{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T02:51:05Z","timestamp":1780368665999,"version":"3.54.1"},"reference-count":18,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,6,13]],"date-time":"2017-06-13T00:00:00Z","timestamp":1497312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Very little is known about the breastfeeding experience of mothers of infants born with congenital anomalies and cared for in the neonatal intensive care unit (NICU). Often, studies related to breastfeeding and lactation in the NICU setting are focused on the mothers of late preterm, preterm, low-birth-weight, and very-low-birth-weight infants. Congenital diaphragmatic hernia (CDH) is an anatomic malformation of the diaphragm and affects 1 in every 2,000 to 4,000 live births. Currently, there are no studies examining the health outcomes of infants with CDH and the effect of human milk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research aim:<\/jats:title>\n                    <jats:p>This study aimed to describe the breastfeeding experience of mothers of infants with CDH cared for in the NICU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective, longitudinal qualitative descriptive design was used. Phased interviews were conducted with a purposive sample of 11 CDH infant\u2013mother dyads from a level 3 NICU in a children\u2019s hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Six themes emerged from the data: (a) hopeful for breastfeeding, (b) latching on . . . to the pump, (c) we\u2019ve already worked so hard, (d) getting the hang of it\u2014it\u2019s getting easier, (e) a good safety net, and (f) finding a way that works for us.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>For this population of CDH infant\u2013mother dyads, the term breastfeeding is not exclusive to direct feeding at the breast and the mothers emphasized the significance of providing their own mother\u2019s milk through a combination of feeding mechanisms to their infants with CDH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334417709469","type":"journal-article","created":{"date-parts":[[2017,6,13]],"date-time":"2017-06-13T14:54:40Z","timestamp":1497365680000},"page":"524-532","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Mothers of Infants With Congenital Diaphragmatic Hernia Describe \u201cBreastfeeding\u201d in the Neonatal Intensive Care Unit: \u201cAs Long as It\u2019s My Milk, I\u2019m Happy\u201d"],"prefix":"10.1177","volume":"33","author":[{"given":"Elizabeth B.","family":"Froh","sequence":"first","affiliation":[{"name":"The University of Pennsylvania School of Nursing, Philadelphia, PA, USA"},{"name":"The Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet A.","family":"Deatrick","sequence":"additional","affiliation":[{"name":"The University of Pennsylvania School of Nursing, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha A. Q.","family":"Curley","sequence":"additional","affiliation":[{"name":"The University of Pennsylvania School of Nursing, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane L.","family":"Spatz","sequence":"additional","affiliation":[{"name":"The University of Pennsylvania School of Nursing, Philadelphia, PA, USA"},{"name":"The Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,6,13]]},"reference":[{"key":"bibr1-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3553"},{"key":"bibr2-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-3282"},{"key":"bibr3-0890334417709469","unstructured":"Centers for Disease Control and Prevention. (2016). Breastfeeding report card 2016. Retrieved from https:\/\/www.cdc.gov\/breastfeeding\/data\/reportcard.htm"},{"key":"bibr4-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-2845"},{"key":"bibr5-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e318265b299"},{"key":"bibr6-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1097\/JPN.0b013e3181e8d517"},{"key":"bibr7-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"bibr8-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e31825eb07b"},{"key":"bibr9-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000109"},{"key":"bibr10-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1177\/0890334413485640"},{"key":"bibr11-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1159\/000315889"},{"key":"bibr12-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1111\/1552-6909.12568"},{"key":"bibr13-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e3181d1b149"},{"key":"bibr14-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"bibr15-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e3182192aa9"},{"key":"bibr16-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1624\/105812405X23630"},{"key":"bibr17-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2011.01315.x"},{"key":"bibr18-0890334417709469","doi-asserted-by":"publisher","DOI":"10.1111\/1552-6909.12570"}],"container-title":["Journal of Human Lactation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890334417709469","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0890334417709469","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890334417709469","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:32:09Z","timestamp":1777501929000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0890334417709469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,13]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1177\/0890334417709469"],"URL":"https:\/\/doi.org\/10.1177\/0890334417709469","relation":{},"ISSN":["0890-3344","1552-5732"],"issn-type":[{"value":"0890-3344","type":"print"},{"value":"1552-5732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,13]]}}}