| Autor: |
Laborie S; Service de Réanimation Néonatale et Néonatologie, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, 69677 Bron, France., Abadie G; Réanimation Pédiatrique et Médecine Néonatale, CHU Félix Guyon, 97405 Saint Denis de la Réunion, France., Denis A; Laboratoire de Biométrie et Biologie Evolutive, UMR 5558, CNRS, Université Claude Bernard Lyon 1, 69100 Villeurbanne, France.; Service de Biostatistique et Bioinformatique, Pôle Santé Publique, Hospices Civils de Lyon, 69003 Lyon, France.; Laboratoire de Biométrie et Biologie Évolutive, Équipe Biostatistique-Santé, UMR 5558, CNRS, 69100 Villeurbanne, France., Touzet S; Service de Recherche Clinique et Épidémiologique, Pôle Santé Publique, Hospices Civils de Lyon, 69003 Lyon, France.; Research on Healthcare Performance Lab, Inserm U1290, Université Claude Bernard Lyon 1, 69008 Lyon, France., Fischer Fumeaux CJ; Department Mother-Woman-Child, Clinic of Neonatology, Lausanne University Hospital and University of Lausanne, 1011 Lausanne, Switzerland. |
| Abstrakt: |
We aimed to investigate whether the participation in an observational study on breastfeeding (Doal) modified breastfeeding outcomes in enrolling neonatal intensive care units (NICUs). This bi-centric before-and-after study included neonates who were admitted during a 4-month period before and a 4-month period after the implementation of Doal. Breastfeeding intention and breastfeeding rates at discharge were compared between the two periods. The association between inclusion in Doal and breastfeeding at discharge was assessed among the infants fulfilling the inclusion criteria of Doal. The present study included 655 neonates. After adjustments, both breastfeeding (aOR 1.21, 95%CI [1.1; 1.4], p = 0.001) and exclusive breastfeeding (aOR 1.8, 95%CI [1.4; 2.3], p < 0.001) at discharge increased in the period after. Breastfeeding intention was higher in one center in the period after (79%) compared to before (59%, p = 0.019). Compared to the period before, neonates who were not included in Doal in the period after had a lower chance to be breastfed at discharge, whereas those included were more frequently exclusively breastfed. The participation in an observational study on breastfeeding was associated with an increase in breastfeeding outcomes in enrolling neonatal intensive care units (NICUs). Patients who are not included deserve attention as they are at risk to be disadvantaged regarding breastfeeding success. |
