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Factor Affecting Duration of Exclusive Breast Feeding in Preterm Infants With Gestational Age ≤ 34 Weeks
Apoorva Kutar1, Padmasani Venkat Ramanan2
1Department of Pediatrics, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu.
Insights
Exclusive breastfeeding (EBF) for preterm infants under 34 weeks lasted a mean of 3.6 months. Factors like operative delivery and delayed feeding initiation were linked to shorter EBF duration.
Area of Science:
- Neonatology
- Pediatrics
- Public Health
Background:
- Preterm infants (≤34 weeks gestation) face unique feeding challenges.
- Exclusive breastfeeding (EBF) is crucial for infant health but often difficult to achieve in preterm populations.
Purpose of the Study:
- To identify factors influencing the duration of exclusive breastfeeding (EBF) in preterm infants (≤34 weeks gestation).
Main Methods:
- A cohort of 113 preterm infants (≤34 weeks gestation) was studied up to 6 months corrected age (CA).
- Birth and feeding data were collected from hospital records and personal interviews.
Main Results:
- The mean duration of EBF was 3.61 (2.3) months, with 35.3% achieving EBF until 6 months CA.
- Operative delivery, delayed tube feeding initiation, and delayed establishment of oral feeds were significantly associated with shorter EBF duration.
Conclusions:
- The prevalence of EBF until 6 months CA in preterm infants (≤34 weeks) was 35.3%.
- Earlier initiation and successful establishment of full oral feeds are recommended to improve EBF duration in this vulnerable population.
Objectives:
To study the factors influencing the duration of exclusive breastfeeding (EBF) in preterm (≤34 weeks) infants.
Methods:
This study was done in 113 preterm infants with gestational age ≤34 weeks who were attending the well-baby clinic at the corrected age (CA) of 6 month. The birth details were noted from hospital records and feeding details were collected through a personal interview.
Results:
The mean (SD) duration of EBF was 3.61 (2.3) months, and 35.3% babies had received EBF till CA of 6 month. Operative delivery [aOR (95% CI): 3.8 (1.0, 13.4) P=0.037], delay in initiating tube feeding, [aOR; 1.5 (1.0, 2.1); P=0.017], and delay in establishment of oral feeds [aOR1 (1.0, 1.08) P=0.016] were associated with a shorter duration of EBF.
Conclusion:
The prevalence of EBF till 6 months CA in preterm ≤34 weeks was 35.3%. Earlier initiation and establishment of full oral feeds may help in improving the duration of EBF.
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