Risk factors for non-optimal breastfeeding practices in low birth weight infants

Background Low birth weight infants are ongoing problems sincethey are likely to have high risks of morbidity, mortality andfeeding problems. American Academy of Pediatrics recommendsbreastfeeding practice for infants with low birth weight, yet someproblems have occured.Objective To determine risk factors for non-optimal breastfeedingpractices in low birth weight infants.Methods In this historical cohort study we included mothers with6-month-old infants, single birth with weight of2000-2499 gramsand the pregnancy period of 2:: 34 weeks, and excluded motherswith infants who had a major congenital disorder, labioschizis,labiognatopalatoschizis, or history of admission in NICU. Datawere collected using standard longitudinal surveillance form forbreastfeeding mothers. Analyses were performed using chi-squaretest and logistic regression.Results The percentage of low birth weight infants breastfedoptimally were 42.7%. Working mothers presented the highestrisk for non-optimal breastfeeding. The onset of lactation formore than 6 hours was the second factor (81.8%). The resultsof multivariate logistic regression analysis showed that motherswho worked (RR 2.79; 95% CI 1.84 to 4.23) and onset lactationof more than 6 hours (RR 2.34; 95% CI 1.57 to 3.50) were therisk factors for non-optimal breastfeeding practices in low birthweight infants.Conclusion Mother's working status and onset of lactationfor more than 6 hours were the risk factors for non-optimalbreastfeeding in low birth weight infants.

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The effect of exclusive breastfeeding on reducing acute respiratory infections in low birth weight infants

Paediatrica Indonesiana ◽

10.14238/pi52.4.2012.229-32 ◽

2012 ◽

Vol 52 (4) ◽

pp. 229 ◽

Cited By ~ 1

Author(s):

Karolina Trigemayanti Tallo ◽

I Kompyang Gede Suandi ◽

Setya Wandita

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Exclusive Breastfeeding ◽

Lower Risk ◽

Acute Respiratory Infection ◽

Low Birthweight ◽

Respiratory Infections ◽

Acute Respiratory Infections ◽

Low Birth Weight Infants ◽

History Of

Background Infants who are breastfed receive natural protectionagainst certain infections. Despite the known benefits of exclusivebreastfeeding, many Indonesian mothers choose to supplementwith formula. There have been few Indonesian studies on theeffect of exclusive breastfeeding in reducing acute respiratoryinfections in low birth weight infants in their first four monthsof life.Objective To investigate the effect of exclusive breastfeeding inreducing the incidence of acute respiratory infections in low birthweight infants during their first four months of life.Methods We conducted a prospective cohort study on low birthweight babies in Sanglah Hospital, Denpasar. The total numberof subjects was 181. The incidence of acute respiratory infectionsduring the first 4 months of life and the duration of breast feedingwere assessed by questionnaires. Data was analyzed Mth Chisquare and logistic regression tests.Results Infants who were exclusively breastfed for 4 months hada lower risk of acute respiratory infection than those who were notexclusively breastfed (RR 0.07; 95% CI 0.03 to 0.14; P􀁄O.OOI).After adjustment for gestational age, parity, maternal nutritionalstatus, family size, smoke exposure, and history of atopy, infantswho were exclusively breastfed still had a lower risk for acuterespiratory infection than those who were not exclusively breastfed(RR 0.06; 95% CI 0.03 to 0.13; P 􀁄 0.001)Conclusion Exclusive breastfeeding reduced the risk of acuterespiratory infection in low birth weight infants in the first fourmonths after birth. [Paediatr Indones. 2012;52:229,32].

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Characteristics and risk factors for extrauterine growth retardation in very-low-birth-weight infants

10.21203/rs.2.15931/v1 ◽

2019 ◽

Author(s):

Xingli Zhao ◽

Li Ding ◽

Xiaoqian Chen ◽

Xueping Zhu ◽

Jian Wang ◽

...

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Growth Retardation ◽

Neonatal Intensive Care ◽

Very Low Birth Weight ◽

Multivariate Logistic Regression Analysis ◽

Feeding Intolerance ◽

Low Birth Weight Infants ◽

Extrauterine Growth Retardation

Abstract This study aimed to investigate the characteristics and risk factors for extrauterine growth retardation (EUGR) in very-low-birth-weight infants (VLBWIs). The medical records of 137 VLBWIs admitted to the neonatal intensive care unit between June 2015 and December 2017 were retrospectively reviewed. The patients were divided into EUGR (n = 92) and non-EUGR (n = 45) groups. The data of demographic and clinical characteristics was collected and the risk factors for EUGR were assessed by multivariate logistic regression analysis. Gestational age (OR = 0.573, P < 0.01), SGA (OR = 3.887, P = 0.022), feeding intolerance (OR = 4.632, P = 0.002), and calories supplied by amino acids at the 7 th day (OR = 0.786, P = 0.006) were independent high-risk factors for EUGR. EUGR in VLBWIs may be prevented by strategies including early lactation, providing special formulas to reduce feeding intolerance, and sufficient calorie provision.This study aimed to investigate the characteristics and risk factors for extrauterine growth retardation (EUGR) in very-low-birth-weight infants (VLBWIs). The medical records of 137 VLBWIs admitted to the neonatal intensive care unit between June 2015 and December 2017 were retrospectively reviewed. The patients were divided into EUGR (n = 92) and non-EUGR (n = 45) groups. The data of demographic and clinical characteristics was collected and the risk factors for EUGR were assessed by multivariate logistic regression analysis. Gestational age (OR = 0.573, P < 0.01), SGA (OR = 3.887, P = 0.022), feeding intolerance (OR = 4.632, P = 0.002), and calories supplied by amino acids at the 7 th day (OR = 0.786, P = 0.006) were independent high-risk factors for EUGR. EUGR in VLBWIs may be prevented by strategies including early lactation, providing special formulas to reduce feeding intolerance, and sufficient calorie provision.

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Is Chronic Lung Disease in Low Birth Weight Infants Preventable? A Survey of Eight Centers

PEDIATRICS ◽

10.1542/peds.79.1.26 ◽

1987 ◽

Vol 79 (1) ◽

pp. 26-30 ◽

Cited By ~ 38

Author(s):

Mary Ellen Avery ◽

William H. Tooley ◽

Jacob B. Keller ◽

Suzanne S. Hurd ◽

M. Heather Bryan ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Lung Disease ◽

San Francisco ◽

Chronic Lung Disease ◽

Multivariate Logistic Regression Analysis ◽

Low Birth Weight Infants ◽

Relationship Of ◽

The Relationship ◽

Prematurely Born Infants

Chronic lung disease in prematurely born infants, defined as the need for increased inspired oxygen at 28 days of age, was thought to be more common in some institutions than in others. To test this hypothesis, we surveyed the experience in the intensive care nurseries at Columbia and Vanderbilt Universities, the Universities of Texas at Dallas, Washington at Seattle, and California at San Francisco, the Brigham and Women's Hospital in Boston, Texas Children's Hospital in Houston, and Mt Sinai Hospital in Toronto. The survey included 1,625 infants with birth weights of 700 to 1,500 g. We confirmed the relationship of risk to low birth weight, white race, and male sex. Significant differences in the incidence of chronic lung disease were found between institutions even when birth weight, race, and sex were taken into consideration through a multivariate logistic regression analysis. Columbia had one of the best outcomes for low birth weight infants and the lowest incidence of chronic lung disease.

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