[Breastfeeding preterm infants at 6 months in Morocco: prevalence and associated factors]
H Berrani1, A Mdaghri Alaoui1, J Kasouati2
1Service de néonatologie, pédiatrie V, hôpital d'enfants, faculté de médecine et pharmacie, université Mohammed V-Souissi, avenue Belarbi El Alaoui, BP 6203, Rabat, Maroc.
Insights
Breastfeeding rates for premature infants at 6 months are low, with over half of mothers stopping. Longer neonatal unit stays negatively impact breastfeeding success, highlighting the need for enhanced support strategies.
Area of Science:
- Neonatalogy
- Pediatrics
- Public Health
Context:
- Premature infants face unique challenges in achieving optimal nutrition.
- Breastfeeding provides significant benefits for infant health and development.
- Hospital discharge and follow-up consultations are critical junctures for assessing infant feeding practices.
Purpose:
- To evaluate breastfeeding rates at hospital discharge and at 3 and 6 months postpartum in premature infants.
- To identify demographic and neonatal factors influencing breastfeeding duration and exclusivity in this population.
- To analyze the association between neonatal intensive care unit (NICU) stay duration and breastfeeding outcomes.
Summary:
- A prospective study followed 170 mother-infant pairs of premature infants. At discharge, 80% received partial and 12.4% exclusive breastfeeding.
- By 6 months postpartum, only 8.8% were exclusively breastfeeding, 32.4% partially, and 58.8% had ceased breastfeeding.
- Factors associated with continued breastfeeding at 6 months included shorter hospitalization duration in neonatology and NICU, and earlier initiation of breast milk expression.
Impact:
- Breastfeeding rates in premature infants remain below recommended targets.
- Extended stays in neonatal units present a significant barrier to sustained breastfeeding.
- Health professionals must strengthen breastfeeding support during and after neonatal hospitalization to improve infant nutrition.
Purpose:
Evaluate the rate of breastfeeding at hospital discharge and then at 3 and 6 months in a population of premature infants. Analyze demographic and neonatal characteristics that may influence breastfeeding.
Method:
Prospective study in children born before 37 weeks of gestation from 1 June 2011 to 31 December 2011 hospitalized in the neonatology department at the Rabat children's hospital. The sociodemographic data and initial breastfeeding decision were collected from mothers. Newborns were reviewed in consultation at 1, 3, and 6 months to determine dietary habits. The association of variables with breastfeeding was analyzed by univariate and multivariate analysis using a logistic regression model.
Results:
The analysis was based on 170 mother-infant pairs. At discharge, 80% of preterm infants received partial breastfeeding and 12.4% exclusive breastfeeding. At 6 months, 8.8% of mothers breastfed exclusively, 32.4% partially, and 58.8% had stopped breastfeeding. The factors associated with breastfeeding at 6 months were the duration of hospitalization in a neonatology unit and a neonatal intensive care unit, the time to first expressing breast milk, and breastfeeding. There was an inverse link between breastfeeding rates and duration of stay in neonatology in multivariate analysis with an odds ratio (OR) of 1.3 and a 95% confidence interval (1,1; 1,7); P=0.015.
Conclusion:
In our context, the rates of breastfeeding in premature infants remain below the recommended goals. The negative impact of the length of stay in the neonatal unit on breastfeeding is a challenge for health professionals who must adapt and strengthen the strategy of encouragement and support breastfeeding during the stay in neonatology and after discharge to ensure adequate nutrition for premature infants.
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