Car Seat Challenges for Low Birth Weight InfantsEarly pumping and postpartum hemorrhage

“Hospital adherence to car seat tolerance screening (CSTS) recommendations was high, and failed screens were relatively common. Routine CSTS was not associated with reduced health care utilization and may prolong hospital LOS, particularly in the NICU/floor. Prospective trials are needed to evaluate this routine practice for otherwise low-risk infants.” (Harrison)

Harrison
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Early pumping and effect on breastfeeding

“The benefits of breastfeeding (BF) are universally acknowledged. Breastmilk has nutritional, gastrointestinal, anti-infective, psychological, and long term benefits for intellectual development of the infant. Breastfeeding is one of the most cost-effective measures to reduce neonatal morbidity and mortality in preterm infants.

“In this pilot study, short term benefit in the form of significantly increased milk volumes during individual power pumping session was observed. However, power pumping
for 1 wk did not show a statistically significant improvement in the exclusive breastfeeding rates at discharge in mothers of VLBW infants with low milk output compared to routine
pumping.”

Kalathingal, T., et al (2023). Comparison of two pumping strategies to improve exclusive breastfeeding at discharge in mothers of VLBW infants with low milk output-a pilot randomized controlled trial. Indian Journal of Pediatrics, 1-7.

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