PubMed HealthSearch

Biomedical subjects

K K Gromada

Publications and source records attributed to K K Gromada.

6 recordsLinked to original sources

A case report of breastfeeding quadruplets: factors perceived as affecting breastfeeding.

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 2 1/2 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.

Adult

Breastfeeding more than one: multiples and tandem breastfeeding.

The concurrent breastfeeding of two or more infants is associated with multiple births or non-twin siblings, which sometimes is referred to as tandem breastfeeding. In these situations, the "supply and demand" production principle of lactation is a compensatory mechanism. It ensures the availability of adequate amounts of human milk, no matter how many infants are breastfeeding. A lack of time for the increased number of breastfeedings, physical and emotional difficulties associated with caring for more than one infant, and a lack of social support generally are greater hindrances than an inability on the part of the mother's body to produce milk for all infants. The nurse helps by explaining the process of milk production adaptability and sharing intervention strategies to help the mother minimize the obstacles to breastfeeding more than one.

Adult

Breastfeeding twins and higher-order multiples.

The benefits of breastfeeding for pre-term and full-term infants are well documented. Breastfeeding facilitates maternal-infant attachment, provides optimal infant nutrition and immunologic protection, and minimizes economic impact. These benefits are multiplied with twins and higher-order multiples, who often are born at risk. Supporting a mother as she initiates and continues to breastfeed one infant requires specific knowledge and skills. Health professionals need additional knowledge and skills if they are to provide appropriate assessment, intervention, and support when a mother breastfeeds twins or higher-order multiples.

Breast Feeding