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Breastfeeding Trends Among Very Low Birth Weight, Low Birth Weight, and Normal Birth Weight Infants

Angela G Campbell1, Patricia Y Miranda1

  • 1The Pennsylvania State University, University Park, PA.

The Journal of Pediatrics
|May 23, 2018
PubMed

Insights

Breastfeeding rates improved for all infant birth weights. However, low birth weight infants show lower breastfeeding rates, indicating a need for targeted support and policies to improve their outcomes.

Area of Science:

  • Pediatrics
  • Public Health
  • Maternal and Child Health

Background:

  • Breastfeeding is crucial for infant health.
  • Understanding trends in breastfeeding across different birth weight categories is essential for public health initiatives.
  • Previous research highlights disparities in infant feeding practices.

Purpose of the Study:

  • To analyze changes in breastfeeding behaviors over time for low birth weight (LBW), very low birth weight (VLBW), and normal birth weight (NBW) infants.
  • To compare breastfeeding rates and durations across these birth weight groups using national US data.

Main Methods:

  • Utilized data from the Early Child Longitudinal Study-Birth Cohort (2001) and the National Study of Children's Health (2007, 2011/2012).
  • Employed univariate statistics and bivariate logistic models to examine breastfeeding behaviors.
  • Analyzed breastfeeding initiation and duration (≥6 months) across LBW, VLBW, and NBW infant populations.

Main Results:

  • Breastfeeding behaviors showed improvement for all birth weight categories between 2007 and 2011/2012.
  • In 2011/2012, very low birth weight infants had higher rates of ever being breastfed compared to low birth weight and normal birth weight infants.
  • Low birth weight infants exhibited significantly lower odds of ever breastfeeding (28% lower) and breastfeeding for ≥6 months (52% lower) compared to normal birth weight infants.

Conclusions:

  • Breastfeeding rates have increased for very low birth weight and normal birth weight infants, nearing Healthy People 2020 goals.
  • Low birth weight infants lag behind in achieving breastfeeding goals, necessitating focused interventions.
  • Policy development should prioritize enhancing breastfeeding support and promotion for low birth weight infants.
Abstract

Keywords:
Healthy People 2020LBWVLBWbreastfeed

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