Trend over 25 years of risk factors of mother's own milk provision to very low birth weight infants at discharge

Berns, Monika; Bayramova, Sabahat; Kusztrich, Ariane; Metze, Boris; Bührer, Christoph

doi:10.1016/j.earlhumdev.2023.105730

Cited by 4 publications

(4 citation statements)

References 46 publications

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“…In a report [ 95 ] in which the association of MOM feeding with natural pregnancies or assisted fertilization was studied, the factors associated with the early cessation of MOM feeding were smoking during pregnancy, birth weight ≥ 1000 g, gestational age ≥ 29 weeks, single-mother status, a short (<12 years) duration of maternal or paternal school education and natural conception.…”

Section: Determinants and Predictors Of Vlbws’ Nutrition With Materna...mentioning

confidence: 99%

Monitoring the Use of Human Milk, the Ideal Food for Very Low-Birth-Weight Infants—A Narrative Review

Quitadamo,

Zambianco,

Palumbo

et al. 2024

Foods

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Aware of the utmost importance of feeding premature babies—especially those of lower weight—with human milk, as well as the need to monitor this important element of neonatal care, we focused on four aspects in this review. First of all, we reviewed the beneficial effects of feeding premature infants with breast milk in the short and long term. Secondly, we performed a quantitative evaluation of the rates of breastfeeding and feeding with human milk in Very-Low-Birth-Weight infants (VLBWs) during hospitalization in the Neonatal Intensive Care Unit (NICU) and at discharge. Our aim was to take a snapshot of the current status of human milk-feeding care and track its trends over time. Then we analyzed, on the one hand, factors that have been proven to facilitate the use of maternal milk and, on the other hand, the risk factors of not feeding with breast milk. We also considered the spread of human milk banking so as to assess the availability of donated milk for the most vulnerable category of premature babies. Finally, we proposed a protocol designed as a tool for the systematic monitoring of actions that could be planned and implemented in NICUs in order to achieve the goal of feeding even more VLBWs with human milk.

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Section: Determinants and Predictors Of Vlbws’ Nutrition With Materna...mentioning

confidence: 99%

Monitoring the Use of Human Milk, the Ideal Food for Very Low-Birth-Weight Infants—A Narrative Review

Quitadamo,

Zambianco,

Palumbo

et al. 2024

Foods

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“…This single centre, retrospective, observational cohort study compared all VLBW infants born at the Charité -Universitaetsmedizin Berlin and cared for at our NICU in the pre-pandemic year 2019 As previously described, we counted all days the infant received MOM to obtain the duration of MOM provision until discharge or transfer to another hospital regardless of additional feeding of donor milk or formula. 6 Supplementary donor milk was given according to the policy in our NICU to all infants after parental consent until MOM was available in sufficient quantity or the infant reached a weight of more than 1800 g.…”

Section: Me Thodsmentioning

confidence: 99%

“…There are several studies to suggest that feeding MOM to premature infants is associated with a variety of health benefits, notably decreasing the risk of necrotising enterocolitis, 2 late onset sepsis and neurodevelopmental impairment 3,4 . Provision of MOM was found to be influenced by parental socioeconomic status, education, smoking, as well as stress encountered by the mother while her infant is cared for in a neonatal intensive care unit stay (NICU) 5–8 . Breastfeeding rates among preterm infants have been consistently lower than in term infants 9 …”

Section: Introductionmentioning

confidence: 99%

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No change in mother's own milk provision and breastfeeding rates in preterm infants during the COVID‐19 pandemic

Berns,

Kusztrich,

Bührer

2023

Acta Paediatrica

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AimThe aim of the study was to evaluate the duration of mother's own milk (MOM) provision to preterm very low‐birth weight (VLBW, <1500 g) infants during the COVID‐19 pandemic. We hypothesised that COVID‐19 restrictions would reduce the duration of MOM provision.MethodsThis retrospective study compared VLBW infants born at the Berlin university hospital during the pandemic (15 March 2020 to 14 March 2021, n = 108) with infants born in the pre‐pandemic year (01 January 2019 to 31 January 2019, n = 121). We calculated the duration of MOM provision and analysed factors associated with its early cessation.ResultsDuring the pandemic, the rate of primiparous mothers increased from 29% to 44% while the distribution of all other parental and infants' characteristics remained similar. There were no differences in the median duration of MOM provision (47 vs. 51 days), feeding type (MOM 67% vs. 65%) and breastfeeding rates at discharge (exclusive, 8% vs. 13%; partial 69% vs. 60%). Cox proportional hazard analysis revealed smoking during pregnancy and parental school education consistently as independent risk factors for early cessation of MOM provision.ConclusionSupply of MOM for VLBW infants can be upheld also during pandemic restrictions.

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Cross-sectional study of partners’ tobacco consumption during their spouse’s pregnancy

Fortin,

Verrez,

Hacquart

et al. 2024

European Journal of General Practice

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Background A smoking partner is a major risk factor for passive smoking and continued maternal smoking. Objective To assess the smoking habits, knowledge, and information received to stop smoking of smoking partners during their spouse’s pregnancy. Method This was a cross-sectional study of partners who smoked at the start of pregnancy and whose spouses had just given birth. Recruitment was carried out in maternity hospitals in the Auvergne-Rhône-Alpes region from June 2021 to December 2021. Data were collected using a self-administered questionnaire. Results A total of 105 men using tobacco were recruited, average age 34 years (± 6.4). Of these, 46 (44%) had modified their consumption during pregnancy: 11 (10.5%) had stopped smoking until maternity hospital entry, 24 (23%) had cut down and 11 (10.5%) had relapsed after initial total cessation. A multivariate analysis revealed a statistically significant relationship between men’s change in smoking behaviour during pregnancy and a first pregnancy, an overweight participant, not living in a rural area, and information provided by the General Practitioner (GP). GPs are the first point of contact for participants looking for help to quit smoking. Among men who have not changed their smoking habits, 46% have not received any information from health professionals. Conclusions Intervention and medical information provided by GPs to smoking partners may be associated with changes in smoking habits during pregnancy. Additional prospective, comparative studies are needed to support a robust conclusion.

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Trend over 25 years of risk factors of mother's own milk provision to very low birth weight infants at discharge

Cited by 4 publications

References 46 publications

Monitoring the Use of Human Milk, the Ideal Food for Very Low-Birth-Weight Infants—A Narrative Review

Monitoring the Use of Human Milk, the Ideal Food for Very Low-Birth-Weight Infants—A Narrative Review

No change in mother's own milk provision and breastfeeding rates in preterm infants during the COVID‐19 pandemic

Cross-sectional study of partners’ tobacco consumption during their spouse’s pregnancy

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