The paradox of breastfeeding-associated morbidity among late preterm infants

Jill V Radtke1

  • 1School of Nursing, University of Pittsburgh, 3500 Victoria Street, Pittsburgh, PA 15261, USA. jvr5@pitt.edu

Insights

Breastfeeding initiation is common for late preterm infants, but duration and exclusivity are lower than for term infants. These infants face higher rehospitalization risks due to feeding issues.

Area of Science:

  • Neonatal care
  • Lactation science
  • Pediatric health outcomes

Background:

  • Late preterm infants (born 34-36 weeks gestation) present unique challenges for breastfeeding.
  • Existing research often extrapolates findings from younger preterm infants.

Purpose of the Study:

  • To synthesize current research on breastfeeding establishment and outcomes in late preterm infants.
  • To identify gaps in the scientific understanding of breastfeeding in this population.

Main Methods:

  • Systematic review of nine data-based research articles.
  • Searched Ovid MEDLINE, CINAHL, PubMed, and reference lists.
  • Extracted data on breastfeeding initiation, duration, exclusivity, and health outcomes.

Main Results:

  • Breastfeeding initiation rates range from 59-70% in the U.S.
  • Sustained and exclusive breastfeeding is significantly lower than in term infants.
  • Late preterm infants have nearly double the rehospitalization rate, often for jaundice or poor feeding.

Conclusions:

  • Late preterm infants are at increased risk for breastfeeding difficulties and rehospitalization.
  • Evidence-based guidelines and systematic investigation of contributing factors are needed.
Abstract

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