Association between expressed breast milk feeding and breastfeeding duration in Hong Kong mothers

AbstractObjectiveTo investigate the prevalence and predictors of expressed breast-milk feeding in healthy full-term infants and its association with total duration of breast-milk feeding.DesignProspective cohort study.SettingIn-patient postnatal units of four public hospitals in Hong Kong.SubjectsA total of 2450 mother–infant pairs were recruited in 2006–2007 and 2011–2012 and followed up prospectively for 12 months or until breast-milk feeding had stopped.ResultsAcross the first 6 months postpartum, the rate of exclusive expressed breast-milk feeding ranged from 5·1 to 8·0 % in 2006–2007 and from 18·0 to 19·8 % in 2011–2012. Factors associated with higher rate of exclusive expressed breast-milk feeding included supplementation with infant formula, lack of previous breast-milk feeding experience, having a planned caesarean section delivery and returning to work postpartum. Exclusive expressed breast-milk feeding was associated with an increased risk of early breast-milk feeding cessation when compared with direct feeding at the breast. The hazard ratio (95 % CI) ranged from 1·25 (1·04, 1·51) to 1·91 (1·34, 2·73) across the first 6 months.ConclusionsMothers of healthy term infants should be encouraged and supported to feed directly at the breast. Exclusive expressed breast-milk feeding should be recommended only when medically necessary and not as a substitute for feeding directly at the breast. Further research is required to explore mothers’ reasons for exclusive expressed breast-milk feeding and to identify the health outcomes associated with this practice.

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Expressed Breast Milk Feeding: Knowledge and Attitude of Employed Mothers

Medicine & Health ◽

10.17576/mh.2020.1501.16 ◽

2020 ◽

Vol 15 (1) ◽

pp. 177-186

Author(s):

Rohana Jaafar ◽

Keyword(s):

Breast Milk ◽

Expressed Breast Milk ◽

Employed Mothers ◽

Knowledge And Attitude ◽

Milk Feeding

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Current Practices Related to Feeding Preterm Neonates with Expressed Breast Milk: A Pilot Project

COJ Nursing & Healthcare ◽

10.31031/cojnh.2018.03.000565 ◽

2018 ◽

Vol 3 (3) ◽

Author(s):

Avinash kaur Rana

Keyword(s):

Breast Milk ◽

Pilot Project ◽

North India ◽

Preterm Neonates ◽

Feeding Schedule ◽

Night Feeding ◽

Expressed Breast Milk ◽

Level Hospital ◽

Milk Feeding ◽

Current Practices

A pilot project was conducted to assess current practices related to feeding pretermneonates with expressed breast milk. The present project was conducted with the objectives to assess current practices related to feeding preterm neonates with expressed breast milk admitted in tertiary level hospital, North India. Practices related to expressed breast milk feeding in preterm neonates was assessed in 4 steps. In step one of Information and current practices related to expression of breast milk among mothers was assessed. Practices in neonatal unit revealed that 92% of mothers had knowledge about feeding schedule of babies. In context to infection control practices 96% mothers washed hands, 92% wore gown, and all mothers (100%) used boiled utensils. Eighty two percent mothers expressed milk at least eight times in 24hour including once during night. Feeding detail of preterm neonates revealed that amount of expressed breast milk fed was very less as compare to enteral feed calculated per day

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Expressed breast milk: a less used option by working mothers of India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20172603 ◽

2017 ◽

Vol 6 (7) ◽

pp. 2874 ◽

Cited By ~ 1

Author(s):

Suvarna Rai

Keyword(s):

Breast Milk ◽

Working Mothers ◽

Tertiary Care ◽

Cow Milk ◽

Care Centre ◽

Tertiary Care Centre ◽

Formula Milk ◽

Expressed Breast Milk ◽

Postnatal Mothers ◽

Milk Feeding

Background: Expressed breast milk is a healthy feeding option as compared to formula milk for working postnatal mothers. Objective of present work was to study the knowledge, attitude and practice regarding expressed breast milk feeding among working postnatal mothers and to identify and explore the barriers against it.Methods: A double blinded cross sectional study was conducted at a tertiary care centre in Hyderabad city, India. 100 working breastfeeding postnatal mothers with infants upto 1 year were identified. A validated questionnaire in English and Hindi was used for data collection. It constituted personal characteristics, knowledge regarding expressed breast milk feeding, attitude towards it and presently followed practices by working mothers.Results: A total of 100 working mothers with infants less than one year were selected who attended the postnatal clinics at our hospital, a tertiary care centre in Hyderabad city. Overall, the knowledge regarding expressed breast milk feeding was unsatisfactory in 64% of women. Only 36% of them had satisfactory knowledge. Positive attitude towards expressed breast milk feeding was seen in 60% of them and 40% of them had negative attitude. Expressed breast milk feeding was practised by 11% of them, formula milk by 53%, mixed feeding by 10% and cow milk by 26% as a substitute to breast feeding in their absence. Univariate analysis revealed no statistically significant determinant of their knowledge, attitude and practices.Conclusions: Knowledge about expressed breast milk feeding in Indian working breastfeeding mothers is suboptimal. Imparting adequate knowledge can improve feeding practices.

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