Prenatal and Postnatal Experiences Predict Breastfeeding Patterns in the WIC Infant and Toddler Feeding Practices Study-2

Borger, Christine; Weinfield, Nancy S.; Paolicelli, Courtney; Sun, Brenda; May, Laurie

doi:10.1089/bfm.2021.0054

Cited by 8 publications

(9 citation statements)

References 21 publications

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“…Maternal intention to breastfeed for >6 months was the most consistent factor associated with a longer duration of breastfeeding across all time periods. This is consistent with previous research [ 20 ], predominantly in term infants, and points to the need to promote breastfeeding antenatally to help women clarify their intentions. Our findings suggest there is room to improve support for women after they leave the hospital.…”

Section: Discussionsupporting

confidence: 92%

Breastfeeding outcomes in late preterm infants: A multi-centre prospective cohort study

et al. 2022

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Objectives To describe (1) infant feeding practices during initial hospitalisation and up to 6 months corrected age (CA) in infants born late preterm with mothers intending to breastfeed, (2) the impact of early feeding practices on hospital length of stay and (3) maternal and infant factors associated with duration of breastfeeding. Methods We conducted a prospective cohort study of infants born at 34+0 to 36+6 weeks gestational age during 2018–2020. Families were followed up until the infant reached 6 months of age (corrected for prematurity). Feeding practices during the birth hospitalisation, length of initial hospital stay, and the prevalence of exclusive or any breastfeeding at 6 weeks, 3 months, and 6 months CA were examined. Associations between maternal and infant characteristics and breastfeeding at 6 weeks, 3 months and 6 months CA were assessed using multivariable logistic regression models. Results 270 infants were enrolled, of these, 30% were multiple births. Overall, 78% of infants received only breastmilk as their first feed, and 83% received formula during the hospitalisation. Seventy-four per cent of infants were exclusively breastfed at discharge, 41% at 6 weeks CA, 35% at 3 months CA, and 29% at 6 months CA. The corresponding combined exclusive and partial breastfeeding rates (any breastfeeding) were 72%, 64%, and 53% of babies at 6 weeks CA, 3 months CA, and 6 months CA, respectively. The mean duration of hospitalisation was 2.9 days longer (95% confidence interval (CI) 0.31, 5.43 days) in infants who received any formula compared with those receiving only breastmilk (adjusted for GA, maternal age, multiple birth, site, and neonatal intensive care unit admission). In multivariable models, receipt of formula as the first milk feed was associated with a reduction in exclusive breastfeeding at 6 weeks CA (odds ratio = 0.22; 95% CI 0.09 to 0.53) and intention to breastfeed >6 months with an increase (odds ratio = 4.98; 95% CI 2.39 to 10.40). Intention to breastfeed >6 months remained an important predictor of exclusive breastfeeding at 3 and 6 months CA. Conclusions Our study demonstrates that long-term exclusive breastfeeding rates were low in a cohort of women intending to provide breastmilk to their late preterm infants, with approximately half providing any breastmilk at 6 months CA. Formula as the first milk feed and intention to breastfeed >6 months were significant predictors of breastfeeding duration. Improving breastfeeding outcomes may require strategies to support early lactation and a better understanding of the ongoing support needs of this population.

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Section: Discussionsupporting

confidence: 92%

Breastfeeding outcomes in late preterm infants: A multi-centre prospective cohort study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Maternal intention to breastfeed for >6 months was the most consistent factor associated with a longer duration of breastfeeding across all time periods. This is consistent with previous research, 22 predominantly in term infants, and points to the need to promote breastfeeding antenatally to help women clarify their intentions. Our findings suggest there is room to improve support for women after they leave the hospital.…”

Section: Discussionsupporting

confidence: 92%

Breastfeeding outcomes in late preterm infants: a multi-centre prospective cohort study

Keir

Rumbold

Collins

et al. 2022

Preprint

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Objectives: To describe (1) infant feeding practices during initial hospitalisation and up to 6 months corrected age (CA) in infants born late preterm with mothers intending to breastfeed, (2) the impact of early feeding practices on hospital length of stay and (3) maternal and infant factors associated with duration of breastfeeding. Methods: We conducted a prospective cohort study of infants born at 34+0 to 36+6 weeks gestational age during 2018-2020. Families were followed up until the infant reached 6 months of age (corrected for prematurity). Feeding practices during the birth hospitalisation, length of initial hospital stay, and the prevalence of exclusive or any breastfeeding at 6 weeks, 3 months, and 6 months CA were examined. Associations between maternal and infant characteristics and breastfeeding at 6 weeks, 3 months and 6 months CA were assessed using multivariable logistic regression models. Results: 270 infants were enrolled, of these, 30% were multiple births. Overall, 78% of infants received only breastmilk as their first feed, and 83% received formula during the hospitalisation. Seventy-four per cent of infants were exclusively breastfed at discharge, 41% at 6 weeks CA, 35% at 3 months CA, and 29% at 6 months CA. The corresponding combined exclusive and partial breastfeeding rates (any breastfeeding) were 72%, 64%, and 53% of babies at 6 weeks CA, 3 months CA, and 6 months CA, respectively. The mean duration of hospitalisation was 2.9 days longer (95% confidence interval (CI) 0.31, 5.43 days) in infants who received any formula compared with those receiving only breastmilk (adjusted for GA, maternal age, multiple birth, site, and neonatal intensive care unit admission). In multivariable models, receipt of formula as the first milk feed was associated with a reduction in exclusive breastfeeding at 6 weeks CA (odds ratio = 0.22; 95% CI 0.09 to 0.53) and intention to breastfeed >6 months with an increase (odds ratio = 4.98; 95% CI 2.39 to 10.40). Intention to breastfeed >6 months remained an important predictor of exclusive breastfeeding at 3 and 6 months CA. Conclusions: Our study demonstrates that long-term exclusive breastfeeding rates were low in a cohort of women intending to provide breastmilk to their late preterm infants, with approximately half providing any breastmilk at 6 months CA. Formula as the first milk feed and intention to breastfeed >6 months were significant predictors of breastfeeding duration. Improving breastfeeding outcomes may require strategies to support early lactation and a better understanding of the ongoing support needs of this population.

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“…61 Two of the leading federally funded programs focusing on nutrition education among families, WIC and Head Start, provide health education to families with young children, but families are no longer eligible for these programs when children turn 5 years old. 62,63 For older children, the proportion of schools providing education on nutrition and dietary behaviors decreased from 84.6% to 74.1% between 2000 and 2014. 64 The Expanded Food and Nutrition Education Program and the SNAP Education program are federally funded, community-based programs that provide education about nutrition topics, including dietary practice and management, food resource management, and food security.…”

Section: Clinical Statements and Guidelinesmentioning

confidence: 99%

“…Children Impact on nutrition security: Benefits can only be used to purchase nutritious foods, and nutrition education and breastfeeding support may also improve nutrition security. 62 Extend eligibility for children through 6 y of age to address the gap in nutrition assistance before entering kindergarten. 57 Permit states the option to certify infants for 2 y instead of 1 y.…”

Section: Low-income Adults and Childrenmentioning

confidence: 99%

Strengthening US Food Policies and Programs to Promote Equity in Nutrition Security: A Policy Statement From the American Heart Association

Thorndike¹,

Gardner²,

Kendrick³

et al. 2022

Circulation

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Nutritionally inadequate dietary intake is a leading contributor to chronic cardiometabolic diseases. Differences in dietary quality contribute to socioeconomic and racial and ethnic health disparities. Food insecurity, a household-level social or economic condition of limited access to sufficient food, is a common cause of inadequate dietary intake. Although US food assistance policies and programs are designed to improve food security, there is growing consensus that they should have a broader focus on nutrition security. In this policy statement, we define nutrition security as an individual or household condition of having equitable and stable availability, access, affordability, and utilization of foods and beverages that promote well-being and prevent and treat disease. Despite existing policies and programs, significant gaps remain for achieving equity in nutrition security across the life span. We provide recommendations for expanding and improving current food assistance policies and programs to achieve nutrition security. These recommendations are guided by several overarching principles: emphasizing nutritional quality, improving reach, ensuring optimal utilization, improving coordination across programs, ensuring stability of access to programs across the life course, and ensuring equity and dignity for access and utilization. We suggest a critical next step will be to develop and implement national measures of nutrition security that can be added to the current US food security measures. Achieving equity in nutrition security will require coordinated and sustained efforts at the federal, state, and local levels. Future advocacy, innovation, and research will be needed to expand existing food assistance policies and programs and to develop and implement new policies and programs that will improve cardiovascular health and reduce disparities in chronic disease.

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Prenatal and Postnatal Experiences Predict Breastfeeding Patterns in the WIC Infant and Toddler Feeding Practices Study-2

Cited by 8 publications

References 21 publications

Breastfeeding outcomes in late preterm infants: A multi-centre prospective cohort study

Breastfeeding outcomes in late preterm infants: A multi-centre prospective cohort study

Breastfeeding outcomes in late preterm infants: a multi-centre prospective cohort study

Strengthening US Food Policies and Programs to Promote Equity in Nutrition Security: A Policy Statement From the American Heart Association

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