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Published on: February 15, 2018
Incidence and correlates of breast milk feeding in hospitalized preterm infants
Kimberly Andrews Espy1, Theresa E Senn
1Department of Family and Community Medicine, School of Medicine, Southern Illinois University, Carbondale, IL 62901-6503, USA. kespy@siumed.edu
Insights
Breast milk feeding is common in preterm infants, with about half receiving it. Infant health and maternal factors influence feeding, suggesting targeted interventions can improve rates.
Area of Science:
- Neonatal Medicine
- Pediatrics
- Public Health Nutrition
Background:
- Epidemiological studies on breastfeeding predominantly focus on healthy, full-term infants.
- Limited data exists on breastfeeding incidence and predictors in preterm infants, especially those outside urban settings.
Purpose of the Study:
- To investigate the incidence and correlates of breast milk feeding in preterm infants.
- To identify factors influencing feeding practices in this vulnerable population.
Main Methods:
- Retrospective review of hospital medical charts for 151 preterm infants (gestational age ≤34 weeks) in the US.
- Data collection included daily feeding records, maternal demographics, pregnancy details, and infant medical conditions.
Main Results:
- Approximately 50% of preterm infants received breast milk.
- 44% of the infants received at least one daily breast milk feeding throughout their hospitalization.
- Maternal demographics were significant predictors, but the infant's perinatal medical condition uniquely influenced feeding practices.
Conclusions:
- Breast milk feeding is feasible in preterm infants, though rates can be improved.
- Targeted interventions focusing on maternal and infant factors can enhance breastfeeding rates in preterm populations.
- Further research is needed to optimize feeding strategies for preterm infants and their families.
Abstract:
The majority of epidemiological studies of breast feeding have been conducted in healthy, fullterm infant samples. Little is known about the incidence and correlates of breast milk feeding in preterm infants, particularly in those born outside of metropolitan areas. Therefore, hospital medical charts of 151 consecutively admitted preterm infants (=34 weeks gestational age), in the US, were reviewed and daily feeding, maternal demographic, pregnancy, and infant medical condition information was recorded. About half of the preterm infant sample was fed breast milk, receiving at least one breast milk feeding per day for 44% of their hospital stay. Although maternal demographic variables were important predictors of breast milk feeding, perinatal medical condition of the infant played a unique role in feeding practices in preterm infants. Specific interventions could be targeted to families with preterm infants to modestly increase population breast feeding rates.
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