Alison Stuebe Profile picture
Sep 16, 2022 23 tweets 12 min read Read on X
Next up: Ilana Levine on parents’ research priorities for lactation after prematurity #abm2022 Image
Lots of challenges unique to lactation after prematurity - and extra importance for medically fragile infants #ABM2022 Image
Parents invited to co-design intervention for ongoing trial #ABM2022 npeu.ox.ac.uk/express Image
Online questionnaire sought parent input on challenges faced, priorities for research, opinions on ethical issues and dissemination pathways for results... closed after a week because there were so many responses... #ABM2022
675 respondents (!!), 47% very preterm, 24% early preterm, 51% had provided breastmilk for at least six months, 23% for more than a year... 95% white ethnicity #ABM2022
[Challenge of online data collection - individuals who have been made marginalized may have lived experiences that diminish trust in healthcare, and therefore online surveys... ] #ABM2022
Questions about expressing... resonates w/ my clinical experience - "realistic" is very real consideration... #ABM2022 Image
Additional questions about logistics and lactating parent experience of expression... "How to feel happier about expressing" #ABM2022 Image
Personalized feedback desired - can we predict volume / outcome based on early trajectory? #ABM2022 Image
Storage, pumping routine... #ABM2022 Image
Moving on to at-breast feeding - lots of questions about transitioning... what to do when breast is bigger then baby's mouth... #ABM2022 Image
Questions about nipple shields - most participants had had good experiences w/ nipple shield, but were told to stop... #ABM2022 Image
And what does success mean? [so cool to hear this talk on the heels of our #ROSEABM22 meeting!] Nature of breastmilk feeding experience, and duration of breastmilk feeding... No consensus on what duration is "success" #ABM2022 ImageImage
Parental concerns about research:
- imposing pressure to express
- increasing feelings of judgement / inadequacy
- extra burden at a stressful time
#ABM2022
Key theme: burden / mental health impact of expressing for preterm infant... we have A LOT of work to do to support mothers of medically fragile infants!! #ABM2022 Image
Take aways:
- milk yield is important
- any / exclusive breastmilk feeding alone does not capture enough - consider more nuanced assessment - parent's goals, satisfaction, mental health
- direct bfing is important
- long term bfing is important #ABM2022
So much resonance with #ROSEABM2022 ! #ABM2022 Image
We have lots of opportunities to #MakeBreastfeedingEasier @ilana_abc #ABM2022 Image
The research team has created posters to share in NICUs about their parent findings #ABM2022 npeu.ox.ac.uk/express/engage Image
Read more about the parent involvement in planning to study here: #ABM2022 …reastfeedingjournal.biomedcentral.com/articles/10.11…
@ilana_abc notes that those with less privilege are less seen and heard in research studies... importance of an equity-centered process for patient engagement studies... #ABM2022
.@ilana_abc: Optimal PPI (patient-public involvement) is collaboration - this model was a consultation, but did not share power. Looks forward to moving to full collaboration for future work #ABM2022
How to counter the view that at-breast feeding is "too tiring" for baby? @ilana_abc: what's our priority? Is this about getting the baby home 2 days sooner? Or about supporting long-term #breastfeeding?

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Alison Stuebe

Alison Stuebe Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @astuebe

Sep 16, 2022
Last talk of the day: Prolactin: Pleiotropic actions in pregnancy and lactation #ABM2022
Prolactin's role:
- Required for milk production
- Acts on secretory epithelial cells to promote synthesis of milk proteins
- Mammary gland development during pregnancy #ABM2022
Prolactin secretion outside of lactation:
- Dopamine inhibits prolactin secretion
- Prolactin stimulates dopamine release
- Low basal prolactin levels, with some variation in menstrual cycle
#ABM2022
Read 19 tweets
Sep 16, 2022
Next session: Yvonne LeFort on Ankyloglossia & the breastfeeding dyad #ABM2022
Lots to cover in 45 minutes... #ABM2022
Context: many factors impact effective and comfortable breastfeeding - not just the frenulum... #ABM2022
Read 27 tweets
Sep 16, 2022
Next up: Panel Discussion: Skin-to-Skin Around the World #ABM2022, starting with Maite Hernandez-Aquilar Image
Context: skin-to-skin was not always recommended. Research in the early 1970s included initial contact, followed by 9 hours (!!) of separation... #ABM2022 ImageImage
Based on evidence, skin-to-skin should be standard practice... #ABM2022 Image
Read 28 tweets
Sep 16, 2022
Podium presentations starting now... #ABM2022 First up: #breastfeeding disparities and #SUID Image
Study included 4 years of births in US and linked SUID deaths #ABM2022
liebertpub.com/doi/10.1089/bf… Image
Mediation analysis estimated the extent to which breastfeeding disparities explained differences in SUID rates #ABM2022 Image
Read 21 tweets
Sep 16, 2022
Workshop getting started at #ABM2022... Reducing Racial Disparities in Breastfeeding in the USA
Dr. Michal Young kicking off the conversation #ABM2022
Young: The human race began in Africa - and if these African women had not breastfed, none of us would be here today... #ABM2022
Read 21 tweets
Sep 16, 2022
Kicking off the conference: Larry Noble on Breastfeeding, Microbiome and Epigenetics #ABM2022
Breastfeeding occurs in the 1,000 Days, a critical window that impacts lifelong health ncbi.nlm.nih.gov/pmc/articles/P… #ABM2022 Image
This early critical window impacts lifelong development of the microbiome ncbi.nlm.nih.gov/pmc/articles/P… #ABM2022 Image
Read 19 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(