Low breastfeeding continuation to 6 months for very preterm infants: A European multiregional cohort study.
breast milk
breastfeeding
inverse probability weighting
neonatal intensive care
prematurity
very preterm infants
Journal
Maternal & child nutrition
ISSN: 1740-8709
Titre abrégé: Matern Child Nutr
Pays: England
ID NLM: 101201025
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
received:
13
04
2018
revised:
28
06
2018
accepted:
04
07
2018
pubmed:
24
8
2018
medline:
23
5
2020
entrez:
24
8
2018
Statut:
ppublish
Résumé
Breastfeeding confers multiple benefits for the health and development of very preterm infants, but there is scarce information on the duration of breastfeeding after discharge from the neonatal intensive care unit (NICU). We used data from the Effective Perinatal Intensive Care in Europe population-based cohort of births below 32 weeks of gestation in 11 European countries in 2011-2012 to investigate breastfeeding continuation until 6 months. Clinical and sociodemographic characteristics were collected from obstetric and neonatal medical records as well as parental questionnaires at 2 years of corrected age. Among 3,217 ever-breastfed infants, 34% were breastfeeding at 6 months of age (range across countries from 25% to 56%); younger and less educated mothers were more likely to stop before 6 months (adjusted relative risk [aRR] <25 years: 0.68, 95% CI [0.53, 0.88], vs. 25-34 years; lower secondary: 0.58, 95% CI [0.45, 0.76] vs. postgraduate education). Multiple birth, bronchopulmonary dysplasia (BPD), and several neonatal transfers reduced the probability of continuation but not low gestational age, fetal growth restriction, congenital anomalies, or severe neonatal morbidities. Among infants breastfeeding at discharge, mixed versus exclusive breast milk feeding at discharge was associated with stopping before 6 months: aRR = 0.60, 95% CI [0.48, 0.74]. Low breastfeeding continuation rates in this high-risk population call for more support to breastfeeding mothers during and after the neonatal hospitalization, especially for families with low socio-economic status, multiples, and infants with BPD. Promotion of exclusive breastfeeding in the NICU may constitute a lever for improving breastfeeding continuation after discharge.
Identifiants
pubmed: 30136374
doi: 10.1111/mcn.12657
pmc: PMC7199087
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12657Investigateurs
E Martens
(E)
G Martens
(G)
P Van Reempts
(P)
K Boerch
(K)
A Hasselager
(A)
L Huusom
(L)
O Pryds
(O)
T Weber
(T)
L Toome
(L)
H Varendi
(H)
P Y Ancel
(PY)
B Blondel
(B)
A Burguet
(A)
P H Jarreau
(PH)
P Truffert
(P)
R F Maier
(RF)
B Misselwitz
(B)
S Schmidt
(S)
L Gortner
(L)
D Baronciani
(D)
G Gargano
(G)
R Agostino
(R)
D DiLallo
(D)
F Franco
(F)
V Carnielli
(V)
M Cuttini
(M)
C Koopman-Esseboom
(C)
A Van Heijst
(A)
J Nijman
(J)
J Gadzinowski
(J)
J Mazela
(J)
L M Graça
(LM)
M C Machado
(MC)
Carina Rodrigues
(C)
T Rodrigues
(T)
H Barros
(H)
A K Bonamy
(AK)
M Norman
(M)
E Wilson
(E)
E Boyle
(E)
E S Draper
(ES)
B N Manktelow
(BN)
A C Fenton
(AC)
Dwa Milligan
(D)
J Zeitlin
(J)
M Bonet
(M)
A Piedvache
(A)
Informations de copyright
© 2018 John Wiley & Sons Ltd.
Références
Matern Child Nutr. 2018 Jan;14(1):
pubmed: 28714111
Int Breastfeed J. 2006 Oct 12;1:18
pubmed: 17034645
Adv Neonatal Care. 2005 Apr;5(2):72-88; quiz 89-92
pubmed: 15806448
Pediatrics. 2006 Oct;118(4):e1048-54
pubmed: 17015498
JAMA Pediatr. 2015 Mar;169(3):230-8
pubmed: 25621457
Am J Epidemiol. 2008 Sep 15;168(6):656-64
pubmed: 18682488
Nutr Rev. 2005 Apr;63(4):103-10
pubmed: 15869124
Clin Perinatol. 2017 Mar;44(1):69-83
pubmed: 28159210
Early Hum Dev. 2001 Jan;60(3):193-205
pubmed: 11146238
Pediatrics. 2007 Oct;120(4):e953-9
pubmed: 17908750
Acta Paediatr. 2007 Aug;96(8):1126-30
pubmed: 17578487
Pediatrics. 2005 Jan;115(1):e31-7
pubmed: 15579667
BMJ. 2016 Jul 05;354:i2976
pubmed: 27381936
Pediatrics. 2007 Oct;120(4):e1035-42
pubmed: 17893188
Arch Dis Child Fetal Neonatal Ed. 2011 Nov;96(6):F450-2
pubmed: 20538713
J Pediatr (Rio J). 2007 Nov-Dec;83(6):541-6
pubmed: 18074059
Breastfeed Med. 2016 Apr;11:138-43
pubmed: 26977558
Stat Methods Med Res. 2013 Dec;22(6):661-70
pubmed: 22072596
Acta Paediatr. 2007 Oct;96(10):1450-4
pubmed: 17880414
Nutrients. 2017 Nov 01;9(11):
pubmed: 29104257
Arch Pediatr Adolesc Med. 2007 Nov;161(11):1053-61
pubmed: 17984407
J Hum Lact. 2017 May;33(2):390-400
pubmed: 28418809
J Obstet Gynecol Neonatal Nurs. 2011 Mar-Apr;40(2):190-7
pubmed: 21410756
Eur J Public Health. 2007 Dec;17(6):579-84
pubmed: 17392294
Breastfeed Med. 2017 Dec 6;:
pubmed: 29211544
Evid Rep Technol Assess (Full Rep). 2007 Apr;(153):1-186
pubmed: 17764214
Adv Neonatal Care. 2015 Dec;15(6):394-406
pubmed: 26536173
BMJ Open. 2015 Jun 30;5(6):e006973
pubmed: 26129632
Matern Child Nutr. 2019 Jan;15(1):e12657
pubmed: 30136374
Acta Paediatr. 2017 Sep;106(9):1447-1455
pubmed: 28470839
Cochrane Database Syst Rev. 2002;(1):CD003517
pubmed: 11869667
Neonatal Netw. 2008 Jan-Feb;27(1):7-13
pubmed: 18232586
J Pediatr. 2017 Jun;185:42-48.e1
pubmed: 28238479
J Obstet Gynecol Neonatal Nurs. 2014 May-Jun;43(3):272-81
pubmed: 24689979
Paediatr Perinat Epidemiol. 2018 May;32(3):237-246
pubmed: 29469986
J Pediatr. 2004 Jun;144(6):799-803
pubmed: 15192629
Acta Paediatr. 2010 Jul;99(7):1000-4
pubmed: 20151950
Pediatrics. 2006 Mar;117(3):e380-6
pubmed: 16510618
Soc Sci Med. 2006 Jan;62(1):70-80
pubmed: 15992983
J Pediatr. 2017 Mar;182:59-65.e7
pubmed: 27865429
J Pediatr. 2009 Nov;155(5):657-62.e1-2
pubmed: 19628218
Breastfeed Rev. 1999 Mar;7(1):5-16
pubmed: 10197366
J Pediatr. 2017 Apr;183:43-50.e3
pubmed: 28081886
Arch Dis Child Fetal Neonatal Ed. 2019 Jan;104(1):F36-F45
pubmed: 29353260
J Hum Lact. 2009 Nov;25(4):412-9
pubmed: 19602575