Diane L. Spatz, PhD, RN-BC, FAAN, is a nurse scientist with 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.
Perinatal Nurse - Board Certified (RN-BC)
BSN - University of Pennsylvania School of Nursing, Philadelphia, PA
PhD – University of Pennsylvania School of Nursing, Philadelphia, PA
MSN - University of Pennsylvania School of Nursing, Philadelphia, PA
Nurse Scientist, 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
Breastfeeding, high-risk pregnancy and advanced practice nursing/models of care
Acquaye, S. N., & Spatz, D. L. (2023). Black Families Who Choose Long-Term Breastfeeding. MCN. The American journal of maternal child nursing, 10.1097/NMC.0000000000000969. Advance online publication. https://doi.org/10.1097/NMC.0000000000000969
Dario, H., & Spatz, D. L. (2023). An Integrative Review of Breastfeeding and Homelessness. Nursing for women's health, S1751-4851(23)00194-0. Advance online publication. https://doi.org/10.1016/j.nwh.2023.06.002
Dell, L. G., & Spatz, D. L. (2023). Managing tandem breastfeeding during acute hospitalization: A case study. Journal of pediatric nursing, S0882-5963(23)00203-8. Advance online publication. https://doi.org/10.1016/j.pedn.2023.07.025
Arscott-Mills, T., Mogotsi, T., Takoushian, E., Ohrenschall, R, Natstad, B., Spatz, D.L (2023). A Need for a Paradigm Change for Human Milk & Breastfeeding Education for Sick Infants: Lessons from Botswana. African Journal of Neonatology, 1(2), 51-159.
Elgersma, K. M., Spatz, D. L., Fulkerson, J. A., Wolfson, J., Georgieff, M. K., Looman, W. S., Shah, K. M., Uzark, K., & McKechnie, A. C. (2023). Patterns of Breastfeeding and Human Milk Feeding in Infants with Single-Ventricle Congenital Heart Disease: A Population Study of the National Pediatric Cardiology Quality Improvement Collaborative Registry. Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine, 18(4), 315–325. https://doi.org/10.1089/bfm.2023.0036
Lisanti, A. J., Vittner, D. J., Peterson, J., Van Bergen, A. H., Miller, T. A., Gordon, E. E., Negrin, K. A., Desai, H., Willette, S., Jones, M. B., Caprarola, S. D., Jones, A. J., Helman, S. M., Smith, J., Anton, C. M., Bear, L. M., Malik, L., Russell, S. K., Mieczkowski, D. J., Hamilton, B. O., … Butler, S. C. (2023). Developmental care pathway for hospitalised infants with CHD: on behalf of the Cardiac Newborn Neuroprotective Network, a Special Interest Group of the Cardiac Neurodevelopmental Outcome Collaborative. Cardiology in the young, 1–18. Advance online publication. https://doi.org/10.1017/S1047951123000525
Acquaye, S. N., & Spatz, D. L. (2023). Lactation Experiences of Black Mothers Who Breastfed a Child Beyond Age One. Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine, 18(4), 326–333. https://doi.org/10.1089/bfm.2022.0284
Gyamfi, A., Spatz, D. L., Jefferson, U. T., Lucas, R., O'Neill, B., & Henderson, W. A. (2023). Breastfeeding Social Support Among African American Women in the United States: A Meta-Ethnography. Advances in neonatal care : official journal of the National Association of Neonatal Nurses, 23(1), 72–80. https://doi.org/10.1097/ANC.0000000000001021
Kawan, M., Gregory, E. F., & Spatz, D. L. (2022). Improving breastfeeding care & support in a large, urban, pediatric primary care practice. Journal of pediatric nursing, S0882-5963(22)00253-6. Advance online publication. https://doi.org/10.1016/j.pedn.2022.10.007
Gyamfi, A., Jefferson, U. T., O'Neill, B., Lucas, R., Spatz, D. L., & Henderson, W. A. (2022). Disparities in 6 Month Exclusive Breastfeeding in Ghana, Africa: A Scoping Review. Journal of human lactation: official journal of International Lactation Consultant Association, 8903344221130988. Advance online publication. https://doi.org/10.1177/08903344221130988
Rosetti, M. A., & Spatz, D. L. (2022). Effects of Acupressure on Lactation: An Integrated Review. MCN. The American journal of maternal child nursing, 47(6), 345–352. https://doi.org/10.1097/NMC.0000000000000866
Froh, E. B., & Spatz, D. L. (2022). Lactation Outcomes After Participation in a Tailored Prenatal Nutrition Consultation Among Women With Infants With Congenital Anomalies. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN, S0884-2175(22)00291-X. Advance online publication. https://doi.org/10.1016/j.jogn.2022.07.007
Swanson, N. M., Elgersma, K. M., McKechnie, A. C., McPherson, P. L., Bergeron, M. J., Sommerness, S. A., Friedrich, C. L., & Spatz, D. L. (2022). Encourage, Assess, Transition (EAT): A Quality Improvement Project Implementing a Direct Breastfeeding Protocol for Preterm Hospitalized Infants. Advances in neonatal care : official journal of the National Association of Neonatal Nurses, 10.1097/ANC.0000000000001037. Advance online publication. https://doi.org/10.1097/ANC.0000000000001037
Paraszczuk, A., Candelaria, L., Hylton-McGuire, K. (2022).The Voice of Mothers who Continue to Express Milk for Donation after Infant Death. Breastfeeding Medicine, 47(3), 170. https://doi.org/10.1097/NMC.0000000000000818
Elgersma, K.M., McKechnie, A.C., Schorr, E.N., Shah, K.M., Trebilcock, A.L., Ramel, S.E., Ambrose, M.B., Swanson, N.M., Sommerness, S.A., & Spatz, D.L. (2022). The Impact of Human Milk on Outcomes for Infants with Congenital Heart Disease: A Systematic Review. Breastfeeding Medicine, 10.1089/bfm.2021.0334. https://doi.org/10.1089/bfm.2021.0334 [Epub Ahead of Print]
Davis, J.A., Glasser, M., Spatz, D. L., & Demirci, J. R. (2022). First Feed Type is Associated with Birth/Lactating Parent’s Own Milk Use During NICU Stay Among Infants Who Require Surgery. Advances in Neonatal Care, 10.1097/ANC.0000000000000981. https://doi.org/10.1097/ANC.0000000000000981 [Epub Ahead of Print]
Juntereal, N. A., & Spatz, D. L. (2021). Mothers' Experiences with Antenatal Milk Expression. MCN. The American journal of maternal child nursing, 46(5), 277–283. https://doi.org/10.1097/NMC.0000000000000749
Marhefka, S. L., Livingston, T. A., Lockhart, E., Hernandez, I., Spatz, D. L., & Louis-Jacques, A. F. (2021). A Statewide Evaluation of the Breastfeeding Resource Nurse Model. Nursing for women's health, 25(5), 337–345. https://doi.org/10.1016/j.nwh.2021.07.007
Louis-Jacques, A. F., Vereen, S., Hernandez, I., Običan, S. G., Deubel, T. F., Miller, E. M., Spatz, D. L., & Wilson, R. E. (2021). Impact of Doula-Led Lactation Education on Breastfeeding Outcomes in Low-Income, Minoritized Mothers. The Journal of perinatal education, 30(4), 203–212. https://doi.org/10.1891/J-PE-D-20-00022
Froh, E. B., Lee, R., & Spatz, D. L. (2021). The critical window of opportunity: Lactation initiation following cesarean birth. Breastfeeding Medicine, 16(3), 258-263. https://doi.org/10.1089/bfm.2020.0155
Juntereal, N. A., & Spatz, D. L. (2021). Integrative Review of Antenatal Milk Expression and Mother-Infant Outcomes During the First 2 Weeks After Birth. Journal of obstetric, gynecologic, and neonatal nursing: JOGNN, 50(6), 659–668. https://doi.org/10.1016/j.jogn.2021.07.003
Sinkiewicz-Darol, E., Bernatowicz-Łojko, U., Łubiech, K., Adamcyk, I., Twarużek, M., Baranowska, B., Skowron, K., & Spatz, D.L. (2021). Tandem Breastfeeding: A Descriptive Analysis of the Nutritional Value of Milk when Feeding a Younger and Older Child. Nutrients, 13(1), 277. https://doi.org/10.3390/nu13010277
Butudom, A., McFarlin, B. L., Klima, C. S., Spatz, D. L., Kennelly, J. F., McCreary,
L. L., Patil, C. L., & Koenig, M. D. (2021). Behavior outcomes of breastfeeding-friendly policies among Thai mothers working in a factory: A descriptive study. Pacific Rim International Journal of Nursing Research, 25(1), 87-101. https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/240651
Acquaye, S.N., & Spatz, D.L. (2021). An integrative review: The role of the doula in breastfeeding initiation & duration. The Journal of Perinatal Education, 30(1), 29-47. http://dx.doi.org/10.1891/J-PE-D-20-00037
Spatz, D. L., & Froh, E. B. (2021). Birth and breastfeeding in the hospital setting during the COVID-19 pandemic. American Journal of Maternal/Child Nursing, 46(1), 30-35. https://doi.org/10.1097/NMC.0000000000000672
Hinson, T. D., Skinner, A. C., & Spatz, D. L. (2021). Subject matter experts identify health equity concerns in breastfeeding for African American women. Journal of Perinatal & Neonatal Nursing, 35(2), 160-168. https://doi.org/10.1097/JPN.0000000000000486
Elgersma, K. M., Chevalier-McKechie, A., Gallagher, T., Trebilcock, A. L., Pridham,
K. F., & Spatz, D. L. (2021). Feeding infants with complex congenital heart disease: a modified Delphi survey to examine potential research and practice gaps. Cardiology in the Young, 31(4), 577-588. https://doi.org/10.1017/S1047951120004370
Froh, E. B., Schwarz, J., & Spatz, D. L. (2020). Lactation outcomes among dyads following participation in a model of group prenatal care for patients with prenatally diagnosed fetal anomalies. Breastfeeding Medicine, 15(11), 698-702. https://doi.org/10.1089/bfm.2020.0061
McNally, D. A., & Spatz, D. L. (2020). Mothers who engage in long-term informal milk sharing. American Journal of Maternal/Child Nursing, 45(6), 338-343. https://doi.org/10.1097/NMC.0000000000000660
Takako, H., Mizue, M., Izumi, H., Chie, O., Harue, T., Uchida, M., & Spatz, D. L. (2020). Improving human milk and breastfeeding rates in a perinatal hospital in Japan: A quality improvement project. Breastfeeding Medicine, 15(8), 538-545. https://doi.org/10.1089/bfm.2019.0298
Bressler, T., Dambra-Candelaria, L. M, & Spatz, D. L. (2020). Informal milk sharing for the hospitalized at-risk infant in the ultra-Orthodox-Haredi Jewish community in the United States. Breastfeeding Medicine, 15(5), 335-340. https://doi.org/10.1089/bfm.2019.0216
Tangsuksan, P., Ratinthorn, A., Sindhu, S., Spatz, D.L., & Viwatwongkasem, C. (2020). Factors influencing exclusive breastfeeding among urban employed mothers: A case-control study. Pacific Rim International Journal of Nursing Research, 24(1), 54-72. https://www.tci-thaijo.org/index.php/PRIJNR/article/view/169846
Lisanti, A. J., Buoni, A., Steigerwalt, M., Daly, M., McNelis, S., & Spatz, D. L. (2020). Kangaroo care for hospitalized infants with congenital heart disease. American Journal of Maternal/Child Nursing, 45(3), 163-168. https://doi.org/10.1097/NMC.0000000000000612
Louis-Jacques, A. F., Wilson, R., Dean, K., Hernandez, I., Spatz, D., & Običan, S. (2020). Improving drug exposure knowledge during lactation: Quality improvement initiative in low-income women. Breastfeeding Medicine, 15(3), 140-146.
https://doi.org/10.1089/bfm.2019.0222
Juntereal, N. A., & Spatz, D. L. (2020). Breastfeeding experiences of same-sex mothers. Birth, 47(1), 21-28. https://doi.org/10.1111/birt.12470
Juntereal, N.A., & Spatz, D.L. (2019). Breastfeeding experiences of same-sex mothers. Birth. doi: 10.1111/birt.12470 [Epub ahead of print]
Spatz, D.L., & Froh, E.B. (2019). Human milk and breastfeeding outcomes of infants with myelomeningocele. Advances in Neonatal Care, 19(5), 376-382.
doi: 10.1097/ANC.0000000000000653
Spatz, D.L. (2019). Protecting breastfeeding for adolescents who return to school. American Journal of Maternal Child Nursing, 44(4), 236. doi: 10.1097/NMC.0000000000000541
Spatz, D.L., Froh, E.B., Bartholomew, D., Edwards, T., Wild, K.T., Hedrick, H., & Nawab, U. (2019). Lactation experience of mothers and feeding outcomes of infants with congenital diaphragmatic hernia. Breastfeeding Medicine, 14(5), 320-324. doi: 10.1089/bfm.2019.0011
Spatz, D.L., Froh, E.B. Barthlomew, D., Edwards, T.A., Wild, T., Hedrick, H. & Nawab, U. (in press). Human Milk and Breastfeeding Outcomes for Infants with Congenital Diaphragmatic Hernia. Breastfeed Med. 2019 Apr 16. doi: 10.1089/bfm.2019.0011. [Epub ahead of print]
Ferrarello, D., Froh, E.B, Hinson, T.D., & Spatz, D.L. (2019). Nurses' Views on Using Pasteurized Donor Human Milk for Hypoglycemic Term Infants. American Journal of Maternal Child Nursing. doi: 10.1097/NMC.0000000000000525 [Epub ahead of print].
Henry-Moss D., Lee J., Benton, K., & Spatz, D. L. (2019). An Exploration of Lactation Facilities and Planning in U.S. Higher Education Campuses. Breastfeeding Medicine, 14(2), 121-127. doi: 10.1089/bfm.2018.0198.
O’Rourke, M.P. & Spatz, D.L. (2019). Women’s Experiences with Tandem Breastfeeding. American Journal of Maternal Child Nursing. doi: 10.1097/NMC.0000000000000534. [Epub ahead of print]
Juntereal, N.A. & Spatz, D.L. (2019). Same-Sex Mothers and Lactation. American Journal of Maternal Child Nursing. doi: 10.1097/NMC.0000000000000519. [Epub ahead of print]
D’Andrea, M. & Spatz, D.L. (2019). Maintaining Breastfeeding During Severe Infant and Maternal HSV-1 Infection: A Case Report. Journal of Human Lactation. doi: 10.1177/0890334419830994. [Epub ahead of print]
Spatz, D. L. (2019). A Call to Action: The Needs of Breastfeeding Mothers on College and University Campuses. American Journal of Maternal Child Nursing, 44(2):117. doi:10.1097/NMC.0000000000000514.
Candelaria, L., Bressler, T., & Spatz, D.L. (2019) Breastfeeding Guidance for Orthodox Jewish Families When Newborns Require Special Care and Continued Hospitalization. American Journal of Maternal Child Nursing. 44(2):80-85. doi: 10.1097/NMC.0000000000000513.
Davis, J.A. & Spatz, D.L. (2019). Human Milk and Infants with Congenital Heart Disease: A Summary of Current Literature Supporting the Provision of Human Milk and Breastfeeding. Advances in Neonatal Care: doi: 10.1097/ANC.0000000000000582. [Epub ahead of print]
Henry-Moss, D., Abbuhl, S., Bellini, A., & Spatz, D. L. (2018). Lactation Space Experiences and Preferences Among Health Care Workers in an Academic Medical Center. Breastfeeding Medicine, 13(9), 607-613. doi: 10.1089/bfm.2018.0101
Froh, E.B., Cascino, A., Cerreta, S.K., Karsch, E.A., Kornberg, L.F., Lilley, J.E., Welch, L. & Spatz, D.L. (2018). Status of Legislative Efforts to Promote and Protect Breastfeeding and the Provision of Human Milk for Women Returning to Work in the First Postpartum Year. Breastfeeding Medicine, 13(7), 506-509. doi: 10.1089/bfm.2018.0092.
Spatz, D.L. (2018). Beyond BFHI: The Spatz 10-Step and Breastfeeding Resource Nurse Models to Improve Human Milk and Breastfeeding Outcomes. Journal of Perinatal and Neonatal Nursing, 32(2), 164-174. doi: 10.1097/JPN.0000000000000339.
Hinson, T.D., Skinner, A.C., Hassmiller-Lich, K. & Spatz, D.L. (2018). Factors That Influence Breastfeeding Initiation in African American Mothers. Journal of Obstetric Gynecologic and Neonatal Nursing, 47(3), 290-300. doi: 10.1016/j.jogn.2018.02.007.
Folker-Maglaya, C., Pylman, M.E., Couch, K.A., Spatz, D.L., & Marzalik, P. R. (2018). Implementing a Breastfeeding Toolkit for Nursing Education. Journal of Perinatal & Neonatal Nursing, 32(2), 153-163. doi: 10.1097/JPN.0000000000000330.
Candelaria, L., Spatz, D.L., & Giordano, N. (2018). Experiences of Women Who Donated Human Milk. The Journal of Obstetric Gynecologic & Neonatal Nursing, 47(4): 556-563. doi: 10.1016/j.jogn.2017.12.007.
Spatz, D.L., Robinson, A.C., & Froh, E.B. (2018). Cost and Use of Pasteurized Donor Human Milk at a Children’s Hospital. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 47(4), 583-588. doi: https://doi.org/10.1016/j.jogn.2017.11.004
Kamoun, C. & Spatz, D.L. (2018). The Influence of Islamic Traditions on Breastfeeding Beliefs and Practices Among African-American Muslims in West Philadelphia: A Mixed Methods Study. Journal of Human Lactation. 34(1), 164-175. doi: 10.1177/0890334417705856
Spatz, D. (2018). The New Baby Friendly Hospital Initiative Guidelines. The American Journal of Maternal/Child Nursing, 43(6), 350. doi: 10.1097/NMC.0000000000000483
Spatz, D. L. (2018). The Need for Research in Pregnant and Lactating Women. The American Journal of Maternal Child Nursing, 43(4), 233.
doi: 10.1097/NMC.0000000000000443.
Rossman, B. Meier, P.P. & Spatz, D.L. (2018). A Wake- Up Call: Persistent barriers to the provision of evidence-based lactation support and education in the NICU. Journal of Perinatology, 38(7), 773-774. doi: 10.1038/s41372-018-0116-9
Spatz, D.L. (2018). Increasing Capacity for the Provision of Evidence Based Human Milk & Breastfeeding Support. Infant Journal, 14(2), 54-57.
Spatz D.L. (2018). Pasteurized Donor Human Milk and Milk Banking Through the Human Milk Banking Association of North America. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 47(4), 545-546. doi: 10.1016/j.jogn.2018.02.004.
Spatz D.L. (2018). Travel Considerations for Breastfeeding. (2018). MCN: The American Journal of Maternal/Child Nursing, 43(2), 113. doi: 10.1097/NMC.0000000000000417.
Cole, J.C.M., Schwarz, J., Farmer, M., Coursey, A.L., Duren, S., Rowlson, M., & Spatz, D.L. (2018). Facilitating Milk Donation in the Context of Perinatal Palliative Care. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 47(4), 564-570. doi: https://doi.org/10.1016/j.jogn.2017.11.002.
Froh, E.B., Vanderpool, J., & Spatz, D.L. (2018). Best Practices to Limit Contamination of Donor Milk in a Milk Bank. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 47(4), 547-555. doi: https://doi.org/10.1016/j.jogn.2017.12.002
Preusting, I., Brumley, J., Odibo, L., Spatz, D.L., Louis, J.M. (2017). Obesity as a Predictor of Delayed Lactogenesis II. Journal of Human Lactation. 33(4), 684-691. doi: 10.1177/0890334417727716
Froh, E.B, Deatrick, J., Curley, M.Q. & Spatz, D.L. (2017). Mothers of infants with congenital diaphragmatic hernia describe “breastfeeding” in the neonatal intensive care unit: “As long as it’s my milk, I’m happy.” Journal of Human Lactation, 33(3), 524-532. doi: 10.1177/089033441770946.
Spatz, D.L., Evans, A. & Froh, E.B. (2017). Creation of a Regional Human Milk Assembly: A Model to Influence Practice Change in the NICU. Advances in Neonatal Care, 17(5), 417-423. doi: 10.1097/ANC.0000000000000393
Devido, J.A., Doswell W.M., Braxter B.J., Spatz D.L., Dorman J.S., Terry M.A., Charron-Prochownik, D. (2017). Experiences of Parish Nurses in Providing Diabetes Education and Preconception Counseling to Women with Diabetes. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 46(2), 248-257. doi: 10.1016/j.jogn.2016.10.010.
Froh, E., Dahlmeier, K., Spatz, L. (2017). NICU Nurses and Lactation-Based Support and Care. Advanced Neonatal Care, 17(3), 203-208. doi:10.1097/ANC.0000000000000370
Cunniff, A, Spatz, D. (2017). Mother’s Weaning Practices when Infants Breastfeed for More than One Year. MCN American Journal for Maternal Child Nursing, 42(2), 88-94. doi: 10.1097/NMC.0000000000000310.
Albrecht, S.A., Wang, J., & Spatz, D. (2017). A Call to Action to Address Barriers to Breastfeeding and Lactation Faced by Student-Mothers. Nursing for Women’s Health, 21(6), 431-437. doi: 10.1016/j.nwh.2017.10.006
Spatz, D.L. (2017). Say No to Success-Say Yes to Goal Setting. MCN: The American Journal of Maternal/Child Nursing, 42(4), 234. doi: 10.1097/NMC.0000000000000350
Spatz, D.L. (2017). Affordability and Availability of Pasteurized Donor Human Milk. MCN: The American Journal of Maternal/Child Nursing, 42(6), 362. doi: 10.1097/NMC.0000000000000386.
Spatz, D.L. (2017). Is Routine Fortification of Human Milk for Babies in the Neonatal Intensive Care Unit Indicated? American Journal of Maternal Child Nursing, 42(2), 117. doi: 10.1097/NMC.0000000000000321.
Hallowell, S.G., Froh, E.B., Spatz, S.L., Expert Panel on Breastfeeding of the American Academy of Nursing. (2017). Human Milk and Breastfeeding: An Intervention to Mitigate Toxic Stress. Nursing Outlook, 65(1), 58-67. doi: 10.1016/j.outlook.2016.07.007
Baumgartel, K, Groer, M.W., Cohen S.M., Ren D, Spatz, D.L., Conley Y.P. (2016). Maternal Interleukin Genotypes Are Associated with NICU Outcomes Among Low-Birth-Weight Infants. Biological Research for Nursing, 2016 Sep 6. [Epub ahead of print] doi: 10.1177/1099800416664585
Froh, B, Spatz, D.L. (2016). Navigating Return to Work and Breastfeeding in a Hospital with a Comprehensive Employee Lactation Program: The voices of Mothers. Journal of Human Lactation, 32(4): 689-694 doi: 10.1177/0890334416663475
Koo, K, Spatz, D.L. (2016). National Survey of Convention Centers’ Lactation Facilities. Journal of Human Lactation. 32(4), 735-739. doi: 10.1177/0890334416653740
Bostick, M.W., Albrecht, S.A., Baghdadi, N., Haley, C., Spatz, D.L. (2016). Do American Colleges and Universities Support Lactation Needs of Students? Breastfeeding Medicine. 11, 376-379. doi: 10.1089/bfm.2016.0022
Baumgartel, K.L., Groer, M.W., Cohen, S.M., Ren, D., Spatz, D., L., Conley, Y.P. (2016). Effect of Promoter Polymorphisms on Cytokine Concentration in Preterm Breast Milk and Subsequent Infant Outcomes. Journal of Human Lactation, 32(3), 425-37. Doi: 10.1177/0890334416646725
Thussanasupap, B., Lapvongwatana, P., Kalampakorn, S., & Spatz, D. L. (2016). Effects of the community-based breastfeeding promotion program for working mothers: A quasi-experimental study. Pacific Rim International Journal of Nursing Research, 20(3), 154-61. doi: 10.1097/NMC.0000000000000229.
Garth, E., Messer, A.L., Spatz, D.L. (2016). Child Care Centers' Role in Support of Breastfeeding Families. American Journal of Maternal Child Nursing, 41(3), 154-161. doi: 10.1097/NMC.0000000000000229
Hallowell, S.G., Rogowski, J.A., Spatz, D.L., Hanlon, A.L., Kenny, M. & Lake, E.T. (2016). Factors associated with infant feeding of human milk at discharge from neonatal intensive care: Cross-sectional analysis of nurse survey and infant outcomes data. International Journal of Nursing Studies, 53, 190-203. doi:10.1016/j.ijnurstu.2015.09.016.
Spatz, D.L. (2016). Breastfeeding in the Context of Palliative Care. American Journal of Maternal Child Nursing, 41(6), 374. doi: 10.1097/NMC.0000000000000288
Spatz, D.L. (2016). What is your mPINC Score? American Journal of Maternal Child Nursing, 41(4), 254. doi: 10.1097/NMC.0000000000000254.
Spatz, D.L., Edwards T.M. (2016). The Use of Human Milk and Breastfeeding in the Neonatal Intensive Care Unit: Position Statement 3065. Advanced Neonatal Care, 16(4), 254. doi: 10.1097/ANC.0000000000000313.
Spatz, D.L. (2016). Informal Milk Sharing. American Journal of Maternal Child Nursing, 41(2), 125. doi: 10.1097/NMC.0000000000000225
Froh, E.B. & Spatz, D.L. (2016). Increasing Access to Evidence Based Lactation Resources Through an Intranet Portal. Journal of Pediatric Nursing, 31(1), 109-112. doi: 10.1016/j.pedn.2015.10.006
Martino, K., Wagner, M., Froh, E. B., Hanlon, A. L., & Spatz, D. L. (2015). Post discharge breastfeeding outcomes of infants with complex anomalies that require surgery. Journal of Obstetric, Gynecologic, and Neonatal Nursing: Journal of Obstetric, Gynecologic, and Neonatal Nursing, 44(3), 450-457. doi:10.1111/1552-6909.12568.
Chrupcala, K. A., Edwards, T. M., & Spatz, D. L. (2015). A continuous quality improvement project to implement infant-driven feeding as a standard of practice in the Newborn/Infant intensive care unit. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 44(5), 654-664. doi:10.1111/1552-6909.12727.
Morin, K., Small, L., Spatz, D. L., Solomon, J., Lessard, L., & Leng, S. W. (2015). Preparing Leaders in Maternal-Child Health Nursing. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 44(5), 633-643. doi:10.1111/1552-6909.12730.
Fugate, K., Hernandez, I., Ashmeade, T., Miladinovic, B., & Spatz, D. L. (2015). Improving human milk and breastfeeding practices in the NICU. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 44(3): 426-38. doi:10.1111/1552-6909.12563.
Froh, E. B., Flynn-Roth, R., Barton, S., & Spatz, D. L. (2015). The voices of breastfeeding resource nurses. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 44(30), 419-425. doi:10.1111/1552-6909.12565.
Froh, E. B., Deatrick, J. A., Curley, M. A., & Spatz, D. L. (2015). Human Milk Oral Care: Making meaning of pumping for mothers of infants with congenital diaphragmatic hernia. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 44(3), 439-449. doi:10.1111/1552-6909.12564
Spatz, D.L., Froh, E.B., Flynn-Roth, R., & Barton (2015). Improving Practice at the Point of Care Through the Optimization of the Breastfeeding Resource Nurse Model. The Journal of Obstetric Gynecologic & Neonatal Nursing, 44(3), 412-418. Doi:10.1111/1552-6909.12570
Wert, K. M., Lindemeyer, R., & Spatz, D. L. (2015). Breastfeeding, co-sleeping and dental health advice. MCN. The American Journal of Maternal Child Nursing, 40(3), 174-179. doi:10.1097/NMC.0000000000000129
Spatz, D. L., Froh, E. B., Schwarz, J., Huong, K., Brewster, I., Myers, C., Prince, J., & Olkkola, M. (2015). Pump Early-Pump Often: A Continuous Quality Improvement Project. Journal of Perinatal Education. 24(3):160-170. doi: 10.1891/1058-1243.24.3.160
Spatz, D.L. (2015). Evidence Based Strategies to Support Breastfeeding and Breast Milk Feeding of Severely Ill Infants. [Article in German] Kinderkrankenschwester, 34(12), 469-70. PMID: 26946641
Spatz, D. L. (2015). Using evidence on human milk and breastfeeding to transform care. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 44(3), 409-411. doi:10.1111/1552-6909.12571
Froh, E.B., Hallowell, S. & Spatz, D. L. (2015). The use of technologies to support human milk & breastfeeding. Journal of Pediatric Nursing, 30(3), 521-523. doi:10.1016/j.pedn.2015.01.023
Wolfe-Roubatis, E. & Spatz, D. L. (2015). Transgender Men & Lactation: What nurses need to know. The American Journal of Maternal Child Nursing, 40(1), 32-38. doi: 10.1097/NMC.0000000000000097.
Torowicz, D., Seelhorst, A., Froh E. B. & Spatz D. L. (2014). Human milk and breastfeeding outcomes in infants with congenital heart disease. Breastfeeding Medicine. 10(1): 31-37. doi: 10.1089/bfm.2014.0059.
Spatz, D. L., Kim, G. & Froh, E. B. (2014). Outcomes of a Hospital Based Employee Lactation Program. Breastfeeding Medicine. 9(10): 510-514. doi: 10.1089/bfm.2014.0058.
Edwards, T. M., Spatz, D. L. (2014). Congenital hyperinsulinism: exclusive human milk and breastfeeding. Advances in Neonatal Care. 14(4): 262-266. doi: 10.1097/ANC.0000000000000085.
Hallowell, S. G., Spatz, D. L., Hanlon, A. L., Rogowski, J. A. & Lake, E. T. (2014). Characteristics of the NICU Work Environment Associated with Breastfeeding Support. Advances in Neonatal Care: 14(4): 290-300. doi: 10.1097/ANC.0000000000000102.
Martino, K., & Spatz, D. L. (2014). Informal milk sharing: What nurses need to know. The American Journal of Maternal/ Child Nursing, 39(6), 369-374. doi:10.1097/NMC.0000000000000077
Spatz, D. L. (2014). Core Competencies in Human Milk & Breastfeeding: Policy and Practice Implications for Nurses. Nursing Outlook, 62(4), 297-298. doi:10.1016/j.outlook.2014.04.004
Froh, E. B. & Spatz, D. L. (2014). An Ethical Case for the Provision of Human Milk in the NICU. Advances in Neonatal Care, 14(4), 269-273. doi:10.1097/ANC.0000000000000109.
Kristoff, K. C., Wessner, R., Spatz, D. L. (2014). The Birth of the GEMs Group: Implementation of Breastfeeding Peer Support in a Children’s Hospital. Advances in Neonatal Care, 14(4), 274-280. doi: 10.1097/ANC.0000000000000065.
Spatz, D. L., Schmidt, K. J. & Kinzler, S. (2014). Implementation of a human milk management center. Advances in Neonatal Care, 14(4), 253-261. doi: 10.1097/ANC.0000000000000084
Spatz, D. L. (2014). Changing institutional culture to value human milk. Advances in Neonatal Care, 14(4), 234-235. doi: 10.1097/ANC.0000000000000128
Spatz, D. L. (2014). Preventing Obesity Begins with Breastfeeding. The Journal of Perinatal & Neonatal Nursing, 28(1), 41-50. doi: 10.1097/JPN.0000000000000009
Boyd, A. E. & Spatz, D. L. (2013). Breastfeeding and human lactation: Education and curricular issues for pediatric nurse practitioners. Journal of Pediatric Health Care. 27(2): 83-90. doi:10.1016/j.pedhc.2011.03.005
Froh, E. B., Spatz, D. L., & American Academy of Nursing Panel on Breastfeeding. (2013). A call to action: Ensuring reasonable break time for nursing mothers. Nursing Outlook, 61(2), 117-119. doi: 10.1016/j.outlook.2013.01.003
Baumgartel, K., Spatz, D. L., and the American Academy of Nursing (2013). WIC (Special Supplemental Nutrition Program for Women, Infants, and Children): Policy versus Practice Regarding Breastfeeding. Nursing Outlook, 61(6), 466-470. doi: 10.1016/j.outlook.2013.05.010
Kotey, F. O. & Spatz, D. L. (2013). White Matter Injury in Preterm Infants: Could Human Milk Play a Role in its Prevention? Advances in Neonatal Care, 13(2), 89-94. doi:10.1097/ANC.0b013e31827bfead
Geddes, D., Aljazaf, K., Kent, J., Prime, D., Spatz, D. L., Garbin, C,, & Hartmann, P. (2012). Blood flow characteristics of the human lactating breast. Journal of Human Lactation. 28(2): 145-152. doi:10.1177/0890334411435414.
Spatz, D. L. & Schmidt, K. J. (2012). Breastfeeding success in infants with giant omphalocele. Advances in Neonatal Care. 12(6): 329-335. doi:10.1097/ANC.0b013e31826150c5
Spatz, D. L., Raphael, L. & Froh, E. B. (2012). Breastfeeding the infant with congenital diaphragmatic hernia post extracorporeal membrane oxygenation. Neonatal Network, 31(1), 31-38. doi: 10.1891/0730-0832.31.1.31.
Edwards, T. M. & Spatz, D. L. (2012). Making the Case for Using Donor Human Milk in Vulnerable Infants. Advances in Neonatal Care, 12(5), 273-278. doi:10.1097/ANC.0b013e31825eb094
Froh, E. B. & Spatz, D. L. (2012). Associated morbidities to congenital diaphragmatic hernia and a relationship to human milk. Advances in Neonatal Care, 12(4), 209-216. doi:10.1097/ANC.0b013e31825eb07b
Hallowell, S. G. & Spatz, D. L. (2012). The relationship of brain development and breastfeeding in the late-preterm infant. Journal of Pediatric Nursing, 27(2), 154-162. doi:10.1016/j.pedn.2010.12.018
Spatz, D. L. (2012). Breastfeeding is the cornerstone of childhood nutrition. The Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(1), 112-113. doi: 10.1111/j.1552-6909.2011.01312.x
Spatz, D. L. (2012). Innovations in the provision of human milk and breastfeeding for infants requiring intensive care. The Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(1), 138-143. doi:10.1111/j.1552-6909.2011.01315.x
Duran, M. S. & Spatz, D. L. (2011). A mother with glandular hypoplasia and a late preterm infant. Journal of Human Lactation: Official Journal of International Lactation Consultant Association, 27(4), 394-397. doi:10.1177/0890334411415856.
Hinson, T. & Spatz, D. L. (2011). Improving nurse retention in a large tertiary acute-care hospital. Journal of Nursing Administration, 41(3), 103-108. doi: 10.1097/NNA.0b013e31820c7242
Spatz, D. L. (2011). The surgeon general's call to breastfeeding action-policy and practice implications for nurses. Nursing Outlook, 59(3), 174-176. doi:10.1016/j.outlook.2011.03.006
Carwell, M. L. & Spatz, D. L. (2011). Eating disorders and breastfeeding. The American Journal of Maternal Child Nursing, 36(2), 112-117. doi:10.1097/NMC.0b013e318205775c
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. doi: 10.1177/0890334410386918
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), 246-253. doi:10.1097/JPN.0b013e3181e8d517.
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. doi: 10.1016/j.acap.2009.07.005.
Spatz, D. L. (2010). Roles and responsibilities of health professions: Focus on nursing. Breastfeeding Medicine, 5(5), 243-244. doi:10.1089/bfm.2010.0036
Spatz, D. L. (2010). The critical role of nurses in lactation support. Editorial. The Journal of Obstetric, Gynecologic, and Neonatal Nursing, 39(5), 499-500. doi:10.3928/08910162-20101027-04
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). doi: 10.1186/1746-4358-4-10.
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. doi:10.1097/01.NMC.0000360419.21733.5d
Convery, K. & Spatz, D. L. (2009). Sexuality and breastfeeding: What do you know? The American Journal of Maternal Child Nursing, 34(4), 218-223. doi:10.1097/01.NMC.0000357913.87734.af
Wittig, S. L. & Spatz, D. L. (2008). Induced lactation: Gaining a better understanding. The American Journal of Maternal Child Nursing, 33(2), 76-81. doi:10.1097/01.NMC.0000313413.92291.0f
Spatz, D. L. & Pugh, L. C. (2007). American Academy of Nursing Expert Panel on Breastfeeding. The integration of the use of human milk and breastfeeding in baccalaureate nursing curricula. Nursing Outlook, 55(5), 257-263. doi:10.1016/j.outlook.2007.07.003
Hurtekant, K. M. & Spatz, D. L. (2007). Special considerations for breastfeeding the infant with spina bifida. Journal of Perinatal and Neonatal Nursing, 21(1), 69-75. doi:10.1097/00005237-200701000-00014
Woo, K. & Spatz, D. L. (2007). Human Milk Donation: What do you know about it? The American Journal of Maternal Child Nursing, 32(3), 150-155. doi:10.1097/01.NMC.0000269563.42982.64
Buswell, S. D. & Spatz, D. L. (2007). Parent-infant co-sleeping and its relationship to breastfeeding. Journal of Pediatric Health Care, 21(1), 22-28. doi:10.1016/j.pedhc.2006.04.006
Chang, K. & Spatz, D. L. (2006). The family & breastfeeding laws: What nurses need to know. The American Journal of Maternal Child Nursing, 31(4), 231-232. doi:10.1097/00005721-200607000-00005
Spatz, D. L. (2006). State of the Science: Use of human milk and breastfeeding for vulnerable infants. Journal of Perinatal and Neonatal Nursing, 20(1), 51-55. doi:10.1097/00005237-200601000-00017
Spatz, D. L. & Goldschmidt, K. A. (2006). Preserving breastfeeding for the Rehospitalized infant: A clinical pathway. The American Journal of Maternal Child Nursing, 31(1), 45-51. doi:10.1097/00005721-200601000-00010
Spatz, D. L. (2005). The breastfeeding case study: A model for educating nursing students. Journal of Nursing Education, 44(9), 432-434. PMID:16220652
Spatz, D. L. & Sternberg, A. (2005). Advocacy for breastfeeding-Making a difference one community at a time. Journal of Human Lactation, 21(2), 186-190. doi:10.1177/0890334405275371
Spatz, D. L. (2005). Report of a staff program to promote breastfeeding in the care of vulnerable infants at a children's hospital. Journal of Perinatal Education, 14(1), 30-38. doi:10.1624/105812405X23630
Milligan, R. A., Low, G., Spatz, D. L., Brooks, L. M., Serwint, J. R. & Pugh, L. C. (2004). Contraception and Breastfeeding: Advising New Mothers. Contemporary Obstetrics and Gynecology, 49, 72-78.
Spatz, D. L. (2004). Ten Steps for Promoting and Protecting Breastfeeding in Vulnerable Populations. Journal of Perinatal and Neonatal Nursing, 18(4), 385-396. doi:10.1097/00005237-200410000-00009
Marks, J. & Spatz, D. L. (2003). Medications and lactation: What PNPs need to know. Journal of Pediatric Health Care, 17(6), 311-317. doi:10.1016/j.pedhc.2003.09.006
Olsen, C. L., Santarsiero, E. & Spatz, D. L. (2002). Qualitative analysis of African- American adolescent females’ beliefs about emergency contraceptive pills. Journal of Pediatric and Adolescent Gynecology, 15(5), 285-292. doi: 10.1016/S1083-3188(02)00194-8.
Pugh, L., Milligan, R., Frick, K., Spatz, D. L. & Bronner, Y. (2002). Breastfeeding duration, costs, and benefits of a support program for low-income breastfeeding women. Birth, 29(2), 95-100. doi:10.1046/j.1523-536X.2002.00169.x.
Milligan, R. A., Pugh, L. C., Bronner, Y. L., Spatz, D. L. & Brown, L. P. (2000). Breastfeeding duration among low income women. Journal of Midwifery & Women’s Health, 45(3), 246-252. doi: 10.1016/S1526-9523(00)00018-0.
Meier, P. P., Brown, L. P., Hurst, N.M., Spatz, D. L., Borucki, L. & Krouse, A. (2000). Nipple shields for preterm infants: Effect on milk transfer and duration of breastfeeding. Journal of Human Lactation, 16(2), 106-114. doi: 10.1177/089033440001600205
Arbeter, T., Spatz, D. L., Schwoebel, A. & Bhutani, V. (2000). Introducing an ancient Indian feeding device: The paladai. Clinical Issues in Lactation, 4(4), 4-5.
Brown, L. P., Bair, A. H., Meier, P. P., Pugh, L. C., Spatz, D. L., Borucki, L. C. & Morin, K. H. (1998). Accessing on-line information at the National Institutes of Health. Computers in Nursing, 16(4), 198-201. PMID:9675986
Brown, L. P., Meier, P., Spatz, D. L., Spitzer, A., Finkler, S., Jacobsen, B. & Zukowsky, K. (1997). Resubmitting a grant application: Breastfeeding services for LBW infants- outcomes and cost. Nursing Research, 46(2), 119-122. doi:10.1097/00006199-199703000-00011
Brown, L. P., Meier, P., Spatz, D. L., Zukowsky, K. & Spitzer, A. (1996). Use of human milk for low birth weight infants. The Online Journal of Knowledge Synthesis for Nursing, 3(27):U2-U10. doi:10.1111/j.1524-475X.1996.00012.x
Spatz, D. L. (1996). Women's health: The role of perinatal advanced practice nurses in the 21st century. Nursing Clinics of North America, 31(2): 269-277.
Bair, A. H., Brown, L. P., Pugh, L. C., Borucki, L. C. & Spatz, D. L. (1996). Taking a bite out of CRISP: Strategies on using and conducting searches in the computer retrieval of information on scientific projects database. Computers in Nursing, 14(4), 218-226. doi:10.1097/00024665-199607000-00010
Stringer, M. L., Spatz, D. L. & Donahue, D. (1994). Maternal-fetal physical assessment in the home setting: Role of the advanced practice nurse. Journal of Obstetric, Gynecologic & Neonatal Nursing, 23(8), 720-725. doi:10.1111/j.1552-6909.1994.tb01943.x
1992
Brown, L., Spatz, D. L., Armstrong, C. & Hollingsworth, A. (1992). Promoting successful breastfeeding of mothers of LBW infants. Journal of Perinatal Education, 1(1), 20-24.
Baumgartel, K. & Spatz, D.L. (2023). Human Milk as Medicine. In A.J. Jnah (Eds.) Fetal and Neonatal Pharmacology for the Advanced Practice Nurse. Springer Publishing Company.
Cole J, Spatz DL. Section 5: Supporting Families and Care Providers Through the Nuances of Palliative Care Lactation and Breastfeeding in the Context of Perinatal Palliative Care. Handbook of Perinatal and Neonatal Palliative Care. Springer Publishing Company, New York, NY, 2019. Chapter 20, pg. 326-337.
Spatz, D.L. & Cole, J. (2019). Lactation & Breastfeeding in the Context of Perinatal Palliative Care. Perinatal and Neonatal Palliative Care Clinical Handbook. Published by Springer Publishing Company, New York.
Spatz, D.L. Protecting Human Milk and Breastfeeding in Vulnerable Infants (2019). Clinical Care Paths in Perinatal-Neonatal Care Medicine. McGraw Hill Education.
Spatz, D.L. (2018). Helping Mothers Reach Their Personal Breastfeeding Goals. Nursing Clinics of North America. https://doi.org/10.1016/j.cnur.2018.01.011 published by Elsevier, Inc.
Devido, J.A., Doswell W.M., Braxter B.J., Spatz D.L., Dorman J.S., Terry M.A., Charron-Prochownik, D. (2017) Experiences of Parish Nurses in Providing Diabetes Education and Preconception Counseling to Women with Diabetes. Journal of Obstetric, Gynecologic, and Neonatal Nursing 2017 Jan 16. [Epub ahead of print] doi: 10.1016/j.jogn.2016.10.010.
Spatz, D. L. & Froh E. B. (2014). Lactivism and breastfeeding advocacy in the United States. Policy & Politics in Nursing and Health Care (7th Ed.). St. Louis: Elsevier Saunders.
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.
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.
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.
Spatz, D.L. (1994). Contributor to: NSNA NCLEX-RN Review (2nd ed.) A.M. Stein & J.C. Miller (Eds.), New York: Delmar.
Spatz, D. L. (2017). SPN Position Statement: The Role of Pediatric Nurses in the Promotion and Protection of Human Milk and Breastfeeding. The Society of Pediatric Nurses.
Spatz, D. L. & Edwards, T. M. (2015). National Association of Neonatal Nurses Position Statement: The Use of Human Milk and Breastfeeding in the Neonatal Intensive Care Unit. Glenview, IL: National Association of Neonatal Nurses.
Breastfeeding Position Statement (2015) Association of Women’s Health Obstetric and Neonatal Nursing.
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.
Spatz, D. L. (August 2003). Breastfeeding module-mandatory for nursing re-licensure in Puerto Rico. Continuing education course 37, published by Nursing Spectrum.
Elgersma, K. M., Wolfson, J., Fulkerson, J. A., Georgieff, M. K., Spatz, D. L., Shah, K. M., Uzark, K., McKechnie, A. C. (2023, August 27–September 1). Human milk feeding and direct breastfeeding improve outcomes for infants with single ventricle congenital heart disease: Propensity score matched analysis of the NPC-QIC registry. [Accepted abstract]. 8th World Congress of Pediatric Cardiology and Cardiac Surgery, Washington, DC, United States.
Elgersma KM, Spatz DL, Fulkerson JA, Wolfson, J, Shah, KM, Uzark, K, McKechnie, AC. Early breastfeeding is associated with increased odds of later human milk feeding for infants with single ventricle congenital heart disease: Analysis of the NPC-QIC registry. Poster presented at: International Society for Research in Human Milk and Lactation Conference 2022; October 22, 2022; Panama City, Panama.
Elgersma KM, Spatz DL, Fulkerson JA, Wolfson, J, Shah, KM, Uzark, K, McKechnie, AC. Early breastfeeding is associated with increased odds of later human milk feeding for infants with single ventricle congenital heart disease: Analysis of the NPC-QIC registry. Poster presented at: Pediatric Cardiac Intensive Care Society Annual International Meeting; December 16, 2022; Miami, FL.
Spatz D. Timing of Milk Expression on Milk Volumes Among Mothers with Infants with Congenital Anomalies Following Cesarean Birth Informal Milk Sharing in the Orthodox Jewish Community. American Public Heath Conference, Philadelphia, PA. November 5, 2019.
Spatz D. Human Milk & Breastfeeding Outcomes of Infants with Congenital Diaphragmatic Hernia. 19th International Conference of the International Society for Research in Human Milk and Lactation-Protecting, Promoting and Supporting Breastfeeding from Biology to Policy. Kanagawa, Japan. October 6-11, 2018 (Poster).
Spatz D. Human Milk & Breastfeeding Outcomes of Infants with Congenital Diaphragmatic Hernia. Medela 13th International Breastfeeding and Lactation Symposium. Paris, France. March 22, 2018 (Poster).
Spatz D. Steps 3,4, and 5 of the Spatz 10 Step Model. Newborn Care Services Children’s Hospital of Philadelphia. Invited Speaker for Virtual Webinar. November 6th, 2023.
Spatz D. Critical Window for Effective Establishment of Milk Supply. Stonybrook Medical Center. October 18th, 2023. (Invited Keynote Speaker).
Spatz D. Helping Families Make Informed Feeding Decisions and the Initiation and Maintenance of Milk Supply. Newborn Care Services Children’s Hospital of Philadelphia. Invited Speaker for Virtual Webinar. October 2nd, 2023.
Spatz D. National Breastfeeding Month and the PUMP Act- What Does that mean for me? Invited Speaker for Virtual Webinar. Ambulatory Breastfeeding Consortium. August 31st, 2023. Philadelphia, PA.
Spatz D. Human Milk & Lactation. University of Pennsylvania Health System. Invited Speaker for Virtual Webinar. August 24th, 2023. Philadelphia, PA.
Spatz D. Transitioning Vulnerable Infants to Breastfeeding Prior to Discharge. August 16th, 2023. Virtual Webinar with over 500 participants.
Spatz D. Prioritizing Effective Initiation of Lactation. Florida Chapter of the Association of Women’s Health Obstetric and Neonatal Nursing. July 30th, 2023 (Invited Keynote Speaker). Orlando, Florida.
Spatz D. State of Science on Antenatal Milk Expression. Florida Chapter of the Association of Women’s Health Obstetric and Neonatal Nursing. July 30th, 2023 (Invited Speaker). Orlando, Florida.
Spatz D. The Critical Window for Initiation and Maintenance of Milk Supply: Putting Research into Practice. San Bernadino Medical Center. July 27th, 2023. Invited Speaker for Virtual Webinar.
Spatz D. Persistent Barriers in Breastfeeding-What Can We Do? Newborn Care Services Children’s Hospital of Philadelphia. Invited Speaker for Virtual Webinar. July 19th, 2023.
Spatz D. Antenatal Milk Expression: State of Science. San Bernadino Medical Center. July 19th, 2023. Invited Speaker for Virtual Webinar.
Spatz D. The Critical Window for Initiation and Maintenance of Milk Supply: Putting Research into Practice. June 26th, 2023. London England (Invited Keynote Speaker).
Spatz D. Building a Breastfeeding Support Team & Prenatal Intervention. June 26th, 2023. London England (Invited Keynote Speaker).
Spatz D. A Call to Action: Improving Human Milk & Breastfeeding Outcomes by Prioritizing Effective Initiation of Lactation. June 23rd, 2023. Medela International European Human Milk and Lactation Symposium. Munich, Germany (Invited Keynote Speaker).
Spatz D. African American/Black Mothers Do Breastfeed Beyond One Year: Listening to Their Stories. June 19th, 2023. Virtual Webinar with over 600 participants.
Spatz D. Antenatal Milk Expression in Women of Infants with Congenital Anomalies. Association of Women’s Health Obstetric and Neonatal Nursing Annual Conference. June 19th, 2023. New Orleans, Louisiana (Podium Presentation).
Spatz D. A Call to Action: Improving Human Milk & Breastfeeding Outcomes by Prioritizing Effective Initiation of Lactation. May 13th, 2023. Medela China Human Milk and Lactation Symposium. Virtual Keynote Speaker.
Spatz D. Identifying & Managing Lactation Risk Factors to Optimize Human Milk and Breastfeeding Outcomes. American College of Nurse Midwives. May 9th, 2023. Orlando Florida (Invited Keynote Speaker).
Spatz D. A Call to Action: Improving Human Milk & Breastfeeding Outcomes by Prioritizing Effective Initiation of Lactation. Medela Americas Human Milk and Lactation Symposium. April 21st, 2023. Rosemont, IL (Invited Speaker).
Spatz D. State of Science on Antenatal Milk Expression. April 19th, 2023. New York WIC Association. Virtual Conference (Invited Speaker).
Spatz D. Human Milk & Lactation: Translation of Research into Practice & Policy. National Student Nurses Association. April 13th, 2023. Nashville, TN (Invited Speaker).
Spatz D. Human Milk and Health Equity. April 12th, 2023. University of Pittsburgh School of Nursing. Pittsburgh, PA (Invited Speaker).
Spatz D. A Call to Action: Improving Human Milk & Breastfeeding Outcomes by Prioritizing Effective Initiation of Lactation. Perinatal Society of Australia and New Zealand Annual Conference. Melbourne, Australia. March 7, 2023 (Invited Speaker).
Spatz D. The Spatz 10 Steps to Improve Human Milk and Breastfeeding Outcomes. Barwon Health. Maternity Service. Geelong, Australia. March 8, 2023 (Invited Speaker).
Spatz D. The Spatz 10 Steps to Improve Human Milk and Breastfeeding Outcomes. Monash Children’s Hospital. Melbourne, Australia. March 8, 2023 (Invited Speaker).
Spatz D. Helping Families Make Informed Feeding Decisions & Effective Initiation of Lactation. Medela Headquarters Australia. Melbourne, Australia. March 9, 2023 (Invited Speaker).
Spatz D. Proactive Management to Ensure Effective Initiation. South Australia Health. Melbourne, Australia. March 9, 2023 (Invited Speaker).
Spatz D. The Impact of Prenatal Intervention to Improve Human Milk and Breastfeeding Outcomes. Royal Children’s Hospital of Melbourne. Melbourne, Australia. March 10, 2023 (Invited Speaker).
Spatz D. Implementation of the Spatz 20 Step Model to Improve Human Milk Outcomes. Hospital Infantil de México Federico Gómez. International Webinar - Mexico City, Mexico. November 30th, 2022 (Keynote Speaker)
Spatz D. LGBTQ Chest Feeding and Considerations. Alliance of Global Neonatal Nurses. Honolulu, HI. October 20th, 2022 (Invited Speaker)
Spatz D. Translating Research to Clinical Practice: New Science & Research. Honolulu, HI. October 18, 2022
Spatz D. Getting it Right – The Critical Window of Opportunity to Establish Lactation and Improve Patient Satisfaction. Honolulu, HI. October 18, 2022
Spatz D. Changing the Prenatal Care Paradigm to Improve Lactation Outcomes. 30th Anniversary Ohio Lactation Consultant Association Annual Breastfest Conference. Dublin, OH. April 9th, 2022 (Invited Keynote Speaker). . What is the State of Science on Antenatal Milk Expression?. 30th Anniversary Ohio Lactation Consultant Association Annual Breastfest Conference. Dublin, OH. April 9th, 2022 (Invited Keynote Speaker)
Spatz D. The Role of Donor Milk in the Provision of Parent’s Own Milk. 30th Anniversary Ohio Lactation Consultant Association Annual Breastfest Conference. Dublin, OH. April 9th, 2022 (Pre-recorded Session). . Helping Families to Create Breastfeeding Support Teams. 30th Anniversary Ohio Lactation Consultant Association Annual Breastfest Conference. Dublin, OH. April 9th, 2022 (Pre-recorded Session)
Spatz D. How to Lead as a Nurse Scientist. University of South Florida College of Nursing. March 8, 2022
Spatz D. 70th Anniversary National Student Nurses Association. Salt Lake City, UT. April 7th, 2022 (Invited Speaker)
Spatz D. How Faculty Can Translate Research into Policy and Practice. University of South Florida College of Nursing. March 3, 2022
Spatz D. Role of Nurses in Human Milk and Breastfeeding. University of South Florida College of Nursing. March 2, 2022
Spatz D. Pro-Active Management of Milk Supply. Florida Association of Certified Nurse Midwives. March 1, 2022 (Invited Speaker)
Spatz D. Why DNP Students Need to Translate Research into Practice. University of South Florida College of Nursing. February 24, 2022
Spatz D. Why Nurse Scientists Should Have a 5 Year Plan. University of South Florida College of Nursing. February 16, 2022
Spatz D. Protecting Human Milk & Breastfeeding. Care Network-Paoli. Paoli, PA. December 7, 2021 (Invited Speaker)
Spatz D. A Call to Action: Protecting Human Milk and Breastfeeding in a COVID-19 World and Beyond. Student Nurses of Pennsylvania—59th Annual State Convention. Harrisburg, PA. November 19, 2021 (Invited Speaker)
Spatz D. Pro-Active Management of Lactation When Parents Have Risk Factors. 2nd Annual Pediatrics & Neonatology Conference. Invited Keynote Speaker. June 30, 2021 (Virtual)
Spatz D. Beyond BFHI: The Spatz 10 Steps to Promote and Protect Human Milk and Breastfeeding. Idaho Breastfeeding Coalition. Invited Keynote Speaker. June 24, 2021 (in person)
Spatz D. Pro-Active Management of Lactation When Parents Have Risk Factors. Idaho Breastfeeding Coalition. Invited Keynote Speaker. June 24, 2021 (in person)
Spatz D. A Call to Action: Protecting Human Milk and Breastfeeding in a COVID-19 World and Beyond. American Society of Nutrition. Nutrition 2021-Online Live. Invited Speaker. June 10, 2021 (Virtual)
Spatz D. Human Milk and Breastfeeding for Vulnerable Infants. CHEERS/CHAMPS Conference. Invited Speaker. May 19, 2021 (Virtual)
Spatz D. The Impact of the COVID-19 Pandemic on Birth & Breastfeeding. The National Student Nurses Association Annual Convention. April 9, 2021 (Virtual)
Spatz D. The Role of Pediatric Dentist in Protecting Human Milk and Breastfeeding. Penn Dental School. Pediatric Oral Health Series. Virtual Live Webinar. April 7, 2021
Spatz D. The Use of Human Milk in Neonatal Care-An Evidenced Based Approach. Neonatal Quality Conference. International Virtual Presentation). March 17, 2021 (Invited Speaker)
Spatz 10 Step Model for Human Milk and Breastfeeding in Vulnerable Infants. United States Lactation Consultant Association. Virtual Live Webinar. March 11, 2021 (Invited Speaker)
Spatz D. Beyond Just BFHI & Skin to Skin to Improve Human Milk and Breastfeeding. San Bernardino, CA. Physician Grand Rounds. March 11, 2021 (Invited Speaker-Virtual)
Spatz D. Protecting Human Milk & Breastfeeding in a COVID-19 World & Beyond. International Webinar. February 4, 2021 (Invited Speaker)
Spatz D. COVID-19 Preserving Breastfeeding During the COVID-19 Pandemic & Beyond. Medela Global Taskforce. February 3, 2021 (Invited Panelist)
Spatz D. Pediatric Dentists: Human Milk & Breastfeeding. The University of Pennsylvania School of Dental Medicine. Philadelphia, PA. December 4, 2020 (Invited Speaker)
Spatz D. Beyond BFHI- The Spatz 10 Step and BRN Models to Improve Human Milk & Breastfeeding. United Scientific Group Annual Pediatrics and Neonatology Summit. International Webinar. December 2, 2020 (Invited Speaker)
Spatz D. Human Milk & Breastfeeding During the COVID-19 Pandemic: What Can You Do?. Prolacta. International Webinar. September 15, 2020 (Invited Speaker)
Spatz D. COVID-19: The Importance of Healthcare Professionals in Protecting Human Milk and Breastfeeding. Philippine Pediatric Society Committee on Breastfeeding. International Webinar, Philippines. August 31, 2020 (Invited Speaker)
Spatz D. Improving Human Milk and Breastfeeding Outcomes. Premier Perinatal Collaborative Education. Live Webinar. August 20, 2020 (Invited Speaker)
Spatz D. Addressing Human Milk and Breastfeeding for Vulnerable Infants in High Risk Countries. The Wellbeing Foundation Africa & Medela Cares. International Webinar, Nigeria. August 7, 2020 (Invited Speaker)
Spatz D. Global Perspectives on Breastfeeding. Supporting Mothers to Breastfeed Webinar hosted by The Aga Khan University. International Webinar, Karachi, Pakistan. August 7, 2020 (Invited Speaker)
Spatz D. Spatz 10 Steps: Protecting Human Milk & Breastfeeding during Maternal Infant Separation. World Breastfeeding Week Grand Rounds. International Webinar, Santiago, Chile. August 6, 2020 (Invited Speaker)
Spatz D. Getting it Right to Establish Milk Supply. The 12th Summit of Perinatal Medicine. International Webinar-China. August 5, 2020 (Invited Speaker)
Spatz D. The Impact of the COVID-19 Pandemic on Breastfeeding. Medela Global Taskforce. July 24, 2020 (Invited Panelist)
Spatz D. Protecting Maternal Milk Supply During the COVID-19 Pandemic. Medela Education. International Webinar. July 9, 2020 (Invited Speaker)
Spatz D. Using the COVID-19 Pandemic as an Opportunity to Address the. Use of Human Milk & Breastfeeding as Lifesaving Medical Interventions. Medela Education. International Webinar. June 18, 2020 (Invited Speaker)
Spatz D. Exploring Human Milk & Breastfeeding for LGBTQIA+ Families. Medela Education. International Webinar. June 17, 2020 (Invited Speaker)
Spatz D. Opportunity to Address the Use of Human Milk & Breastfeeding as Lifesaving Medical Interventions. Keystone 10-Statewide Initiative to Improve Breastfeeding in Birth Hospitals. Live Webinar. June 16-17, 2020 (Invited Speaker)
Spatz D. Human Milk & Breastfeeding During the COVID-19 Pandemic: What Can You Do?. University of Pennsylvania School of Nursing Alumnae Association. International Webinar. May 27, 2020
Spatz D. Improving Human Milk & Breastfeeding for Vulnerable Infants: the Spatz 10 Steps. Peking Union Medical College Hospital/International Society for Research in Human Milk and Lactation. International Webinar, Beijing, China. May 20, 2020 (Invited Speaker)
Spatz D. Quality Improvement Initiatives for Human Milk and Breastfeeding. Global Educators Meeting. International Webinar (in place of 15th International Breastfeeding and Lactation Symposium). May 7, 2020 (Invited Speaker)
Spatz D. The COVID-19 Pandemic: What you can do to Protect Human Milk & Breastfeeding. Center for Health Equity, Education, & Research . International Webinar. May 6, 2020 (Invited Speaker)
Spatz D. COVID-19: Human Milk & Breastfeeding. International Society for Research in Human Milk and Lactation. International Webinar. May 5, 2020 (Invited Speaker)
Spatz D. Translating Research into Clinical Practice. Global Educators Meeting. International Webinar (in place of 15th International Breastfeeding and Lactation Symposium). May 5, 2020 (Invited Speaker)
Spatz D. Optimizing Human Milk and Breastfeeding Outcomes during Maternal Infant Separation. Global Educators Meeting. International Webinar (in place of 15th International Breastfeeding & Lactation Symposium). April 30, 2020 (Invited Speaker)
Spatz D. Optimizing Human Milk and Breastfeeding Outcomes for Presumed Healthy Mother Infant Dyads. Global Educators Meeting. International Webinar (in place of 15th International Breastfeeding and Lactation Symposium). April 28, 2020 (Invited Speaker)
Spatz D. Models of Breastfeeding. Global Educators Meeting. International Webinar (in place of 15th International Breastfeeding and Lactation Symposium). April 23, 2020 (Invited Speaker)
Spatz D. Informed Decision- Teaching Families the Science of Human Milk & Breastfeeding. Global Educators Meeting. International Webinar (in place of 15th International Breastfeeding and Lactation Symposium). April 21, 2020 (Invited Speaker)
Spatz D. COVID-19: Human Milk & Breastfeeding. Children’s Hospital of Philadelphia. Webinar. April 17, 2020
Spatz D. Human Milk & Breastfeeding: Translating Research to Practice & Policy. University of Massachusetts-Boston. Boston, MA. March 10, 2020 (Invited Keynote Speaker)
Spatz D. Spatz 10 Step Model- Informed Decision & the Science of Human Milk. Spatz 10 Step Model- Initiation & Maintenance of Milk Supply. Spatz 10 Step Model- Oral Care & Feeding of Human Milk. Spatz 10 Step Model- Transition to Breast through Discharge. Princess Marina Hospital- Physician Education. Gaborone, Botswana. February 18-21, 2020 (Invited Speaker)
Spatz D. Spatz 10 Steps- Protecting Human Milk & Breastfeeding during Maternal Infant Separation. Princess Marina Hospital- Nurse Education (4 repeated sessions). Gaborone, Botswana. February 17-20, 2020 (Invited Speaker)
2023, Inaugural Fellow in the Association of Women’s Health Obstetric and Neonatal Nursing
2021, Dean’s Award for Undergraduate Scholarly Mentorship
2020, Faculty Advisor of the Year, Student Nurses of Pennsylvania
2019, Nurse of the Year-Philadelphia Inquirer
2019, AWHONN Award of Excellence in Research
2016, Lifetime Achievement Award, National Association of Neonatal Nurses
2015, Raise the Voice: Edge Runner Award, American Academy of Nursing
2013, Norma M. Lang Award, Distinguished Award for Scholarly Practice & Policy
2006-present, Helen M. Shearer Term Chair in Nutrition
2011, Student Nurses of Pennsylvania Honorary Member (SNAP's highest honor)
2011, 1997 & 1991, Helen Berkowitz Award, Phi Sigma Sigma Sorority, Sponsored by the Philadelphia Alumnae Chapter for service to community, profession and sorority
2011, Pottsgrove High School Honor Roll Distinguished Alumni Honor
2011, Expert Alumni Award for Clinical Excellence, University of Pennsylvania School of Nursing
2011, Academic Practice Award, Family and Community Health Department School of Nursing
2011, Leader of Leaders Award National Student Nurses Association
2010, Dean’s Award for Exemplary Professional Practice, University of Pennsylvania
2008, Faculty Advisor of the Year, Student Nurses Association of Pennsylvania
2008-2009, Maternal Child Health Leadership Academy, Sigma Theta Tau International and Johnson & Johnson-Mentor
2009, Temple University Greek Association Advisor of the Year 2008-2009
2008, Lenore Williams Award For contributions to women, Association of Penn Professional Women & The Penn Women’s Center
2007, Sigma Theta Tau International Research Utilization Award
2007, Fellow in the American Academy of Nursing
2005, Faculty Advisor of the Year Student Nurses Association of Pennsylvania
2005, Nursing Leadership Award The Children’s Hospital of Philadelphia
2005, Who’s Who Among America’s Teachers
2004, Service Award, Phi Sigma Sigma (for greater than 10 years service)
2003, Order of the Sapphire Award, Phi Sigma Sigma
2003, Philadelphia Area Alumnae Panhellenic Outstanding Women of the Year
2002, Faculty Teaching Award, University of Pennsylvania School of Nursing
2001, Faculty Advisor of the Year, Student Nurses Association of Pennsylvania
2001, The Lindback Award for Distinguished Teaching
2001, The Pyramid Award: Phi Sigma Sigma Sorority’s Highest Honor
2001, Rho Lambda Honor Society
2000, Who’s Who Among America’s Teachers
2000, Who’s Who Among America’s Teachers, Phi Sigma Sigma Sorority
1999, Distinguished Lecturer-Sigma Theta Tau International
1999, Outstanding Alumnae Chapter President, Phi Sigma Sigma Sorority
1999, Outstanding Alumna Advisor, Phi Sigma Sigma Sorority
1999, Undergraduate Advisor Award, University of Pennsylvania School of Nursing
1998, Faculty Teaching Award, University of Pennsylvania School of Nursing
1996, Order of Omega
1995, Phi Sigma Sigma Sorority
1995, Nursing Excellence Award, Philadelphia County, Pennsylvania Nurses Association
1993, Chapter Key Advisor Award, Phi Sigma Sigma Sorority
1989, Sigma Theta Tau
1989, Philadelphia Perinatal Society
1986, Mortar Board National Honor Society
2018, Journal of Perinatal & Neonatal Nursing, Guest Editorship
2015-present, American Journal of Maternal Child Nursing, Editorial Board
2011, 2015, 2018, Journal of Obstetric Gynecologic & Neonatal Nursing, Guest Editorship
2014-present, Breastfeeding Medicine
2013-present, Journal of Clinical Nursing
2013-present, Advanced in Neonatal Care
2011-present, Journal of Obstetric Gynecologic & Neonatal Nursing
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
2019-present, Research Committee, School of Nursing
2015-present, Clinical Coordinator, Mothers’ Milk Bank
2000 to present, Hospital Wide Breastfeeding Committee
- 2000 to present, Chair
2002 to present, NICU Sub-committee
2019-present, World Health Organization Task Force on Human Milk and Milk Banking Globally
2017-2019, Congressional Task Force on Research Specific to Pregnant Women and Lactating Women
2014-present, International Society of Researchers in Human Milk & Lactation
- 2022-present, Treasurer
2022-present, National Academies of Science Taskforce in response to Congressional Task Force on Research Specific to Pregnant Women and Lactating Women
2009-present, United States Breastfeeding Committee
- 2015-present, Research Constellation Chair
- 2009-present, AAN appointed representative to USBC
2007-present, American Academy of Nursing
- 2007-present, Expert Panel on Breastfeeding
2001-present, Pennsylvania Resource Organization for Lactation Consultants
1995-present, Eastern Nursing Research Society
1995-present, Pennsylvania Nurses Association
1991-present, American Nurses Association
1989-present, Philadelphia Perinatal Society
1989-present, Association of Women’s Health, Obstetric, and Neonatal Nurses
1989-present, Sigma Theta Tau International Honor Society
1988-present, The National Perinatal Association
1988-present, The Pennsylvania Perinatal Association