Gastro-oesophageal reflux in the neonate: Clinical complexities and impact on midwifery practice

Mitchell, Alex, Lamb, Kathryn and Sanders, Ruth (2015) Gastro-oesophageal reflux in the neonate: Clinical complexities and impact on midwifery practice. British Journal of Midwifery, 23 (5). pp. 323-328. ISSN 0969-4900

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Abstract

Gastro-oesophageal reflux (GOR) is a common neonatal issue seen by midwives, which can develop into a complex clinical picture when symptoms give rise to gastro-oesophageal reflux disease (GORD), requiring further intervention and multidisciplinary team working. This article discusses the differences between GOR and GORD from a midwifery stance, highlighting the importance of effective communication with parents, and within the wider health-care professions. Early midwifery recognition and symptom clarity for both GOR and GORD are explored with management strategies and treatment options for both issues considered. As frontline practitioners during the puerperium, midwives are centrally placed to offer care and advice, emphasising the normality and self-limiting nature of GOR in the neonate and providing reassurance to parents. The importance of a meticulous feeding assessment and holistic midwifery approach to neonatal and maternal wellbeing is also examined. In light of the recently published national guidance, the care provision for babies experiencing GOR and GORD necessitates further midwifery consideration to ensure family-centred care.

Item Type: Article
Uncontrolled Keywords: gastro-oesophageal reflux,gastro-oesophageal reflux disease,midwives,puerperium,infant feeding,neonatal wellbeing
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: Pure Connector
Date Deposited: 09 May 2018 15:30
Last Modified: 25 Jul 2019 01:08
URI: https://ueaeprints.uea.ac.uk/id/eprint/66990
DOI: 10.12968/bjom.2015.23.5.323

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