pediatrics. 1999;103(6 Pt 1):1150-1157. doi:10.1542/peds.103.6.1150
8.
VohrBRPoindexterBBDusickAM. Beneficial effects of breast milk in the neonatal intensive care unit on the developmental outcome of extremely low birth weight infants at 18 months of age. Pediatrics. 2006;118(1):e115-e123. doi:10.1542/peds.2005-2382
9.
CallenJPinelliJ. A review of the literature examining the benefits and challenges, incidence and duration, and barriers to breastfeeding in preterm infants. Adv Neonatal Care. 2005;5(2):72-88. doi:10.1016/j.adnc.2004.12.003
10.
CreganMDDe MelloTRKershawDMcDougallKHartmannPE. Initiation of lactation in women after preterm delivery. Acta Obstet Gynecol Scand. 2002;81(9):870-877. doi:10.1034/j.1600-0412.2002.810913.x
11.
HillPDAldagJCChattertonRTZinamanM. Comparison of milk output between mothers of preterm and term infants: the first 6 weeks after birth. J Hum Lact. 2005;21(1):22-30. doi:10.1177/0890334404272407
12.
HillPDAldagJCChattertonRTZinamanM. Primary and secondary mediators’ influence on milk output in lactating mothers of preterm and term infants. J Hum Lact. 2005;21(2):138-150. doi:10.1177/0890334405275403
13.
LessenRCrivelli-KovachA. Prediction of initiation and duration of breast-feeding for neonates admitted to the neonatal intensive care unit. J Perinat Neonatal Nurs. 2007;21(3):256-266. doi:10.1097/01.JPN.0000285817.51645.73
14.
MeierPPEngstromJLPatelALJegierBLBrunsNE. Improving the use of human milk during and after the NICU stay. Clin Perinat. 2010;37(1):217-245. doi:10.1016/j.clp.2010.01.013
15.
Centers for Disease Control and Prevention: Department of Health & Human Services. Breastfeeding: data and statistics: breastfeeding practices—results from the 2005 National Immunization Survey. http://www.cdc.gov/breastfeeding/data/NIS_data/data_2005.htm. Published 2006. Accessed May 29, 2012.
16.
MacDormanMFMartinJAMathewsTJHoyertDLVenturaSJ. Explaining the 2001-02 infant mortality increase: data from the linked birth/infant death data set. Int J Health Serv. 2005;35(3):415-442. doi:10.2190/TJ2N-DADV-1EP5-5C7F
17.
MeierPPEngstromJLMingolelliSSMiracleDJKieslingS. The rush mothers’ milk club: Breastfeeding interventions for mothers with very-low-birth-weight infants. J Obstet Gynecol Neonatal Nurs. 2004;33(2):164-174. doi:10.1177/0884217504263280
18.
RodriguezNAMiracleDJMeierPP. Sharing the science on human milk feedings with mothers of very-low-birth-weight infants. J Obstet Gynecol Neonatal Nurs. 2005;34(1):109-119. doi:10.1188/0884217504272807
19.
MiracleDJMeierPPBennettPA. Mothers’ decisions to change from formula to mothers’ milk for very-low-birth-weight infants. J Obstet Gynecol Neonatal Nurs. 2004;33(6):692-703. doi:10.1177/0884217504270665
20.
MiracleDJ. “My Baby, the Pump, and Me”: Reconnecting with a Very Low Birthweight Infant [dissertation]. Chicago: Rush University Medical Center; 2006. Retrieved from ProQuest. UMI No. 3209917.
21.
RossmanB. Breastfeeding peer counselors in the United States: helping to build a culture and tradition of breastfeeding. J Midwifery Womens Health. 2007;52(6):631-637. doi:10.1016/j.jmwh.2007.05.006
22.
MeierPPBrownLPHurstNM. Nipple shields for preterm infants: effect on milk transfer and duration of breastfeeding. J Hum Lact. 2000;16(2):106-114; quiz 129-131. doi:10.1177/089033440001600205
23.
Rush Mothers’ Milk Club. Lunch with the Rush Mothers’ Milk Club [DVD]. Chicago: Rush University Medical Center; 2011. http://www.rushmothersmilkclub.com. Accessed March 5, 2013.
24.
MeierPP. Breastfeeding Peer Counselors in the NICU: Increasing Access to Care for Very Low Birthweight Infants. Oak Brook: Illinois Children’s Healthcare Foundation; 2005.
Rush Mothers’ Milk Club. In Our Hands [DVD]. Chicago: Rush University Medical Center; 2011. http://www.rushmothersmilkclub.com. Accessed March 5, 2013.
27.
MeierPPEngstromJLJanesJEJegierBJLoeraF. Breast pump suction patterns that mimic the human infant during breastfeeding: greater milk output in less time spent on pumping for breast pump-dependent mothers with premature infants. J Perinatol. 2012;32(2):103-110. doi:10.1038/jp.2011.64
28.
SullivanSSchanlerRJKimJH. An exclusively human milk-based diet is associated with a lower rate of necrotizing enterocolitis than a diet of human milk and bovine milk-based products. J Pediatr. 2010;156(4):562-567. http://dx.doi.org.ezproxy.rush.edu/10.1016/j.bbr.2011.03.031
29.
RossmanBEngstromJLMeierPPVonderheidSCNorrKFHillPD. “They’ve walked in my shoes”: Mothers of very low birth weight infants and their experiences with breastfeeding peer counselors in the neonatal intensive care unit. J Hum Lact. 2011;27(1):14-24. doi:10.1177/0890334410390046
MeierPP. Health benefits and cost of human milk for very low birthweight infants. 2007;1 R01-NR010009-01.
32.
MerewoodAPhilippBL. Peer counselors for breastfeeding mothers in the hospital setting: trials, training, tributes, and tribulations. J Hum Lact. 2003;19(1):72-76. doi:10.1177/0890334402239737
