Breastfeeding Intensity and Exclusivity of Early Term Infants at Birth and 1 Month

Noble, Anita; Eventov‐Friedman, Smadar; Hand, Ivan; Meerkin, Deena Yael; Gorodetsky, Olga; Noble, Lawrence

doi:10.1089/bfm.2018.0260

Cited by 15 publications

(4 citation statements)

References 27 publications

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“…Other variables included birth location and firstborn status (Buckman et al, 2020; Quigley et al, 2016). Gestation at birth was included as a combination of weeks and days (Noble et al, 2019). Additional questions ascertained the infant’s age in weeks at the first lactation clinic visit and WIC enrollment status at the time of any of their lactation clinic appointments (Bookhart et al, 2021).…”

Section: Methodsmentioning

confidence: 99%

Changes in Breastfeeding Exclusivity and Satisfaction During the COVID-19 Pandemic

Oggero

Wardell

2022

J Hum Lact

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Background: Because of its many benefits, exclusive breastfeeding for 6 months is a common public health goal. However, only 44% of infants aged 0–6 months are exclusively breastfed worldwide and, in the United States, only 26% of infants are exclusively breastfed for 6 months. The restrictions imposed during the COVID-19 pandemic may have reduced these rates even further. Research Aim: To examine the differences in breastfeeding exclusivity and satisfaction before and during the COVID-19 pandemic. Methods: A cross-sectional, two-group survey design was used. Parents ( N = 110) of infants born April 1 to December 31, 2019 (pre-pandemic; n = 69), or April 1 to December 31, 2020 (during the pandemic; n = 41), who received lactation support services from an urban academic breastfeeding clinic were surveyed. Results: Respondents who gave birth in 2020 (pandemic year) were no less likely to exclusively breastfeed for the first 6 months of their infant’s life compared to respondents who gave birth in 2019 (pre-pandemic year). After multivariable logistic regression, the odds of high breastfeeding satisfaction were 73% lower in respondents with infants born in 2020 than in respondents with infants born in 2019 (OR = 0.27, 95% CI [0.08, 0.89]). The strongest contributor to high breastfeeding satisfaction was a prenatal breastfeeding visit with an International Board Certified Lactation Consultant. Conclusions: Future research is needed to identify the specific pandemic-related factors that led to the difference in breastfeeding satisfaction between the two groups and to confirm the impact of prenatal International Board Certified Lactation Consultant visits on breastfeeding satisfaction.

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Section: Methodsmentioning

confidence: 99%

Changes in Breastfeeding Exclusivity and Satisfaction During the COVID-19 Pandemic

Oggero

Wardell

2022

J Hum Lact

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“…Previous studies suggest that both late preterm [ 43 ] and early term birth [ 44 ] are risk factors for not exclusively breastfeeding after hospital discharge. A systematic review has further reported a dose-effect like association between GA and breastfeeding initiation and continuation, but none of the included studies examined exclusive breastfeeding after hospital discharge.…”

Section: Discussionmentioning

confidence: 99%

Exclusive breastfeeding: Relation to gestational age, birth weight, and early neonatal ward admission. A nationwide cohort study of children born after 35 weeks of gestation

Nejsum,

Måstrup,

Torp-Pedersen

et al. 2023

PLoS ONE

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Objectives Prematurity, being small for gestational age and early neonatal ward admission are the major neonatal conditions that may interfere with breastfeeding supportive practices in infants born at gestational age ≥35+0 weeks. We aimed to investigate the associations between gestational age, small for gestational age, early neonatal ward admission and exclusive breastfeeding at one and four months. Methods A register-based cohort-study of all Danish singletons with gestational age ≥35+0 weeks born in 2014–2015. In Denmark, health visitors routinely conduct free home visits throughout infants’ first year and thereby report breastfeeding data to The Danish National Child Health Register. These data were linked with data from other national registers. Logistic regression models estimated the odds ratio for exclusive breastfeeding at one and four months, adjusted for confounding variables. Results The study population comprised 106,670 infants. Compared to gestational age 40 weeks, the adjusted odds ratio for exclusive breastfeeding at one month showed a decreasing tendency from gestational age ≥42 (n = 2,282) (1.07; 95% confidence interval (CI) 0.97–1.17) to 36 weeks (n = 2,062) (0.80; 95% CI 0.73–0.88). Small for gestational age (n = 2,342) was associated with decreased adjusted odds ratio for exclusive breastfeeding at one month (0.84; 95% CI 0.77–0.92). Neonatal ward admission was associated with increased adjusted odds ratio for exclusive breastfeeding at one month among late preterm infants (gestational age 35–36 weeks; n = 3,139) (1.31; 95% CI 1.12–1.54), as opposed to among early term (gestational age 37–38 weeks; n = 19,171) (0.84; 95% CI 0.77–0.92) and term infants (gestational age >38 weeks; n = 84,360) (0.89; 95% CI 0.83–0.94). The associations seemed to persist at four months. Conclusions Decreasing gestational age and small for gestational age were associated with decreased exclusive breastfeeding rates. Neonatal ward admission was associated with increased exclusive breastfeeding rates among late preterm infants, whereas the opposite was observed among early term and term infants.

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“…Birth related events and the infant's transition to extrauterine life have been found to affect the likelihood of successful breastfeeding. Late preterm birth and early term birth have been associated with lower breastfeeding rates (Noble et al, 2019). Birthweight has been associated with reduced breastfeeding success.…”

Section: Infant Factorsmentioning

confidence: 99%

Development and Interrater Reliability of the Lactation Assessment Care Tool

Wessells¹,

Chertok

Haile

et al. 2022

J Hum Lact

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Background: There have been no comprehensive predictive measurement instruments published that account for the dynamic interaction between maternal, infant, and functional factors related to breastfeeding difficulty. The Lactation Care Assessment Tool (LACT) was developed by the authors as a predictive measure of lactation acuity to identify families at risk for breastfeeding difficulty and facilitate access to the most effective level of care. Research Aim: To describe the development, content validation, and interrater reliability of the LACT. Methods: This study was a cross-sectional, online survey. Upon reading a standardized case scenario reflective of common experiences among families with goals to breastfeed, participants ( N = 82) anonymously completed the LACT, which consisted of 16 measures based upon research relevant to maternal, infant, and functional factors affecting breastfeeding success. Descriptive statistics were used to summarize and describe the characteristics of the study sample. Interrater reliability was evaluated using Krippendorff’s alpha. Results: An acceptable degree of interrater reliability ( α = 0.70) among participants was detected for the 16 measures included in the instrument. Conclusion: This instrument supports Baby-Friendly Hospital Initiative Step 10 to facilitate more precise and timely continuity of care after discharge from the hospital by identifying families in need of referral to a level of care consistent with their lactation acuity. Future research is necessary to determine appropriate levels of care and support based on the instrument scores in diverse breastfeeding dyads during early lactation and through the duration of breastfeeding.

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Breastfeeding Intensity and Exclusivity of Early Term Infants at Birth and 1 Month

Cited by 15 publications

References 27 publications

Changes in Breastfeeding Exclusivity and Satisfaction During the COVID-19 Pandemic

Changes in Breastfeeding Exclusivity and Satisfaction During the COVID-19 Pandemic

Exclusive breastfeeding: Relation to gestational age, birth weight, and early neonatal ward admission. A nationwide cohort study of children born after 35 weeks of gestation

Development and Interrater Reliability of the Lactation Assessment Care Tool

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