Predictors of breastfeeding in very low birthweight infants at the time of discharge from hospital

Abstract

In a case-control study carried out in the Kuala Lumpur Maternity Hospital between 1st July 1995 and 31st January 1996 the objectives were (1) to determine the rate of breastfeeding in surviving very low birthweight (VLBW, < or = 1500 g) Malaysian infants following the introduction of the Baby Friendly Hospital Concept, and (2) to identify significant predictors associated with successful breastfeeding in these infants. During the study period, 201 (1.24 per cent) of live-born infants were VLBW infants, 192 (95.5 per cent) were Malaysians, and 141 (73.4 per cent) of them survived to go home. The breastfeeding rate among all surviving VLBW Malaysian infants at the time of discharge was 40.2 per cent (57/141). The mothers of 126 (89.4 per cent) VLBW Malaysian infants were interviewed before discharge. Logistic regression analysis showed that, after controlling for various confounders, the significant predictors associated with successful breastfeeding were: (a) Malay mothers (odds ratio: 6.0; 95 per cent CI: 1.9, 19.4), (b) mothers with educational levels of between 7 and 9 years (odds ratio: 3.6; 95 per cent CI: 1.0, 12.2), and (c) earlier age of commencement of enteral feeds in the VLBW infants (for each additional day delay in commencement of feeding, odds ratio of breastfeeding was 0.5; 95 per cent CI: 0.4, 0.8).

Exclusive breastfeeding at the point of discharge of high-risk newborns at a Neonatal Intensive Care Unit and the factors associated with this practice

“…Nesta pesquisa, não houve associação significativa relativa ao grau de escolaridade materno, diferentemente dos resultados de outro estudo, que apontou maior prevalência de amamentação na alta hospitalar de recém-nascidos de muito baixo peso cujas mães tinham maior grau de instrução escolar 12 .…”

Método Mãe Canguru: aplicação no Brasil, evidências científicas e impacto sobre o aleitamento materno

“…Bicalho-Mancini et al, 71 in a study about the risk factors of not exclusively breastfeeding LBW infants at an NICU in Belo Horizonte, state of Minas Gerais, before and after the implementation of the Baby Friendly Hospital Initiative, found that, although the rates of exclusive breastfeeding at hospital discharge increased from 36% (before implementation) to 54.7% (after implementation), these figures show the necessity of other interventions in order to encourage the breastfeeding of these babies. Boo,72 in Malaysia, with the aim of determining the breastfeeding rate among babies weighing less than 1,500 g admitted to a high-risk neonatal unit, observed that, despite breastfeeding incentive programs adopted by the hospital, only 40.2% of these babies were being breastfed at the time of hospital discharge.…”

Aleitamento materno em prematuros: manejo clínico hospitalar

“…The commonly used conventional indicators are physiological stability, weight greater than or equal to 1,500 g, gestational age greater than or equal to 34 weeks and ability to ingest the whole volume of milk indicated in the bottle. 8,42,107 However, by choosing weight, gestational age or ability to suck at the bottle, there is a risk of delaying suction directly at the breast. 60 Ideally, the following aspects should also be taken into consideration: behavioral criteria, how to suck at the nasogastric tube, showing rooting reflex during skin-toskin contact, and staying alert, considering the observations of mothers and nurses.…”