Facilitators and barriers to implementing a breastfeeding protocol for premature newborns.
Camila Medeiros Cruvinel Cunha, Eliane de Fátima Almeida Lima, Dulce Maria Pereira Garcia Galvão and 3 others
PMID 42138844WHAT IT FOUND
Mothers and staff said a breastfeeding protocol for premature babies depends on practical things: nearby bathrooms, comfortable chairs, milk expression space, consistent team guidance, and early support.
Without these, mothers struggle to stay, pump, and feed their babies.
Key findings
01Staff and mothers identified infrastructure and team routines as major barriers to implementing a breastfeeding protocol for premature newborns.
02Facilitators included a dedicated multidisciplinary team, a human milk bank, outpatient follow-up, and institutional documents that guide practice.
03Mothers said poor chairs, distant bathrooms, and mealtime conflicts made staying, expressing milk, and breastfeeding harder.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included 62 professionals and 12 mothers, which the authors say limited the range of views. The findings come from one neonatal unit, so they may not apply to other hospitals. It describes perceptions of facilitators and barriers, not patient outcome results. The main author was a NICU nurse and led the working group and workshops.
Declared interests
This work was supported by CAPES and FAPES. The supplied text gives no author conflict-of-interest statement.
The easy way to misread this
Do not read this as proof that the breastfeeding protocol improved premature newborn outcomes. The paper reports perceptions of facilitators and barriers, not tested patient outcomes.