Factors Associated with Exclusive Breastfeeding of Preterm Infants. Results from a Prospective National Cohort Study

Aim: to compare the prevalence of exclusive breastfeeding (EBF) and to verify the factors associated with its interruption in premature infants hospitalized at Baby-Friendly hospitals. Method: this is a comparative study performed with 107 premature infants admitted to the neonatal unit of two hospitals in Paraná. Data were obtained through interviews with mothers and analysis of infant records at hospital discharge and 15 days after delivery. Results: the prevalence of EBF was 29.2% in the University Hospital and 15.3% in the Philanthropic Hospital. At hospital discharge, associations with clinical characteristics of infants predominated, and 15 days after discharge there was a greater association with the socio-demographic characteristics of the parents. Conclusion: the prevalence of EBF, which was shown to be low at the time of hospital discharge in both hospitals, decreased after discharge, reinforcing the need for other strategies, in addition to those provided at Baby-Friendly hospitals, for the promotion and support of EBF in preterm infants.

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Breastfeeding Progression in Preterm Infants Is Influenced by Factors in Infants, Mothers and Clinical Practice: The Results of a National Cohort Study with High Breastfeeding Initiation Rates

PLoS ONE ◽

10.1371/journal.pone.0108208 ◽

2014 ◽

Vol 9 (9) ◽

pp. e108208 ◽

Cited By ~ 52

Author(s):

Ragnhild Maastrup ◽

Bo Moelholm Hansen ◽

Hanne Kronborg ◽

Susanne Norby Bojesen ◽

Karin Hallum ◽

...

Keyword(s):

Cohort Study ◽

Clinical Practice ◽

Preterm Infants ◽

Breastfeeding Initiation ◽

National Cohort

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Factors associated with childhood cancer in a national cohort study

British Journal of Cancer ◽

10.1038/bjc.1990.283 ◽

1990 ◽

Vol 62 (2) ◽

pp. 304-308 ◽

Cited By ~ 142

Author(s):

J Golding ◽

M Paterson ◽

LJ Kinlen

Keyword(s):

Cohort Study ◽

Childhood Cancer ◽

Factors Associated ◽

National Cohort

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Intention and practice on breastfeeding among pregnant mothers in Malaysia and factors associated with practice of exclusive breastfeeding: A cohort study

PLoS ONE ◽

10.1371/journal.pone.0262401 ◽

2022 ◽

Vol 17 (1) ◽

pp. e0262401

Author(s):

Nurul Mursyidah Shohaimi ◽

Majidah Mazelan ◽

Kanesh Ramanathan ◽

Mai Shahira Meor Hazizi ◽

Yan Ning Leong ◽

...

Keyword(s):

Cohort Study ◽

Exclusive Breastfeeding ◽

Multiple Logistic Regression Analysis ◽

Urban District ◽

Factors Associated ◽

Breastfeeding Knowledge ◽

Health Clinics ◽

Breastfeeding Rate ◽

Breastfeeding Practice ◽

Pregnant Mothers

Background Exclusive breastfeeding rate in Malaysia is low despite its known health benefits. This study aims to determine the prevalence of intention to breastfeed among pregnant mothers, the prevalence of exclusive breastfeeding practice after delivery, and factors associated with exclusive breastfeeding practice. Methods This was a prospective cohort study. All pregnant women at 36 weeks gestation or above from 17 antenatal health clinics in an urban district were invited to participate in the study. A self-administered questionnaire was used, encompassing sociodemographic, breastfeeding knowledge, attitude, and intention towards the practice of breastfeeding. The participants were followed up one month post-natal for their practice of breastfeeding via telephone or during their post-natal follow-up appointment. Results 483 pregnant mothers participated in the study initially. 462 (95.7%) were contactable after one month. 99.4% (459/462) of participants intended to breastfeed. 65.4% (302/462) of participants practiced exclusive breastfeeding. There was no significant association between intention and practice of exclusive breastfeeding. Multiple logistic regression analysis shows, pregnant mothers with high breastfeeding knowledge (AOR = 1.138; 95% CI 1.008–1.284) and Malay ethnicity (AOR = 2.031; 95% CI 1.066–3.868) were more likely to breastfeed their infant exclusively. Conclusions Prevalence of exclusive breastfeeding practice at one month in the studied district was 65.4%. Malay mothers and mothers with high breastfeeding knowledge were more likely to breastfeed exclusively. Thus, we recommend targeted intervention towards non-Malay mothers and increasing breastfeeding knowledge to all pregnant mothers.

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Volume of Neonatal Care and Survival without Disability at 2 Years in Very Preterm Infants: Results of a French National Cohort Study

The Journal of Pediatrics ◽

10.1016/j.jpeds.2019.06.001 ◽

2019 ◽

Vol 213 ◽

pp. 22-29.e4 ◽

Cited By ~ 1

Author(s):

Thomas Desplanches ◽

Béatrice Blondel ◽

Andrei Scott Morgan ◽

Antoine Burguet ◽

Monique Kaminski ◽

...

Keyword(s):

Cohort Study ◽

Preterm Infants ◽

Neonatal Care ◽

Very Preterm Infants ◽

Very Preterm ◽

National Cohort

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Preterm Infants as Young Adults: A Swedish National Cohort Study

PEDIATRICS ◽

10.1542/peds.2006-3260 ◽

2007 ◽

Vol 120 (1) ◽

pp. 70-77 ◽

Cited By ~ 141

Author(s):

K. Lindstrom ◽

B. Winbladh ◽

B. Haglund ◽

A. Hjern

Keyword(s):

Young Adults ◽

Cohort Study ◽

Preterm Infants ◽

National Cohort

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Cognitive development in babies with exclusive breastfeeding using Mullen Scale test

Paediatrica Indonesiana ◽

10.14238/pi48.5.2008.278-83 ◽

2016 ◽

Vol 48 (5) ◽

pp. 278

Author(s):

I G. Maharditha ◽

Soetjiningsih Soetjiningsih ◽

I K. G. Suandi

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Cohort Study ◽

Cognitive Development ◽

Exclusive Breastfeeding ◽

Cognitive Score ◽

Factors Associated ◽

Cognitive Values ◽

Scale Test ◽

The Impact

Background Breast milk is the best nutrition for babies' growthand development. There are many reasons for discontinuation ofexclusive breastfeeding (BF).Objective To evaluate the impact of exclusive breastfeeding onbabies' cognitive development.Methods A cohort study was conducted for full term newbornbabies. They were evaluated for cognitive development usingMullen scale test at of 6 and 9 months; t test was used to obtainmean difference of cognitive values. Logistic regression analysiswas performed to distinguish factors associated with the cognitivedevelopment.Results One hundred and forty babies were enrolled to this study(70 babies with exclusive BF and 70 babies with non-exclusiveBF). There were 34 boys (49%) in exclusive and 37 boys (53%) innon-exclusive BF group. Mean cognitive score at age six monthswas 1.41 points higher for exclusive BF group, mean rate 174.31(SO 4.89) and 172.90 (SO 4.19) for exclusive and non-exclusive BF,respectively. Mean cognitive score at nine months was 1.49 pointhigher in exclusive BF group with mean rate 175.28 (SO 4.39) and173.82 (SO 3.80) for exclusive and non-exclusive BF respectively.Logistic regression analysis showed that exclusively breastfed babieshad higher mean Mullen cognitive score of 4. 761 (95% CI 1.341;16.907) and 4.431 (95% CI 1.313; 14.949) times at sixth and ninthmonth respectively than non-exclusive BEConclusion Exclusively breastfed babies may have higher meanscore of Mullen cognitive score at sixth and ninth months whencompared with those who are non exclusively breastfed.

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Pengaruh dukungan pelayanan kesehatan terhadap pemberian asi eksklusif pada bayi sampai usia 4 bulan di Kota Pekanbaru

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.17401 ◽

2005 ◽

Vol 2 (2) ◽

pp. 53

Author(s):

Zulfayeni Zulfayeni ◽

Madarina Julia ◽

Siti Helmyati

Keyword(s):

Cohort Study ◽

Exclusive Breastfeeding ◽

Family Members ◽

Formula Feeding ◽

Early Lactation ◽

Factors Associated ◽

The Many

Background: The prevalence of exclusive breastfeeding until the age of 4 months is low. One of the many factors associated with it is healthcare supports on breastfeeding.Objective: The aim of this study was to assess the effect of healthcare supports for breastfeeding on the prevalence of exclusive breastfeeding until the age 4 months.Methods: This was a cohort study including 99 infants born at 10 birth clinics in Pekanbaru City during August-December 2003. Exposure was whether mother received supports for breastfeeding. Infants were followed monthly for 4 months to assess the duration they received exclusive breastfeeding.Results: Healthcare supports for breastfeeding were significantly associated with the duration of exclusive breastfeeding, i.e. RR (95%CI): 1.66 (1.08-2.54). Variables associated with longer duration of exclusive breastfeeding were availability of rooming in and early lactation. Early formula feeding did not support exclusive breastfeeding. Other variables associated with exclusive breastfeeding were husbands’ and other family members’ supports, maternal opinion on exclusive breastfeeding and maternal occupation.Conclusion: Healthcare supports on breastfeeding were important for promoting exclusive breastfeeding.

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Preventive strategies and factors associated with surgically treated necrotising enterocolitis in extremely preterm infants: an international unit survey linked with retrospective cohort data analysis

BMJ Open ◽

10.1136/bmjopen-2019-031086 ◽

2019 ◽

Vol 9 (10) ◽

pp. e031086 ◽

Cited By ~ 1

Author(s):

Mark Adams ◽

Dirk Bassler ◽

Brian A Darlow ◽

Kei Lui ◽

Brian Reichman ◽

...

Keyword(s):

Cohort Study ◽

New Zealand ◽

Preterm Infants ◽

Retrospective Cohort ◽

Necrotising Enterocolitis ◽

Preventive Strategies ◽

Factors Associated ◽

Cohort Data ◽

Extremely Preterm ◽

Extremely Preterm Infants

ObjectivesTo compare necrotising enterocolitis (NEC) prevention practices and NEC associated factors between units from eight countries of the International Network for Evaluation of Outcomes of Neonates, and to assess their association with surgical NEC rates.DesignProspective unit-level survey combined with retrospective cohort study.SettingNeonatal intensive care units in Australia/New Zealand, Canada, Finland, Israel, Spain, Sweden, Switzerland and Tuscany (Italy).PatientsExtremely preterm infants born between 240to 286weeks’ gestation, with birth weights<1500 g, and admitted between 2014–2015.ExposuresNEC prevention practices (probiotics, feeding, donor milk) using responses of an on-line pre-piloted questionnaire containing 10 questions and factors associated with NEC in literature (antenatal steroids, c-section, indomethacin treated patent ductus arteriosus and sepsis) using cohort data.Outcome measuresSurgical NEC rates and death following NEC using cohort data.ResultsThe survey response rate was 91% (153 units). Both probiotic provision and donor milk availability varied between 0%–100% among networks whereas feeding initiation and advancement rates were similar in most networks. The 9792 infants included in the cohort study to link survey results and cohort outcomes, revealed similar baseline characteristics but considerable differences in factors associated with NEC between networks. 397 (4.1%) neonates underwent NEC surgery, ranging from 2.4%–8.4% between networks. Standardised ratios for surgical NEC were lower for Australia/New Zealand, higher for Spain, and comparable for the remaining six networks.ConclusionsThe variation in implementation of NEC prevention practices and in factors associated with NEC in literature could not be associated with the variation in surgical NEC incidence. This corroborates the current lack of consensus surrounding the use of preventive strategies for NEC and emphasises the need for research.

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