Diane L. Spatz, PhD, RN-BC, FAAN

Diane L. Spatz, PhD, is director of CHOP’s Lactation Program and an internationally-recognized expert on breastfeeding and human lactation.

Locations: Main Campus
Appointments and Referrals: 1-800-TRY-CHOP (1-800-879-2467)

  • Background

    Diane L. Spatz, PhD, RN-BC, FAAN, is a nurse researcher and director of the Lactation Program at CHOP. She also shares a joint appointment as the Helen M. Shearer Term Chair in Nutrition and Professor of Perinatal Nursing at the University of Pennsylvania's School of Nursing.

    Dr. Spatz is an internationally known expert in the field of breastfeeding and human lactation. She is chair of the American Academy of Nursing’s Expert Panel on Breastfeeding and is the Academy’s representative to the U.S. Breastfeeding Committee. Dr. Spatz also serves as faculty for the Sigma Theta Tau and Johnson & Johnson Maternal-Child Leadership Academy.

    At CHOP, Dr. Spatz developed the Breastfeeding Resource Nurse program. Today, more than 650 staff nurses serve as breastfeeding resource nurses throughout the Hospital and the CHOP Care Network. Dr. Spatz is currently conducting several research projects related to the use of human milk and breastfeeding.

    Dr. Spatz has been recognized for her leadership at CHOP and globally in the field of human milk and breastfeeding. She is the 2009 recipient of the Dean’s Award for Exemplary Professional Practice at the University of Pennsylvania. In 2011, Dr. Spatz received the Expert Alumni Award from Penn’s School of Nursing, and the Family and Community Department’s Academic Practice Award.

  • Education and Training

    Medical School

    PhD – University of Pennsylvania School of Nursing, Philadelphia, PA

    Board Certification

    Board-certified perinatal nurse

    Undergraduate Degree

    BSN - University of Pennsylvania School of Nursing, Philadelphia, PA

    Graduate Degree

    MSN - University of Pennsylvania School of Nursing, Philadelphia, PA

  • Titles and Academic Titles

    Director, Lactation Program

    Professor of Perinatal Nursing and Helen M. Shearer Professor of Nutrition, University of Pennsylvania School of Nursing Professor of Healthcare of Women and Childbearing Nursing, University of Pennsylvania School of Nursing Faculty Advisor to Student Nurses at the University of Pennsylvania School of Nursing

  • Centers and Programs
  • Research Interests

    Breastfeeding, high-risk pregnancy and advanced practice nursing/models of care

  • Publications

    Books

    Chapters

    2012

    Spatz, D.L. (2012). Activism and breastfeeding advocacy in the United States. Policy & Politics in Nursing and Health Care (6th Ed.) (pp. 700-705). St. Louis: Elsevier Saunders.

    2004

    Barnsteiner, J.H., Kurlowicz, L.H., Lipman, T.H., Spatz, D.L., & Stringer, M. (2004). Establishing an evidence-based academic practice: The role of the clinician educator faculty. In L.K. Evans & N.M. Lang (Eds.), Academic nursing practice: Helping to shape the future of health care (pp. 205-219). New York: Springer.

    1996

    Cooley, M.E., Spatz, D.L., & Yasko, J. (1996). Role implementation in cancer nursing. In R. McCorkle., M. Grant, M. Frank-Stromborg & S. Baird (Eds.), Cancer nursing: A comprehensive textbook (2nd ed.) (pp. 25-37). Philadelphia: WB Saunders.

    1994

    Spatz, D.L. (1994). Contributor to: NSNA NCLEX-RN Review (2nd ed.) A.M. Stein & J.C. Miller (Eds.), New York: Delmar.

    Position Statements and Educational Modules

    Spatz, D.L., & Lessen, R. (2011). The Risks of Not Breastfeeding-Position Statement. The International Lactation Consultant Association.

    Spatz, D. L., & Edwards, T.M. (2009). National Association of Neonatal Nurses Position Statement: The Use of Human Milk and Breastfeeding in the Neonatal Intensive Care Unit (#3046). Glenview, IL: National Association of Neonatal Nurses.

    Pugh, L.C., & Spatz, D.L. (2007). Breastfeeding the Healthy Newborn (2nd Edition). March of Dimes.

    Abstracts

    Recent Funded Research

    Spatz, D.L., Froh, E. & Hanlon, A. A Prospective Cohort Study of Human Milk and Outcomes in Infants with Complex non-Cardiac Surgical Anomalies. Letter of intent under review: The March of Dimes Research Program. (2012-2014) Approximately $250,000.

    Torowicz, D., Spatz, D.L. Seelhorst, A. & Zhao. The Role of Human Milk and Breastfeeding in the Cardiac Intensive Care Unit. Funded: National Association of Pediatric Nurse Practitioners. $2,445 (2011-2012).

     Torowicz, D., Spatz, D.L., Seelhorst, A. & Zhao. The Role of Human Milk and Breastfeeding in the Cardiac Intensive Care Unit. Funded: Nursing Research. The Children’s Hospital of Philadelphia. $3,000 (2011-2012).

    Barnsteiner, J. Stringer, M. Spatz, D.L, Lynaugh, J. 25-Year Retrospective of the Clinician Educator (CE) Role at the University of Pennsylvania School of Nursing. Funded: University of Pennsylvania School of Nursing.
    $25,000 (2010 to present).

    Spatz, D.L., Cricco-Lizza, R. & Repetto, C. Mothers’ beliefs and experiences regarding breastfeeding in public urban areas. Funded: Penn Institute for Urban Research (O). $2,000 (2007).

    Spatz, D.L., Lorch, S., Miesnik, S., & Gatti, L.R. The use of human milk and outcomes of infants with congenital surgical anomalies. Funded: The Center for Nursing Outcomes Research (PP). University of Pennsylvania. $10,000 (2006-2007).

    Spatz, D. L. Breastfeeding promotion at primary care Market Street. Funded: Pennsylvania Department of Health (TG). $5,900 (2006-2008).

    Papers

    2014

    Torowicz DL, Seelhorst A, Froh EB, Spatz DL. Human Milk and Breastfeeding Outcomes in Infants with Congenital Heart Disease. Breastfeed Med. 2014 Nov 6. [Epub ahead of print] Read the abstract

    Spatz DL, Kim GS, Froh EB. Outcomes of a Hospital-Based Employee Lactation Program. Breastfeed Med. 2014 Nov 7. [Epub ahead of print] Read the abstract

    Congenital Hyperinsulinism: exclusive human milk and breastfeeding. Edwards TM, Spatz DL. Adv Neonatal Care. 2014 Aug;14(4):262-6. Read the abstract.

    Characteristics of the NICU Work Environment Associated With Breastfeeding Support. Hallowell SG, Spatz DL, Hanlon AL, Rogowski JA, Lake ET. Adv Neonatal Care. 2014 Aug;14(4):290-300. Read the abstract.

    The Birth of the GEMs Group: Implementation of Breastfeeding Peer Support in a Children’s Hospital. Kristoff KC, Wessner R, Spatz DL. Adv Neonatal Care. 2014 Aug;14(4):274-80. Read the abstract.

    Implementation of a human milk management center. Spatz DL, Schmidt KJ, Kinzler S. Adv Neonatal Care. 2014 Aug;14(4):253-61. Read the abstract.

    2012

    Duran, M., & Spatz, D.L. (In Press). A case study: Mother with glandular hypoplasia and a late preterm infant. Journal of Human Lactation.

    Spatz, D.L., Raphael, L., & Froh, E. (In Press). Breastfeeding the infant with congenital diaphragmatic hernia post extracorporeal membrane oxygenation. Neonatal Network.

    Boyd, A., & Spatz, D.L. (In Press). Breastfeeding and Human Lactation: Education and Curricular Issues for Pediatric Nurse Practitioners. Journal of Pediatric Health Care.

    Spatz, D.L. (In Press). Innovations in the provision of lactation support for infants requiring intensive care. The Journal of Obstetric, Gynecologic, and Neonatal Nursing.

    Hallowell, S.G., & Spatz, D.L. (In Press). The relationship of brain development and breastfeeding in the late preterm infant. <The Journal of Pediatric Nursing.

    2011

    Spatz, D.L. (2011). The surgeon general’s call to breastfeeding action-policy and practice implications for nurses. Nursing Outlook, 59(3), 174-176. 

    Carwell, M.L., & Spatz, D.L. (2011). Eating disorders and breastfeeding. The American Journal of Maternal Child Nursing, 36(2), 112-117.

    Hinson, T., & Spatz, D.L. (2011). Here to Stay: A Model for Improving Nurse Retention in Large Tertiary Acute Care Setting. Journal of Nursing Administration, 41(3), 103-108.2

    2010

    Prime, D.K., Geddes, D.G., Spatz, D.L., Trengove, N.J., & Hartmann P.E. (2010). ISRHML Abstracts: The effect of breast shield size and anatomy on milk removal in women. Journal of Human Lactation, 26, 419-445.

    Edwards, T.E., & Spatz, D.L. (2010). An innovative model for achieving breastfeeding success in infants with complex surgical anomalies. The Journal of Perinatal and Neonatal Nursing, 24(3), 254-255.

    Pugh, L.C., Serwint, J.R, Frick, K.D., Nanda, J. P., Sharps, P. W., Spatz, D.L., & Milligan, R.A. (2010). A randomized controlled community-based trial to improve breastfeeding rates among urban low-income mothers. Academic Pediatrics, 10(1), 14-20.

    Spatz, D. L. (2010). Roles and responsibilities of health professions: Focus on nursing. Breastfeeding Medicine, 5(5), 243-244.

    Spatz, D.L. (2010). The critical role of nurses in lactation support. Editorial. The Journal of Obstetric, Gynecologic and Neonatal Nursing, 58(11), 458-461.

    2009

    Prime, D.K, Geddes, D.T., Spatz, D.L., Robert, M., Trengrove, N.J., & Hartmann, P.E. (2009). Using milk flow rate to investigate milk ejections in the left and right breasts during simultaneous breast expression in women. International Breastfeeding Journal, 4(10).

    Averbach, T., & Spatz, D.L. (2009). Breastfeeding mothers and violence: What nurses need to know. The American Journal of Maternal Child Nursing, 34(5), 284-289.

    Convery, K., & Spatz, D.L. (2009). Sexuality and breastfeeding: What do you know? The American Journal of Maternal Child Nursing, 34(4), 218-223. 

    2008

    Wittig, S.L., & Spatz, D.L. (2008). Induced lactation: Gaining a better understanding. The American Journal of Maternal Child Nursing, 33(2), 76-81.

    Posters and Presentations

    2011

    Human Milk and Breastfeeding for Infants Born with Complex Surgical Anomalies. Baby Friendly Neonatal Care Conference and Workshop, Uppsala, Sweden. Sept. 14, 2011 (Paper).

    A Comprehensive Nurse Driven Model of Lactation Support for Vulnerable Infants. Baby Friendly Neonatal Care Conference and Workshop, Uppsala, Sweden. Sept. 15, 2011 (Paper and Poster).

    Pumping Initiation Patterns and Milk Volumes in Mothers of Infants Born with Congenital Anomalies. Baby Friendly Neonatal Care Conference and Workshop, Uppsala, Sweden. Sept. 14, 2011 (Poster).

    Innovations in the Provision of Lactation Support for Infants Requiring Intensive Care. South Jersey Lactation Consultant Association, Voorhees, NJ. Oct. 4, 2011 (Invited Speaker).

    Human Milk and Breastfeeding: Translating the Science to Practice. Distinguished Lecture for University of South Florida College of Nursing, Tampa, FL. Oct. 3, 2011 (Invited Speaker).

    It’s All About the Milk: Evaluating and Reassuring Milk Supply Concerns. Florida State Association of Certified Nurse Midwives, Tampa, FL. Oct. 1, 2011 (Invited Keynote Speaker).

    Case Studies in Breastfeeding Success for Infants with Congenital Surgical Anomalies. Association of Women’s Health, Obstetrical and Neonatal Nurses Annual Conference, Denver, CO. June 2011 (Poster). 

    Innovations in Lactation Support for Infants Born with Complex Surgical Anomalies. Association of Women’s Health, Obstetrical and Neonatal Nurses Annual Conference, Denver, CO. June 2011 (Poster).  

    Achieving Breastfeeding Success for Infants Born with Congenital Surgical Anomalies. 2nd Annual Care of the Sick Newborn Conference, Holtz Children’s Hospital, University of Miami/Jackson Memorial Medical Center, Miami, FL. May 19, 2011 (Invited Speaker).

    Physiology of Lactation. Neonatal Fellowship Physiology Lecture Series. Jefferson Medical College/Dupont Hospital for Children/Christina Care Health System, Philadelphia, PA. April 28, 2011 (Invited speaker).

    Why Having a PhD in Nursing is Fun: Changing Clinical Practice for High Risk Mothers and Babies. National Student Nurses Association, Salt Lake City, UT. April 7, 2011.

    Using the Evidence for Human Milk and Breastfeeding in the NICU. Pursuing Evidence Based Practice in the NICU, Dupont Hospital, Wilmington, DE. April 4, 2011 (Invited Speaker).

    Preparing the Family for a Special Delivery. Update of Prenatal Diagnosis and Treatment of Fetal Anomalies, Philadelphia, PA. March 17, 2011 (Invited Speaker).

    2010

    McIlhenny, C., Brodecki, D., Paris, D., Chen-Lim, M.L., Barton, S., & Spatz, D. Evaluation of Breastfeeding Support Interventions in Pediatric Primary Care. International Council on Women’s Health Issues Conference, 18th Congress on Women's Health Issues, Cities and Women’s Health: Global Perspectives, Philadelphia, PA. April 8-9, 2010 (Poster).

    Human Milk in the NICU: Translating Evidence into Practice. Full Day-8 Hour Course, Saskatchewan, Canada. March 17, 2010 (Invited Speaker)

    Helpful Hints for Pediatricians to Support Breastfeeding. Grand Rounds for Quillen College of Medicine, Eastern Tennessee State University, Bristol, TN. Oct. 18, 2010 (Invited Speaker).

    McIlhenny, C., Brodecki, D., Paris, D., Chen-Lim, M.L., Barton, S., & Spatz, D. Evaluation of Breastfeeding Support Interventions in Pediatric Primary Care. Children’s Hospital of Pittsburgh Nursing Research Conference, Pittsburgh, PA. July 23, 2010 (Oral Presentation).

    Human Milk and Breastfeeding Education. Saint Joseph’s Hospital for Women, Tampa, FL. April 21, 2010 (Invited Speaker).

    You can have it all!-Being a Nurse with a PhD and Changing Clinical Practice for High Risk Mothers and Babies. National Student Nurses Association 58th Annual Convention, Lake Buena Vista, FL. April 9, 2010 (Invited Speaker).

    McIlhenny, C., Brodecki, D., Chen-Lim, M., Barton, S. Spatz, D.L. Evaluation of Breastfeeding Support Interventions in Pediatric Primary Care.  International Council on Women’s Health Issues 18th Annual Conference, Philadelphia, PA. April 8, 2010 (Poster Presentation). 

    Breastfeeding and Medications. Children’s Hospital of Philadelphia Advanced Practice Nurse Pharmacology Series, Philadelphia, PA. March, 31, 2010 (Invited Speaker).

    2009

    Project Transition: Transitioning Surgical Infants to At Breast Feeds. The Maternal Child Health Leadership Academy: Leadership Projects for Advancing Maternal Child Nursing Care. Sigma Theta Tau International 40th Biennial Convention, Indianapolis, IN. Nov. 3, 2009 (Invited Speaker).

    Human Milk in the NICU: Translating Evidence into Practice. Full Day-8 Hour Course, Toronto, Canada. May 27, 2009. 

    Strategies for Achieving Human Milk/Breastfeeding as the Standard of Care in Vulnerable Infants. The Delaware Valley Association of Neonatal Nurses Annual Fall Conference, Voorhees, NJ. Oct. 23, 2009 (Invited Speaker).

    Achieving Breastfeeding Success: The Background. Pennsylvania Resource Organization for Lactation Consultants, Philadelphia, PA. Sept. 14, 2009 (Invited Speaker).

    The Value of Human Milk and Breastfeeding. South Jersey Regional Medical Center, Vineland, NJ. May 28, 2009 (Invited Speaker).

    The Value of Human Milk & Breastfeeding. Identifying Strategies for Changing Culture to Support Breastfeeding, Princeton Medical Center, Princeton, NJ. May 8, 2009 (Invited Keynote Speaker).

    Supporting Breastfeeding: Changing Culture. Family Health Council of Central Pennsylvania, Inc., Camp Hill, PA. April 30, 2009 (Invited Speaker).

    2008

    The Value of Human Milk and Changing Institutional Culture to Support Breastfeeding. Atlantic City Medical Center and the South Jersey Perinatal Cooperative. Dec. 8, 2008 (Invited Speaker).

    Nursing Grand Rounds: Changing Institutional Culture. Ten Steps for Promoting and Protection Breastfeeding in Vulnerable Populations. 

    Human Milk in Infants with Congenital Surgical Anomalies, Miami Children’s Hospital, Miami, FL. October 10, 2008 (Invited Speaker)

    Nursing Research: It is Not as Scary as it Sounds: How to Get Involved as a Student. National Student Nurses Association, Grapevine, TX. March 29, 2008.

    Helping Mothers Achieve Lactation Success. Keystone Mercy Health Plan, Essington, PA. Feb. 25, 2008 (Invited Speaker).

    Changing Institutional Culture: From Sabotage to Support. Emory Breastfeeding Conference, Atlanta, GA. Feb. 16, 2008 (Invited Speaker).

    Donor Milk. Emory Breastfeeding Conference, Atlanta, GA. Feb. 15, 2008 (Invited Speaker).

  • Editorial and Academic Positions

    Manuscript Review

    2010-present, Biomed Central
    2003-present, Journal of Human Lactation
    2000-present, 
    Computers in Nursing
    2000-present, 
    The Nursing Spectrum/Nurse.com
    1996-present, 
    Journal of the Society of Pediatric Nurses