Prevalence and Predictors of Exclusive Breastfeeding in Late Preterm Infants at 12 Weeks
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Purpose: The purpose of this study was to identify breastfeeding practice with late preterm infants (LPIs), and to determine predictors of exclusive breastfeeding at the 12th week after discharge. Methods: The participants were 106 mothers of LPIs hospitalized in neonatal intensive care units at two university hospitals. Data were collected between February and October, 2013. Questionnaires included characteristics of LPIs, their mothers, and feeding-related characteristics. Feeding methods were exclusive breastfeeding, mixed feeding, and formula feeding. Results: Exclusive breastfeeding steadily increased from 5.7% at the 1st week to 19.8% at the 12th week, as did formula feeding from 27.3% to 67.9%. Contrarily, mixed feeding decreased from 67.0% at the 1st week to 12.3% at the 12th week. The ratio of formula feeding was higher than that of exclusive breastfeeding over time. Predictors for exclusive breastfeeding were the following: type of delivery (OR=2.96, 95%CI=1.07-8.14), feeding intolerance (OR=3.03, 95%CI=1.26-7.25) and feeding method during hospitalization (OR=7.84, 95%CI=3.15-19.53). Conclusion: In order to increase breastfeeding opportunities for LPIs, educational programs for gestational age-appropriate breastfeeding should be developed. The focus of breastfeeding education needs to be on mothers who delivered their LPIs through Cesarean-section and LPIs who had feeding intolerance or were fed only formula during hospitalization.
Abstract
Purpose: The purpose of this study was to identify breastfeeding practice with late preterm infants (LPIs), and to determine predictors of exclusive breastfeeding at the 12th week after discharge. Methods: The participants were 106 mothers of LPIs hospitalized in neonatal intensive care units at two university hospitals. Data were collected between February and October, 2013. Questionnaires included characteristics of LPIs, their mothers, and feeding-related characteristics. Feeding methods were exclusive breastfeeding, mixed feeding, and formula feeding. Results: Exclusive breastfeeding steadily increased from 5.7% at the 1st week to 19.8% at the 12th week, as did formula feeding from 27.3% to 67.9%. Contrarily, mixed feeding decreased from 67.0% at the 1st week to 12.3% at the 12th week. The ratio of formula feeding was higher than that of exclusive breastfeeding over time. Predictors for exclusive breastfeeding were the following: type of delivery (OR=2.96, 95%CI=1.07-8.14), feeding intolerance (OR=3.03, 95%CI=1.26-7.25) and feeding method during hospitalization (OR=7.84, 95%CI=3.15-19.53). Conclusion: In order to increase breastfeeding opportunities for LPIs, educational programs for gestational age-appropriate breastfeeding should be developed. The focus of breastfeeding education needs to be on mothers who delivered their LPIs through Cesarean-section and LPIs who had feeding intolerance or were fed only formula during hospitalization.
참고문헌 (23)
- "International statistical classification of diseases and related health problems Volume 2 Instruction Manual" (2010)[URL]
- William A. Engle, "A Recommendation for the Definition of “Late Preterm” (Near-Term) and the Birth Weight–Gestational Age Classification System", Seminars in Perinatology, 30(1), pp.2~7 (2006), Elsevier BV[DOI]
- "2012 live births by period of pregnancy" (2014)[URL]
- Jill Radtke Demirci, "Prevalence and Predictors of Early Breastfeeding Among Late Preterm Mother–Infant Dyads", Breastfeeding Medicine, 8(3), pp.277~285 (2013), Mary Ann Liebert Inc[DOI]
- T T Colaizy, "Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003", Journal of Perinatology, 28(7), pp.505~510 (2008), Springer Nature[DOI]
- 김묘징, "신생아실에서 퇴원한 후기 조산아들의 재입원에 대한 고찰", Korean Journal of Pediatrics, 52(8), pp.888~892 (2009), 대한소아과학회
- 나지윤, "후기 조산아들의 단기 임상적 결과", Korean Journal of Pediatrics, 52(3), pp.303~309 (2009), 대한소아과학회
- Karen Cleaveland, "Feeding Challenges in the Late Preterm Infant", Neonatal Network: The Journal of Neonatal Nursing, 29(1), pp.37~41 (2010), Springer Publishing Company[DOI]
- Kay M. Tomashek, "Early Discharge Among Late Preterm and Term Newborns and Risk of Neonatal Morbidity", Seminars in Perinatology, 30(2), pp.61~68 (2006), Elsevier BV[DOI]
- 장군자, "후기 미숙아의 재태 연령별 모유수유 실천 예측 요인 비교", Child Health Nursing Research, 21(4), pp.302~310 (2015), 한국아동간호학회[DOI]
- 장군자, "후기 미숙아의 모유수유 실천 정도와 모유수유 실천 예측 요인: 재태기간 34주 미만 미숙아와의 비교 분석", Journal of Korean Academy of Nursing, 42(2), pp.181~189 (2012), 한국간호과학회[DOI]
- "Indicators for assessing infant and young child feeding practices part 1 Definitions" (2008)[URL]
- Hurst NM, "Breastfeeding and human lactation", pp.425~470 (2010), Jones and Bartlett
- Susan M. Ludwig, "Oral Feeding and the Late Preterm Infant", Newborn and Infant Nursing Reviews, 7(2), pp.72~75 (2007), Elsevier BV[DOI]
- Tsu-Hsin Howe, "Multiple Factors Related to Bottle-Feeding Performance in Preterm Infants", Nursing Research, 56(5), pp.307~311 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Marsha Walker, "Breastfeeding the Late Preterm Infant", Journal of Obstetric, Gynecologic & Neonatal Nursing, 37(6), pp.692~701 (2008), Elsevier BV[DOI]
- S. Liu, "Using Generalized Estimating Equations to Analyze Longitudinal Data in Nursing Research", Western Journal of Nursing Research, 31(7), pp.948~964 (2009), SAGE Publications[DOI]
- Callen J, "A review of the literature examining the benefits and challenges, incidence and duration, and barriers to breastfeeding in preterm infants", Advances in Neonatal Care, 5(2), pp.89~92 (2005)[DOI]
- 장군자, "모유수유 교육 및 지지 서비스가 모유수유 실천율과 영아 성장에 미치는 효과", Journal of Korean Academy of Nursing, 40(2), pp.277~286 (2010), 한국간호과학회
- Jennifer Ayton, "Factors associated with initiation and exclusive breastfeeding at hospital discharge: late preterm compared to 37 week gestation mother and infant cohort", International Breastfeeding Journal, 7(1), pp.16~ (2012), Springer Nature[DOI]
- Barbara Medoff Cooper, "Newborn Clinical Outcomes of the AWHONN Late Preterm Infant Research‐Based Practice Project", Journal of Obstetric, Gynecologic & Neonatal Nursing, 41(6), pp.774~785 (2012), Elsevier BV[DOI]
- Nyqvist KH, "Supporting sucking skills in breastfeeding infants", pp.153~180 (2008), Jones and Bartlett
- American Academy of Pediatrics, "Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation", PEDIATRICS, 114(1), pp.297~316 (2004), American Academy of Pediatrics (AAP)[DOI]