Decrease in Breast Milk intake in Preterm Infants Discharged from Swedish Neonatal Units 2004-2013

• Objective: Sweden is traditionally regarded as a pro-breastfeeding culture with high rates of breastfeeding. The objective was to describe breast milk intake in preterm infants at discharge from neonatal units during 2004-2013 and to describe potential influencing factors for not receiving breast milk at discharge.Method: This study is a registry study with data collected from the Swedish Neonatal Quality Register (SNQ). 29.433 preterm infants who had information about breast milk intake at discharge, in the register, were included. Results: There is a decrease in exclusive breastfeeding from 59 % in 2004 to 45 % in 2013. Among extremely preterm infants (n=1931), the rate of any breastfeeding decreased from 73 % to 55 %, in very preterm infants (n=4587) from 81 % to 75 % and in moderately preterm infants (n=22.915) from 92 % to 89 %, during the study period. The adjusted odds ratios for not receiving breast milk at discharge were; gestational age 2.2 (2.0-2.4), multiple births 2.1 (1.9-2.3), gestational diabetes 2.1 (1.7-2.7), mothers’ mental health 2.1 (1.8-2.6), cesarean section 1.8 (1.7-2.0), mothers’ health 1.7 (1.6-1.9), ventilator treatment 1.5 (1.3-1.7), CPAP treatment 1.3 (1.1-1.4), small for age 1.2 (1.1-1.4) and neonatal illness 1.2 (1.0-1.4)Conclusions:  Breast milk intake at discharge from hospital has decreased among preterm infants in Sweden from 2004 to 2013. Gestational age, multiple births, and mothers’ health were the strongest risk factors for not receiving breast milk at discharge. This negative trend raises concern, and presents challenges to neonatal units to support and promote increased breast milk intake.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Nyckelord

Amning

Publikations- och innehållstyp

ref (ämneskategori)

kon (ämneskategori)