Comment 1Disparities related to ethnic and cultural groups can be a big blow and affect low birth weight infants and preterm babies in matters relating to health. Ethnic groups which do not have English as the first language have a lot of problems in utilizing some medical resources. Failures to use these medical resources are likely to lead to medical complication from lack of prenatal care and education that is offered in the medical facilitiesMany impacts are likely to face a family where an infant has been born prematurely or has a low birth rate. Apparently, the social, economic impact is one of the effects of preterm infants as it is very costly to treat an infant with that. It is estimated on average that a preterm born infant is likely to cost the family 51600USD (Patel et al. 2015). Moreover, there are also indirect costs such as loss of income during the period the child is undergoing treatment which is not included in the figure due to the difference in income of different families. Comorbidities associated with prematurity include the development of lung diseases which serve as a long-term effect of premature birth.Association of Perinatal Networks brings out all the stakeholders that provide care to premature infants and children and comes up with ways to better the services in the health centers as well as the communities in which they reside.( http://www.reachcny.org/apn-premature-infant-health-network-weekly-preemie-memo-memo.cfm). The service adequately serves the need of this people as it can come up with final suggestion and discuss the best methods to use to ensure proper services to the infants and the family.Comment 2During the assessment I would ask the mother whather feeding preference is. If she said she wanted to breastfeed, I would askher what her reservations about breastfeeding are. According to the SurgeonGeneral’s Call to Action, two of the main reasons mothers don’t breastfeed islack of knowledge and practices incorporated by the hospital that makebreastfeeding difficult. I would then in a supportive way educate her on thebenefits of breastfeeding. If at this point she still denies wanting tobreastfeed, I would support her decision. This mother and baby can stillbenefit from skin to skin after birth, rooming in and delayed bathing. I wouldeducate this mother on the feeding cues to look for, how much formula the babyshould be taking at each feeding and how often the baby should be feeding.Additional information this mother needs is how to properly prepare the formulaand when to discard it. Often mothers try to make the formula last longer bydiluting it. It is important for the mothers to understand this is not a safe,healthy practice and the formula should be prepared according to the statedinstructions.If after hearing the benefits the mother decidesshe wants to breastfeed, I would educate her on skin to skin immediately afterbirth, feeding positions, feeding cues, how often to breastfeed, how to handexpress, correct latch, avoiding artificial nipples, avoiding any formulaunless medically necessary and delayed bathing. I would help her as much asneeded during the first feed and whenever else she needed it. I would encourageher to exclusively breastfeed if medically possible. I would educate her on howto maintain lactation if she is separated from her baby. She would need tolearn proper storage of breastmilk and how long it can be stored. Finally, avaluable resource is breastfeeding support once she leaves the hospital. Thereare community support groups and other resources a mother can reach out toif she needs help or encouragement.
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