Increased Lactation Risk for Late Preterm Infants and Mothers: Evidence and Management Strategies to Protect Breastfeeding

Meier, Paula P.; Furman, Lydia; Degenhardt, Marguerite

doi:10.1016/j.jmwh.2007.08.003

Cited by 119 publications

(125 citation statements)

References 59 publications

Supporting

Mentioning

111

Contrasting

Unclassified

Order By: Relevance

“…NICU admission may improve breastfeeding rates in this population by providing: (1) the expertise to assess and support establishment of an adequate milk supply, via access to appropriate breast pumping supplies and information and (2) the expertise to assist in the breastfeeding in the neurologically immature infant, via International Board Certified Lactation Consult (IBCLC) and nursing providers accustomed to the breastfeeding challenges of prematurity. [33][34][35] Our study contains several limitations. The PRAMS instrument is self-administered and anonymous, making it impossible to validate the data collected at the subject level, excepting those data also collected as part of the birth certificate.…”

Section: Nicu Admission and Breastfeeding Prams 2000 To 2003mentioning

confidence: 99%

Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003

Colaizy

Morriss

2008

J Perinatol

View full text Add to dashboard Cite

Objective: We hypothesized that neonatal intensive care unit (NICU) admission reduces breastfeeding in a recent population of US infants, adjusting for confounding factors.Study Design: Using pregnancy risk assessment monitoring system data from 27 states for the years 2000 to 2003, we determined the relationship between breastfeeding and gestational age (GA) stratified by NICU status. We fitted a proportional odds model for breastfeeding duration as a function of NICU status adjusted for other covariates. SAS 9.1.3 and SUDAAN 9.0 were used for the weighted analyses.Result: In total 138 359 surveys, including 29 940 NICU-admitted infants, were analyzed. A total of 73% of mothers of nonadmitted infants initiated breastfeeding vs 70% of mothers of NICU-admitted infants. Mothers of GA <38 weeks NICU-admitted infants were 34% more likely to initiate breastfeeding and 21% more likely to breastfeed for 4 weeks than were mothers of nonadmitted preterm infants (P<0.001). However, mothers of term NICU-admitted infants were less likely to initiate and continue breastfeeding to 4 weeks than were mothers of term nonadmitted infants (P<0.001). Adjusting for GA, race, maternal age, maternal education, mode of delivery and Medicaid status, NICU admission was associated with increasing duration of breastfeeding (OR 1.10, CI 1.03, 1.17). Compared with mothers of term infants, mothers of <32-week infants were 40% more likely to continue breastfeeding for 4 weeks, mothers of 32 to 34 week infants were 13% less likely to continue and mothers of 35-37 week infants were 22% less likely to continue for at least 4 weeks (P<0.001).Conclusion: NICU admission is now a positive influence on breastfeeding continuation, improving the overall likelihood by 10%. Mothers of preterm NICU-admitted infants were more likely than mothers of nonadmitted infants to continue breastfeeding for 4 weeks, while mothers of term NICU-admitted infants were less likely to continue. Breastfeeding support should be enhanced for term and late preterm infants.

show abstract

Section: Nicu Admission and Breastfeeding Prams 2000 To 2003mentioning

confidence: 99%

Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003

Colaizy

Morriss

2008

J Perinatol

View full text Add to dashboard Cite

show abstract

“…25 The results suggest that participants, as a group, were not efficient breast-feeders and the shorter time held for breastfeeding may be an indication of poor endurance, a difficulty frequently highlighted in LPIs. 5,7,19 One explanation for poor endurance, may be the high rate of respiratory difficulties in this sample 26 (15% required oxygen at the time of evaluation and almost 50% had RDS). However, results indicated that more infants with RDS had breastfeeding sessions longer than 15 minutes, than infants without RDS.…”

Section: Resultsmentioning

confidence: 93%

“…8 Increased knowledge of specific breastfeeding characteristics may be useful in early identification, and intervention for breastfeeding difficulties that may place LPIs at risk for the negative cyclic implications that poor breastfeeding has on milk intake, infant physiological status, maternal anxiety and milk supply. 7,10,14,[17][18][19][20] The aim of this study was to further investigate the breastfeeding characteristics of LPIs receiving KMC. …”

Section: Reliability and Validitymentioning

confidence: 99%

Breastfeeding Characteristics of Late-Preterm Infants in a Kangaroo Mother Care Unit

Pike

Kritzinger

Krüger

2017

Breastfeeding Medicine

View full text Add to dashboard Cite

Title:Breastfeeding characteristics of latepreterm infants in a kangaroo mother care unit. AbstractObjective: To describe the breastfeeding characteristics of late-preterm infants (LPIs) in a kangaroo mother care unit (KMC). Materials and methods:In a 20-bed KMC unit, the breastfeeding of 73 purposively-selected LPIs' (mean gestational age: 34.8 weeks) was observed once-off, using the Preterm Infant Breastfeeding Behavior Scale. Participants' mean age was 9.5 days, mean number of days in the unit was 3.1 days, and mean number of days breastfeeding was 7.5 days on observation.

show abstract

“…A imaturidade neurológica e a falta de resposta a estímulos sensoriais presentes no prematuro justificam a presença de sucção fraca (22) .…”

Section: Discussionunclassified

Características da sucção não-nutritiva em RN a termo e pré-termo tardio

Kao

Guedes

Santos

2011

Rev. soc. bras. fonoaudiol.

View full text Add to dashboard Cite

RESUMOObjetivo: Comparar os parâmetros de sucção não nutritiva de recém-nascidos a termo e pré-termo tardio. Métodos: Os recém-nascidos foram divididos em dois grupos, pré-termo tardio (RNPT tardio) e a termo (RN a termo) e, submetidos à avaliação da sucção não-nutritiva utilizando-se um protocolo adaptado da Escala de Avaliação Motora Oral. Foi realizada análise estatística para comparação dos grupos. Resultados: Os reflexos de procura e de sucção foram menos frequentes nos RNPT tardio, comparados aos RN a termo, assim como a preensão palmar e mãos em linha média. A maioria dos RNPT tardio apresentou sono leve ou estava sonolento antes da avaliação. Os RNPT tardio apresentaram predominantemente sucção esporádica ou grupos de sucção com pausas longas e travamento e/ou tremores de mandíbula. A retração de língua e a protrusão de língua foram mais presentes nos RNPT tardio e o canolamento de língua nos RN a termo. Conclusão: Prontidão para a mamada, estado comportamental, postura corporal, padrão e força de sucção e movimentos de língua foram os parâmetros menos frequentes nos RNPT tardio em relação aos RN a termo.Descritores: Recém-nascido; Prematuro; Peso ao nascer; Comportamento de sucção; Idade gestacional; Aleitamento materno INTRODUÇÃORecém-nascido pré-termo tardio (RNPT tardio) é definido como prematuro de 34 semanas a 36 semanas e 6 dias de gestação contadas a partir do primeiro dia do último período menstrual normal da mãe (1) . O número de RNPT tardio tem aumentado nos últimos anos devido às técnicas obstétricas de fertilização assistida. Em 2005, nos Estados Unidos, 70% dos prematuros eram tardio (2) . Em 2004, um estudo em Pelotas encontrou 10,8% de RNPT tardio nesta região (3) . Por terem o peso e o tamanho de alguns recém-nascidos a termo, o prematuro tardio é considerado por muitos profissionais, como neonato com o desenvolvimento normal e baixa morbidade. No entanto no período neonatal pode apresentar imaturidade, alterações respiratórias, instabilidade de temperatura, kecnicterus, convulsões, hipoglicemia, hiperbilirrubinemia, falta de controle dos mecanismos do sono, dificuldades alimentares e taxas mais elevadas de re-internação (1,4) .A função oromotora ocupa, na maioria das vezes, um papel secundário na escala de prioridades dentro da reabilitação e prevenção de alterações no recém-nascido. No entanto, é pré-requisito para o desenvolvimento físico e neuropsicomotor do neonato, uma vez que se relaciona à ingestão de nutrientes, interação com o meio e até mesmo com o desenvolvimento da fala (5) .Na área fonoaudiológica, protocolos têm sido utilizados com o objetivo de avaliar a sucção e contribuir para o planejamento da intervenção terapêutica em caso de dificuldades alimentares (6)(7)(8) . No entanto, os estudos se concentram nos prematuros com idade gestacional inferior a 34 semanas (9)(10)(11) .Neste contexto, o presente estudo tem como objetivo comparar os parâmetros de sucção não-nutritiva de RN a termo e RNPT tardio.

show abstract

Increased Lactation Risk for Late Preterm Infants and Mothers: Evidence and Management Strategies to Protect Breastfeeding

Cited by 119 publications

References 59 publications

Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003

Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003

Breastfeeding Characteristics of Late-Preterm Infants in a Kangaroo Mother Care Unit

Características da sucção não-nutritiva em RN a termo e pré-termo tardio

Contact Info

Product

Resources

About