The PROVIDE Training Compendium is an open access, evidence-based resource helping healthcare professionals
implement lifesaving mothers' own milk feeding practices for infants in intensive care worldwide
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Dr Paula P. Meier explores the PROVIDE Training Compendium. She is joined by Dr Sushma Nangia (MD, DM, Director
Professor and Head, Department of Neonatology, Lady Hardinge Medical College and Kalawati Saran Children's Hospital,
New Delhi, India) and Janet Prince (RM IBCLC, Switzerland) for a look at the practical applications of the PROVIDE
Training Compendium
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Describes how MOM helps infants' brains, lungs, intestines and digestive systems develop, while providing
personalised protection against infections via signature antibodies and immune system programming
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An overview of how lactation protects mothers against infection and bleeding after birth, breast cancer, ovarian
cancer, osteoporosis, metabolic diseases like diabetes and high blood pressure - and the list is growing as more
research is conducted
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Details how and why MOM offers protection and supports the unique progression of a NICU infant's brain growth and
development
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Describes the unprecedented benefits of colostrum and answers basic questions mothers may ask NICU staff
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Explains why supplementing MOM with HDM may be necessary for NICU mothers, and addresses common concerns related to
protocol and safety
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A guide to help ensure the safe use and storage of expressed MOM
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Explores NICU-specific points healthcare professionals can consider when evaluating MOM feeding for infants of
mothers taking prescription medications
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Understanding the risks marijuana use carries for preterm infant brain growth and development, and for a mother’s
breastmilk supply, is important as it becomes legal in more locations
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Provides answers to fundamental questions mothers often have about the safety of MOM when they are taking
prescription medications
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Mastitis: What it is and why it can be common in the NICU if pumping sessions are too short or too far apart
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Safe mastitis treatment, MOM feeding and MOM storage: Each process comes with differentiated instructions for
mothers of NICU infants
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Provides current, evidence-based guidance on breastfeeding with COVID-19, from world-leading health organisations
and experts, applicable for NICU infants
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Explains the benefits of practicing mouth care (oropharyngeal care) with MOM for NICU infants, and demonstrates the
basic steps of the process for training NICU staff or families
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Introduces parents to the health and developmental benefits of skin to skin care, and demonstrates two ways to
transfer an infant from the incubator
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Outlines research findings and the clinical benefits of skin to skin care, and demonstrates effective techniques
and procedures for implementing the intervention with intubated infants
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From stabilising heart and breathing rates to fostering the development of personalised antibodies, this
straightforward practice offers astonishing benefits
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Describes the three main ways that mouth care (oropharyngeal care) with MOM may help protect NICU infants from
developing ear, throat and lung infections
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Discusses points to consider when supporting a mother to find the right size breast shield for optimal pumping.
Includes visual examples and discussions with a NICU mother
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Demonstrates how to assess for correct and comfortable breast shield fit, with examples from different pumping
mothers
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Offers different close-up views of correctly fitted breast shields
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Provides guidance on how to assess whether a breast shield is too large and offers points for selecting the correct
size and improving comfort
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Provides visual guidance to teach mothers how to correctly position the nipple in the breast-shield for optimal and
comfortable pumping
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Provides visual guidance to correct an off-centre breast shield and improve comfort
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Shows how to hold the breast shield to prevent excess pressure that could disrupt milk flow
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Demonstrates how to locate the nipple base and why this is important for effective and efficient pumping
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Demonstrates how to evaluate the nipple circumference for a comfortable breast shield fit
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Addresses differences in nipple elasticity, and why elasticity is relevant for pump-dependent mothers
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Explains why nipple ointment is important, especially for helping to prevent infection, and when it should be used
for pump-dependent mothers
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Demonstrates how a mother can optimise her breastmilk output while remaining comfortable
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Teaches mothers how to recognise when the breast has been fully drained, and why it is important
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Provides a visual example of breastmilk being ejected while pumping
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How to optimise lactation in the first two weeks after birth, key to enabling a long-lasting, abundant supply of
MOM
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How to identify an effective, efficient, and comfortable breast pump to sustain lactation if a preterm infant is
too small or sick to breastfeed
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What hormonal and physical reactions mothers can expect when using a breast pump
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A day-by-day look at ‘coming to volume’ in the first two weeks of lactation: What it means for NICU mothers and why
it is important for sustained MOM production
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From selecting the right breast-shield size to unclogging a milk duct, this checklist can help mothers pump
effectively, efficiently and comfortably
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Explains why pumping for preterm infants after NICU discharge is important, and addresses questions mothers may
have with practical guidelines
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A NICU specialist reviews the steps between pumping and feeding at breast to help a mother set realistic breastfeeding goals
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Demonstrates breastfeeding positions that support the infant's head and neck
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Demonstrates positioning the infant using the football hold
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Demonstrates positioning the infant using the cross-cradle hold
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A NICU specialist discusses differences in sucking patterns for full-term and preterm infants with a mother and grandmother
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A NICU specialist discusses the importance of continued breast pump use after NICU discharge with a mother and grandmother
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Demonstrates different options for correct application of a nipple shield onto the mother's breast
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A NICU specialist evaluates and discusses correct nipple shield size with a mother and grandmother
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A NICU specialist explains how and why nipple shields can help preterm infants breastfeed more effectively until suction pressures mature
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A NICU specialist discusses different breastfeeding behaviours of preterm and full-term infants with a new mother
and grandmother
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A NICU specialist discusses safe breastfeeding positions to support optimal suction of preterm infants with a new
mother and grandmother
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A breastfeeding mother describes her milk ejection experience with a NICU specialist, while breastfeeding her
preterm infant
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Helps prepare mothers for breastfeeding in the NICU, with practical tips and information about what they can expect
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Illustrates safe support and positioning for breastfeeding a preterm infant in the NICU and after discharge
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Offers tips to address specific preterm breastfeeding concerns and challenges mothers may experience after being
discharged from the NICU
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Describes how nipple shields help preterm infants breastfeed effectively and efficiently, and offers guidelines for
their appropriate use and care
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Explains the importance of conducting regular breast assessments for pump-dependent mothers
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Demonstrates how to teach mothers to perform a breast assessment
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Explains why nipple ointment is important, especially for helping to prevent infection, and when it should be used
for pump-dependent mothers
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Teaches mothers how to recognise when the breast has been fully drained, and why it is important
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resource
Mastitis: What it is and why it can be common in the NICU if pumping sessions are too short or too far
apart
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resource
Safe mastitis treatment, MOM feeding and MOM storage: Each process comes with differentiated instructions for
mothers of NICU infants
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resource
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Explains the important role grandmothers can play as active helpers for breastfeeding mothers
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A NICU specialist discusses differences in sucking patterns for full-term and preterm infants with a mother and
grandmother
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A NICU specialist evaluates and discusses correct nipple shield size with a mother and grandmother
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resource
A NICU specialist discusses different breastfeeding behaviours of preterm and full-term infants with a new mother
and grandmother
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resource
A NICU specialist discusses the importance of continued breast pump use after NICU discharge with a mother and
grandmother
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resource