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Direct-breastfeeding in the neonatal intensive care unit and breastfeeding duration for premature infants
Carrie-Ellen Briere1, Jacqueline M McGrath1, Xiaomei Cong2
1School of Nursing, University of Connecticut, Storrs, CT, 06269, USA; Institute for Nursing Research and Evidence Based Practice, Connecticut Children's Medical Center, Hartford, CT, 06106, USA.
Aim:
To explore the relationship between direct-breastfeeding in the neonatal intensive care unit (NICU) and breastfeeding duration after discharge.
Background:
Initiating and maintaining breastmilk feeding is an important goal that begins in the NICU. Little is known about direct-breastfeeding in the NICU and its relation to breastfeeding duration.
Methods:
Chart review of 46 infants (<32weeks gestational age or <1500 grams) whose mothers provided breastmilk.
Results:
One month after discharge, mothers still providing breastmilk were more likely to have provided ≥1 direct-breastfeed per day in the NICU (21.16, CI: 3.13-143.25, p<0.01) and had prior breastfeeding experience (OR: 9.16, CI: 1.02-82.34, p<0.05). At 4months, mothers still providing breastmilk were more likely to have provided ≥1 direct-breastfeed per day in the NICU (OR: 12.80, CI: 1.39-118.32, p<0.05).
Conclusions:
Direct-breastfeeding in the NICU may play an essential role in preparing mothers for breastfeeding after discharge, thus potentially impacting breastfeeding duration.
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