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.

Indian Pediatrics
|September 14, 2022
PubMed

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.
Abstract

Related Concept Videos

Anatomy of the Intestines01:23

Anatomy of the Intestines

Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
73.1K
Factors Affecting Drug Response: Overview01:21

Factors Affecting Drug Response: Overview

When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.1K
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.2K
Factors Affecting Pulmonary Ventilation01:19

Factors Affecting Pulmonary Ventilation

Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
1.6K
Factors Affecting Protein-Drug Binding: Patient-Related Factors01:29

Factors Affecting Protein-Drug Binding: Patient-Related Factors

Protein-drug binding, a pivotal aspect of pharmacokinetics, is subject to considerable variability influenced by an array of patient-related factors. The intricate interplay of age, individual differences, and pathological conditions significantly impact the binding dynamics and subsequent pharmacological effects.
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
107
Factors Affecting Drug Distribution: Miscellaneous Factors01:19

Factors Affecting Drug Distribution: Miscellaneous Factors

Drug distribution in the human body is a complex process influenced by various individual factors, including age, pregnancy, obesity, diet, body water composition, pH levels, and specific disease conditions.
Age plays a significant role due to differences in body composition among different age groups. Infants, for instance, have a higher proportion of total body water and lower albumin levels, a protein that binds drugs in the bloodstream. This unique composition in infants enhances the...
472