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Trends in breastfeeding initiation in the NICU by gestational age in Ohio, 2006-2012

Rashmi Kachoria1, Reena Oza-Frank

  • 1Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.

Birth (Berkeley, Calif.)
|January 17, 2015
PubMed

Insights

Breastfeeding initiation among Neonatal Intensive Care Unit (NICU) infants in Ohio increased from 2006 to 2012. This trend was observed across all gestational ages, with preterm infants showing higher rates in later years.

Area of Science:

  • Neonatal care
  • Public health
  • Infant nutrition

Background:

  • Breastfeeding rates are rising nationally, but trends for infants in Neonatal Intensive Care Units (NICUs) are less understood.
  • NICU admissions represent a significant portion of newborn care, making breastfeeding trends within this population crucial.

Purpose of the Study:

  • To analyze breastfeeding initiation trends among Ohio NICU infants from 2006 to 2012.
  • To investigate how these trends differ based on infant gestational age.

Main Methods:

  • Utilized Ohio Vital Statistics birth certificate data for analysis.
  • Employed Cochran-Armitage test for trend analysis and logistic regression to assess associations between breastfeeding and gestational age over time.

Main Results:

  • Observed a significant increase in breastfeeding initiation among NICU infants, from 53.3% in 2006 to 63.8% in 2012 (p < 0.01).
  • Found increasing breastfeeding trends across all gestational age categories during the study period.
  • In 2011-2012, preterm infants were more likely to receive breast milk in the NICU compared to term infants.

Conclusions:

  • The disparity in breastfeeding initiation between NICU-admitted and non-admitted infants is narrowing, especially for extremely premature infants.
  • Despite encouraging trends for premature infants, a substantial percentage of mothers of term NICU infants still do not initiate breastfeeding.
  • There is a need for enhanced, targeted education and support for mothers of infants admitted to the NICU.
Abstract

Keywords:
breastfeedingneonatal intensive care unitprematurityvital statistics

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