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

Beatrice Letizia Crippa1,2, Lorenzo Colombo3,4, Daniela Morniroli5,6

  • 1Neonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy. beatriceletizia.crippa@gmail.com.

Nutrients
|February 6, 2019
PubMed

Insights

Late preterm infants face breastfeeding challenges, with low initiation and early discontinuation rates. Higher maternal education and prior breastfeeding experience improve duration, while advanced maternal age and twins negatively impact it.

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.

Keywords:
breastfeedingbreastfeeding supportlate pretermpromotion of breastfeedingprotective factors

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