Getting Enough: Mother’ Concerns About Breastfeeding a Preterm Infant After Discharge

Kavanaugh, Karen; Mead, Linnea; Meier, Paula P.; Mangurten, Henry H.

doi:10.1111/j.1552-6909.1995.tb02375.x

Cited by 75 publications

(76 citation statements)

References 19 publications

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“…2,3,6,7,18,19 The results from 3 of the 6 studies indicated that the primary concern for mothers in feeding their preterm infants was inadequate milk supply. 6,7,18 Bottle feeding before breastfeeding was also a barrier.…”

Section: Barriers To Establishing and Maintaining Breastfeeding In Prmentioning

confidence: 96%

“…2,3,6,7,18,19 None of these studies used a longitudinal design to identify barriers to breastfeeding in LBW infants up to 12 months corrected age or until weaning from breastfeeding. This gap in knowledge may lead to clinical practice, research, and education that does not customize interventions to the specific problems encountered by very-low-birthweight (VLBW) infants and their mothers at various time periods throughout the breastfeeding experience.…”

mentioning

confidence: 99%

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A Review of the Literature Examining the Benefits and Challenges, Incidence and Duration, and Barriers to Breastfeeding in Preterm Infants

Callen¹,

Pinelli

2005

Advances in Neonatal Care

188

177

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Breastfeeding benefits preterm infants from a nutritional, gastrointestinal, immunological, developmental, and psychological perspective. Despite the benefits, the incidence and duration of breastfeeding preterm infants continues to be less than that of full-term infants. The lower incidence is probably related to breastfeeding challenges that preterm infants and parents face, including establishing and maintaining a milk supply and transitioning from gavage feeding to breastfeeding. In order to increase the incidence and duration of breastfeeding preterm infants, researchers must examine breastfeeding experiences longitudinally. This way, researchers and clinicians can begin to understand the barriers to breastfeeding at various time periods in the breastfeeding experience and begin implementing strategies to remove these barriers.

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Section: Barriers To Establishing and Maintaining Breastfeeding In Prmentioning

confidence: 96%

mentioning

confidence: 99%

A Review of the Literature Examining the Benefits and Challenges, Incidence and Duration, and Barriers to Breastfeeding in Preterm Infants

Callen¹,

Pinelli

2005

Advances in Neonatal Care

188

177

View full text Add to dashboard Cite

show abstract

“…There also exist case reports [21][22][23][24], including triplets [25,26] and quadruplets [18,27], and detailed descriptions of breast-feeding multiples with relatively small sample sizes [2,15,25,28,29]. Some reports [30][31][32][33][34][35][36][37][38] deal with multiples in comparison with singletons or control groups, or treat multiple births as a risk factor.…”

Section: Introductionmentioning

confidence: 99%

Breast-feeding rates and related maternal and infants’ obstetric factors in Japanese twins

Ooki

2008

Environ Health Prev Med

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Objectives The aims of the present study are to describe the secular trend of breast-feeding rates in Japanese twins in comparison with the general population, and then to clarify the maternal and infants' obstetric factors associated with breast-feeding in twins. Methods Breast-feeding rates from 0 to 6 full months and related maternal and infant obstetric factors were analyzed using 4,023 Japanese twins, consisting of two different volunteer-based twin samples, age 1-15 years, whose birth year ranged from 1968 to 2003. Data were collected through mailed or hand-delivered questionnaires. Obstetric factors that affect full and partial breast-feeding of twins were confirmed using logistic analyses according to birth order in twin pairs, adjusted by birth year. Results The full breast-feeding rates of twins were lower than those of the general population. On the other hand, the combined rates of full and partial breast-feeding were close to those of general population, except for the period 1968-1974. The percentage of concordance pares was around 95% for all months. The most influential factor that negatively correlated with breast-feeding from 0 to 6 months was gestational weeks. Higher maternal age at twin birth and the use of an incubator also prevented breast-feeding in the neonatal period. Conclusions The results of the present study for the first time indicated that full breast-feeding of twins has risen recently in Japan, although the rates are still lower than those of the general population. The importance of the gestational weeks for breast-feeding rates was also shown.

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“…2,6 Better understanding why and how milk supply diminishes among those who initiate breast milk feedings and determining effective interventions to promote improved breast milk feedings and breastfeeding in the premature infant is of great importance. Owing to its relationship with breast milk feedings at discharge, this research supports early and frequent participation in direct breast-feeding in the NICU.…”

Section: Effect Of Direct Breast-feeding In the Nicumentioning

confidence: 99%

“…Declining milk supply is a common problem associated with expressing breast milk and is cited as one of the biggest barriers to breast milk feeding the premature infant. 2,6 Although barriers to breast-feeding the high-risk infant have been studied and some treatments have been identified, there is a paucity of studies that have investigated environmental factors that can influence success with breast milk feedings until NICU discharge. Although the benefits of participation in breast-feeding in the NICU can be assumed, to date there have been no studies investigating the role of certain environmental factors or breast-feeding patterns in the NICU on breast-feeding success at discharge.…”

Section: Introductionmentioning

confidence: 99%

Direct breast-feeding in the neonatal intensive care unit: is it important?

Pineda

2011

J Perinatol

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Objective: Rates of breast milk feeding at hospital discharge are low in premature infants due to the many associated challenges. Although there are many benefits associated with breast milk, the effects of direct breastfeeding in the neonatal intensive care unit (NICU) have not been identified. The purpose of this study was to investigate the relationship between direct breast-feeding (infant sucking directly from the breast) and duration and success with breast milk feedings until discharge in premature infants.Study Design: This retrospective cohort was conducted on 66 very-low birth weight infants whose mothers initiated breast milk feedings in the NICU. Chart review revealed documented type (breast milk with or without fortifiers or type of infant formula), volume and mode (nasogastric tube, breast or bottle) of all gastric feeds for each day of NICU hospitalization. From this documentation, whether the mother initiated breast milk feedings, the number of times the mother put the infant to breast, the gestational age of the first direct breast-feeding, whether the first oral feeding was at the breast, the duration of breast milk feedings and whether breast milk feedings continued until NICU discharge were determined. Associations between breast-feeding participatory factors and breast milk feeding outcomes were investigated using linear and logistic regression.Result: Positive associations were found between breast milk feedings at discharge and mothers putting their infants directly to breast in the NICU (P ¼ 0.0005). The duration of breast milk feedings was associated with: mothers putting their infants directly to breast (P ¼ 0.0110), whether the first oral sucking feeding was at the breast (P ¼ 0.0108) and the gestational age of the first breast-feeding attempt (P<0.0001).Conclusion: Breast milk feedings are encouraged in most NICU's, but direct breast-feeding is often overlooked as an important area of research in the tightly controlled environment of the NICU. This study demonstrates a link between direct breast-feeding behaviors in the NICU and success with provision of milk at discharge, as well as how early participation can be an important factor in the breast-feeding process for mothers of NICU infants. More research on the effects of direct breastfeeding is warranted.

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Getting Enough: Mother’ Concerns About Breastfeeding a Preterm Infant After Discharge

Cited by 75 publications

References 19 publications

A Review of the Literature Examining the Benefits and Challenges, Incidence and Duration, and Barriers to Breastfeeding in Preterm Infants

A Review of the Literature Examining the Benefits and Challenges, Incidence and Duration, and Barriers to Breastfeeding in Preterm Infants

Breast-feeding rates and related maternal and infants’ obstetric factors in Japanese twins

Direct breast-feeding in the neonatal intensive care unit: is it important?

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