Predictors of Prolonged Breast Milk Provision to Very Low Birth Weight Infants

The Journal of Pediatrics
Andrew RomaineRachel G Greenberg

Abstract

To identify factors associated with prolonged maternal breast milk (BM) provision in very low birth weight (VLBW) infants. This was a cohort study of VLBW infants who initially received maternal BM and were born at one of 197 neonatal intensive care units managed by the Pediatrix Medical Group from 2010 to 2012. We used multivariable logistic regression to identify demographic, clinical, and maternal factors associated with provision of maternal BM on day of life (DOL) 30 and at discharge. Median gestational age for all infants was 28 weeks (25th, 75th percentiles: 26, 30), and median maternal age was 28 years (23, 33). Of 8806 infants, 6261 (71%) received maternal BM on DOL 30, and 4003 of 8097 (49%) received maternal BM at discharge to home. Predictors of maternal BM provision at DOL 30 included increased maternal age, white maternal race, absence of history of necrotizing enterocolitis or late-onset sepsis, higher household income, lower education level, lack of donor BM exposure, and lower gestational age. Our results suggest that maternal-infant demographic and clinical factors and household neighborhood socioeconomic characteristics were associated with provision of maternal BM at 30 postnatal days to VLBW infants. Identi...Continue Reading

Citations

Apr 12, 2020·Maternal and Child Health Journal·Kathryn G AndrewsMargaret McConnell
Oct 9, 2020·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Leslie A ParkerMartina Mueller
Dec 23, 2020·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Mariana González de Oliveira, Desirée de Freitas Valle Volkmer
Apr 24, 2021·Nursing Research·Leslie A ParkerMartina Mueller
Jun 3, 2021·NeoReviews·Padma S Nandula, Mark L Hudak

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