Briere, Carrie-Ellen

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Assistant Professor
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Briere
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Carrie-Ellen
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Maternal, Child Health and Neonatal Nursing
Nursing
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Introduction
My work is focused on the protection and promotion of breastfeeding by investigating the bioactive components, specifically stem cells, of milk and their role in infant health. I focus primarily on preterm infants and the importance of stem cells with a clinical focus on milk handling and delivery factors which influence the bio-availability of milk components. 
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2015 - 20163
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Now showing 1 - 3 of 3
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    Publication
    Direct-Breastfeeding in the Neonatal Intensive Care Unit and Breastfeeding Duration for Premature Infants
    (2016-01) Briere, Carrie-Ellen; McGrath, Jacqueline M.; Cong, Xiaomei; Brownell, Elizabeth; Cusson, Regina
    Aim To explore the relationship between direct-breastfeeding in the neonatal intensive care unit (NICU) and breastfeeding duration after discharge. Background Initiating and maintaining breastmilk feeding is an important goal that begins in the NICU. Little is known about direct-breastfeeding in the NICU and its relation to breastfeeding duration. Methods Chart review of 46 infants (< 32 weeks gestational age or < 1500 grams) whose mothers provided breastmilk. Results One month after discharge, mothers still providing breastmilk were more likely to have provided ≥ 1 direct-breastfeed per day in the NICU (21.16, CI: 3.13–143.25, p < 0.01) and had prior breastfeeding experience (OR: 9.16, CI: 1.02–82.34, p < 0.05). At 4 months, mothers still providing breastmilk were more likely to have provided ≥ 1 direct-breastfeed per day in the NICU (OR: 12.80, CI: 1.39–118.32, p < 0.05). Conclusions Direct-breastfeeding in the NICU may play an essential role in preparing mothers for breastfeeding after discharge, thus potentially impacting breastfeeding duration.
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    Current Practice of Neonatal Resuscitation Documentation in North America: A Multi-Center Retrospective Chart Review
    (2015-01) Braga, Matthew S.; Kabbur, Prakash; Alur, Pradeep; Goodstein, Michael H.; Roberts, Kari D.; Satrom, Katie; Shivananda, Sandesh; Goswami, Ipsita; Pappagallo, Mariann; Briere, Carrie-Ellen; Suresh, Gautham
    Background To determine the comprehensiveness of neonatal resuscitation documentation and to determine the association of various patient, provider and institutional factors with completeness of neonatal documentation. Methods Multi-center retrospective chart review of a sequential sample of very low birth weight infants born in 2013. The description of resuscitation in each infant’s record was evaluated for the presence of 29 Resuscitation Data Items and assigned a Number of items documented per record. Covariates associated with this Assessment were identified. Results Charts of 263 infants were reviewed. The mean gestational age was 28.4 weeks, and the mean birth weight 1050 g. Of the infants, 69 % were singletons, and 74 % were delivered by Cesarean section. A mean of 13.2 (SD 3.5) of the 29 Resuscitation Data Items were registered for each birth. Items most frequently present were; review of obstetric history (98 %), Apgar scores (96 %), oxygen use (77 %), suctioning (71 %), and stimulation (62 %). In our model adjusted for measured covariates, the institution was significantly associated with documentation. Conclusions Neonatal resuscitation documentation is not standardized and has significant variation. Variation in documentation was mostly dependent on institutional factors, not infant or provider characteristics. Understanding this variation may lead to efforts to standardize documentation of neonatal resuscitation.
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    Publication
    Breast Milk Stem Cells: Current Science and Implications for Preterm Infants
    (2016-01) Briere, Carrie-Ellen; McGrath, Jacqueline M.; Jensen, Todd; Matson, Adam; Finck, Christine
    Background: The benefits of breast milk are well described, yet the mechanistic details related to how breast milk protects against acute and chronic diseases and optimizes neurodevelopment remain largely unknown. Recently, breast milk was found to contain stem cells that are thought to be involved in infant development. Purpose: The purpose of this review was to synthesize all available research involving the characterization of breast milk stem cells to provide a basis of understanding for what is known and what still needs further exploration. Methods/Search Strategy: The literature search was conducted between August and October 2015 using the CINAHL, PubMed, and reference list searching. Nine studies addressed characterization of human breast milk stem cells. Findings/Results: Five research teams in 4 countries have published studies on breast milk stem cells. Current research has focused on characterizing stem cells in full-term breast milk. The amount, phenotype, and expression of breast milk stem cells are known to vary between mothers, and they have been able to differentiate into all 3 germ layers (expressing pluripotent characteristics). Implications for Practice: There is much to learn about breast milk stem cells. Given the potential impact of this research, healthcare professionals should be aware of their presence and ongoing research to determine benefits for infants. Implications for Research: Extensive research is needed to further characterize stem cells in breast milk (full-term and preterm), throughout the stages of lactation, and most importantly, their role in the health of infants, and potential for use in regenerative therapies.