Universität zu Köln

Heine, Eva, Mehler, Katrin ORCID: 0000-0002-3052-2147, Schoepping, Michiko, Ganesh, Lisa, Klein, Ruth, Kribs, Angela and Keller, Titus (2021). Privacy, Early Colostrum, and Gestational Age are Associated with Exclusive Breastfeeding in Preterm and Sick Term Infants. Z. Geburtsh. Neonat., 225 (4). S. 346 - 353. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-1651

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Abstract

Our study was designed to assess the rates of exclusive breastfeeding (defined as direct breastfeeding) and the use of mother's own milk (MOM) in preterm infants and sick term infants at discharge and to identify potential influencing factors such as gestational age, early colostrum, and privacy. The study was conducted at a German level III neonatal department. All preterm and sick term infants admitted to the neonatal intensive care unit, the pediatric intensive care unit, the intermediate care unit, and the low care ward were included in the study. Infants were recruited between March and October 2015 (phase 1) and April to July 2016 (phase 2). Due to an emergency evacuation, privacy was limited during the first phase. Breastfeeding and the use of MOM were assessed daily using a self-designed score. In total, 482 infants of 452 mothers were included. More than 90 % initiated breastfeeding and one-third were exclusively breastfed at discharge. Extremely immature infants and late preterm infants were less likely to be exclusively breastfed at discharge. Privacy (p < 0.001) and early colostrum (p = 0.002) significantly increased exclusive breastfeeding. Conclusion Extremely immature and late preterm infants were least likely to be exclusively breastfed at discharge and need special support. Interventions such as privacy and early colostrum should be promoted to increase breastfeeding.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Heine, Eva UNSPECIFIED UNSPECIFIED UNSPECIFIED Mehler, Katrin UNSPECIFIED orcid.org/0000-0002-3052-2147 UNSPECIFIED Schoepping, Michiko UNSPECIFIED UNSPECIFIED UNSPECIFIED Ganesh, Lisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Klein, Ruth UNSPECIFIED UNSPECIFIED UNSPECIFIED Kribs, Angela UNSPECIFIED UNSPECIFIED UNSPECIFIED Keller, Titus UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-565285
DOI:	10.1055/a-1524-3328
Journal or Publication Title:	Z. Geburtsh. Neonat.
Volume:	225
Number:	4
Page Range:	S. 346 - 353
Date:	2021
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-1651
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HUMAN-MILK; BIRTH; DEPRESSION; DISCHARGE; RATES; CARE Multiple languages Obstetrics & Gynecology; Pediatrics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56528