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Feeding infants with CHD with breast milk: Norwegian Mother and Child Cohort Study

B S Tandberg1, E Ystrom, M E Vollrath

  • 1Division of Paediatrics, Nursing Profession Centre, Oslo University Hospital, Rikshospitalet, Norway. bente.silnes.tandberg@rikshospitalet.no

Acta Paediatrica (Oslo, Norway : 1992)
|December 31, 2009
PubMed

Insights

Mothers of infants with congenital heart defects (CHD) wean earlier, especially those with comorbidities. However, continued breastfeeding rates remain significant, highlighting the need for further research into supportive factors for these infants.

Area of Science:

  • Pediatrics
  • Cardiology
  • Public Health

Background:

  • Congenital heart defects (CHD) affect infant feeding practices.
  • Breast milk feeding (BMF) offers numerous benefits for infant health.
  • Understanding BMF in infants with CHD is crucial for optimizing care.

Purpose of the Study:

  • To determine the prevalence of BMF in infants with CHD during the first six months of life.
  • To compare BMF rates in infants with CHD to the general population.
  • To investigate the impact of comorbidities on BMF in infants with CHD.

Main Methods:

  • Utilized data from the Norwegian Mother and Child Cohort Study.
  • Included 131 infants with moderate/severe CHD and 65 with comorbidities.
  • Analyzed feeding status using Cox regression analyses.

Main Results:

  • Mothers of infants with CHD had a 1.69 HR of weaning compared to controls.
  • Mothers of infants with CHD and comorbidities had a 3.54 HR of weaning.
  • At 6 months, 9.9% of infants with CHD were predominantly breastfed, 64.1% continued, and 26% received none.

Conclusions:

  • CHD and comorbidities increase the risk of earlier weaning.
  • Continued breastfeeding rates are relatively high despite increased weaning risk.
  • Further research is needed to identify factors supporting BMF in infants with CHD.
Abstract

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