Breast Feeding Rates and Factors Influencing Breast Feeding Practice in Late Preterm Infants: Comparison with Preterm Born at Less than 34 Weeks of Gestational Age

2012 ◽  
Vol 42 (2) ◽  
pp. 181 ◽  
Author(s):  
Gun Ja Jang ◽  
Sang Lak Lee ◽  
Hyeon Mi Kim
Keyword(s):  
Preterm Infants ◽  
Breast Feeding ◽  
Gestational Age ◽  
Late Preterm ◽  
Feeding Practice ◽  
Feeding Rates ◽  
Late Preterm Infants ◽  
Factors Influencing ◽  
Preterm Born

scholarly journals Early Neurological Assessment and Long-Term Neuromotor Outcomes in Late Preterm Infants: A Critical Review

Medicina ◽  
2020 ◽  
Vol 56 (9) ◽  
pp. 475
Author(s):  
Domenico M. Romeo ◽  
Martina Ricci ◽  
Maria Picilli ◽  
Benedetta Foti ◽  
Giorgia Cordaro ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Preterm Infants ◽  
Gestational Age ◽  
Critical Review ◽  
Neonatal Period ◽  
Late Preterm ◽  
Motor Disorder ◽  
Neurological Assessment ◽  
Late Preterm Infants ◽  
Reported Data

Background and Objectives: Late preterm (LP) infants (born between 34 and 36 weeks of gestational age) are considered at higher risk of neonatal morbidities, mortality, and neurological impairments than full-term born infants (FT). The aim of this study was to provide a critical review of the literature outlining the different aspects of neurological function reported both in the neonatal period and in the follow up of late preterm infants. Materials and Methods: A comprehensive search of the MEDLINE, Embase, PsycINFO, and CINAHL electronic databases was made, using the following search terms: ‘Late preterm infants’, ‘Near term infants’, ‘neurological assessment’, ‘neurological outcome’, ‘neuromotor outcome’, cerebral palsy’, ‘CP’, ‘motor impairment’, including all the studies reporting clinical neurological assessment of LP (including both neonatal period and subsequent ages). Results: A total of 35 articles, comprising 301,495 children, were included as fulfilling the inclusion criteria: ten reported neonatal neurological findings, seven reported data about the first two years after birth, eighteen reported data about incidence of CP and motor disorder during the infancy. Results showed a more immature neurological profile, explored with structured neurological assessments, in LP infants compared with FT infants. The LP population also had a higher risk of developing cerebral palsy, motor delay, and coordination disorder. Conclusion: LP had a higher risk of neurological impairments than FT infants, due to a brain immaturity and an increased vulnerability to injury, as the last weeks of gestational age are crucial for the development of the brain.

scholarly journals Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

2020 ◽  
Author(s):  
Bo Zhang ◽  
Zhiying Duan ◽  
Yingxi Zhao ◽  
Sarah Williams ◽  
Stephen Wall ◽  
...  
Keyword(s):  
Breast Milk ◽  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Kangaroo Mother Care ◽  
Late Preterm ◽  
Feeding Practice ◽  
Late Preterm Infants ◽  
Breastfeeding Rate ◽  
Milk Feeding

Abstract Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate among infants born extremely or very preterm. However, there is limited evidence surrounding intermittent KMC and exclusive breastfeeding in late preterm infants. In our study we investigated the association between the provision of intermittent KMC and breastfeeding practice for late preterm infants in four hospitals in different provinces of China. Methods Intermittent KMC was recommended to the mothers of all preterm infants admitted to the postnatal wards of participating hospitals between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not were enrolled in the “No KMC group”. Basic maternal socio-demographic information was collected, feeding practice; outcome and method, were recorded daily whilst in hospital. A follow-up survey of feeding practice was conducted 42 days after discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates. Results Among the 844 mothers participating in the study, 627 (74.3%) chose to perform KMC. More of the mothers who provided KMC were exclusively breast milk feeding their infants in the 24 hours before hospital discharge (54.6%) and at follow-up (57.3%), compared to mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the No KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the No KMC group, mothers who provided KMC were twice as likely to be exclusively breast milk feeding their infants at discharge (OR=2.15 (1.53-3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (1.15-2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (1.81-3.61)), and use breastfeeding method at follow-up (OR=2.09 (1.44-3.02)). Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breast milk feeding (outcome) and breastfeeding (method) at both discharge and 42 days after discharge for late preterm infants. This is especially important in China where exclusive breastfeeding rates are low, intermittent KMC provides a feasible means to increase the likelihood of these vulnerable infants receiving the benefits of exclusive breastmilk.

Retinopathy screening results of late-preterm infants born at 32–35 weeks of gestational age

2019 ◽  
Vol 257 (6) ◽  
pp. 1325-1329
Author(s):  
Semra Tiryaki Demir ◽  
Murat Karapapak ◽  
Hasan Sinan Uslu ◽  
Ali Bulbul ◽  
Dilek Guven ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Gestational Age ◽  
Late Preterm ◽  
Late Preterm Infants ◽  
Retinopathy Screening

S100B urine concentrations in late preterm infants are gestational age and gender dependent

2013 ◽  
Vol 417 ◽  
pp. 31-34 ◽  
Author(s):  
Andrea Sannia ◽  
Francesco Maria Risso ◽  
Luc J.I. Zimmermann ◽  
Antonio W.D. Gavilanes ◽  
Hans J. Vles ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Gestational Age ◽  
Late Preterm ◽  
Age And Gender ◽  
Late Preterm Infants ◽  
Urine Concentrations ◽  
And Gender

Privacy, Early Colostrum, and Gestational Age are Associated with Exclusive Breastfeeding in Preterm and Sick Term Infants

2021 ◽  
Vol 225 (04) ◽  
pp. 346-352
Author(s):  
Eva Heine ◽  
Katrin Mehler ◽  
Michiko Schöpping ◽  
Lisa Ganesh ◽  
Ruth Klein ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Preterm Infants ◽  
Gestational Age ◽  
Exclusive Breastfeeding ◽  
Phase 1 ◽  
Emergency Evacuation ◽  
Late Preterm ◽  
Term Infants ◽  
Late Preterm Infants

AbstractOur study was designed to assess the rates of exclusive breastfeeding (defined as direct breastfeeding) and the use of mother’s own milk (MOM) in preterm infants and sick term infants at discharge and to identify potential influencing factors such as gestational age, early colostrum, and privacy. The study was conducted at a German level III neonatal department. All preterm and sick term infants admitted to the neonatal intensive care unit, the pediatric intensive care unit, the intermediate care unit, and the low care ward were included in the study. Infants were recruited between March and October 2015 (phase 1) and April to July 2016 (phase 2). Due to an emergency evacuation, privacy was limited during the first phase. Breastfeeding and the use of MOM were assessed daily using a self-designed score. In total, 482 infants of 452 mothers were included. More than 90% initiated breastfeeding and one-third were exclusively breastfed at discharge. Extremely immature infants and late preterm infants were less likely to be exclusively breastfed at discharge. Privacy (p<0.001) and early colostrum (p=0.002) significantly increased exclusive breastfeeding. Conclusion Extremely immature and late preterm infants were least likely to be exclusively breastfed at discharge and need special support. Interventions such as privacy and early colostrum should be promoted to increase breastfeeding.

Healthy late preterm infants and supplementary artificial milk feeds: Effects on breast feeding and associated clinical parameters

Midwifery ◽  
2015 ◽  
Vol 31 (4) ◽  
pp. 426-431 ◽  
Author(s):  
Elisabet Mattsson ◽  
Eva-Lotta Funkquist ◽  
Maria Wickström ◽  
Kerstin H. Nyqvist ◽  
Helena Volgsten
Keyword(s):  
Preterm Infants ◽  
Breast Feeding ◽  
Late Preterm ◽  
Clinical Parameters ◽  
Late Preterm Infants

One Less Painful Procedure: Using Umbilical Cord Blood as Alternative Source to Admission Complete Blood Count

2017 ◽  
Vol 34 (12) ◽  
pp. 1178-1184 ◽  
Author(s):  
Neera Prakash ◽  
Joseph Decristofaro ◽  
Echezona Maduekwe
Keyword(s):  
Blood Cell ◽  
Cord Blood ◽  
Preterm Infants ◽  
Umbilical Cord ◽  
Umbilical Cord Blood ◽  
Gestational Age ◽  
Blood Count ◽  
Complete Blood Count ◽  
Late Preterm ◽  
Late Preterm Infants

Objective This study aims to evaluate the use of umbilical cord blood as an alternative to the admission complete blood count (CBC) in the well-appearing late preterm neonates admitted to the neonatal intensive care unit. Study Design Paired umbilical cord and admission blood CBC samples from well late preterm infants were compared using a two-sample t-test or analysis of variance with an unequal variance for differences in the hemoglobin, platelet counts, white blood cell, and absolute neutrophil counts. Results A total of 100 infants were enrolled in the study. The study included 46 females, 5 Asian, 9 Black, 35 Hispanic, 51 White, with a mean gestational age of 35.3 ± 1 weeks (range: 34–36.5 weeks), and a mean birth weight of 2,347 ± 491 g (range: 1,840–4,260 g). Around 80% were appropriate for gestational age, 5% were large for gestational age, and 15% were small for gestational age. The median difference between the cord and admission blood samples were hemoglobin: 1.1 g/dL, platelet: 7.50 × 103 cells/μL, white blood cell count: 2.3 × 103 cells/μL, and absolute neutrophil count: 0.6 × 103 cells/μL. Conclusion The cord and admission blood testing were not statistically or clinically different when compared. In well late preterm infants, the NICU admission blood CBC may be replaced with an umbilical cord blood CBC.

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