Article, 2024

Motherhood after Spinal Cord Injury: Breastfeeding, Autonomic Dysreflexia, and Psychosocial Health: Clinical Practice Guidelines.

Topics in Spinal Cord Injury Rehabilitation, ISSN 1082-0744, 1945-5763, Volume 30, 2, Pages 9-36, 10.46292/sci23-00079

Contributors

Krassioukov, Andrei Vasilievich 0000-0002-0022-7972 [1] [2] [3] Elliott, Stacy Lorraine [1] [2] [3] Hocaloski, Shea [3] Krassioukova-Enns, Olga [4] Hodge, Karen [5] Gillespie, Stephanie [6] Caves, Sherry [7] Thorson, Teri 0000-0002-6809-976X [8] Alford, Lindsay [3] Basso, Melanie [6] Mccracken, Laura A 0000-0003-1663-2558 [2] Lee, Amanda [2] Anderson, Kim [9] Andretta, Elena [10] Chhabra, Harvinder Singh [11] Hultling, Claes 0000-0001-7502-9252 [12] Rapidi, Christina-Anastasia 0000-0003-3340-1444 [13] Sørensen, Fin-Biering [14] Zobina, Ineta [15] Theron, Francois [16] Kessler, Allison [17] Courtois, Frédérique Jeanne [18] Berri, Maryam [19]

Affiliations

  1. [1] University of British Columbia
    2. [NORA names: Canada; America, North; OECD];
  2. [2] International Collaboration On Repair Discoveries
    3. [NORA names: Canada; America, North; OECD];
  3. [3] GF Strong Rehabilitation Centre
    4. [NORA names: Canada; America, North; OECD];
  4. [4] Axioms of Inclusion, Winnipeg, Manitoba, Canada.
    5. [NORA names: Canada; America, North; OECD];
  5. [5] Adaptability Counselling and Consultation, Vancouver, BC, Canada.
    6. [NORA names: Canada; America, North; OECD];

Abstract

The World Health Organization (WHO) recommends that children be breastfed exclusively for the first 6 months of age. This recommendation may prove challenging for women with spinal cord injury (SCI) who face unique challenges and barriers to breastfeeding due to the impact of SCI on mobility and physiology. Tailored provision of care from health care professionals (HCPs) is important in helping women navigate these potential barriers. Yet, HCPs often lack the confidence and SCI-specific knowledge to meet the needs of mothers with SCI. An international panel of clinicians, researchers, consultants, and women with lived experience was formed to create an accessible resource that can address this gap. A comprehensive survey on breastfeeding complications, challenges, resources, and quality of life of mothers with SCI was conducted, along with an environmental scan to evaluate existing postpartum guidelines and assess their relevance and usability as recommendations for breastfeeding after SCI. Building on this work, this article provides evidence-based recommendations for HCPs, including but not limited to general practitioners, obstetricians, pediatricians, physiatrists, lactation consultants, nurses, midwives, occupational therapists, and physiotherapists who work with prospective and current mothers with SCI.

Keywords

Autonomous, Health Organization, Psychosocial, Spinal, World Health Organization, age, autonomic dysreflexia, barriers, breastfeeding, breastfeeding complications, care, care professionals, challenges, children, clinic, clinical practice guidelines, clinicians, complications, comprehensive survey, confidence, consultation, cord injury, dysreflexia, environmental scan, evidence-based recommendations, experiments, gap, general practitioners, guidelines, health, health care professionals, impact, impact of spinal cord injury, injury, international panel, international panel of clinicians, knowledge, lactate, lactation consultants, lives of mothers, midwives, mobility, months, months of age, mothers, nurses, obstetricians, occupational therapists, organization, panel of clinicians, pediatricians, physiatrists, physiology, physiotherapists, postpartum, potential barriers, practice guidelines, practitioners, professionals, provision, psychosocial health, quality, quality of life of mothers, recommendations, relevance, research, resources, scanning, spinal cord injury, survey, tailored provision, therapists, unique challenges, usability, women, world

Data Provider: Digital Science

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