Successful breastfeeding after discharge of preterm and sick newborn infants

S Akerström1, I Asplund, M Norman

  • 1Department of Neonatology, Karolinska University Hospital, Stockholm, Sweden. susanne.akerstrom@karolinska.se

Insights

Breastfeeding is successfully established in most preterm and sick newborns. High rates of breastfeeding at discharge and continued support show positive outcomes for infant nutrition.

Area of Science:

  • Neonatal care
  • Pediatric nutrition
  • Lactation studies

Background:

  • Neonatal units (NU) care for preterm and sick infants.
  • Breastfeeding is crucial for infant health and development.

Purpose of the Study:

  • To assess breastfeeding extent and duration in preterm and sick neonates.
  • To evaluate breastfeeding trends over time in neonatal care.

Main Methods:

  • Hospital-based follow-up study of 1730 infants born in 1996, 2001, and 2004.
  • Infants were studied from discharge up to 6 months post-natal age.

Main Results:

  • 92% of preterm and 98% of term infants were breastfed at discharge.
  • 41% of extremely preterm infants (<28 weeks gestation) breastfed at 6 months.
  • Breastfeeding rates remained consistent from 1996 to 2004 and similar to population data.

Conclusions:

  • Successful breastfeeding is achievable for most preterm and sick neonates.
  • Continued breastfeeding support is vital for vulnerable infant populations.
Abstract

Related Concept Videos

Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Development of Immunocompetence01:22

Development of Immunocompetence

The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required