Management of Breastfeeding During and After the Maternity Hospitalization for Late Preterm Infants

Meier, Paula P.; Patel, Aloka L.; Wright, Katherine; Engstrom, Janet L.

doi:10.1016/j.clp.2013.07.014

Cited by 90 publications

(99 citation statements)

References 82 publications

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“…The rates of exclusive or predominant breastfeeding were lower in this study than in WHO MGRS (MGRS -approximately 80 and 63 %; PPFS -65.3 and 56.5 % at 4 weeks and 3 months, respectively) [19]. These results are not unexpected as breastfeeding rates are generally lower in preterm compared to term infants [9,[20][21][22], and establishing and maintaining breastfeeding in preterms requires considerable support. Factors that may impact upon the ability of preterms to breastfeed are clinical conditions related to prematurity, extended hospitalization, increased sleepiness and maternal illness.…”

Section: Discussionmentioning

confidence: 48%

Preterm feeding recommendations are achievable in large-scale research studies

et al. 2016

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Background: The INTERGROWTH-21st Project aimed to produce international, prescriptive, postnatal growth standards for preterm infants born to healthy, well-nourished mothers receiving adequate antenatal care. There is little information available regarding optimal postnatal growth among uncomplicated preterm newborns. We describe how the preterm infants contributing to the standards followed evidence-based feeding recommendations.

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Section: Discussionmentioning

confidence: 48%

Preterm feeding recommendations are achievable in large-scale research studies

et al. 2016

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“…[9][10][11][12][13][14][15][16] We add novel evidence to support the contention that the breastfeeding experience of the early term infant is different than their term counterparts and deserves further evaluation. Early term infants should be cared for differently, as detailed in a recent publication by Meier et al 8 The results of this secondary analysis were limited by the original study population and design. Questions relating to breastfeeding exclusivity or breastfeeding intensity were not included in the 1-month interview.…”

Section: Discussionmentioning

confidence: 99%

“…1 The early term infant has recently been emphasized as a population that is distinctly different from its term counterpart; at risk for breastfeeding complications and shortened breastfeeding durations. 1,8 Since fetal maturity occurs along a spectrum, and thus is not attained at a distinct point in time, these early term infants may demonstrate physiology and behaviors more closely related to those of a late preterm infant, which can predispose the early term infant and his/her mother to inadequate lactation and shortened breastfeeding duration. The unrecognized immaturity of the early term infant places the infant at risk for breastfeeding challenges and shortened breastfeeding durations.…”

Section: Discussionmentioning

confidence: 99%

Reduced Breastfeeding Rates in Firstborn Late Preterm and Early Term Infants

Hackman

Alligood-Percoco

Martin

et al. 2016

Breastfeeding Medicine

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Objectives: The primary objective was to determine the rate of breastfeeding by gestational age reported by new mothers 1 month postpartum, with particular focus on early term newborns (37-38 6 / 7 weeks). Materials and Methods: Three thousand six primiparous women aged 18-36 years were interviewed during their third trimester and again 1 month postpartum. Logistic regression analysis was used to model the association between gestational age and breastfeeding 1 month postpartum among those who reported that they planned to breastfeed, controlling for potentially confounding variables. Results: Two thousand seven hundred seventy-two women planned to breastfeed (92.2%), among whom 116 (4.2%) delivered late preterm (34-36 6 / 7 weeks), 519 (18.7%) early term (37-38 6 / 7 weeks), and 2,137 (77.1%) term or postterm (39+ weeks). Among those who delivered late preterm, 63.8% were breastfeeding 1 month postpartum, early term 72.6%, and term or postterm 76.5%. This relationship was verified by a multivariate logistic regression analysis; late preterm newborns were significantly less likely to be breastfeeding 1 month postpartum than the term or postterm newborns (odds ratio [OR] 0.44; 95% confidence interval [CI] 0.28-0.69; p £ 0.0001), as were early term newborns (OR 0.77; 95% CI 0.60-0.99; p = 0.038). Conclusions:In this large prospective study of first-time mothers and newborns, gestational age was significantly associated with breastfeeding 1 month postpartum; highlighting late preterm and early term infants as populations at risk for shortened breastfeeding duration and the need to create specific breastfeeding support and education.

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“…It is recommended that this separation be minimised and that skin-to-skin care, such as kangaroo mother care (KMC), be encouraged. Meier, Patel, Wright and Engstrom (2013) state that KMC is important to consider in the care of LPIs. This may be because early skin-to-skin contact is particularly important for promoting any or exclusive breastfeeding, and increasing breastfeeding duration Hake-Brooks & Anderson, 2008;Mattsson, Funkquist, Wickström, Nyqvist, & Volgsten, 2015).…”

Section: Introductionmentioning

confidence: 99%

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

Pike

Kritzinger

Krüger

2017

Breastfeeding Medicine

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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.

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Management of Breastfeeding During and After the Maternity Hospitalization for Late Preterm Infants

Cited by 90 publications

References 82 publications

Preterm feeding recommendations are achievable in large-scale research studies

Preterm feeding recommendations are achievable in large-scale research studies

Reduced Breastfeeding Rates in Firstborn Late Preterm and Early Term Infants

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

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