Prevalence and Predictors of Exclusive Breastfeeding in Late Preterm Infants at 12 Weeks

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.

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Effects of a Breastfeeding Support Program on the Prevalence of Exclusive Breastfeeding and Growth in Late Preterm Infants

Child Health Nursing Research ◽

10.4094/chnr.2020.26.1.90 ◽

2020 ◽

Vol 26 (1) ◽

pp. 90-97 ◽

Cited By ~ 1

Author(s):

Gun Ja Jang ◽

Yeon Ran Hong

Keyword(s):

Weight Gain ◽

Preterm Infants ◽

Exclusive Breastfeeding ◽

Support Program ◽

Late Preterm ◽

Control Group ◽

Breastfeeding Support ◽

Late Preterm Infants ◽

Feeding Type ◽

Experimental Group

Purpose: The purpose of this study was to investigate the effects of a breastfeeding support program (BSP) on the prevalence of exclusive breastfeeding and growth in late-preterm infants.Methods: A quasi-experimental study was conducted. The participants were 40 late preterm infants (LPIs), of whom 20 were assigned to the experimental group and 20 to the control group. For the mothers in the experimental group, a BSP was provided prior to the LPIs’ discharge and reinforced once a week for 4 weeks. Information on the feeding type was collected by observation and the LPIs’ body weight was measured.Results: There were significant differences in feeding type by group and time. Exclusive breastfeeding was 5.18 times more common in the experimental group than in the control group (odds ratio=5.18, 95% confidence interval=1.11~16.70). However, weekly weight gain did not show a significant relationship with group and time (F=0.40, <i>p</i>=.712).Conclusion: The BSP was helpful for increasing the rate of exclusive breastfeeding in LPIs. Furthermore, the LPIs in the experimental group, which had a higher likelihood of being exclusively breastfed, showed an equivalent amount of weight gain as the LPIs in the control group, in which infants were more likely to be formula-fed.

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Striving for sufficient milk to have a healthy late preterm baby: a grounded theory study

10.21203/rs.3.rs-342392/v1 ◽

2021 ◽

Author(s):

Rungtawan Choijorhor ◽

Kannika Kantaruksa ◽

Jutamas Chotibang ◽

Nonglak Chaloumsuk

Keyword(s):

Preterm Infants ◽

Exclusive Breastfeeding ◽

Late Preterm ◽

Milk Supply ◽

Healthy Baby ◽

Late Preterm Infants ◽

Core Category ◽

First Time Mothers ◽

Insufficient Milk ◽

First Time

Abstract Background Late preterm infants are at risk for more health problems than full-term infants. They require good nutrition for growth, and breast milk contains valuable nutrients as the valuable golden standard for them. Currently, the population of late preterm infants is increasing as exclusive breastfeeding rates decrease. Hence, this study explored exclusive breastfeeding experiences among Thai first-time mothers of late preterm infants. Methods Participants were recruited from the family planning unit of a university hospital in Northern Thailand. A grounded theory study design was used, drawing upon an interview guideline with seventeen first-time mothers who exclusively breastfed their late preterm infants for the first six weeks of life. Results “Striving for sufficient milk to have a healthy baby” emerged as the core category. It was defined as a process in which mothers of late preterm infants had to exert great effort toward achieving sufficient milk for their infants. The following three phases supported the core category: preparing for breastfeeding, overcoming the problem of insufficient milk supply, and managing to continue breastfeeding. Conclusion Perceived insufficient milk supply in first-time mothers is a threat to achieving exclusive breastfeeding for their late preterm infants, but the will to have a healthy baby makes it happen. Nurse-midwives could apply the management process of exclusive breastfeeding as a guideline in providing support for these mothers throughout the chain of antenatal, intrapartum, and postpartum care. Trial registration: Permission to conduct the study was obtained from the Institutional Review Board Committee, Faculty of Nursing and the Faculty of Medicine, Chiang Mai University, # No. 2561-EXP065 and No. 2561–05865.

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Prospective questionnaire study showed that higher self-efficacy predicted longer exclusive breastfeeding by the mothers of late preterm infants

Acta Paediatrica ◽

10.1111/apa.14229 ◽

2018 ◽

Vol 107 (5) ◽

pp. 799-805 ◽

Cited By ~ 6

Author(s):

Emma Gerhardsson ◽

Ingegerd Hildingsson ◽

Elisabet Mattsson ◽

Eva-Lotta Funkquist

Keyword(s):

Preterm Infants ◽

Exclusive Breastfeeding ◽

Self Efficacy ◽

Late Preterm ◽

Questionnaire Study ◽

Late Preterm Infants

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

Zeitschrift für Geburtshilfe und Neonatologie ◽

10.1055/a-1524-3328 ◽

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.

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Investigating the Effects of Instructing Mothers Using BASNEF Model on Continuing Exclusive Breastfeeding of Late- Preterm Infants

Journal of Comprehensive Pediatrics ◽

10.5812/compreped.59243 ◽

2017 ◽

Vol In Press (In Press) ◽

Cited By ~ 1

Author(s):

Seyedeh Zahra Masoumi ◽

Farideh Kazemi ◽

Sheler Ahmadi

Keyword(s):

Preterm Infants ◽

Exclusive Breastfeeding ◽

Late Preterm ◽

Late Preterm Infants

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

10.21203/rs.2.18645/v3 ◽

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 (95% CI 1.53, 3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (95% CI 1.15, 2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (95% CI 1.81, 3.61)), and use breastfeeding method at follow-up (OR=2.09 (95% CI 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.

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