When Is It Safe to Initiate Breastfeeding for Preterm Infants?

Lucas, Richard; Smith, Rebecca L.

doi:10.1097/anc.0000000000000167

Cited by 32 publications

(32 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study results are consistent with previous evidence from published literature that frequent skin-to-skin contact between mother and infant is crucial to the successful transition to direct breastfeeding in preterm infants [9,14] and initiation of exclusive breastfeeding in healthy full-term infants [18]. Early skinto-skin contact, within the rst hour of birth, if possible, facilitates maternal milk production [19,20].…”

Section: Discussionsupporting

confidence: 91%

Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

Zhang

Duan

Zhao

et al. 2020

Preprint

View full text Add to dashboard Cite

Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate among infants born extremely or very preterm. However, there is limited evidence surrounding intermittent KMC and exclusive breastfeeding in late preterm infants. In our study we investigated the association between the provision of intermittent KMC and breastfeeding practice for late preterm infants in four hospitals in different provinces of China. Methods Intermittent KMC was recommended to the mothers of all preterm infants admitted to the postnatal wards of participating hospitals between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not were enrolled in the “No KMC group”. Basic maternal socio-demographic information was collected, feeding practice; outcome and method, were recorded daily whilst in hospital. A follow-up survey of feeding practice was conducted 42 days after discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates. Results Among the 844 mothers participating in the study, 627 (74.3%) chose to perform KMC. More of the mothers who provided KMC were exclusively breast milk feeding their infants in the 24 hours before hospital discharge (54.6%) and at follow-up (57.3%), compared to mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the No KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the No KMC group, mothers who provided KMC were twice as likely to be exclusively breast milk feeding their infants at discharge (OR=2.15 (95% CI 1.53, 3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (95% CI 1.15, 2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (95% CI 1.81, 3.61)), and use breastfeeding method at follow-up (OR=2.09 (95% CI 1.44, 3.02)). Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breast milk feeding (outcome) and breastfeeding (method) at both discharge and 42 days after discharge for late preterm infants. This is especially important in China where exclusive breastfeeding rates are low, intermittent KMC provides a feasible means to increase the likelihood of these vulnerable infants receiving the benefits of exclusive breastmilk.

show abstract

Section: Discussionsupporting

confidence: 91%

Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

Zhang

Duan

Zhao

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Our study is consistent with previous evidence from published literature that frequent skin-to-skin contact between mother and baby is crucial to the successful transition to direct breastfeeding in preterm infants (7,11) and initiation of exclusive breastfeeding in healthy full-term babies (15). Early skin-to-skin contact, within the first hour of birth, if possible, facilitates maternal milk production (16,17).…”

Section: Discussionsupporting

confidence: 91%

“…Preterm infants are at a higher risk for late breastfeeding onset and early breastfeeding cessation when compared to infants born at term (9), due to a series of barriers including but not limited to a lack of adequate breast milk, an immature uncoordinated sucking pattern and increased likelihood of maternal symptoms of depression due to preterm delivery (4,10,11). This also applies to late preterm infants (12,13).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Intermittent Kangaroo Mother Care on Breastfeeding Practice of Late Preterm Infants in China

Zhang

Duan

Zhao

et al. 2019

Preprint

View full text Add to dashboard Cite

Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate of babies born extremely or very preterm. However, there is limited evidence of intermittent KMC’s effect on exclusive breastfeeding in late preterm. Using hospital discharge and follow-up data collected from four postnatal wards, we investigated the association between intermittent KMC and breastfeeding practice for late preterm babies in China.Methods Intermittent KMC was recommended to the mothers of all preterm babies admitted between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not in the “no-KMC group”. Basic maternal socio-demographic information was collected, feeding outcome and method were recorded daily whilst in hospital and a follow-up survey of feeding practice was conducted 42 days post-discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates.Results Among the 844 participants in the analysis, 627 (74.3%) chose to perform KMC. More mothers who provided KMC were exclusively breastmilk feeding their newborn in the 24 hours before discharge (54.6%) and at follow-up (57.3%), compared with mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the no-KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the no-KMC group, mothers who provided KMC were twice as likely to be providing their newborns with exclusive breastmilk feeding at discharge (OR=2.15 (1.53-3.02)), use breast feeding method at discharge (OR=1.61 (1.15-2.25)), provide exclusive breastmilk feeding at follow-up (OR=2.55 (1.81-3.61)), and use breast feeding method at follow-up (OR=2.09 (1.44-3.02)).Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breastmilk feeding (outcome) and breast feeding (method) at both discharge and 42 days after discharge for late preterm babies. Intermittent KMC has the potential to increase exclusive breastfeeding rates amongst late preterm infants.

show abstract

“…Although not as medically complex as their early preterm (born prior to 32 weeks GA) counterparts, moderate and late preterm infants are at risk for several health and developmental issues [ 6 ], and often require level II neonatal intensive care [ 7 ]. Appropriate nutrition beginning at birth is a key component to lifelong health [ 8 ] and breastmilk feeding is the recommended optimum feeding method for preterm infants [ 9 – 12 ]. However, breastmilk feeding rates among preterm infants are substantially lower than those of full-term infants [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol

et al. 2018

View full text Add to dashboard Cite

BackgroundBreastmilk is the ideal nutrition for preterm infants. Yet, breastmilk feeding rates among preterm infants are substantially lower than those of full-term infants. Barriers incurred through hospital care practices as well as the physical environment of the neonatal intensive care unit (NICU) can result in physical and emotional separation of infants from their parents, posing a substantial risk to establishing and maintaining breastfeeding. Additionally, current practitioner-focused care provision in the NICU can result in decreased breastfeeding self-efficacy (BSE), which is predictive of breastfeeding rates in mothers of preterm infants at 6 weeks postpartum.MethodsFamily Integrated Care (FICare) integrates and supports parents to actively participate in the care of their infant while in the NICU. Nested within the broader FICare trial, we will conduct an explanatory sequential mixed methods study to investigate if FICare improves maternal BSE and rates of breastmilk feeding in moderate and late preterm infants at discharge from the NICU. In phase 1, we will calculate the mean difference between admission and discharge BSE scores for the intervention group. Mothers who score in the top and bottom 20th percentile of change scores will be invited to participate in a semi-structured telephone interview exploring maternal experiences with infant feeding in the NICU. We will conduct inductive thematic analysis to identify and describe the facilitators and barriers of FICare on maternal feeding experiences. Once data saturation is achieved and themes have been established, phase 2 will revisit the quantitative data to determine whether FICare was impactful on BSE and breastmilk feeding rates. Findings from the qualitative and quantitative phases will be integrated to determine how infant feeding experiences on FICare units work to improve or detract from maternal BSE and rates of breastmilk feeding.DiscussionFICare may help to improve maternal BSE and rates of breastmilk feeding in moderate and late preterm infants. Improved breastmilk feeding outcomes can have a substantial impact on overall infant health, developmental outcomes, and maternal-infant bonding and will help to improve long-term health outcomes for moderate and late preterm infants.Trial registration(NCT02879799). Registered May 27, 2016 protocol version June 9, 2016 Version 2.Electronic supplementary materialThe online version of this article (10.1186/s13006-018-0168-7) contains supplementary material, which is available to authorized users.

show abstract

When Is It Safe to Initiate Breastfeeding for Preterm Infants?

Cited by 32 publications

References 30 publications

Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

The Effect of Intermittent Kangaroo Mother Care on Breastfeeding Practice of Late Preterm Infants in China

Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol

Contact Info

Product

Resources

About