Early Term Delivery and Breastfeeding Outcomes
Lauren S Keenan-Devlin1,2, Yetunde F Awosemusi3, William Grobman4,5
1Department of Obstetrics and Gynecology, NorthShore University HealthSystem, 2650 Ridge Ave Walgreen Bldg, Ste 1507, Evanston, IL, 60201, USA. lkeenan-devlin@northshore.org.
Maternal and Child Health Journal
|June 21, 2019
Summary
Infants born at early term (37-38 weeks) were less likely to be exclusively breastfed compared to full term infants. This highlights a need for targeted breastfeeding support and counseling for early term deliveries.
Area of Science:
- Obstetrics and Gynecology
- Neonatology
- Lactation Studies
Background:
- Adverse outcomes are higher in early term (37 0 to 38 6/7 weeks) compared to full term (≥39 0/7 weeks) infants.
- Breastfeeding outcomes for early term infants have not been systematically evaluated.
Purpose of the Study:
- To examine breastfeeding initiation and exclusivity in early term versus full term infants.
- To identify potential disparities in breastfeeding success based on gestational age at delivery.
Main Methods:
- Secondary analysis of 872 women from a US-based cohort and hospital clinic.
- Assessment of breastfeeding initiation (IBF) and exclusive breastfeeding (EBF) via electronic medical record review.
- Univariate and multivariate logistic regression to analyze associations between delivery term and breastfeeding outcomes, adjusting for covariates.
Main Results:
- Breastfeeding initiation rates were comparable between early term and full term groups (85.7%).
- Exclusive breastfeeding rates were significantly lower in the early term group (adjusted OR 0.694, p=0.016).
- The association between early term delivery and lower EBF odds remained significant after adjusting for multiple maternal and infant factors.
Conclusions:
- Early term infants were significantly less likely to be exclusively breastfed compared to full term infants.
- Women delivering early term infants may require enhanced counseling on potential breastfeeding challenges.
- Additional postpartum breastfeeding support is recommended for mothers of early term infants.
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