|Jill Demirci Biography & Abstract|
Jill Demirci, PhD, RN, IBCLC
Postdoctoral Associate at the University of Pittsburgh School of Medicine, Department of Pediatrics
Jill Demirci, PhD, RN, IBCLC is a Postdoctoral Associate at the University of Pittsburgh School of Medicine, Department of Pediatrics. In September 2016, she will transition to a tenure-stream faculty position as Assistant Professor at the University of Pittsburgh School of Nursing Department of Health Promotion & Development. Dr. Demirci is a PhD-prepared nurse researcher, practicing internationally board-certified lactation consultant, and recent NIH K99/R00 career development award recipient. Her research focuses on clinical breastfeeding support, specifically psychological and perceptual barriers to extended, exclusive breastfeeding, breastfeeding messaging and impact of clinician communication on infant feeding decisions, breastfeeding management in vulnerable populations, and etiology and management of perceived insufficient breast milk supply.
Antenatal milk expression (AME) is a simple, cost-effective technique that capitalizes on milk production beginning in mid-pregnancy by teaching women how to hand-express, collect and store milk beginning at 36 weeks gestation. Milk can be used if needed in the postpartum period, and women also develop confidence in handling breasts and expressing milk prior to delivery, when they may be more receptive to learning. There is some evidence suggesting AME can lead to a larger postpartum milk supply and improved breastfeeding duration and exclusivity. AME has demonstrated safety, acceptability, and some improvement in breastfeeding outcomes among diabetic women. It has not yet been examined in other populations at-risk for poor milk supply and premature breastfeeding cessation. In the current study, we will examine the feasibility and acceptability of AME in an at-risk population—mothers of infants with congenital anomalies requiring surgical correction shortly after birth (i.e., surgical infants). These mothers are at heightened risk for poor breastfeeding outcomes due to their infants’ statuses after birth prohibiting oral feeds and subsequent dependence on a breast pump to establish a milk supply. As such, we hypothesize that surgical infants will have low rates of breastfeeding (or receiving their mother’s own milk (MOM)) and thus a need for AME, that infants with certain surgical anomalies and characteristics will be at greater risk than others of not receiving MOM, and that mothers of surgical infants will be receptive to an intervention designed to increase provision of MOM. To test these hypotheses, we propose the following two specific aims: 1)