The Rates of Any Breastfeeding at the Time of Postpartum Hospital Discharge for Early Term (370–386 Weeks) Versus Full Term (390–416 Weeks) Infants

Colbourne, Gina; Crane, Joan; Murphy, Phil; O'Brien, Donnette

doi:10.1016/j.jogc.2019.09.021

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Although our current study did not set out to examine the impact of early term delivery on early infant breastfeeding, it suffices to say that the associated adverse neonatal outcomes could affect the initiation of breastfeeding as a sick baby may not have sufficient energy to establish active suckling or tolerate expressed breast milk orally. This is in support of the finding by Colbourne et al [ 17 ] that early term delivery is an independent risk factor for failure of infant breastfeeding at the time of postpartum hospital discharge.…”

Section: Discussionsupporting

confidence: 91%

Neonatal Outcomes of Early Term Versus Late-Term Births in a University Teaching Hospital in Lagos, Nigeria

Soibi-Harry,

Osanyin,

Okunade

et al. 2024

Cureus

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Background: There is increasing evidence of an association between early term birth and adverse neonatal outcomes. However, there is a paucity of data on the true neonatal outcomes following term deliveries in lower-income countries, including Nigeria. Objectives: This study compared the neonatal outcomes of early and late-term deliveries in a tertiary hospital in Lagos, Nigeria. Methods: This was a five-year retrospective cohort study of all term deliveries between January 2013 and December 2017. Data were obtained from the labour ward and neonatal ward admission registers and medical records of the hospital. Descriptive and inferential statistics were computed for all relevant data. Statistical significance was reported at a p-value < 0.05. Results: Of the 1,001 deliveries reviewed and analysed for this study, 215 recorded adverse neonatal events, with a significantly higher proportion of these occurring in early term compared to late-term delivered pregnancies (75.8% versus 24.2%, p < 0.001). There was a statistically higher rate of NICU admission in early term neonates than in late-term neonates (14.3 versus 3.9%, p < 0.001). Respiratory complications were the most common adverse outcomes experienced by neonates in both groups. However, the early term neonates had a higher risk even when adjusted for sex, birth weight, and mode of delivery. Conclusion: Our study highlights the substantial impact of gestational age on neonatal outcomes, with early term neonates at a significantly higher risk of adverse events compared to late-term neonates. Strategies aimed at reducing the rates of elective early term induction of labour and caesarean deliveries may help minimize the occurrence of adverse neonatal outcomes in our setting.

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Section: Discussionsupporting

confidence: 91%

Neonatal Outcomes of Early Term Versus Late-Term Births in a University Teaching Hospital in Lagos, Nigeria

Soibi-Harry,

Osanyin,

Okunade

et al. 2024

Cureus

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“…Two studies approached the relation between gestational age at term and breastfeeding: one described that each additional gestational week at birth would increase the chances of the infant being breastfed by 8% (OR = 1.08; 95%CI = 1.07-1.16) (14) , whereas the other concluded that, in the absence of complications, there was no association between being born at early term and EBF duration (38.2% vs. 35.7%; p = 0.22) (15) . Considering these divergent results, this study has the objective of identifying the effect of the category gestational age at term on breastfeeding in the first hour of life, the duration of EBF, and the practice of BF twelve months from birth.…”

Section: Introductionmentioning

confidence: 99%

The influence of gestational age at term on breastfeeding: a cohort study

Michelin

Nunes

Carvalhães

et al. 2021

Rev. esc. enferm. USP

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Objective: To identify the effect of the category gestational age at term on breastfeeding in he first hour of life, the duration of exclusive breastfeeding, and practice of breastfeeding twelve months from birth. Method: Single cohort, with a one-year prospective follow-up of 541 children. A hierarchical analysis was performed, with models adjusted per Cox regression, considering critical p < 0.05. Results: During raw analysis there was a statistical difference on breastfeeding in the first hour of life (RR = 1.54; CI 95% = 1.12–2.12; p = 0.008). However, in the final analysis, there was no association between gestational age at term and breastfeeding in the first hour of life, duration of exclusive breastfeeding, and the practice of breastfeeding twelve months from birth. Secondarily, higher age and education, cesarean section, birth at private services, and the need for resuscitation were observed to have a negative influence. Duration of previous pregnancy favored breastfeeding in the first hour of life. Using baby bottle and pacifier was negative for breastfeeding in the first year of life. Conclusion: There was no association between the category gestational age at term and breastfeeding. The association of outcomes pointed out by the scientific literature have been confirmed.

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Investigation of maternal breastfeeding guarantee policy needs and influencing factors: a cross-sectional study in China

Li,

Zhang,

Guo

et al. 2024

Front. Health Serv.

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BackgroundThe promotion of breastfeeding is an important strategy to prevent neonatal death and improve maternal and infant health. But Chinese efforts to improve breastfeeding practices have not been particularly effective. There is still a long way to go to achieve the national health development goals. We aimed to explore the maternal demand for breastfeeding guarantee policy in China and to determine the impact of a range of socio-demographic and neonatal-related variables on breastfeeding guarantee policy demand.MethodsThe study was carried out in the Obstetrics and Gynecology hospital of Shanghai, one of China's earliest provincial and municipal maternal and child health care institutions. From June to November 2021, 1,292 women were recruited for the cross-sectional study in child health clinic. We collected relevant socio- demographic and neonatal-related data. Maternal breastfeeding needs were measured through a self-designed questionnaire on breastfeeding guarantee policy demands of mothers.ResultsThe mean score of breastfeeding guarantee policy demand was 4.42 ± 0.51. There were statistically significant differences in the effects of maternal age, education level, family income per capita (Yuan), medical payment type, baby age, work status, and current feeding methods on the demand for breastfeeding guarantee policies (P < 0.05). Multiple linear regression analyses showed that higher education level (B = 4.437, P < 0.001), baby age (B = 2.150, P = 0.002), and current feeding methods (B = 2.754, P = 0.005) were significantly associated with a higher demand for a breastfeeding guarantee policy, the effect of medical payment type is the most influencing factor (B = −7.369, P < 0.001).ConclusionsThe maternal needs for breastfeeding guarantee policy are multi-faceted and urgent. In the process of improving and implementing policies, the government and relevant departments should take into account the actual needs of women who have different education levels, baby ages, family economics, and feeding methods.

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The Rates of Any Breastfeeding at the Time of Postpartum Hospital Discharge for Early Term (370–386 Weeks) Versus Full Term (390–416 Weeks) Infants

Cited by 3 publications

References 19 publications

Neonatal Outcomes of Early Term Versus Late-Term Births in a University Teaching Hospital in Lagos, Nigeria

Neonatal Outcomes of Early Term Versus Late-Term Births in a University Teaching Hospital in Lagos, Nigeria

The influence of gestational age at term on breastfeeding: a cohort study

Investigation of maternal breastfeeding guarantee policy needs and influencing factors: a cross-sectional study in China

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