Hospital Care and Early Breastfeeding Outcomes Among Late Preterm, Early‐Term, and Term Infants

Goyal, Neera K.; Attanasio, Laura B.; Kozhimannil, Katy B.

doi:10.1111/birt.12135

Cited by 82 publications

(108 citation statements)

References 23 publications

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“…Higher hospital support has been shown to correlate with improved early breastfeeding outcomes among late preterm infants, 16 and Vermont consistently has higher hospital breastfeeding support than Illinois or Maine according to the CDC Maternity Practices in Infant Nutrition and Care survey. 17 Obese mothers are known to have lower rates of breastfeeding initiation and breastfeeding continuation; the reasons for these associations are likely multifactorial and may include delayed lactogenesis secondary to hormonal differences, physical and medical comorbidities, and differences in support provided for this population of mothers.…”

Section: Discussionmentioning

confidence: 99%

“…29,30 Our study benefited from the rigorous PRAMS methods and a sufficiently large sample size to allow for multivariable logistic regression modeling to take into account multiple confounding variables. We were limited by the fact that our participants were from 3 states (2 in the (13) 87 (18) School/work 149 (16) 66 (12) 82 (20) Household duties 146 (13) 74 (14) 72 (12) Right time 114 (10) 57 (11) 57 (10) Jaundice 103 (10) 40 (8) 62 (11) Infant not gaining weight 117 (9) 58 (11) 59 (7) Needed someone else to feed infant 113 (8) 51 (5) 62 (9) Mom sick 80 (8) 43 (6) 36 (9) Infant sick 37 (5) 23 (7) 13 (3) Data are presented as the total number of mothers in each category who answered yes to the item (mothers could select any number of reasons) and the percentage of the total in each category, weighted for nonresponse, noncoverage, and deliberate oversampling. The referent group included infants admitted to the well-newborn nursery.…”

Section: Discussionmentioning

confidence: 99%

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Breastfeeding Continuation Among Late Preterm Infants: Barriers, Facilitators, and Any Association With NICU Admission?

Kair

Colaizy

2016

Hospital Pediatrics

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A B S T R A C T BACKGROUND AND OBJECTIVES:Late preterm birth (at 34-36 6/7 weeks' gestation) is a risk factor for early breastfeeding cessation. The objective of this study was to determine barriers to and facilitators of breastfeeding continuation among late preterm infants (LPI) and to compare the barriers faced by LPI admitted to the well nursery versus the NICU. RESULTS: A total of 2530 mothers of LPI were surveyed. Odds of breastfeeding initiation were similar among LPI admitted to the NICU versus the well nursery (adjusted odds ratio, 1.24 [95% confidence interval, 0.88-1.73]; P 5 .209). Odds of breastfeeding for $10 weeks were no different between LPI admitted to the NICU versus those admitted to the well-nursery (adjusted odds ratio, 1.02 [95% confidence interval, 0.73-1.43]; P 5 .904). Factors associated with increased odds of breastfeeding for $10 weeks among LPI were higher maternal education, mother being married, and normal maternal BMI. Regardless of NICU admission, the top reasons cited by mothers of LPI for early breastfeeding discontinuation were perceived inadequate milk supply and nursing difficulties. METHODS:CONCLUSIONS: Among LPIs, NICU admission was not associated with early breastfeeding cessation. Mothers of LPIs with lower odds of sustaining breastfeeding for at least 10 weeks were single mothers, those with a high school education only, and those who were obese. Breastfeeding support should be enhanced for LPIs and should address perceived maternal milk supply concerns and nursing difficulties.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Breastfeeding Continuation Among Late Preterm Infants: Barriers, Facilitators, and Any Association With NICU Admission?

Kair

Colaizy

2016

Hospital Pediatrics

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“…8 KMC may protect breastfeeding in this population, as lower rates of breastfeeding exclusivity and duration are found in LPIs as compared to term infants, [9][10][11][12] thus KMC may allow them to better achieve the global standard of exclusive breastfeeding for the first six months of life. 13 While research suggests that breastfeeding difficulties are important to consider in LPIs, literature is limited regarding specific breastfeeding characteristics of LPIs.…”

Section: Reliability and Validitymentioning

confidence: 99%

Breastfeeding Characteristics of Late-Preterm Infants in a Kangaroo Mother Care Unit

Pike

Kritzinger

Krüger

2017

Breastfeeding Medicine

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Title:Breastfeeding characteristics of latepreterm infants in a kangaroo mother care unit. AbstractObjective: To describe the breastfeeding characteristics of late-preterm infants (LPIs) in a kangaroo mother care unit (KMC). Materials and methods:In a 20-bed KMC unit, the breastfeeding of 73 purposively-selected LPIs' (mean gestational age: 34.8 weeks) was observed once-off, using the Preterm Infant Breastfeeding Behavior Scale. Participants' mean age was 9.5 days, mean number of days in the unit was 3.1 days, and mean number of days breastfeeding was 7.5 days on observation.

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“…Indeed, late preterm infants were eligible in only 2 of the 5 primary studies included in our systematic review, and BAS accuracy estimates were not reported separately for this subgroup. Because of a higher risk for breastfeeding discontinuation after discharge, 31,32 we cannot exclude that the BAS performs differently in late preterm infants.…”

Section: Figurementioning

confidence: 99%

Breastfeeding Assessment Score: Systematic Review and Meta-analysis

Raskovalova¹,

Teasley

Gelbert-Baudino

et al. 2015

Pediatrics

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BACKGROUND: Previous studies have revealed conflicting results for the Breastfeeding Assessment Score (BAS) in predicting early breastfeeding cessation. Our objective was to externally validate the BAS and provide summary accuracy estimates for this clinical prediction model. METHODS:We used the original data from a prospective cohort study. Additional studies were identified by searching electronic databases (Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, and Cochrane) from 2002 to 2013 and contacting research groups that had derived or validated the BAS. Prospective cohort studies were eligible if the BAS was computed at baseline and mothers were followed up for breastfeeding cessation. Two physicians extracted relevant information and independently assessed the methodological quality for the included studies. CONCLUSIONS: Substantial between-study heterogeneity limited the interpretation of summary accuracy estimates. The BAS predicts early breastfeeding cessation with moderate accuracy, although local recalibration is advised before implementation. Further study is warranted to determine whether the BAS can help pediatricians in identifying mother-infant pairs that may benefit from more extensive breastfeeding assessment and support.

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Hospital Care and Early Breastfeeding Outcomes Among Late Preterm, Early‐Term, and Term Infants

Abstract: Differences in practices do not account for decreased exclusive breastfeeding among late preterm infants. Hospital supportive practices increase the likelihood of any breastfeeding.

Cited by 82 publications

References 23 publications

Breastfeeding Continuation Among Late Preterm Infants: Barriers, Facilitators, and Any Association With NICU Admission?

Breastfeeding Continuation Among Late Preterm Infants: Barriers, Facilitators, and Any Association With NICU Admission?

Breastfeeding Characteristics of Late-Preterm Infants in a Kangaroo Mother Care Unit

Breastfeeding Assessment Score: Systematic Review and Meta-analysis

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