Universität zu Köln

Karacan, Kaan ORCID: 0009-0007-7292-1799, Scholten, Nadine ORCID: 0000-0002-7793-7745, Schwab, Isabella ORCID: 0000-0003-0476-2814, Ohnhäuser, Tim ORCID: 0000-0002-7606-9763 and Dresbach, Till ORCID: 0000-0001-7074-7933 (2025). Exploring Risk Factors Associated With Early Mother's Own Milk Feeding Cessation in Very Low Birth Weight Infants. Maternal & Child Nutrition, 21 (4). pp. 1-9. Wiley. ISSN 1740-8695

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Abstract

[Artikel-Nr.: e70057] Infants born with a very low birth weight (VLBW, < = 1.500 g) have an increased risk for medical complications and long‐term impairments. Feeding these infants with their mother's own milk (MOM) reduces the risk for adverse outcomes, but many VLBW infants are not fed with MOM for the recommended duration of at least 6 months postpartum. This study examines factors associated with early cessation during the VLBW infants' neonatal intensive care unit (NICU) stay and after discharge. Data were collected from an anonymous, nationwide survey as part of the Neo‐MILK study. Logistic regressions and Cox proportional hazard models were used to identify factors associated with early cessation of MOM feeding. Among the 304 mothers analysed, 19.4% of all mothers ceased MOM feeding during the infants' NICU stay. The total cessation rate before 6 months was 53.9%. An early milk volume of over 500 mL/day compared to less or equal to 500 mL/day was negatively associated with MOM feeding cessation during the infants' NICU stay (Adjusted OR: 0.14). Exclusive pumping was associated with a higher cessation rate after discharge (Adjusted HR: 2.01). Early sufficient milk volume and mixed feeding (pumping and breastfeeding) inform longer MOM feeding duration. Interventions targeting early lactation practices and promoting direct breastfeeding while helping with the transition from pumping to breastfeeding are essential for improving MOM feeding outcomes in VLBW infants.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Karacan, Kaan UNSPECIFIED https://orcid.org/0009-0007-7292-1799 UNSPECIFIED Scholten, Nadine UNSPECIFIED https://orcid.org/0000-0002-7793-7745 UNSPECIFIED Schwab, Isabella UNSPECIFIED https://orcid.org/0000-0003-0476-2814 UNSPECIFIED Ohnhäuser, Tim UNSPECIFIED https://orcid.org/0000-0002-7606-9763 UNSPECIFIED Dresbach, Till UNSPECIFIED https://orcid.org/0000-0001-7074-7933 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-811036
Identification Number:	10.1111/MCN.70057
Journal or Publication Title:	Maternal & Child Nutrition
Volume:	21
Number:	4
Page Range:	pp. 1-9
Number of Pages:	9
Date:	15 October 2025
Publisher:	Wiley
ISSN:	1740-8695
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Medizinsoziologie, Versorgungsforschung und Rehabilitationswissenschaft > Institut für Medizinsoziologie, Versorgungsforschung und Rehabilitationswissenschaft (IMVR)
Subjects:	Social sciences Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language breast milk expression ; breastfeeding ; human milk ; infant ; lactation ; survival analysis ; very low birth weight English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/81103