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Published on: September 22, 2023
Exclusive Breastfeeding in Late Preterm Infants: Rates and Risk Factors for Non-Exclusivity at One Month of Age in a
Chau Hoang Minh Le1,2, Hoang Thi Tran1,3, Surasith Chaithongwongwatthana2
1Danang University of Medical Technology and Pharmacy, Da Nang, Vietnam.
Insights
Late preterm infants face breastfeeding challenges but achieve high exclusive breastfeeding rates by one month with support. Prolonged donor milk use indicates a need for intensified lactation support.
Area of Science:
- Neonatal care
- Pediatric nutrition
- Lactation science
Background:
- Late preterm infants (34-36 6/7 weeks gestation) exhibit increased risks for breastfeeding difficulties compared to term infants.
- Limited data exists on breastfeeding outcomes and risk factors for non-exclusive breastfeeding in this population.
Purpose of the Study:
- To assess the exclusive breastfeeding rate at one month in late preterm infants.
- To identify factors associated with non-exclusive breastfeeding in this cohort.
Main Methods:
- Secondary analysis of a randomized clinical trial data (August 2023 - May 2024).
- Included 288 infants, stratified into late preterm and full-term groups.
- Feeding practices assessed from birth to one month; multivariable logistic regression used to identify risk factors.
Main Results:
- Late preterm infants experienced longer durations for intravenous fluids, enteral feeding, and direct breastfeeding.
- Despite initial challenges, the exclusive breastfeeding rate at one month was high (84.84%) and comparable to term infants (84.65%).
- Prolonged donor milk use was the sole independent predictor of non-exclusive breastfeeding (aOR=1.33; 95% CI [1.04, 1.70]).
Conclusions:
- Late preterm infants can achieve exclusive breastfeeding rates similar to term infants with adequate support.
- Prolonged donor milk use may signal a need for enhanced lactation support for mother-infant dyads.
Background:
Late preterm infants are at increased risk of breastfeeding difficulties compared to term infants. However, data on breastfeeding outcomes and specific risk factors for non-exclusive breastfeeding remain limited.
Research Aims:
To determine the exclusive breastfeeding rate among late preterm infants at one month of age and to identify factors associated with non-exclusive breastfeeding.
Methods:
This secondary analysis used data from a randomized clinical trial conducted at Da Nang Hospital for Women and Children between August 2023 and May 2024. A total of 288 infants were included and stratified into late preterm (34-366/7 weeks) and full-term (≥ 37 weeks) groups. Feeding practices were assessed from birth to one month. Multivariable logistic regression was performed to identify independent factors associated with non-exclusive breastfeeding.
Results:
Late preterm infants more frequently required intravenous fluids and experienced longer times to achieve full enteral feeding and direct breastfeeding than term infants. They also required donor milk for a longer duration (1.73 vs. 1.19 days, p = .002). Despite these early challenges, the exclusive breastfeeding rate at one month among late preterm infants was high (84.84%) and comparable to that of full-term infants (84.65%, p = .96). In multivariable analysis, prolonged duration of donor milk use was the only independent factor for non-exclusive breastfeeding (adjusted OR = 1.33; 95% CI [1.04, 1.70]).
Conclusion:
With appropriate support, late preterm infants can achieve exclusive breastfeeding rates comparable to term infants. Prolonged use of donor milk may serve as an early marker for mother-infant dyads requiring intensified lactation support.
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