Journal of Human Lactation, Vol. 14, No. 2, 135-141 (1998)
A Case Report of Breastfeeding Quadruplets: Factors Perceived as Affecting Breastfeeding
Chris Auer, BSN, RNC, IBCLC
University Hospital, Inc., c/o 234 Goodman Ave., Cincinnati, OH 45267 USA.
Karen Kerkhoff Gromada, MSN, RN, IBCLC
College of Nursing and Health, University of Cincinnati.
The number of higher-order multiple births in the United States quadrupled between 1970 and 1994. The number of women choosing to breastfeed their higher-order multiples also has risen. In this report, a mother of quadruplets identifies factors and interventions she perceived as having a positive or negative impact on breastfeeding. Maternal motivation coupled with a mother’s personal approach to breastfeeding quadruplets may be key factors in shaping breastfeeding outcomes, such as in this case where one quad weaned at 12 months and the remaining three breastfed for 21/2 years. With increased discussion of this select population, lactation consultants and other health professionals will be able to develop breastfeeding care plans which reflect this population’s unique needs and concerns from the prenatal through postpartum periods.
Key Words: quadruplets • higher-order multiples • preterm infants • breastfeeding support • maternal pacing
Breastfeeding Preterm Twins: A Case Report
1 Marie Biancuzzo is a clinical nurse specialist and the breastfeeding coordinator at the Uniuersity of Rochester Medical Center. She has a joint appointment to the University of Rochester School of Nursing, Rochester, New York.
ABSTRACT: This case report describes a primipara who successfully breastfed 35-week-gestation twins for over six months. Positive interactions, research-based management strategies, and innovative problem solving helped her avoid the individual, interpersonal, and system factors that can injuence lactation failure. (BIRTH 21:2, June 1994)
A case report is presented on the experience of breastfeeding a baby with a cleft palate. The importance of breastfeeding for the baby and the mother is discussed as well as the importance of support from health care professionals. Problems are described relating to (a) the long term maintenance of lactation by exclusive breast pumping; and (b) the lack of information available on feeding techniques and devices helpful in breastfeeding prior to and following palate repair. Practical suggestions are proposed for expressing and feeding expressed milk to a baby with a cleft palate.
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