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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: Fyrirburar; Brjóstagjöf; Þunglyndi; Nýburar; depression; exclusive breastfeeding; gestational age; late preterm; well-being; Humans; Breast Feeding; Infant; Mothers; Iceland; Infant, Premature; Female; Longitudinal Studies; Infant, Newborn; 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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