Breastmilk for mouth care
- 0Mar 30, '10 by mlizhevHello all,
I am looking for units that use colostrum or any breastmilk for oral care. I would like to start a PI project within my unit but would like feedback as to who else is doing this and how everythings is going.Thanks
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- 0Mar 31, '10 by dawnebethIt's not really for mouth care, but to introduce 'friendly' bacteria into the mouth and gut to promote good flora and hopefully reduce the incidence of NEC, Our unit just started about two months ago. We swab 0.2 ml of colostrum into the baby's mouth (even a vented baby) on the cheeks and tongue every three hours. It's too soon to tell what effect this is having, but the nursing student who worked with me did an inservice for the unit on the practice. She made a nice brochure.
- 0Mar 31, '10 by mlizhevThanks for the reply... can you tell me why your unit decided to start this practice? Was it received well from the Neo's and what do the parents and nurses think? Were there any concerns about doing this from the docs or nurses? Last question.... what region is your hospital?
- 0Mar 31, '10 by dawnebethWe're in Northern California. Swabbing the mouth with colostrum was started suddenly in late January. I came back from a vacation, and we were starting without any beforehand instruction. I believe that our nurse practitioner wanted to implement this practice, with the support of the doctors and the lactation specialists. The parents think it is great, because some think we are 'feeding' the babies. However, we nurses were not sure WHY it was being done, which is why I asked the nursing student to do a little teaching inservice.
Her brochure says that colostrum has anti-infective agents, macrophages and neutrophils to destroy harmful bacteria, IgA to protect mucosal surfaces against E. coli and many other bad bacteria and lysozyme, another anti-infective agent. Colostrum helps prevent NEC, sepsis, diarrheal disease, allergies and bacterial infections.
- 0Nov 10, '11 by nicu/nurseBreastmilk is great to use for oral care. Dawnebeth gave some really great reasons why to use breastmilk. To increase compliance our unit starting using oral care kits and our rate of NEC has gone down. Good luck!
- 0May 10, '13 by JoryQuote from sui foon iteaYes, because it's not a feeding. You would still do oral care on a baby with NEC. You still do oral care even on an NPO baby.Would you perform colostrum oral care to an infant with stage I NEC?
We use an oral care kit on our ventilator babies UNLESS breast milk is available, then we have Mom to freeze it in very small amounts so that we are not thawing out a large amount and wasting it. We use it and swab the breast milk in the cheeks.