Do a Few Weeks Matter? Late Preterm Infants and Breastfeeding Issues

Area of Science:

• Neonatology
• Public Health
• Lactation Science

Background:

• The global increase in late preterm infants presents unique health challenges.
• Breastfeeding difficulties are common among late preterm infants, impacting their health outcomes.
• Understanding factors influencing breastfeeding in this population is crucial for targeted support.

Purpose of the Study:

• To investigate variables affecting breastfeeding initiation and duration in late preterm infants.
• To identify protective and risk factors for successful breastfeeding in this vulnerable group.

Main Methods:

• Prospective observational study involving 149 mothers and 189 late preterm infants.
• Questionnaires administered to mothers regarding breastfeeding habits and variables.
• Follow-up conducted for three months post-delivery.

Main Results:

• Low rates of breastfeeding initiation and early discontinuation were observed at 15, 40, and 90 days.
• Higher maternal education and previous positive breastfeeding experience correlated with longer breastfeeding duration.
• Advanced maternal age, Italian ethnicity, perceived insufficient milk supply, and having twins were associated with negative breastfeeding outcomes.

Conclusions:

• Late preterm infants exhibit significant breastfeeding challenges, necessitating focused interventions.
• Maternal education and prior breastfeeding experience are key facilitators for sustained breastfeeding.
• Identifying risk factors like advanced maternal age and multiple births allows for tailored support strategies for mothers of late preterm infants.