{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T23:22:29Z","timestamp":1780356149610,"version":"3.54.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T00:00:00Z","timestamp":1700697600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"HRSA T-32 fellowship"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>\n                    Late preterm infants have lower breastfeeding rates than term infants, yet few published interventions or guidelines exist to guide hospitals in managing them in the non-intensive nursery setting. Here we describe the development and implementation of an interdisciplinary, hospital-based, breastfeeding support program among late preterm infants not requiring intensive care. The Early Bloomer Program includes an order set applied at birth, immediate lactation consultation, availability of donor milk, parent education on late preterm infants, hand expression teaching and kit including spoon and video link, and daily interdisciplinary team huddles. The program was developed with staff input using Diffusion of Innovation Theory, and implemented first among early adopters before expanding to all postpartum nurses. Nursing staff received education on late preterm infant physiology and feeding, and trainings on the Early Bloomers program through various learning modalities during the year leading up to implementation. To further understand the strengths and weakness of the program, we surveyed nurses (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200943). Nurses reported that they were more attentive to the needs of late preterm infants, more confident in their care, and more aware of possible complications and feeding needs. Areas noted in need of improvement included lack of overnight lactation consults and little involvement of labor and delivery staff in the program. The Early Bloomers program increased confidence in care and was well received by nurses. Well-designed clinical studies are needed to identify effective breastfeeding support practices for late preterm infants.\n                  <\/jats:p>","DOI":"10.1177\/08903344231211513","type":"journal-article","created":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T06:20:15Z","timestamp":1700720415000},"page":"96-100","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Early Bloomers: A Nursing-Driven Program to Support Human Milk Feeding Among Late Preterm Infants in the Mother-Baby Unit"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1110-277X","authenticated-orcid":false,"given":"Katherine R.","family":"Standish","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Boston University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ginny","family":"Combs","sequence":"additional","affiliation":[{"name":"Boston Medical Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcy","family":"McMahon","sequence":"additional","affiliation":[{"name":"Boston Medical Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl","family":"Slater","sequence":"additional","affiliation":[{"name":"Boston Medical Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Zani","sequence":"additional","affiliation":[{"name":"Boston Medical Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Pindar","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Boston University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karol","family":"Serafin","sequence":"additional","affiliation":[{"name":"Boston University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret G.","family":"Parker","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, UMass Chan Memorial Medical School, Boston, MA, USA"},{"name":"Department of Pediatrics, Boston University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara L.","family":"Philipp","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Boston University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,23]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Baker B. (2015). JOGNN improving outcomes for late preterm infants and their mothers. Journal of Obstetric Gynecologic and Neonatal Nursing 44 100\u2013101. https:\/\/doi.org\/10.1111\/j.1552","DOI":"10.1111\/1552-6909.12520"},{"key":"e_1_3_3_3_1","doi-asserted-by":"crossref","unstructured":"Boies E. G. Vaucher Y. E. (2016). ABM Clinical Protocol #10: Breastfeeding the late preterm (34\u201336 6\/7 weeks of gestation) and early term infants (37\u201338 6\/7 weeks of gestation) second revision 2016. Breastfeeding Medicine 11(10) 494\u2013500. https:\/\/doi.org\/10.1089\/bfm.2016.29031.egb","DOI":"10.1089\/bfm.2016.29031.egb"},{"key":"e_1_3_3_4_1","doi-asserted-by":"crossref","unstructured":"Boyle E. M. Johnson S. Manktelow B. Seaton S. E. Draper E. S. Smith L. K. Dorling J. Marlow N. Petrou S. Field D. J. (2015). Neonatal outcomes and delivery of care for infants born late preterm or moderately preterm: A prospective population-based study. Archives of Disease in Childhood: Fetal and Neonatal Edition 100(6) F479\u2013F485. https:\/\/doi.org\/10.1136\/archdischild-2014-307347","DOI":"10.1136\/archdischild-2014-307347"},{"key":"e_1_3_3_5_1","doi-asserted-by":"crossref","unstructured":"Busch D. W. Silbert-Flagg J. Busch D. W. Silbert-Flagg J. (2021). Breastfeeding plan of care for the late preterm infant from birth through discharge. Journal of Perinatal and Neonatal Nursing 35(2) 169\u2013176. https:\/\/doi.org\/10.1097\/JPN.0000000000000548","DOI":"10.1097\/JPN.0000000000000548"},{"key":"e_1_3_3_6_1","doi-asserted-by":"crossref","unstructured":"Cartwright J. Atz T. Newman S. Mueller M. Demirci J. R. (2017). Integrative review of interventions to promote breastfeeding in the late preterm infant. Journal of Obstetric Gynecologic & Neonatal Nursing 46(3) 347\u2013356. https:\/\/doi.org\/10.1016\/j.jogn.2017.01.006","DOI":"10.1016\/j.jogn.2017.01.006"},{"key":"e_1_3_3_7_1","doi-asserted-by":"crossref","unstructured":"Chiang K. V Sharma A. J. Nelson J. M. Olson C. K. Perrine C. G. (2019). Receipt of breast milk by gestational age\u2014United States 2017. Morbidity and Mortality Weekly Report 68(22) 489\u2013493. https:\/\/doi.org\/10.15585\/mmwr.mm6822a1","DOI":"10.15585\/mmwr.mm6822a1"},{"key":"e_1_3_3_8_1","unstructured":"Dib S. Kittisakmontri K. Wells J. C. Fewtrell M. (2022). Interventions to improve breastfeeding outcomes in late preterm and early term infants. Breastfeeding Medicine 17(10) 781\u2013792. https:\/\/doi.org\/10.1089\/bfm.2022.0118"},{"key":"e_1_3_3_9_1","doi-asserted-by":"crossref","unstructured":"Estalella I. San Mill\u00e1n J. Trincado M. J. Maquibar A. Mart\u00ednez-Indart L. San Sebasti\u00e1n M. (2020). Evaluation of an intervention supporting breastfeeding among late-preterm infants during in-hospital stay. Women and Birth 33(1) e33\u2013e38. https:\/\/doi.org\/10.1016\/j.wombi.2018.11.003","DOI":"10.1016\/j.wombi.2018.11.003"},{"key":"e_1_3_3_10_1","doi-asserted-by":"crossref","unstructured":"Goyal N. K. Attanasio L. B. Kozhimannil K. B. (2014). Hospital care and early breastfeeding outcomes among late preterm early-term and term infants. Birth 41(4) 330\u2013338. https:\/\/doi.org\/10.1111\/birt.12135","DOI":"10.1111\/birt.12135"},{"key":"e_1_3_3_11_1","doi-asserted-by":"crossref","unstructured":"Ishiguro A. Namai Y. Ito Y. M. (2009). Managing \u201chealthy\u201d late preterm infants. Pediatrics International 51(5) 720\u2013725. https:\/\/doi.org\/10.1111\/j.1442-200X.2009.02837.x","DOI":"10.1111\/j.1442-200X.2009.02837.x"},{"key":"e_1_3_3_12_1","doi-asserted-by":"crossref","unstructured":"Lober A. Tussey C. Gorny J. (2021). Supporting feeding of late preterm infants in the hospital. The American Journal of Maternal\/Child Nursing 46(6) 346\u2013351. https:\/\/doi.org\/10.1097\/NMC.0000000000000769","DOI":"10.1097\/NMC.0000000000000769"},{"key":"e_1_3_3_13_1","doi-asserted-by":"crossref","unstructured":"Meier P. Patel A. L. Wright K. Engstrom J. L. (2013). Management of breastfeeding during and after the maternity hospitalization for late preterm infants. Clinics in Perinatology 40(4) 689\u2013705. https:\/\/doi.org\/10.1016\/j.clp.2013.07.014","DOI":"10.1016\/j.clp.2013.07.014"},{"key":"e_1_3_3_14_1","volume-title":"Diffusion of innovations","author":"Rogers E.","year":"2003","unstructured":"Rogers E. (2003). Diffusion of innovations (5th ed.). Free Pass. New York.","edition":"5"},{"key":"e_1_3_3_15_1","doi-asserted-by":"crossref","unstructured":"Stewart D. L. Barfield W. D. (2019). Updates on an at-risk population: Late-preterm and early-term infants. 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WHO recommendations for care of the preterm or low-birth-weight infant. https:\/\/apps.who.int\/iris\/handle\/10665\/363697"}],"container-title":["Journal of Human Lactation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08903344231211513","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08903344231211513","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08903344231211513","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:34:11Z","timestamp":1777502051000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08903344231211513"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,23]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1177\/08903344231211513"],"URL":"https:\/\/doi.org\/10.1177\/08903344231211513","relation":{},"ISSN":["0890-3344","1552-5732"],"issn-type":[{"value":"0890-3344","type":"print"},{"value":"1552-5732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,23]]}}}