Journal article
Longitudinal Follow-up of Preterm Breastfeeding to 12 Weeks Corrected Gestational Age
Advances in neonatal care, Vol.22(6), pp.571-577
2022
PMID: 34743110
Abstract
Background:
Preterm infants have shorter breastfeeding duration than that of term infants. Details of postdischarge feeding methods and difficulties are needed to inform the care of preterm breastfeeding dyads.
Purpose:
To describe postdischarge breastfeeding characteristics of mother–preterm infant dyads up to 12 weeks corrected gestational age (CGA).
Methods:
A prospective observational study of preterm dyads (birth 24-33 weeks' gestation) that fed their mother's own milk (MOM) at discharge from a neonatal unit in Perth, Western Australia. Feeding method and frequency, breastfeeding duration, difficulties, and nipple shield use were recorded at 2, 6, and 12 weeks CGA.
Results:
Data were obtained for 49 mothers (singleton infant n = 39, twins n = 10). At 12 weeks CGA, 59% fed any MOM with 47% exclusively fed MOM and 31% fully breastfed. Nipple shield use reduced from 42% at 2 weeks CGA to 11% at 12 weeks CGA. Compared with mothers who exclusively fed MOM at discharge (n = 41) those who fed both MOM and infant formula (n = 8) were more likely to wean before 12 weeks CGA (P < .001). Weaning occurred before 2 weeks CGA in 12/19 (63%), with low milk supply the most frequently cited reason.
Implications for Practice:
Most mothers with a full milk supply at discharge successfully transition to predominant breastfeeding. Frequent milk removal needs to be prioritized throughout the preterm infant's hospital stay.
Implications for Research:
Examination of facilitators and barriers to early and continued frequent milk removal across the postpartum period is required to identify strategies to optimize lactation after preterm birth.
Details
- Title
- Longitudinal Follow-up of Preterm Breastfeeding to 12 Weeks Corrected Gestational Age
- Authors/Creators
- Sharon L. Perrella - The University of Western AustraliaKathryn Nancarrow - King Edward Memorial HospitalAlethea Rea - Murdoch UniversityKevin Murray - The University of Western AustraliaKaren N. Simmer - The University of Western AustraliaDonna T. Geddes - School of Molecular Sciences
- Publication Details
- Advances in neonatal care, Vol.22(6), pp.571-577
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 7
- Identifiers
- 991005579905607891
- Copyright
- © 2021 National Association of Neonatal Nurses
- Murdoch Affiliation
- School of Mathematics, Statistics, Chemistry and Physics; Centre for Terrestrial Ecosystem Science and Sustainability
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.72 Obstetrics & Gynecology
- 1.72.891 Breastfeeding
- Web Of Science research areas
- Nursing
- ESI research areas
- Clinical Medicine