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Early feeding factors associated with exclusive versus partial human milk feeding in neonates receiving intensive

T C Walker1, S D Keene1, R M Patel1

  • 11] Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA [2] Children's Healthcare of Atlanta, Atlanta, GA, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|April 19, 2014
PubMed

Insights

Starting exclusive human milk feeding early in neonatal intensive care unit (NICU) stays significantly increases the likelihood of continued exclusive human milk feeding at discharge for infants. This highlights the importance of initial feeding choices.

Area of Science:

  • Neonatal care
  • Pediatric nutrition
  • Lactation science

Background:

  • Exclusive human milk (EHM) feeding is crucial for neonatal intensive care unit (NICU) infants.
  • Early feeding practices can influence long-term feeding outcomes.
  • Identifying factors promoting EHM at discharge is essential for infant health.

Purpose of the Study:

  • To determine early feeding factors associated with EHM feeding at discharge.
  • To analyze the impact of initial feeding choices on discharge feeding status.
  • To evaluate the role of human milk initiation in NICU feeding success.

Main Methods:

  • Retrospective cohort study of human milk-fed infants in two NICUs.
  • Inclusion criteria: infants receiving human milk within 24 hours of discharge.
  • Logistic regression analysis to identify feeding predictors.

Main Results:

  • Infants receiving human milk as their first feeding were more likely to be EHM-fed at discharge (65% vs 32%).
  • Multivariable analysis showed receiving human milk initially significantly increased odds of EHM at discharge (aOR=3.41, P<0.001).
  • Initial feeding method was a strong predictor, independent of race and insurance type.

Conclusions:

  • Initiating feeding with human milk is positively associated with achieving EHM at discharge for NICU infants.
  • Early feeding decisions play a critical role in supporting EHM outcomes.
  • This finding supports prioritizing human milk for initial feedings in NICU settings.
Abstract

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