Breastfeeding Disparities between Multiples and Singletons by NICU Discharge
Roser Porta1, Eva Capdevila2, Francesc Botet3
1Neonatal Unit, Dexeus University Hospital, 5 Sabino Arana st, 08028 Barcelona, Spain. roser.porta@quiron.es.
Nutrients
|September 25, 2019
Summary
Multiple pregnancy is linked to lower rates of breastfeeding at hospital discharge for very low birth weight infants. Factors like infant health issues and maternal stress increase breastfeeding cessation risks.
Area of Science:
- Neonatal care
- Perinatal outcomes
- Infant feeding practices
Background:
- Multiple pregnancies are associated with increased risks of adverse perinatal outcomes, including breastfeeding failure.
- Existing research on predictive factors for breastfeeding duration in preterm twin infants shows conflicting results.
Purpose of the Study:
- To compare feeding practices at hospital discharge between twin and singleton very low birth weight infants.
- To identify factors influencing breastfeeding duration in very low birth weight infants, particularly comparing singletons and multiples.
Main Methods:
- Observational study using a prospective national Spanish cohort (SEN1500) of very low birth weight infants (2002-2013).
- Infants were grouped into singletons and multiples.
- Data analyzed using univariate and multiple stepwise backward models.
Main Results:
- At discharge, 24% of multiple infants were exclusively breastfed compared to 31% of singletons (p < 0.001).
- Twin pregnancy showed a small but significant effect on breastfeeding cessation before discharge (OR 1.10).
- Infant health complications (sepsis, intraventricular hemorrhage) and maternal stress factors increased breastfeeding cessation risk.
Conclusions:
- Multiple pregnancy itself can impede in-hospital breastfeeding, even without pathological conditions.
- Infant health status and specific interventions (antibiotics, IVF, prenatal steroids) influence breastfeeding duration.
- Targeted support may be needed to improve breastfeeding outcomes for multiple very low birth weight infants.
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