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A shorter breastfeeding duration in late preterm infants than term infants during the first year

A shorter breastfeeding duration in late preterm infants than term infants during the first year


Title: A shorter breastfeeding duration in late preterm infants than term infants during the first year
Author: Jónsdóttir, Rakel Björg
Jónsdóttir, Helga
Örlygsdóttir, Brynja
Flacking, Renée
Date: 2021-04
Language: English
Scope: 9
Department: Faculty of Nursing
Women's and Childrens's Services
Series: Acta Paediatrica, International Journal of Paediatrics; 110(4)
ISSN: 0803-5253
DOI: https://doi.org/10.1111/apa.15596
Subject: Þunglyndi; Brjóstagjöf; Nýburar; Fyrirburar; depression; exclusive breastfeeding; gestational age; late preterm; well-being; Pediatrics, Perinatology and Child Health
URI: https://hdl.handle.net/20.500.11815/2755

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Citation:

Jónsdóttir , R B , Jónsdóttir , H , Örlygsdóttir , B & Flacking , R 2021 , ' A shorter breastfeeding duration in late preterm infants than term infants during the first year ' , Acta Paediatrica, International Journal of Paediatrics , vol. 110 , no. 4 , pp. 1209-1217 . https://doi.org/10.1111/apa.15596

Abstract:

Aim: Little attention has been paid to breastfeeding late preterm (LPT) infants. This study compared breastfeeding, worries, depression and stress in mothers of LPT and term-born infants throughout the first year. We also described factors associated with shorter breastfeeding duration of LPT infants. Methods: This longitudinal cohort study of the mothers of singleton infants—129 born LPT and 277 born at term—was conducted at Landspitali—The National University Hospital of Iceland, which has the country's only neonatal intensive care unit. The mothers answered questionnaires when their infants were 1, 4, 8 and 12 months of age. Results: Mothers breastfed LPT infants for a significantly shorter time than term infants: a median of 7 months (95% confidence interval 5.53-8.48) vs 9 months (95% confidence interval 8.39-9.61) (P <.05). Starting solids at up to 4 months was the strongest risk factor for LPT breastfeeding cessation during the first year, after adjusting for confounders (P <.001). Their mothers reported more worries about their infants’ health and behaviour during the first year and were more likely to experience depression at 4 months. Conclusion: Mothers with LPT infants are vulnerable and need greater practical breastfeeding and emotional support in hospital and at home.

Description:

Funding information: The Icelandic Nurses Association Science Fund, Grant/Award Number: 41180 and 31878; Landspitali University Hospital Science Fund, Grant/Award Number: A-2014-078 and A-2015-069 Publisher Copyright: ©2020 The Authors. Acta Paediatrica Published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica

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