Predictive factors of the interruption of exclusive breastfeeding in premature infants: a prospective cohort

ABSTRACT Objective: to evaluate the incidence of exclusive breastfeeding and the risk factors associated to its interruption in premature infants after hospital discharge. Method: this is a prospective cohort with 113 premature infants in a neonatal unit, whom were followed-up from 7 to 15 days after hospital discharge. The outcome was the interruption of exclusive breastfeeding. Maternal and neonatal exposure variables were evaluated by a regression model and described by the confidence interval (95%) and risk ratio. Results: exclusive breastfeeding rate was 81.4% at discharge and 66.4% at 7 to 15 days after discharge. Double gestation, time of mechanical ventilation and birth weight were associated with higher risks of interruption of exclusive breastfeeding after discharge. Conclusion: there is a need for the implementation of actions that promote the early onset and maintenance of exclusive breastfeeding of premature infants.

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Aleitamento materno exclusivo em prematuros de hospitais Amigo da Criança: estudo comparativo

Online Brazilian Journal of Nursing ◽

10.17665/1676-4285.20175627 ◽

2018 ◽

Vol 16 (3) ◽

pp. 319

Author(s):

Ariane Thaise Alves Monteiro ◽

Edilaine Giovanini Rossetto ◽

Kauana Olanda Pereira ◽

Mariana Charif Lakoski ◽

Marcela Maria Birolim ◽

...

Keyword(s):

Comparative Study ◽

Hospital Discharge ◽

Preterm Infants ◽

Premature Infants ◽

Exclusive Breastfeeding ◽

Clinical Characteristics ◽

Demographic Characteristics ◽

University Hospital ◽

Factors Associated ◽

The University

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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Pairs seen by lactation consultants and cessation of exclusive breastfeeding in the first month

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2018010003422 ◽

2019 ◽

Vol 53 ◽

Author(s):

Vanessa Aparecida Gasparin ◽

Juliana Karine Rodrigues Strada ◽

Bruna Alibio Moraes ◽

Thaís Betti ◽

Annelise de Carvalho Gonçalves ◽

...

Keyword(s):

Early Detection ◽

Hospital Discharge ◽

Hierarchical Model ◽

Exclusive Breastfeeding ◽

Prospective Cohort ◽

Survival Curve ◽

Porto Alegre ◽

Factors Associated ◽

Lactation Consultants ◽

Four Levels

ABSTRACT Objective: To analyze the survival of exclusive breastfeeding and the factors associated with its cessation in the first month among pairs seen by a lactation consulting team. Method: This is a prospective cohort conducted with mother-infant pairs treated at the Hospital de Clínicas of Porto Alegre. Results: The sample consisted of 150 pairs. The survival curve indicates that 52.9% of the children remained on exclusive breastfeeding. The hierarchical model was constructed in four levels, and the factors associated with the cessation of exclusive breastfeeding were the milk supplementation during hospitalization, breast problems after hospital discharge and use of pacifiers. Conclusion: Awareness of these factors favors the early detection of pairs that may be predisposed to cessation of exclusive breastfeeding, who require greater support, dedication and care.

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Racial Differences in Hepatocellular Carcinoma Incidence and Risk Factors among a Low Socioeconomic Population

Cancers ◽

10.3390/cancers13153710 ◽

2021 ◽

Vol 13 (15) ◽

pp. 3710

Author(s):

Sylvie Muhimpundu ◽

Rebecca Baqiyyah N. Conway ◽

Shaneda Warren Andersen ◽

Loren Lipworth ◽

Mark D. Steinwandel ◽

...

Keyword(s):

Risk Factors ◽

Hepatocellular Carcinoma ◽

Cohort Study ◽

African Americans ◽

Racial Differences ◽

Prospective Cohort ◽

White Americans ◽

Low Socioeconomic ◽

Factors Associated ◽

Southeastern Us

The purpose of this study was to examine differences in risk factors associated with hepatocellular carcinoma (HCC) among White and African Americans from low socioeconomic backgrounds in the Southern Community Cohort Study (SCCS). The SCCS is a prospective cohort study with participants from the southeastern US. HCC incidence rates were calculated. Multivariable Cox regression was used to calculate HCC-adjusted hazard ratios (aHR) associated with known baseline HCC risk factors for White and African Americans, separately. There were 294 incident HCC. The incidence rate ratio for HCC was higher (IRR = 1.4, 95%CI: 1.1–1.9) in African Americans compared to White Americans. White Americans saw a stronger association between self-reported hepatitis C virus (aHR = 19.24, 95%CI: 10.58–35.00) and diabetes (aHR = 3.55, 95%CI: 1.96–6.43) for the development of HCC compared to African Americans (aHR = 7.73, 95%CI: 5.71–10.47 and aHR = 1.48, 95%CI: 1.06–2.06, respectively) even though the prevalence of these risk factors was similar between races. Smoking (aHR = 2.91, 95%CI: 1.87–4.52) and heavy alcohol consumption (aHR = 1.59, 95%CI: 1.19–2.11) were significantly associated with HCC risk among African Americans only. In this large prospective cohort, we observed racial differences in HCC incidence and risk factors associated with HCC among White and African Americans.

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Risk factors associated with adverse outcomes in a population-based prospective cohort study of people with their first diabetic foot ulcer

Journal of Diabetes and its Complications ◽

10.1016/j.jdiacomp.2007.09.004 ◽

2007 ◽

Vol 21 (6) ◽

pp. 341-349 ◽

Cited By ~ 84

Author(s):

Kirsty Winkley ◽

Daniel Stahl ◽

Trudie Chalder ◽

Michael E. Edmonds ◽

Khalida Ismail

Keyword(s):

Risk Factors ◽

Cohort Study ◽

Prospective Cohort Study ◽

Diabetic Foot ◽

Prospective Cohort ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Population Based ◽

Adverse Outcomes ◽

Factors Associated

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Polypharmacy and Medication Regimen Complexity as Factors Associated with Hospital Discharge Destination Among Older People: A Prospective Cohort Study

Drugs & Aging ◽

10.1007/s40266-014-0185-1 ◽

2014 ◽

Vol 31 (8) ◽

pp. 623-630 ◽

Cited By ~ 27

Author(s):

Barbara Caecilia Wimmer ◽

Elsa Dent ◽

Renuka Visvanathan ◽

Michael David Wiese ◽

Kristina Johnell ◽

...

Keyword(s):

Cohort Study ◽

Older People ◽

Hospital Discharge ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Discharge Destination ◽

Medication Regimen ◽

Factors Associated ◽

Medication Regimen Complexity ◽

Regimen Complexity

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Lack of Identifiable Risk Factors for Kernicterus

PEDIATRICS ◽

10.1542/peds.66.4.502 ◽

1980 ◽

Vol 66 (4) ◽

pp. 502-506 ◽

Cited By ~ 3

Author(s):

Susan Beckwitt Turkel ◽

Marta E. Guttenberg ◽

Diane Radovich Moynes ◽

Joan E. Hodgman

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Premature Infants ◽

Serum Bilirubin ◽

Matched Control ◽

Total Serum ◽

Clinical Factors ◽

Factors Associated ◽

Increased Risk ◽

Control Study

In recent years kernicterus at autopsy has been observed in sick premature infants in the absence of markedly elevated levels of serum bilirubin. Potentiating factors have been suggested to explain kernicterus in such a setting. In order to establish which factors are associated with increased risk for kernicterus in these small babies, this retrospective matched control study was undertaken. Thirty-two infants with kernicterus at autopsy were matched for gestational age, birth weight, length of survival, and year of birth to 32 control infants without kernicterus. Multiple historical, clinical, and laboratory factors were compared, including therapy, sepsis, hypothermia, asphyxia as reflected by Apgar score, hematocrit, acidosis, hypercarbia, hypoxia, hypoglycemia, and hyperbilirubinemia. No statistically significant differences between the kernicteric and nonkernicteric infants were demonstrated for any of these factors, including peak total serum bilirubin levels. Multivariant analysis also failed to determine a group of factors associated with increased risk for kernicterus. It was not possible to separate those infants with and without kernicterus at autopsy on the basis of the clinical factors evaluated.

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Exclusive breastfeeding rate and factors associated with infant feeding practices in Indonesia

Paediatrica Indonesiana ◽

10.14238/pi56.1.2016.24-31 ◽

2016 ◽

Vol 56 (1) ◽

pp. 24 ◽

Cited By ~ 2

Author(s):

Yovita Ananta ◽

Ellen Gandaputra ◽

Elina Waiman ◽

I Gusti Ayu Nyoman Partiwi ◽

Nanis Sacharina Marzuki ◽

...

Keyword(s):

Infant Feeding ◽

Exclusive Breastfeeding ◽

Head Circumference ◽

Feeding Practices ◽

Infant Feeding Practices ◽

Developmental Status ◽

Factors Associated ◽

Breastfed Infants ◽

Breastfeeding Rate ◽

Duration Of Breastfeeding

Background Breast milk is the ideal food for infants. According to the 2007 Indonesian National Household Health Survey, only 23% of mothers exclusively breastfeed for six months.Objectives To determine the rate of exclusive breastfeeding in Indonesia, to evaluate factors associated with infant feeding practices, and to compare the nutritional and developmental status between exclusively-breastfed and formula-fed infants.Methods A survey was conducted in hospitals located in 17 provinces in Indonesia. The rate of exclusive breastfeeding was calculated. Many variables were investigated as potential predictors for exclusive breastfeeding using a multivariable logistic regression analysis. Further analysis was performed to compare the nutritional and developmental status between exclusively breastfed and formula-fed infants at the time of survey.Results From 1,804 infant subjects, the overall rate of exclusive breastfeeding was 46.3%, ranging from 10.5% in East Java to 66.9% in Jambi. Predominant breastfeeding, complementary feeding, and formula feeding rates were 14.3%, 8.6%, and 30.7%, respectively. Maternal unemployment was associated with a longer duration of breastfeeding (P=0.000). There were significantly more formula-fed infants who were undernourished compared to exclusively-breastfed infants (14% vs. 8%, P=0.001). There were also significantly more infants in the formula-fed group who had abnormal head circumference compared to those in the exclusively-breastfed group (9% vs. 6%, P=0.031). Child development, as assessed by the Pre-screening Developmental Questionnaire, was similar between the two groups (P=0.996).Conclusion The overall rate of exclusive breastfeeding in Indonesia is 46.3%. Maternal unemployment is associated with longer duration of breastfeeding. Exclusive breastfed infants have significant better growth and head circumference compared to formula fed infants, while the development is similar between the two groups.

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