Antenatal breastfeeding promotion amongst pregnancies at high-risk for newborn admission to the NICU: A cross-sectional study.
Breast milk
High-risk pregnancy
Neonatal intensive care unit
Journal
European journal of obstetrics & gynecology and reproductive biology: X
ISSN: 2590-1613
Titre abrégé: Eur J Obstet Gynecol Reprod Biol X
Pays: Netherlands
ID NLM: 101750520
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
21
05
2022
accepted:
01
07
2022
entrez:
22
7
2022
pubmed:
23
7
2022
medline:
23
7
2022
Statut:
epublish
Résumé
To determine the prevalence and factors associated with antenatal promotion of breastfeeding in high-risk pregnancies. This was a cross-sectional study of trends in breastfeeding promotion during antenatal consultation of pregnancies at high-risk for newborn admission to the neonatal intensive care unit (NICU) between January 2017 and December 2020. Eligible high-risk pregnant patients undergoing antenatal consultation in a tertiary-level fetal assessment unit were identified using an electronic clinic repository. Consult letters and fetal assessment reports were reviewed to determine baseline demographics, pregnancy history, fetal findings, and communication about breastfeeding. Descriptive and inferential statistics were used to present findings and compare outcomes between groups. 316 pregnancies were included for final analysis. The mean maternal age was 28.7 years (SD 6.2) and 65 % were multiparas. Median gestational age at time of antenatal consult was 32 weeks [IQR 29-34]. The main indication for consultation was fetal anomalies (72.8%), namely cardiac defects (21.2 %). There was a significant improvement in prevalence of antenatal discussions about breastfeeding over the study period, from 48.8 % early in the study period compared to 73.7 % in the past year (p = 0.036). However, amongst consults where breastfeeding was discussed, almost one-quarter (23.8 %) of patients indicated that they were not planning on breastfeeding postnatally. There has been a significant improvement in promoting breastfeeding antenatally amongst high-risk pregnancies. However, no follow-up or supports were offered to one-quarter of patients who indicated no intention of breastfeeding or using donor milk postnatally. Ongoing work is required to further advance breastfeeding promotion antenatally, increase parental supports and education, and optimize breastfeeding rates postnatally for improving outcomes of this high-risk group.
Identifiants
pubmed: 35864932
doi: 10.1016/j.eurox.2022.100160
pii: S2590-1613(22)00021-7
pmc: PMC9294247
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100160Informations de copyright
© 2022 Published by Elsevier B.V.
Déclaration de conflit d'intérêts
None.
Références
Sci Rep. 2018 Feb 6;8(1):2453
pubmed: 29410448
Adv Neonatal Care. 2019 Jun;19(3):212-218
pubmed: 30694819
Adv Neonatal Care. 2012 Feb;12(1):10-1
pubmed: 22301537
J Perinatol. 2018 May;38(5):557-566
pubmed: 29371628
J Pediatr. 2012 Jan;160(1):25-32
pubmed: 21839469
Int J Environ Res Public Health. 2021 Oct 30;18(21):
pubmed: 34769946
Asia Pac J Public Health. 2016 Jan;28(1):7-14
pubmed: 26792873
J Matern Fetal Neonatal Med. 2019 Sep;32(18):3016-3019
pubmed: 29587541
Nutrients. 2019 Aug 14;11(8):
pubmed: 31416157
Paediatr Child Health. 2005 Mar;10(3):148
pubmed: 19675825
Adv Neonatal Care. 2019 Oct;19(5):349-360
pubmed: 31651469
Breastfeed Med. 2015 Mar;10(2):84-91
pubmed: 25659030
BMC Public Health. 2022 Jan 22;22(1):153
pubmed: 35062928
Pediatr Nurs. 1993 Mar-Apr;19(2):175-9
pubmed: 8502500
J Obstet Gynecol Neonatal Nurs. 2016 May-Jun;45(3):346-58
pubmed: 27016696
Matern Child Nutr. 2019 Jul;15(3):e12797
pubmed: 30767426
Breastfeed Med. 2021 Sep;16(9):717-724
pubmed: 33872065
Neonatology. 2012;102(4):276-81
pubmed: 22922675
J Obstet Gynecol Neonatal Nurs. 2018 Jul;47(4):571-582
pubmed: 29287170
Matern Child Nutr. 2018 Oct;14(4):e12618
pubmed: 29733102
J Pediatr. 2012 Oct;161(4):608-14
pubmed: 22575242
Breastfeed Med. 2020 Sep;15(9):576-582
pubmed: 32598161
JAMA Pediatr. 2019 Aug 1;173(8):729-735
pubmed: 31157878
PLoS One. 2021 Aug 6;16(8):e0255190
pubmed: 34358227
J Pediatr Gastroenterol Nutr. 2013 Sep;57(3):377-82
pubmed: 23752081
AJOG Glob Rep. 2022 Feb;2(1):100019
pubmed: 35252905