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Recorded Webinar: Breastfeeding the Late Preterm Baby by Marsha Walker


Product Description


Approved for 1.5 L-CERPs

Approval number 1991102


Event recorded on:

April 5th, 1PM EST



Breastfeeding the Late Preterm Baby 

Presented by Marsha Walker


This presentation reviews the vulnerabilities of the late preterm infant (34-37 weeks) and offers specific guidelines for breastfeeding these babies and protecting the mother’s milk supply.




1. Participants will be able to discuss pertinent physical and developmental alterations in late preterm infants and mothers relative to establishing and maintaining breastfeeding.

2. Participants will be able to describe breastfeeding care plans for the late preterm infant.


3. Participants will be able to discuss interventions to assure adequate breastmilk intake in late preterm infants.





Immaturity or instability of cardiorespiratory system, temperature control, neurologic and immune systems, oro-motor control and development

  • Potential problems
  • Hypothermia
  • Hypoglycemia
  • Jaundice
  • Hydration
  • Weight gain

Latch complicated by respiratory instability in some positions, little stamina, immature state regulation, sleepiness, low tone, uncoordinated sucking

  • Positioning, latch, suck, and swallow
  • Optimizing feedings at breast
  • Use of specialized equipment
  • Pumps, shields,
  • Feeding devices

Written care plans, discharge, follow-up



marsha.jpgMarsha Walker, RN, IBCLC. Marsha is a registered nurse and international board certified lactation consultant. She has been assisting breastfeeding families in hospital, clinic, and home settings since 1976. Marsha is the executive director of the National Alliance for Breastfeeding Advocacy. NABA is the US IBFAN organization that monitors the International Code of Marketing of Breastmilk Substitutes. As such, she advocates for breastfeeding at the state and federal levels. She served as a vice president of the International Lactation Consultant Association (ILCA) from 1990-1994 and in 1999 as president of ILCA. She is a previous board member of the US Lactation Consultant Association, Baby Friendly USA, and the Massachusetts Breastfeeding Coalition. She serves as USLCA’s representative to the USDA’s Breastfeeding Promotion Consortium, NABA REAL’s representative to the US Breastfeeding Committee, Associate Editor of Clinical Lactation, and a board member of the Massachusetts Lactation Consultant Association. Marsha is an international speaker, and an author of numerous publications including ones on the hazards of infant formula use, Code issues in the US, and Breastfeeding Management for the Clinician: Using the Evidence, 4th edition.



Questions or concerns: ken@praeclaruspress.com



  1. Meier P, et al. Management of breastfeeding during and after the maternity hospitalization for late preterm infants. Clin Perinatol. 2013 Dec;40(4):689-705
  2. Briere CE, et al. Establishing Breastfeeding with the Late Preterm Infant in the NICU. J Obstet Gynecol Neonatal Nurs. 2015; 44:102-113.
  1. Kair LRet al. The experience of breastfeeding the late preterm infant: a qualitative study. Breastfeed Med. 2015 Mar;10(2):102-6.
  2. Parra-Llorca A, et al. Preterm gut microbiome depending on feeding type: significance of donor human milk. Front Microbiol 2018; 9:1376


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