Early cessation of breast milk feeding in very low birthweight infants

Killersreiter, Birgitt; Grimmer, I; Bührer, Christoph; Dudenhausen, Joachim W.; Obladen, Michael

doi:10.1016/s0378-3782(00)00116-x

Cited by 86 publications

(63 citation statements)

References 40 publications

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“…Few studies examining preterm breastfeeding include or differentiate among multiples, and there is some conflicting research regarding the effect of preterm plural births on breastfeeding. [14][15][16][17] It has been suggested that higher rates of breastmilk pumping among mothers of multiples may contribute to increased breastfeeding rates. 14 The final model indicated that sociodemographic factors, including marital status, education, parity, race, age, WIC participation, and smoking status were among the most influential variables impacting LPI breastfeeding initiation.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Predictors of Early Breastfeeding Among Late Preterm Mother–Infant Dyads

Demirci

Sereika

Bogen

2013

Breastfeeding Medicine

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Background: Although late preterm infants (LPIs), at 34 0/7 -36 6/7 weeks of gestation, are reported to have suboptimal rates of breastfeeding, there is a lack of quantitative evidence describing this trend. This study examined the prevalence of breastfeeding initiation and factors associated with breastfeeding non-initiation within a Pennsylvania population-based cohort of late preterm mother-infant dyads. Subjects and Methods: Descriptive statistics and odds ratios were used to assess and compare breastfeeding initiation rates in 2003-2009 among LPI mothers (n = 62,451) and their infants (n = 68,886) with moderately preterm (n = 17,325) and term (n = 870,034) infants. Binary logistic regression was used to determine the association of system/provider, sociodemographic, and medical factors with breastfeeding non-initiation in late preterm mother-infant dyads for the year 2009 (n = 7,012). Results: Although LPI breastfeeding initiation in Pennsylvania increased significantly from 2003 (54%) to 2009 (61.8%) ( p < 0.001), the 2009 prevalence remained well below rates in term infant populations and national standards. The regression model indicated that interactions involving sociodemographic variables, including marital status, age, race/ethnicity, education, parity, Women, Infants and Children Program participation, and smoking status were among the most significant factors associated with LPI breastfeeding non-initiation ( p < 0.05). The univariate results were similar to those reported in preterm and term populations. Conclusions: Our data suggest that certain, unexpected demographic groups in the late preterm population be prioritized for further analysis and possibly greater breastfeeding support. More research is indicated to understand the effect of modifiable psychosocial factors on LPI breastfeeding initiation.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Predictors of Early Breastfeeding Among Late Preterm Mother–Infant Dyads

Demirci

Sereika

Bogen

2013

Breastfeeding Medicine

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“…Breast-feeding rates have been examined in Japan every 10 years as part of a national survey on child growth and development conducted by the Ministry of Health, Labor and Welfare [3][4][5][6]. In general, many preterm infants or very-low-birthweight infants are reported to be breast-fed less than other infants [7]. If national data are used for health guidance, many twins may be regarded as being breast-fed less.…”

Section: Introductionmentioning

confidence: 99%

Breast-feeding rates and related maternal and infants’ obstetric factors in Japanese twins

Ooki

2008

Environ Health Prev Med

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Objectives The aims of the present study are to describe the secular trend of breast-feeding rates in Japanese twins in comparison with the general population, and then to clarify the maternal and infants' obstetric factors associated with breast-feeding in twins. Methods Breast-feeding rates from 0 to 6 full months and related maternal and infant obstetric factors were analyzed using 4,023 Japanese twins, consisting of two different volunteer-based twin samples, age 1-15 years, whose birth year ranged from 1968 to 2003. Data were collected through mailed or hand-delivered questionnaires. Obstetric factors that affect full and partial breast-feeding of twins were confirmed using logistic analyses according to birth order in twin pairs, adjusted by birth year. Results The full breast-feeding rates of twins were lower than those of the general population. On the other hand, the combined rates of full and partial breast-feeding were close to those of general population, except for the period 1968-1974. The percentage of concordance pares was around 95% for all months. The most influential factor that negatively correlated with breast-feeding from 0 to 6 months was gestational weeks. Higher maternal age at twin birth and the use of an incubator also prevented breast-feeding in the neonatal period. Conclusions The results of the present study for the first time indicated that full breast-feeding of twins has risen recently in Japan, although the rates are still lower than those of the general population. The importance of the gestational weeks for breast-feeding rates was also shown.

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“…Mothers of preterm infants frequently do not provide sufficient milk to meet the needs of their infant because they stop expressing milk and/or have low volume. [7][8][9][10] A number of anatomical, physiologic/hormonal and stress factors may be implicated in hindering successful lactation, for example, immature mammary development resulting from shortened gestation (lactogenesis I), decreased milk production (lactogenesis II), and/or stress. 8,[11][12][13][14][15] Stress, be it physical or psychological, may hinder lactation via physiologic/hormonal responses that inhibit milk synthesis (for example, prolactin), milk release (for example, oxytocin) and/or maternal behavior.…”

Section: Introductionmentioning

confidence: 99%

Ethnic/racial diversity, maternal stress, lactation and very low birthweight infants

et al. 2007

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Objective: (1) To compare maternal characteristics and psychological stress profile among African-American, Caucasian and Hispanic mothers who delivered very low birthweight infants. (2) To investigate associations between psychosocial factors, frequency of milk expression, skin-to-skin holding (STS), and lactation performance, defined as maternal drive to express milk and milk volume.Study Design: Self-reported psychological questionnaires were given every 2 weeks after delivery over 10 weeks. Milk expression frequency, STS, and socioeconomic variables were collected.Result: Infant birthweight, education, and milk expression frequency differed between groups. Trait anxiety, depression and parental stress in a neonatal intensive care unit (PSS:NICU) were similar. African-American and Caucasian mothers reported the lowest scores in state anxiety and social desirability, respectively. Maternal drive to express milk, measured by maintenance of milk expression, correlated negatively with parental role alteration (subset of PSS:NICU) and positively with infant birthweight and STS. Milk volume correlated negatively with depression and positively with milk expression frequency and STS.Conclusion: Differences between groups were observed for certain psychosocial factors. The response bias to self-reported questionnaires between groups may not provide an accurate profile of maternal psychosocial profile. With different factors correlating with maintenance of milk expression and milk volume, lactation performance can be best enhanced with a multi-faceted intervention program, incorporating parental involvement in infant care, close awareness and management of maternal mental health, and encouragement for frequent milk expression and STS.

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Early cessation of breast milk feeding in very low birthweight infants

Cited by 86 publications

References 40 publications

Prevalence and Predictors of Early Breastfeeding Among Late Preterm Mother–Infant Dyads

Prevalence and Predictors of Early Breastfeeding Among Late Preterm Mother–Infant Dyads

Breast-feeding rates and related maternal and infants’ obstetric factors in Japanese twins

Ethnic/racial diversity, maternal stress, lactation and very low birthweight infants

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