scholarly journals A Prospective Study on Lactation Status and Breastfeeding Challenges of Mothers Giving Birth to Preterm Infants

2020 ◽  
Author(s):  
Dingding Dong ◽  
Xifang Ru ◽  
Xiaofang Huang ◽  
Tian Sang ◽  
Shan Li ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Multivariate Logistic Regression Analysis ◽  
Post Discharge ◽  
Milk Output ◽  
Early Postpartum ◽  
Total Milk ◽  
Mothers Of Preterm Infants ◽  
A Prospective Study ◽  
Mother’S Own Milk

Abstract BackgroundMothers of preterm infants face challenges in breastfeeding. The aim of the study was to investigate lactation status and challenges in breastfeeding faced by mothers of preterm infants. MethodsMothers giving birth to preterm infants between May 26th 2018 and October 31st 2018 were enrolled. Lactation status and challenges in breastfeeding on day 7 postpartum, at discharge of infants, 2 weeks post-discharge, and 3 months of corrected age (CA 3m) were collected by questionnaires. ResultsSeventy mothers were enrolled, and 51.4% had delayed lactogenesis II. Multivariate logistic regression analysis revealed that cesarean section (OR=3.368, p=0.032), older maternal age (OR=1.189, p=0.008), and primiparity (OR=5.091, p=0.012) were significant independent predictors of delayed lactogenesis II. Mothers with delayed lactogenesis II had significantly lower milk output (day 7 postpartum: 160.0mL vs. 300.0mL, p=0.001; at discharge: 425.0mL vs. 612.5mL, p=0.005) and lower proportion of exclusive breastfeeding (at discharge: 38.9% vs. 70.6%, p=0.008; CA 3m: 12.5% vs. 33.3%, p=0.050). The ROC showed that milk output >190mL/d and >245mL/d on day 7 postpartum significantly predict milk output ≥300mL/d at discharge and exclusive breastfeeding at post-discharge two weeks, respectively. Insufficient human milk was the top reason for breastfeeding discontinuation at CA 3m, and mother’s own milk ≥50% of total milk uptake at postpartum two weeks (OR=5.303, p=0.007) was an independent predictor of continuous breastfeeding at CA 3m. Feeding complications in infants, poor breastfeeding techniques, and low milk output were the top challenges in breastfeeding. ConclusionInterventions to improve early postpartum lactation and breastfeeding techniques may increase breastfeeding adoption in mothers of preterm infants.

scholarly journals A prospective cohort study on lactation status and breastfeeding challenges in mothers giving birth to preterm infants

2022 ◽  
Vol 17 (1) ◽  
Author(s):  
Dingding Dong ◽  
Xifang Ru ◽  
Xiaofang Huang ◽  
Tian Sang ◽  
Shan Li ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Preterm Infants ◽  
Multivariate Logistic Regression Analysis ◽  
Tertiary Hospital ◽  
Post Discharge ◽  
Milk Output ◽  
Early Postpartum ◽  
Milk Volume ◽  
Mothers Of Preterm Infants ◽  
Mother’S Own Milk

Abstract Background Mothers of preterm infants face many challenges in breastfeeding, especially regarding lactation. This study aimed to investigate the lactation status and challenges in breastfeeding faced by preterm infants’ mothers. Methods We approached 124 mothers who gave birth to preterm infants between 26 May and 31 October 2018 in a tertiary hospital in China. Lactation status and challenges in breastfeeding on day 7 postpartum, at discharge of infants, 2 weeks post-discharge, and 3 months of corrected age were collected using questionnaires. The area under the receiver operating characteristic (ROC) curve for expressed milk volume on day 7 postpartum for predicting expressed milk volume ≥ 300 mL/d at discharge was calculated. Logistic regression analyses were performed to identify factors associated with delayed lactogenesis II onset and continuation of breastfeeding at 3 months of corrected age. Results Seventy mothers were enrolled, and 51.4% had delayed lactogenesis II. Multivariate logistic regression analysis revealed that older maternal age (aOR = 1.19; 95% CI: 1.01, 1.40) and first live birth (aOR = 4.81; 95% CI 1.43, 16.18) were significant independent predictors of delayed lactogenesis II. Mothers with delayed lactogenesis II had significantly lower expressed milk volume (day 7 postpartum: 160.0 mL vs. 300.0 mL, U = 328.50, p = 0.001; at discharge: 425.0 mL vs. 612.5 mL, U = 372.00, p = 0.005), with a lower proportion of exclusive breastfeeding in their infants (at discharge: 33.3% vs. 69.8%, χ2 = 12.39, df = 1, p < 0.001; 3 months of corrected age: 17.8% vs. 52.8%, χ2 = 11.03, df = 1, p = 0.001). The ROC showed that expressed milk volume > 190 mL/d on day 7 postpartum significantly predicted expressed milk volume ≥ 300 mL/d at discharge. Insufficient human milk was the main reason for breastfeeding discontinuation at 3 months of corrected age. Twins were less likely to continue breastfeeding at 3 months of corrected age (aOR = 0.27; 95% CI 0.09, 0.86). In singleton infants, mother’s own milk ≥50% of total milk uptake at 2 weeks post-discharge (aOR = 32.66; 95% CI 3.00, 355.25) was an independent predictor of continuous breastfeeding at 3 months of corrected age. Feeding complications in infants, poor breastfeeding technique, and low milk output are the main challenges in breastfeeding. Conclusion Interventions to improve early postpartum lactation and breastfeeding techniques may increase breastfeeding adoption in mothers of preterm infants.

Mother's Own Milk Biomarkers Predict Coming to Volume in Pump-Dependent Mothers of Preterm Infants

2021 ◽  
Vol 228 ◽  
pp. 44-52.e3
Author(s):  
Rebecca Hoban ◽  
Clarisa Medina Poeliniz ◽  
Emily Somerset ◽  
Ching Tat Lai ◽  
Judy Janes ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Mothers Of Preterm Infants ◽  
Mother’S Own Milk

scholarly journals Factors and survival of exclusive breastfeeding in preterm infants upon discharge at six months of age

2020 ◽  
Vol 10 (8) ◽  
pp. 30
Author(s):  
Josefina Gallegos-Martínez ◽  
Jaime Reyes-Hernández ◽  
Fátima de San Carlos Torres-Carreón ◽  
Blanca Esther Cuéllar-Miranda ◽  
Adriana Leite ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Hospital Discharge ◽  
Preterm Infants ◽  
Premature Infants ◽  
Exclusive Breastfeeding ◽  
Clinical Status ◽  
Baby Friendly Hospital Initiative ◽  
Post Discharge ◽  
Related Factors

Introduction and objective: Reducing the neonatal mortality rate in half is an objective proposed by WHO for the year 2025 through coverage strategies from the prenatal stage, delivery, birth, and hospitalization, one of these low-cost strategies is exclusive breastfeeding (EBF) in preterm infants, that contributes to the prevention of neonatal mortality, a population that contributes in the first place to neonatal mortality. The objective of this study was to identify the frequency and survival of exclusive breastfeeding and related factors in premature infants of two referral hospitals, one of them certified as Baby-Friendly Hospital Initiative (BFHI).Methods: Follow-up study of 111 premature infants after hospital discharge with equivalent corrected age among hospitals: BFHI 36.1 ± 1.6; non-BFHI (nBFHI) 36.4 ± 1.8 weeks (p ≥ .05). Data collection carried out from February 2016 to March 2017, through records in clinical files and surveys of mothers upon hospital discharge and by telephone during follow-up after 15 days post-discharge, 3, and 6 months of extrauterine life. Kaplan-Meier analysis to determine breastfeeding survival over time, and with Pearson’s r with significance p ≤ .05, the relation was established between EBF with sociodemographic, perinatal, and clinical status factors of the child.Results: Urban maternal origin (68.1%), maternal age (25.7 ± 7.9 years), schooling < 12 years (56.6%). EBF upon discharge on 45/111 dyads (40.5%), 15 days post-discharge 35/73 (47.9%), third month 23/61 (37.7%) and sixth month 7/44 (15.9%). EBF survival was 15 days post-discharge, at this cut-off point, among the correlated factors are: “having received guidance to use Exclusive Breastfeeding until the sixth month of extrauterine life of the premature child” positively correlated with EBF (r = 0.294, p ≤ .05), “the maternal perception that her milk dried” correlated negatively with EBF (r = -0.313, p ≤ .01), if “breastfeeding caused anxiety to the mother” it positively correlated with artificial feeding (AF) (r = 0.237, p ≤ .05).Conclusions: Exclusive breastfeeding in premature infants is below WHO standard, it is favorably related to maternal orientation, and barriers are maternal perceptions of non-milk supply and anxiety. It could be encouraged through actions carried out in hospitals certified with the Baby-Friendly Hospital Initiative and follow up with post-discharge breastfeeding at least to the sixth month of life of premature infants. Similar studies should establish better monitoring mechanisms to avoid losses during the follow-up.

scholarly journals Factors Associated With Post NICU Discharge Exclusive Breastfeeding Duration Amongst First Time Mothers of Preterm Infants In Shanghai: A Longitudinal Cohort Study

2021 ◽  
Author(s):  
Xin Jiang ◽  
Hui Jiang
Keyword(s):  
Family Support ◽  
Preterm Infants ◽  
Premature Infants ◽  
Exclusive Breastfeeding ◽  
Cox Regression ◽  
Breastfeeding Duration ◽  
Breastfeeding Knowledge ◽  
Breastfeeding Rate ◽  
Mothers Of Preterm Infants ◽  
First Time

Abstract BackgroundBreastfeeding is crucial to the preterm infants. Breast milk is not only food but also medicine. Few studies focused on the longitudinal association with exclusive breastfeeding duration of preterm infants separated from their mothers after discharge, especially in Shanghai. We aimed to examine the exclusive breastfeeding duration amongst first time mothers of preterm infants after discharge and their determinants.MethodsAnalyses were based on 500 preterm infants separated from their mothers in a territory maternity and infant special hospital in Shanghai from September 2018 to September 2019.The self administered questionnaire, breastfeeding knowledge questionnaire, breastfeeding self-efficacy short form scale, Edinburgh postpartum depression scale and breastfeeding family support scale were used for the investigation, and the breastfeeding rate of premature infants was followed up 1 month, 3 months and 6 months after discharge. The changing trend of breastfeeding knowledge, breastfeeding self-efficacy, postpartum depression and family support were measured by ANOVA in different stages.The Kaplan Meier survival curve and Cox regression model were used to analyze the determinants of exclusive breastfeeding duration of premature infants after discharge. ResultsThrough the Cox regression model, we found that the maternal planned pregnancy (RR=0.68, 95%CI=0.53~0.87), delivering breast milk during hospitalization (RR=0.80, 95%CI=1.41~2.29),NICU feeding mode (RR=1.22, 95%CI=0.13~0.38) during hospitalization and family support (RR=0.56,95%CI=1.00~2.43) were the independent factors influencing the exclusive breastfeeding duration after discharge. ConclusionsThe exclusive breastfeeding duration of premature infants was affected by many factors, so we should focus on three levels of individual, family and society, and give targeted intervention measures to increase exclusive breastfeeding rate and prolong exclusive breastfeeding duration.Trial registration: Not applicable

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