1. Rates and Determinants of Mother’s Own Milk Feeding in Infants Born Very Preterm
- Author
-
Dinesh Dharel, Nalini Singhal, Christel Wood, Zenon Cieslak, Fabiana Bacchini, Prakesh S. Shah, Xiang Y. Ye, Belal Alshaikh, Haim Abenhaim, Jehier Afifi, Ruben Alvaro, James Andrews, Anthony Armson, Francois Audibert, Khalid Aziz, Marilyn Ballantyne, Jon Barrett, Marc Beltempo, Anick Berard, Valerie Bertelle, Lucie Blais, Alan Bocking, Jaya Bodani, Jason Burrows, Kimberly Butt, Roderick Canning, George Carson, Nils Chaillet, Sue Chandra, Paige Church, Kevin Coughlin, Joan Crane, Dianne Creighton, Orlando Da Silva, Thierry Daboval, Leanne Dahlgren, Sibasis Daspal, Cecilia de Cabo, Akhil Deshpandey, Kimberly Dow, Christine Drolet, Michael Dunn, Salhab el Helou, Darine El-Chaar, Walid El-Naggar, Carlos Fajardo, Jonathan Foster, Robert Gagnon, Rob Gratton, Victor Han, Adele Harrison, Shabih Hasan, Michael Helewa, Matthew Hicks, K.S. Joseph, Andrzej Kajetanowicz, Zarin Kalapesi, May Khairy, Thierry Lacaze-Masmonteil, Kyong-Soon Lee, Brigitte Lemyre, Abhay Lodha, Deepak Louis, Thuy Mai Luu, Linh Ly, Annette Majnemer, Hala Makary, Isabelle Marc, Edith Masse, Sarah D. McDonald, Doug McMillan, Nir Melamed, Amy Metcalfe, Diane Moddemann, Luis Monterrosa, Michelle Morais, Amit Mukerji, William Mundle, Lynn Murphy, Kellie Murphy, Anne-Monique Nuyt, Chuks Nwaesei, Karel O’Brien, Martin Offringa, Cecil Ojah, Annie Ouellet, Jean-Charles Pasquier, Petros Pechlivanoglou, Ermelinda Pelausa, Bruno Piedboeuf, Elodie Portales-Casamar, Shahirose Premji, Pramod Puligandla, Eleanor Pullenayegum, Amber Reichert, Carol Schneider, Mary Seshia, Vibhuti Shah, Rebecca Sherlock, Sandesh Shivananda, Erik Skarsgard, Amanda Skoll, Graeme Smith, Anne Synnes, Katherine Thériault, Joseph Ting, Suzanne Tough, Jennifer Toye, Jagdeep Ubhi, Michael Vincer, Wendy Whittle, Hilary Whyte, Doug Wilson, Stephen Wood, Philip Ye, Wendy Yee, and Jill Zwicker
- Subjects
Adult ,Canada ,medicine.medical_specialty ,Canadian Neonatal Network ,Population ,Mothers ,Gestational Age ,formula feeding ,Breast milk ,Pediatrics ,Cohort Studies ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Formula feeding ,Intensive Care Units, Neonatal ,030225 pediatrics ,medicine ,Hospital discharge ,Humans ,030212 general & internal medicine ,education ,education.field_of_study ,premature infant [breast milk feeding] ,Milk, Human ,Obstetrics ,business.industry ,Infant, Newborn ,Gestational age ,Infant Formula ,Patient Discharge ,Bottle Feeding ,Very preterm ,Breast Feeding ,Logistic Models ,Infant, Extremely Premature ,Pediatrics, Perinatology and Child Health ,Cohort ,Female ,business ,Cohort study - Abstract
To examine rates and determinants of mother's own milk (MOM) feeding at hospital discharge in a cohort of infants born very preterm within the Canadian Neonatal Network (CNN).This was a population-based cohort study of infants born at33 weeks of gestation and admitted to neonatal intensive care units (NICUs) participating in the CNN between January 1, 2015, and December 31, 2018. We examined the rates and determinants of MOM use at discharge home among the participating NICUs. We used multivariable logistic regression analysis to identify independent determinants of MOM feeding.Among the 6404 infants born very preterm and discharged home during the study period, 4457 (70%) received MOM or MOM supplemented with formula. Rates of MOM feeding at discharge varied from 49% to 87% across NICUs. Determinants associated with MOM feeding at discharge were gestational age 29-32 weeks compared with26 weeks (aOR 1.56, 95% CI 1.25-1.93), primipara mothers (aOR 2.12, 95% CI 1.86-2.42), maternal diabetes (aOR 0.79, 95% CI 0.66-0.93), and maternal smoking (aOR 0.27, 95% CI 0.19-0.38). Receipt of MOM by day 3 of age was the major predictor of breast milk feeding at discharge (aOR 3.61, 95% CI 3.17-4.12).Approximately two-thirds of infants born very preterm received MOM at hospital discharge, and rates varied across NICUs. Supporting mothers to provide breast milk in the first 3 days after birth may be associated with improved MOM feeding rates at discharge.
- Published
- 2021
- Full Text
- View/download PDF