Breastfeeding Practice Before Bottle Feeding Increases Breastfeeding Rates for Preterm Infants at Time of NICU Discharge

2021 ◽  
Author(s):  
Raylene M. Phillips ◽  
Dawn VanNatta ◽  
Jenny Chu ◽  
Allison Best ◽  
Pam Ruiz ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Bottle Feeding ◽  
Breastfeeding Rates ◽  
Breastfeeding Practice

scholarly journals Oral metoclopramide boosts lactogenesis II in mothers with preterm infants: a randomized placebo-controlled trial.

2020 ◽  
Author(s):  
Doris Fok ◽  
Yiong Huak Chan ◽  
Jiahui Ho ◽  
Mary HJ RAuff ◽  
Yah Shih Chan ◽  
...  
Keyword(s):  
Human Milk ◽  
Preterm Infants ◽  
Controlled Trial ◽  
Controlled Study ◽  
Delivery Methods ◽  
Maternal Perception ◽  
Mothers Of Preterm Infants ◽  
Term Births ◽  
Double Blinded ◽  
Breastfeeding Practice

Abstract Background: Preterm mothers at risk of delayed lactogenesis II may benefit from early pharmcological intervention to initiate breastfeeding onset. Research aim. To evaluate the effect of oral metoclopramide on lactogenesis II in mothers of preterm infants commencing within twelve hours of delivery. Methods: From April 2006 to May 2009,105 women were randomized to metoclopramide (term births, n=36;reterm n=20) or placebo (term,n=33;preterm,n=16). Mothers received 30 mg of oral metoclopramide daily for the first postnatal week in a randomized double-blinded placebo-controlled study. Primary outcome was augmentation of Lactogenesis II onset by postnatal day 3. Secondary outcomes were daily expression of breastmilk and maternal perception of lactogenesis II, breastfeeding practice and infant weight change over 6 months. Results: Metoclopramide achieved 25% augmentation in lactogenesis II onset (p=0.09) with greater expressed human milk volumes in mothers of preterm infants. Daily expressed human milk volumes was higher among preterm mothers on metoclopramide compared to term placebo mothers who served as controls, significant on day 2 (19.9 vs 2.4ml, p=0.04) and day 3 (32.6 vs 8.8ml,p=0.04),and total expressed human milk volumes had increased by 8.2 fold by the end of week one. Most mothers reported first initiation of lactogenesis II by day 6, with 95-100% of term mothers confirmed by day 5 (not significant). Conclusions: Short-term metoclopramide use starting within 12 postnatal hours boosted lactogenesisi II onset in preterm mothers, improving daily expressed human milk production and maternal perception of lactogenesis II onset.

scholarly journals Availability of Donor Milk for Very Preterm Infants Decreased the Risk of Necrotizing Enterocolitis without Adversely Impacting Growth or Rates of Breastfeeding

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1895 ◽  
Author(s):  
Débora Cañizo Vázquez ◽  
Sandra Salas García ◽  
Montserrat Izquierdo Renau ◽  
Isabel Iglesias-Platas
Keyword(s):  
Preterm Infants ◽  
Necrotizing Enterocolitis ◽  
Neonatal Intensive Care ◽  
Late Onset ◽  
Donor Milk ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Breastfeeding Rates ◽  
Group 2 ◽  
Group 1

Human milk contains non-nutritional factors that promote intestinal maturation and protect against infectious and inflammatory conditions. In the Neonatal Intensive Care Unit (NICU) setting, donor milk (DM) is recommended when availability of own mother’s milk (OMM) is not enough. Our aim was to compare the incidence of necrotizing enterocolitis (NEC) and late-onset sepsis (LOS) in very preterm infants (VPI) after the introduction of DM. Growth and breastfeeding rates were examined as secondary outcomes. Single center, observational and retrospective cohort study comparing 227 VPI admitted to our neonatal unit before (Group 1, n = 99) and after (Group 2, n = 128) DM introduction. Enteral nutrition was started earlier after DM availability (2.6 ± 1.1 vs. 2.1 ± 1 days, p = 0.001). Incidence of NEC decreased in group 2 (9.1% vs. 3.4%, p = 0.055), especially in those born between 28 and 32 weeks (5.4 vs. 0.0%, p = 0.044). Surgical NEC was also less frequent. Suffering NEC was 4 times more likely in group 1 (multivariate analysis). Availability of DM did not impact breastfeeding rates or preterm growth. Our findings support the protective role of DM against NEC, particularly in non-extreme VPI, a group less frequently included in clinical guidelines and research studies on the use of DM.

scholarly journals Bottle-Feeding Challenges in Preterm-Born Infants in the First 7 Months of Life

2020 ◽  
Vol 7 ◽  
pp. 2333794X2095268
Author(s):  
Rebecca R. Hill ◽  
Jinhee Park ◽  
Britt F. Pados
Keyword(s):  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Online Survey ◽  
Linear Models ◽  
Assessment Tool ◽  
Bottle Feeding ◽  
Oral Feeding ◽  
Term Infants ◽  
Very Preterm Infants ◽  
Preterm Born

Preterm infants frequently experience oral feeding challenges while in the neonatal intensive care unit, with research focusing on infant feeding during this hospital stay. There is little data on symptoms of problematic feeding in preterm-born infants in the months after discharge. The purpose of this study was to describe symptoms of problematic bottle-feeding in the first 7 months of life in infants born preterm, compared to full-term infants. Parents of infants less than 7 months old completed an online survey that included the Neonatal Eating Assessment Tool—Bottle-feeding and questions about the infant’s medical and feeding history. General linear models were used to evaluate differences in NeoEAT—Bottle-feeding total score and subscale scores by preterm category, considering other significant factors. Very preterm infants had more symptoms of problematic bottle-feeding than other infants. Current age, presence of gastroesophageal reflux, and anomalies of the face/mouth were associated with problematic bottle-feeding.

Family-Based Intervention Improves Maternal Psychological Well-being and Feeding Interaction of Preterm Infants

PEDIATRICS ◽  
1994 ◽  
Vol 93 (2) ◽  
pp. 241-246 ◽  
Author(s):  
Elaine C. Meyer ◽  
Cynthia T. Garcia Coll ◽  
Barry M. Lester ◽  
C. F. Zachariah Boukydis ◽  
Susan M. McDonough ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Family Environment ◽  
Repeated Measures ◽  
Well Being ◽  
Bottle Feeding ◽  
Physical Contact ◽  
Infant Behavior ◽  
Significant Group ◽  
Family Based ◽  
Feeding Interactions

Objective. To determine the efficacy of an individualized, family-based intervention with preterm infants and their families. Design. Randomized, repeated measures intervention outcome study. Setting. Level III neonatal intensive care nursery. Patients. Random sample of 34 preterm infants ≤1500 g and their families. Interventions. Individualized, family-based intervention during the hospitalization and transition to home addressed problems identified by parents in four domains including: infant behavior and characteristics, family organization and functioning, caregiving environment, and home discharge and community resources. Measurements and Main Results. Standardized questionnaires were administered at baseline and discharge to mothers, and predischarge bottle-feeding interactions were videotaped and coded by two blinded observers. Results were in favor of intervention (Int) versus control (Con) mothers (baseline; discharge) (P < .05) on the Parental Stressor Scale Sights and Sounds subscale (Int 2.4 ± 1.0; 2.0 ± 0.8 vs Con 2.4 ± 0.9; 2.6 ± 0.8); Child's Appearance and Behavior subscale (Int 2.8 ± 1.0; 2.5 ± 1.1 vs Con 2.8 ± 0.8; 3.1 ± 0.6); and Total Stressor Score (Int 93.9 ± 36.6; 72.3 ± 41.8 vs Con 87.5 ± 26.7; 87.8 ± 26.2). On the Beck Depression Inventory, intervention mothers had significant decreases in depressive symptoms (39%; 11%) vs control mothers (31%; 44%). Maternal self-esteem in both groups improved over time. There were no significant group differences in family environment. During feeding interactions, intervention infants grimaced (P < .001) and gagged (P < .05) less than controls. Intervention mothers less frequently interrupted feedings (P < .001); less frequently stimulated infant sucking (P < .01); smiled more (P < .001); vocalized more (P < .01); demonstrated greater sensitivity to infant behavior (P < .001), better quality of physical contact (P < .001), and more positive affect (P < .01). Conclusions. Individualized, family-based intervention appears to reduce maternal stress and depression, and to enhance early mother-infant feeding interactions. Further research is needed to determine whether these short-term beneficial effects persist beyond the newborn period.

scholarly journals Cup versus bottle feeding for hospitalized late preterm infants in Egypt: A quasi-experimental study

2008 ◽  
Vol 3 (1) ◽  
pp. 27 ◽  
Author(s):  
Amel M Abouelfettoh ◽  
Donna A Dowling ◽  
Soheir A Dabash ◽  
Shadia R Elguindy ◽  
Iman A Seoud
Keyword(s):  
Experimental Study ◽  
Preterm Infants ◽  
Bottle Feeding ◽  
Late Preterm ◽  
Late Preterm Infants ◽  
Quasi Experimental
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