Breastfeeding the Critically Unwell Child: A Call to Action

Abstract

IntroductionBreastfeeding rates among children who have a serious illness or congenital condition are lower than the general population. There are many barriers to maintaining lactation during a child's illness, and specific training issues among staff working in pediatric departments.MethodThis is a narrative review of some of the most common challenges highlighted during a literature search prior to a research study that is being undertaken to explore this phenomenon in greater detail.ResultsThere are many identified challenges for families of sick children. Lactation may be threatened or discontinued if the barriers are not adequately addressed. Lactation professionals working in any setting may work with families who are coping with difficulties that require more support.ConclusionBreastfeeding sick children, and those with complex medical conditions, requires adaptations and more specialized skills. Many families feel unsupported by their medical teams. Recommendations are made for collaborative working between pediatric medicine and surgery, nursing, oncology, radiology, dietetics, anesthetics, pain management, play therapy, child psychology, palliative care, social support, and lactation support.