Breastfeeding and risk for ceasing in mothers of preterm infants - long-term follow-up

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Breastfeeding and risk for ceasing in mothers of preterm infants - long-term follow-up

Ericson, Jenny (author): Högskolan Dalarna,Omvårdnad,Uppsala universitet, Centre for Clinical Research Dalarna, Falu lasarett,Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Centre for Clinical Research Dalarna, Falun, Sweden; Department of Paediatrics, Falu Hospital, Falun, Sweden; School of Education, Health and Social Studies, Dalarna University, Falun, Sweden,Perinatal, neonatal och barnkardiologisk forskning,Centrum för klinisk forskning Dalarna,Falun Hospital; Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden

Eriksson, Mats, Professor, 1959- (author): Örebro universitet,Institutionen för hälsovetenskaper,PEARL - Pain in Early Life,Orebro Univ, Fac Med & Hlth, Sch Hlth Sci, Orebro, Sweden

Hoddinott, Pat (author): Nursing, Midwifery and Allied Health Professionals Research Unit, University of Stirling, Stirling, UK,Univ Stirling, Nursing Midwifery & Allied Hlth Profess Res Unit, Stirling, Scotland

Hellström-Westas, Lena, 1954- (author): Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,U

Flacking, Renée, 1964- (author): Högskolan Dalarna,Omvårdnad,School of Education, Health and Social Studies, Dalarna University, Falun, Sweden,Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden

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2018-05-07
2018
English.
In: Maternal and Child Nutrition. - : Wiley. - 1740-8695 .- 1740-8709. ; 14:4

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Journal article (peer-reviewed)

Abstract Subject headings

Breastfeeding is challenging for mothers of preterm infants. The aim of this paper is to describe risk factors for ceasing breastfeeding and methods of feeding until 12 months postnatal age in mothers who breastfed their preterm infants at discharge from neonatal intensive care units (NICUs). The data come from a randomised controlled trial, which evaluated the effectiveness on exclusive breastfeeding at 8 weeks of proactive telephone support compared with reactive support offered to mothers of preterm infants following discharge from NICU. Six NICUs across Sweden randomised a total of 493 mothers. We used regression and survival analyses to assess the risk factors for ceasing breastfeeding and the long-term outcomes of the intervention. The results showed that 305 (64%) of the infants were breastfed at 6 months and 49 (21%) at 12 months. Partial breastfeeding at discharge, low maternal educational level, and longer length of stay in the NICU increased the risk for ceasing breastfeeding during the first 12 months. Furthermore, the Kaplan-Meier analysis showed that the proportion of mothers who ceased breastfeeding did not differ between the intervention (n = 231) and controls (n = 262) during the first 12 months (log-rank test p = .68). No difference was found between groups on method of feeding. More than 85% of the infants were fed directly at the breast. These findings provide important insights for health professionals who are supporting mothers of preterm infants to breastfeed long term.Registered in www.clinicaltrials.gov (NCT01806480).

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)

Keyword

RCT
bottle
breast milk
feeding
mother
neonatal
Hälsa och välfärd
Health and Welfare

Publication and Content Type

ref (subject category)
art (subject category)

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