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.
Abstract

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